Gustavo Lopes Toledo

Mandibular metastasis of adenocarcinoma from prostate cancer: case report according to epidemiology and current therapeutical trends of the advanced prostate cancer

Prostate cancer represents the most frequent non-cutaneous neoplasia in males. This type of neoplasia can develop peculiar patterns of evolution, presenting, in many cases, precocious relapses and metastasis. Bone metastasis in the mouth is extremely rare, and represents 1% of all malignant mouth neoplasias. The aim of the present study is to report a clinical case of bone metastasis in the mandibular region associated with a tumoral prostate adenocarcinoma, as well as to discuss connected aspects about diagnosis, prognosis and integrated treatment of this condition.

Blastomicose sul americana - apresentação de caso clínico tratado com associação de inidazóis sistémico e tópico

Resumo Blastomicose Sul Americana, tambem conhecida como Paracoccidioidomicose, Blastomicose brasileira ou molestia de Lutz, foi observada pela primeira vez no Brasil em 1908, por Adolpho Lutz. O pulmao e o orgao mais frequentemente acometido e da origem a manifestacoes clinicas de maneira muito insidiosa. As lesoes da mucosa oral, faringe e laringe sao muito comuns e com frequencia sao a causa de consulta ao Medico Dentista ou ao clinico geral, em estado inicial as lesoes, principalmente na lingua podem simular carcinoma. Para tal, considera-se o manejo terapeutico da Blastomicose Sul Americana deve,obrigatoriamente, compreender alem da utilizacao de drogas antifungicas, o emprego de medidas que melhorem as condicoes gerais do paciente, e acompanhamento pos-terapeutico. Os principais medicamentos utilizados sao a associacao trimetropim/sulfametoxazol (co trimoxazol), itraconazol e cetoconazol. O diagnostico definitivo desta patologia e obtido com a demonstracao do agente etiologico em fluidos biologicos ou tecidos, principalmente por exame micologico direto e/ou histopatologico. Esse artigo traz um levantamento bibliografico, bem como um caso clinico tratado com associacao de inidazois sistemico e topico.

Ocular reconstruction after zygomatic complex fracture with retention of a foreign body.

Facial injuries with the retention of foreign bodies inside the tissues, both in soft and hard ones, can cause major functional and aesthetic damage. Among the different etiological agents, cutting tools, fragments of a firearm, the splinter of wood, steel, or iron, launched by misuse, or even caused by defects in equipment, are the main cause of these injuries. The aim of this study was to discuss the peculiarity of the multidisciplinary approach in caring of a 33-year-old man, victim of an accident at work, by the rupture of an emery disc and consequent penetration of the fragments in violation of the tissues in the orbital and zygomatic region of the left side, with perforation of the eyeball and orbital-zygomatic fracture. Urgent treatment consisted of debridement of wounds, bleeding control, removal of foreign bodies, fracture reduction with rigid internal fixation, and suture, performed by the oral and maxillofacial surgical team. Reconstruction of orbital tissues by the ophthalmology team consisted of suture of the injuries. About 1 month after the trauma, phthisis bulbi was noted, and the patient underwent a new procedure under general anesthesia for eye evisceration and installation of an alloplastic prosthesis associated with the homogenous sclera. Facial harmony was restored, especially in aesthetics and function of the zygomatic-orbital complex.

Cisto Ósseo Traumático – Caso Clínico

Resumo Descoberto geralmente de forma acidental, em avaliacoes de rotina, o cisto osseo traumatico, tambem chamado de cisto osseo hemorragico, cisto osseo solitario ou cisto unicameral, nao ocorre frequentemente. E centro de muitas discussoes uma vez que apresenta etiologia desconhecida, podendo ser confundido com cisto dentigero, ceratocisto odontogenico, tumor odontogenico adenomatoide, ameloblastoma, granuloma central de celulas gigantes ou ainda, estar associado com outra patologia como purpura trombocitopenica. O tratamento cirurgico consiste na curetagem da cavidade e do seu conteudo, podendo ser de caracteristica gasosa, liquida ou semi-solida. O presente artigo traz um levantamento bibliografico, bem como o relato de um caso clinico-cirurgico.