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Pesquisa : C04.651 [Categoria DeCS]
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Id: biblio-999487
Autor: Ladrón de Guevara H, David; Pefaur D, Raúl; Pardo B, Claudio.
Título: Neoplasias insospechadas detectadas en pacientes que se realizaron PET/CT de cuerpo entero / Clinically unexpected malignant disease detected by whole-body PET/CT
Fonte: Rev. Méd. Clín. Condes;21(5):845-850, sept. 2010. ilus, tab, graf.
Idioma: es.
Resumo: La técnica híbrida PET/CT ha sido utilizada en el estudio inicial y seguimiento de neoplasia malignas, con óptima relación costo/beneficio.El objetivo de este trabajo fue evaluar la aparición de neoplasias no sospechadas en pacientes que se realizaron un PET/CT de cuerpo entero en nuestro Servicio.Método: Se revisaron 354 PET/CT realizados entre enero de 2009 y enero de 2010, registrándose aquellos exámenes de cuerpo entero que detectaron una neoplasia no sospechada, que no tenía relación con la indicación del examen.Resultados: Se pesquisaron 11 neoplasias no sospechadas en 11 pacientes que fueron derivados para estudio de otra patología, 9 de ellos con otro cáncer en etapificación o seguimiento.Los tumores pesquisados fueron Ca pulmonar (2), Ca tiroides (2), meningioma (2), Ca páncreas (1), Ca colon (1), TMPI Páncreas (1), Ca endometrio (1), y Ca mama (1).La ocurrencia de neoplasia detectada incidentalmente en la población total fue de 4,4 por ciento (11/252 excluyendo PET/CT por control de tratamiento), y en la población oncológica de4,2 por ciento (9/216 excluyendo pacientes no oncológicos y PET/CT controles).En conclusión, el PET/CT es de gran utilidad en el estudio inicial y seguimiento de pacientes oncológicos, permitiendo además pesquisar un segundo tumor primario

PET/CT has been in the initial study follow-up of malignant tumors, shown optimal cost/benefit relation. The purpose of this study was to evaluate the occurrence of unexpected malignancies in patients who realize a PET/CT whole-body scan. Methodology: A total of 354 PET/CT scans were done from January 2009 to January 2010. The scans in which an unexpected malignancy was detected, that unrelated to the primary indication of exam, were recorded. Results: Eleven unexpected neoplasm were discovered in 11 patients, 9 of them with a known cancer in initial staging or follow-up. Tumors encountered were lung cancer (2), thyroid cancer (2), meningioma (2), pancreatic cancer (1), colon cancer (1), IPTM of the pancreas (1), endometrial cancer (1), and breast cancer (1).The occurrence of incidentally neoplasm in total group was 4,4 percent (11/252 excluding follow­up PET/CT scans 4,2 percent in oncologic population (9/216 excluding non oncologic patients and follow-up scans). In conclusion, PET/CT is a very helpful imaging procedure in the initial study and follow up of oncologic patients, allowing to detect a second primary malignancy
Descritores: Neoplasias Primárias Múltiplas/diagnóstico por imagem
-Tomografia Computadorizada por Raios X/métodos
Programas de Rastreamento
Estudos Retrospectivos
Compostos Radiofarmacêuticos
Fluordesoxiglucose F18
Achados Incidentais
Tomografia por Emissão de Pósitrons
Imagem Corporal Total
Neoplasias/epidemiologia
Limites: Humanos
Masculino
Feminino
Criança
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Adulto Jovem
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Chile
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Id: biblio-1126161
Autor: Laguna Olmos, Mariano; Ruiz Peña, Ana Cristina; Puente Martínez, María José; Lag Asturiano, M. Encarnación; Fernández García, Cristina; San Juan Sáenz, Laura; Giménez Campos, Marta.
Título: Carcinoma endometrioide sincrónico de ovario y endometrio / Ovarian and endometrial synchronous endometrioid carcinoma
Fonte: Rev. chil. obstet. ginecol. (En línea);85(3):263-269, jun. 2020. graf.
Idioma: es.
Resumo: ANTECEDENTES: existe una asociación demostrada entre endometriosis y algunas histologías del carcinoma epitelial de ovario. Por otra parte, se ha observado que hasta un 30% de las neoplasias de ovario se presentan de forma concomitante a neoplasias del endometrio. Para considerar la sincronicidad entre estos tumores, estos deben cumplir criterios anatomopatológicos estrictos como los descritos por scully. OBJETIVO: presentar un caso clínico de carcinoma endometrioide sincrónico de ovario y endometrio sobre focos de endometriosis, así como su diagnóstico y manejo. CASO CLÍNICO: paciente de 27 años que consulta por spotting intermenstrual. En la ecografía endocavitaria se observa un pólipo endometrial. Además, se describe un tumor anexial izquierdo de 42mm, trilobulado, con un polo sólido de 17×15mm. Se somete a una polipectomía histeroscópica y quistectomía ovárica laparoscópica. Asimismo, se reseca implante sospechoso en el fondo de saco posterior. El resultado anatomopatológico de las piezas quirúrgicas fue: pólipo endometrial con hiperplasia compleja con atipias y focos de adenocarcinoma endometrioide grado I; el tumor quístico ovárico izquierdo consistente con quiste endometriósico con focos de adenocarcinoma endometrioide. La lesión peritoneal corresponde a un implante de adenocarcinoma endometrioide grado I. El estudio de las características anatomopatológicas y la presencia del implante peritoneal sugieren el diagnóstico de un carcinoma endometrioide ovárico con origen en una lesión endometriósica sincrónico con un carcinoma endometrioide endometrial. CONCLUSIÓN: el diagnóstico diferencial entre la sincronicidad o diseminación de los tumores de ovario y endometrio de estirpe endometrioide supone un reto para el clínico y es fundamental para el correcto manejo de estas neoplasias.

BACKGROUND: there is a demonstrated association between endometriosis and some epithelial ovarian carcinoma histologies. On the other hand, it has been observed that up to 30% of ovarian neoplasms present concomitantly with endometrial neoplasms. To consider synchronicity between these neoplasms, they must meet strict pathological criteria such as those described by scully. OBJECTIVE: to introduce a case of an ovarian and endometrial synchronous endometrioid carcinoma implanted on endometriosis sites, as well as its diagnosis and management. CLINICAL CASE: a 27-year-old patient who consulted because of an intermenstrual spotting. The ultrasound image showed an endometrial polyp. Furthermore, a 42 mm left adnexal trilobal tumor with a 17×15mm solid pole was described. She underwent a hysteroscopic polypectomy and laparoscopic ovarian cystectomy. Likewise, resection of a suspicious implant in the posterior vaginal fornix was done. The pathological result of the surgical pieces was: endometrial polyp with complex hyperplasia with atypia and focal points of grade I endometrioid adenocarcinoma; the left ovarian cystectomy: endometriotic cyst with focal points of endometrioid adenocarcinoma. The peritoneal lesion corresponded to a grade I endometrioid adenocarcinoma implant. The study of the pathological characteristics and the presence of the peritoneal implant suggest the diagnosis of endometrioid ovarian carcinoma originated in a synchronous endometriotic lesion with endometrial endometrioid carcinoma. CONCLUSION: differential diagnosis between the synchronicity or spread of ovarian and endometrial endometrioid cell line carcinomas, is a great challenge and it is essential for the correct management of these neoplasms
Descritores: Neoplasias Ovarianas/diagnóstico
Neoplasias do Endométrio/diagnóstico
Carcinoma Endometrioide/diagnóstico
Neoplasias Primárias Múltiplas/diagnóstico
-Neoplasias Ovarianas/cirurgia
Neoplasias Ovarianas/patologia
Neoplasias do Endométrio/cirurgia
Neoplasias do Endométrio/patologia
Carcinoma Endometrioide/cirurgia
Carcinoma Endometrioide/patologia
Diagnóstico Diferencial
Neoplasias Primárias Múltiplas/cirurgia
Neoplasias Primárias Múltiplas/patologia
Limites: Humanos
Feminino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Cuba
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Id: biblio-901323
Autor: Hernández Durán, Daisy; Ruiz Lorente, Raiza; Diaz Mitjans, Orlando; Aguilar Isla, Sandra.
Título: Tumores malignos sincrónicos de ovario y endometrio / Ovary malignant synchronous tumors and endometrium
Fonte: Rev. cuba. obstet. ginecol;43(3):157-162, jul.-set. 2017.
Idioma: es.
Resumo: Los tumores malignos sincrónicos primarios de ovario y endometrio son raros y se reportan en alrededor de un 5 por ciento y pueden tener muy buen pronóstico cuando son detectados tempranamente. El objetivo del presente trabajo es dar a conocer a la comunidad científica el caso de un paciente con tumores malignos concurrentes de ovario y endometrio poco frecuentes. Se presenta una paciente femenina de 67 años de edad, multípara, de color de piel blanca, a la cual se le diagnosticó un adenocarcinoma de endometrio y en el curso de la cirugía se encontró un tumor sólido de ovario y el diagnóstico histopatológico arrojó un tumor de las células de la granulosa. Los tumores sincrónicos de ovario y endometrio parecen tener mejor pronóstico y sobrevida cuando son de bajo grado y diagnosticados en etapas tempranas(AU)

The primary synchronous malignant ovarian and endometrial tumors are rare and they are reported in around 5 percent. They can have very good prognosis when they are early detected. The aim of this paper is to inform the scientific community the case of a patient with concurrent malignant tumors of ovarian and endometrial infrequent. We present a 67 year old female patient, multiparous, white skin color, who was diagnosed with an endometrial adenocarcinoma. In the course of surgery, a solid ovarian tumor was found. Her histopathologic diagnosis yielded a granulose-cell tumor. Synchronous ovarian and endometrial tumors appear to have a better prognosis and survival when they are low grade and diagnosed at early stages(AU)
Descritores: Carcinoma Endometrioide/diagnóstico
Tumor de Células da Granulosa/diagnóstico
Neoplasias Primárias Múltiplas
Limites: Humanos
Feminino
Idoso
Tipo de Publ: Relatos de Casos
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: biblio-889316
Autor: Ries, Mihael; Kostić, Mirjana; Ajduk, Jakov; Trotić, Robert; Bedeković, Vladimir.
Título: A case of bilateral congenital middle ear cholesteatoma / Um caso de colesteatoma congênito bilateral em orelha média
Fonte: Braz. j. otorhinolaryngol. (Impr.);83(6):723-725, Nov.-Dec. 2017. graf.
Idioma: en.
Descritores: Colesteatoma da Orelha Média/diagnóstico por imagem
Neoplasias Primárias Múltiplas/diagnóstico por imagem
-Colesteatoma da Orelha Média/cirurgia
Colesteatoma da Orelha Média/congênito
Tomografia Computadorizada Multidetectores
Neoplasias Primárias Múltiplas/cirurgia
Neoplasias Primárias Múltiplas/congênito
Limites: Humanos
Masculino
Pré-Escolar
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: biblio-1011618
Autor: Ochal-Choińska, Aleksandra; Bruzgielewicz, Antoni; Osuch-Wójcikiewicz, Ewa.
Título: Synchronous multiple unilateral parotid gland tumors of benign and malignant histological types: case report and literature review / Múltiplos tumores síncronos unilaterais de glândula parótida de tipos histológicos benignos e malignos: relato de caso e revisão da literatura
Fonte: Braz. j. otorhinolaryngol. (Impr.);85(3):388-392, May-June 2019. tab, graf.
Idioma: en.
Descritores: Neoplasias Parotídeas/patologia
Adenolinfoma/patologia
Adenoma Pleomorfo/patologia
Neoplasias Primárias Múltiplas/patologia
-Glândula Parótida
Neoplasias Parotídeas/terapia
Carcinoma/complicações
Carcinoma/patologia
Carcinoma/terapia
Tomografia Computadorizada por Raios X
Adenolinfoma/terapia
Adenolinfoma/diagnóstico por imagem
Adenoma Pleomorfo/terapia
Biópsia por Agulha Fina
Neoplasias Primárias Múltiplas/complicações
Neoplasias Primárias Múltiplas/terapia
Limites: Humanos
Masculino
Idoso
Tipo de Publ: Relatos de Casos
Revisão
Responsável: BR1.1 - BIREME


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Id: biblio-1058611
Autor: Ladrón-de-Guevara, David; Pérez, Daniel; Núñez, Paulina; Ramírez, Felipe; Zárate, Alejandro; López, Francisco.
Título: Cáncer sincrónico detectado con PET/ CT-Tomografía Computada contrastada (PET/CTc) en 210 pacientes con cáncer colorrectal recientemente diagnosticado / Synchronous tumors detected with contrast-enhanced F18-FDG positron emission tomography/computed tomography (PET/CTc) in colorectal cancer
Fonte: Rev. méd. Chile;147(7):828-835, jul. 2019. tab, graf.
Idioma: es.
Resumo: Background: Colorectal cancer (CRC) is the third most prevalent cancer in the world and is the second cause of cancer death. Positron emission tomography/computed tomography (PET/CT) using 18F-FDG is used for its staging and follow up. Aim: To assess the occurrence of synchronous colonic and extracolonic tumors detected with contrast-enhanced F18-FDG PET/CT (PET/CTc) in patients with a recently diagnosed CRC. Material and Methods: PET/CTc of 210patients aged 16-91, years (63% men) with a recently diagnosed CRC were reviewed. PET/CTc with incidental findings, not expected to be due to CRC, were followed (laboratory, imaging and pathology) searching for synchronous tumors. Results: Ten patients (4,7%) had a second synchronous CRC. Only 70% of synchronous CRC were accessible to colonoscopy, due mainly to incomplete procedures for stenotic tumors. Extracolonic synchronous neoplasms were detected in 12 patients (5,7%), namely lung cancer in three, renal cell carcinoma in two, non-Hodgkin lymphoma in two, pancreatic cancer in one, breast cancer in one, hepatocellular carcinoma in one, bladder cancer in one and thyroid cancer in one. Conclusions: Ten percent of patients with a recently diagnosed CRC had a synchronic neoplasm detected at staging using PET/CTc.
Descritores: Neoplasias Colorretais/diagnóstico por imagem
Neoplasias Primárias Múltiplas/diagnóstico por imagem
-Tomografia Computadorizada por Raios X
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
Estadiamento de Neoplasias
Limites: Humanos
Masculino
Feminino
Adolescente
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Adulto Jovem
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-887603
Autor: Trovato, Maria; Giuffrida, Giuseppe; Seminara, Antonino; Fogliani, Simone; Cavallari, Vittorio; Ruggeri, Rosaria Maddalena; Campennì, Alfredo.
Título: Coexistence of diffuse large B-cell lymphoma and papillary thyroid carcinoma in a patient affected by Hashimoto's thyroiditis
Fonte: Arch. endocrinol. metab. (Online);61(6):643-646, Dec. 2017. graf.
Idioma: en.
Resumo: SUMMARY Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. On the contrary, primary thyroid lymphoma (PTL) is a rare disease, accounting for 2% to 5% of all thyroid malignancies. Despite several cases in which both PTC and PTL arise in the setting of Hashimoto's thyroiditis (HT), the coexistence of both tumors in HT patients is very rare. Herein we report the case of a 66-year-old woman with long-standing nodular HT under replacement therapy, who presented with a fast, painless enlargement in the right anterior side of the neck. Thyroid ultrasonography demonstrated increased growth of a hypoechoic nodule in the right lobe measuring 32 × 20 mm. A total thyroidectomy was performed, and histology revealed a diffuse large B-cell lymphoma (DLBCL) on a background of florid HT. Moreover, a unifocal papillary microcarcinoma, classical variant (7 mm, pT1aNxMx), was discovered. The patient was then treated with chemotherapy for the PTL, but she did not undergo radioactive iodine ablation treatment for the microPTC as per guidelines. Two years after surgery, the patient had no evidence of recurrence of either malignancy. This rare case highlights the importance of monitoring HT patients with nodular lesions, especially if they have long-standing disease. In addition, PTL should be considered for differential diagnosis in elder HT patients who present with sudden thyroid enlargement.
Descritores: Neoplasias da Glândula Tireoide/patologia
Carcinoma Papilar/patologia
Linfoma Difuso de Grandes Células B/patologia
Doença de Hashimoto/patologia
Neoplasias Primárias Múltiplas/patologia
-Tireoidectomia
Neoplasias da Glândula Tireoide/cirurgia
Imuno-Histoquímica
Carcinoma Papilar/cirurgia
Linfoma Difuso de Grandes Células B/cirurgia
Biópsia por Agulha Fina
Doença de Hashimoto/cirurgia
Doença de Hashimoto/complicações
Biópsia Guiada por Imagem
Câncer Papilífero da Tireoide
Neoplasias Primárias Múltiplas/cirurgia
Limites: Humanos
Feminino
Idoso
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: biblio-1089699
Autor: Chaljub Bravo, Ernesto; Bermúdez Yera, Gustavo J; Viñales Torres, Alay; Allende González, Alain; López González, Lisbetty; Mirabal Rodríguez, Roger; López de la Cruz, Yoandy; Quintero Fleites, Yolepsis F; Valdés Cantero, José L; Moré Duarte, Alain.
Título: Rara coincidencia de dos tumores: mixoma cardíaco e hipernefroma. Presentación de un paciente / Rare coincidence of two tumors: cardiac myxoma and hypernephroma. A case report
Fonte: CorSalud;10(4):330-335, oct.-dic. 2018. graf.
Idioma: es.
Resumo: RESUMEN La asociación de dos tumores de diferente origen en un mismo paciente es cada vez más frecuente en la práctica clínica actual. Se presenta un caso con una rara asociación de mixoma cardíaco e hipernefroma, previamente tratado. Ante la presencia de manifestaciones neurológicas, inicialmente se planteó el diagnóstico de metástasis cerebral del tumor renal; luego, con el hallazgo ecocardiográfico de una masa intracardíaca, se pensó en la posibilidad de trombo, por lo que se decidió practicar cirugía cardíaca con carácter urgente para resecarla. El estudio anatomopatológico confirmó la existencia de un mixoma cardíaco, por lo que se trata de un enfermo con dos enfermedades tumorales cuya coincidencia ha sido pocas veces descrita.

ABSTRACT The association of two tumors of different origin in the same patient is becoming more frequent in the current clinical practice. Here is presented a case with a rare association of cardiac myxoma and hypernephroma, previously treated. Due to the presence of neurological symptoms, there was initially set a diagnosis of brain metastasis from the renal tumor; then, with the echocardiographic finding of an intracardiac mass, the possibility of thrombus was considered, therefore a cardiac surgery was decided to be performed urgently in order to resect it. The pathologic examination confirmed the existence of a cardiac myxoma, then, we have a patient with two tumor diseases whose coincidence has been rarely described.
Descritores: Mixoma
-Carcinoma de Células Renais
Embolia
Neoplasias Primárias Múltiplas
Responsável: CU425.1 - Centro Provincial de Información de Ciencias Médicas de Villa Clara


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Id: lil-481539
Autor: Paul, Pilco; Sánchez, Juvenal; Eduardo, Payet; León, Jorge; Iván, Chávez; Francisco, Berrospi; Valentin, Mev Domínguez; Silva, Felipe Cavalcanti Carneiro da; Frank, Young.
Título: Recurrence Factors In Stage II Colon Cancer
Fonte: Appl. cancer res;27(1):6-11, Jan.-Mar. 2007.
Idioma: en.
Resumo: Objective and Methods: For evaluating recurrence factors in Stage II colon adenocarcinoma a clinical, non-experimental, longitudinal and retrospective study was done in the Department of Abdomen of INEN from January 1, 1990 to December 31,2000. Results: In 200 eligible patients 20 (10%) recurrence cases were observed that appeared in an average 2.3 years after surgery. The main site of recurrence was local-regional (5.5%), pulmonary (2.5%), hepatic (1%), and peritoneal (1%). The following factors were considered: age, sex, CEA level, type of operation (elective or emergency), site of the primary injury,invasion (T3 or T4), lymphatic vessel invasion, histologic differentiation, and synchronous carcinoma. We found that patients more than 70 years old (p=0.0305) have a lesser disease-free time. Be more than 70 years old was the only recurrencerelated factor; this group has 2.56 times more risk of recurrence. No other studied variable was related to recurrence.
Descritores: Neoplasias do Colo
Recidiva
-Neoplasias Primárias Múltiplas
Responsável: BR30.1 - Biblioteca


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Id: lil-521291
Autor: Almeida, Fábio B. de; Alcântara, Paulo S. M; Bevilacqua, Ruy G.
Título: Neoplasia primárias múltiplas tumores sincrônicos esofagianos - Relato de um caso / Multiple primary neoplasms esophagean sincronic tumors: case report
Fonte: Acta oncol. bras;16(2):65-67, abr.-maio 1996.
Idioma: pt.
Descritores: Adenocarcinoma
Carcinoma de Células Escamosas
Esofagectomia
Neoplasias Primárias Múltiplas
Recidiva
Limites: Humanos
Tipo de Publ: Relatos de Casos
Responsável: BR30.1 - Biblioteca



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