Roberta Targa Stramandinoli

Incidence of second primary oral cancer tumors: a retrospective study

OBJETIVO: A maioria das neoplasias malignas de cabeca e pescoco e diagnosticada em estagios avancados. O alto risco de desenvolver um segundo tumor primario (STP) diminui a taxa de sobrevida dos pacientes. STP piora significativamente o prognostico e estudos sobre ele devem ser realizados para se descobrir seus fatores de risco e melhor forma de tratamento. O principal objetivo deste estudo foi analisar a ocorrencia de STP em pacientes com carcinoma epidermoide bucal (CEB) tratados no Hospital Erasto Gaertner (HEG), Curitiba, PRP, Brasil, num periodo de 16 anos. METODOLOGIA: Um estudo retrospectivo foi realizado a fim de revisar os pacientes com CEB que desenvolveram STP entre Janeiro de 1990 e Dezembro de 2005. Os dados demograficos e clinicos foram coletados atraves dos prontuarios medicos dos pacientes e foram analisados por estatistica descritiva. RESULTADOS: Neste periodo, 34.637 pacientes foram admitidos no HEG. Um total de 1637 (4,4%) pacientes recebeu diagnostico de CEB, dos quais 37 (2,7%) desenvolveram STP. Os pacientes que desenvolveram STP eram 29 (78,4%) homens e 8 (21,6%) mulheres, com media de idade de 58 anos. Os sitios anatomicos mais frequentes para o STP foram a boca, orofaringe e esofago; a taxa de sobrevivencia foi de 27%. CONCLUSAO: Pacientes tratados de CEB devem ser examinados cuidadosamente e monitorados regularmente por causa do alto risco de desenvolver um STP, especialmente aqueles que mantem os habitos de tabagismo e etilismo.

Kimura s disease

A 72-years-old man presents with a bilateral mass in the retroauricular region, diagnosed as Kimura disease. Kimura disease is a chronic disorder of unknown origin, common in East Asia but rare in other world regions. The clinical presentation of this disease is the triad of lymphadenopathy in the head and neck, peripheral blood eosinophilia and increased levels of immunoglobulin E. Treatment includes corticosteroids, chemotherapy, radiotherapy, and surgery.

Large foreign body removed from the nasal cavity after 28 years

Abstract Foreign bodies of the nasal cavity are relatively frequent in pediatric patients, while in the adults, they are usually seen in disturbed persons or at the emergency room. Here we report a case of an unusual long-standing foreign body that passed misdiagnosed for 28 years in a 47 year-old man. The main complain of the patient were a continuous bad breath and presence of drainage of secretions in the posterior right maxilla. The patient related that he suffered a trauma in the face 28 years ago. Panoramic radiography exam showed a triangular radiopaque mass, superimposed on the right maxillary sinus and presence of the root of tooth 17, with a bucosinusal communication. A piece of glass of large dimensions was removed by the nasal cavity by general anesthesia. The patient developed well without any complaints after the surgery, showing total remission of earlier symptoms. This case shows the significance of medical history and clinical and radiographic detailed assessment of the nasal cavity and maxillary sinus in any adult patient with unilateral nasal symptoms, especially in cases without improvement after drug treatment.