393SILVA HLMA, BATISTA LVC, MOURA LDL, JÚNIOR LCVT, AROUCHA J, BELO SG, NETO MÁL. Indicação da anuscopia de alta resolução e citologia anal na prevenção de hpv e câncer colorretal em pacientes portadores de hiv. Rev bras Coloproct, 2011;30(4): 393-398.
Hemangiomas are benign vascular lesions characterized by endothelial vascular proliferation and may demonstrate aggressive clinical features. Intraosseous hemangiomas are uncommon and the maxillary location rare, with few cases described in the literature. The treatment of these lesions varies, however they have a better prognosis when a surgical treatment through resection is performed. The aim of this study is to report a case of right maxillary cavernous intraosseous hemangioma treated by surgical resection with previous embolization. The diagnosis was made through incisional biopsy and immunohistochemical examination. An aggressive lesion profile was observed through the Ki67 marker. During surgery, a temporary ipsilateral external carotid artery ligation was performed to minimize possible bleeding. Weber-Fergson surgical access was performed and total surgical resection through hemi-maxillectomy. The patient is stable after 30 months of follow-up without relapses. In suspected cases of intraosseous hemangiomas, accurate diagnosis and total surgical resection of the lesion is essential. The use of therapeutic mammoths that minimize sagging during and after the procedure such as embolization and arteriography should always be performed.
O albinismo é decorrente de uma condição hereditária de caráter autossômico recessivo, caracterizado por uma hipopigmentação geral da pele, acarretando menor proteção contra raios solares, logo estão mais sujeitos a queimaduras solares, elastose, lesões prémalignas como a ceratose actínica e cânceres de pele. O carcinoma escamocelular é o mais comum em albinos, seguido pelo basocelular. A ocorrência de tumores sincrônicos de diferentes subtipos é bastante incomum de acontecer nessa população, por isso, poucos casos são relatados na literatura. O presente relato tem como objetivo abordar um caso de tumores sincrônicos avançados em paciente albino, diagnosticado no ambulatório de oncologia da Santa Casa de Misericórdia de Maceió-AL. A metodologia foi realizada com dados de anamnese e exame físico do paciente, exames complementares e consulta a
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