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Id: biblio-1092894
Autor: Moreno-H, Ana; Fernández-V, Luz; López-B, José Ángel; Pérez-D, María Dolores.
Título: Tratamiento multidisciplinar del leimiosarcoma de vena cava inferior / Multidisciplinary treatment of leiomyosarcoma of inferior cava
Fonte: Rev. cir. (Impr.);72(1):72-75, feb. 2020. ilus.
Idioma: es.
Resumo: Resumen Introducción Los leiomiosarcomas de la vena cava inferior son tumores raros, sólo hay 300 casos descritos en la literatura. Su incidencia es mayor en mujeres, suelen aparecer entre los 50-60 años, y presentan una progresión lenta y mal pronóstico. Los síntomas son inespecíficos haciendo que el diagnóstico se realice de forma tardía, éste se realiza mediante pruebas de imagen y biopsia guiada. Caso clínico Se presenta el caso de un varón de 73 años con diagnóstico de leiomiosarcoma de la vena cava inferior, como hallazgo incidental en TC de control, tratado mediante radioterapia neoadyuvante, cirugía y radioterapia intraoperatoria. Discusión El único tratamiento que ha descrito modificaciones en la supervivencia es la cirugía. El papel de la adyuvancia y neoadyuvancia en estos tumores es muy controvertido. La elección de la actitud terapéutica dependerá de la localización del tumor, tamaño, la relación con estructuras adyacentes y la presencia de circulación colateral.

Introduction Leiomyosarcomas of the inferior vena cava are rare tumors, with fewer than 300 cases reported. Its incidence is higher in females, usually appear in the sixth decade and they have a slow-growing and poor prognosis. Symptoms are generally non-specific. Diagnosis is made with imaging studies and guided biopsy. Clinical Case We report a case of a 73-year-old male patient with leimyosarcoma of the inferior vena cava treated by neoadjuvant radiotherapy, surgery and intraoperative radiotherapy. Discussion Surgery is the only treatment that can improve the survival. The role of the adjuvancy and neoadjuvancy is very controversial. Surgical management is determined by the location of the tumour, the relationship with adjacent structures and the presence of collateral veins.
Descritores: Veia Cava Inferior/patologia
Neoplasias Vasculares/cirurgia
Neoplasias Vasculares/diagnóstico por imagem
Leiomiossarcoma/cirurgia
Leiomiossarcoma/diagnóstico por imagem
-Equipe de Assistência ao Paciente
Período Pós-Operatório
Veia Cava Inferior/cirurgia
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Radioterapia Adjuvante/métodos
Achados Incidentais
Leiomiossarcoma/radioterapia
Limites: Humanos
Masculino
Idoso
Tipo de Publ: Relatos de Casos
Responsável: CL61.1 - Biblioteca Central Campus Sur


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Id: biblio-1052963
Autor: Agarwal, Manisha; Bhalla, Gurpreet Singh; Sahai, Kavita.
Título: Pulmonary alveolar microlithiasis: Incidental finding - should we Ignore?
Fonte: Autops. Case Rep;10(1):2019133, Jan.-Mar. 2020. ilus.
Idioma: en.
Resumo: Pulmonary alveolar microlithiasis (PAM) is a rare entity, presenting mostly as an incidental finding. This disease has an autosomal recessive inheritance with inactivating mutations in the gene "solute carrier family 34 member 2". The present study was conducted to bring attention to this rare though preventable disease. The study was a cross-sectional descriptive study, conducted at the Department of Pathology, of a tertiary care hospital in New Dehli-India. PAMs were incidentally seen in two patients diagnosed with micronodular hepatic cirrhosis leading to reanalysis of 212 autopsies, retrospectively. Statistical analysis was done using Stata 14.0. We observed three forms (Type A, B and C) of round hyaline bodies measuring in diameter with thin delicate, radiating fibrils. These bodies were PAS positive, showed black discolouration of the pigment with von Kossa stain and birefringence on polarized microscopy using Congo red stain, however the refringence was light green as compared to apple green birefringence seen with amyloid deposition. PAM has a slow progressive course leading to a high rate of incidental detection. Drugs known to inhibit the micro-crystal growth of hydroxyapatite may slow the disease progression. The family members of patients with PAM may also be kept on follow up with regular imaging. Key messages: It is important to bring out the incidental finding as, seemingly innocuous observations may provide valuable insight into incurable diseases, especially rare diseases.
Descritores: Achados Incidentais
Pneumopatias/patologia
-Autopsia
Calcificação Fisiológica
Doenças Raras
Limites: Humanos
Masculino
Adulto
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Responsável: BR26.7 - Serviço de Biblioteca e Documentação Científica


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Id: biblio-915204
Autor: Olmos, Roberto; Gutiérrez, Javiera; Guarda, Francisco; Allende, Fidel; Huete, Álvaro; San Francisco, Ignacio; Baudrand, René.
Título: ¿Como optimizar el diagnóstico funcional de los incidentalomas suprrarenales? Importancia de un estudio protocolizado / How to optimize the functional diagnosis of suprarenal incidenta- lomas? Importance of a protocolized study
Fonte: Rev. chil. endocrinol. diabetes;11(3):108-113, jul. 2018. ilus.
Idioma: es.
Resumo: Adrenal incidentalomas are an increasingly common pathology. Although historically they have been considered largely non-functioning, recent evidence suggests that the usually performed study is incomplete and/or not sensitive enough. In the last decade the clinical spectrum of adrenal hypercortisolism has expanded considerably, including milder cases which are also associated with cardiovascular morbidity and even mortality. Furthermore, primary aldosteronism has also expanded beyond the classic phenotype with advanced vascular damage, resistant hypertension and hypokalemia, currently including asymptomatic, normotensive and normokalemic patients. For this reason, a correct protocolized study is essential in all adrenal incidentalomas, including a precise radiological characterization, as well as a systematic hormonal evaluation using more sensitive cut points. The findings of this workup are relevant, because they allow a more individualized approach to the medical and surgical management of these patients.

Los incidentalomas suprarrenales son una patología cada vez más frecuente. Si bien históricamente han sido considerados no funcionantes en su gran mayoría, evidencia reciente sugiere que el estudio habitual es incompleto y/o poco sensible. En la última década el espectro clínico del hipercortisolismo de origen adrenal se ha ampliado de forma considerable, incluyendo casos leves que también se asocian a morbilidad cardiovascular e incluso mortalidad. Por otro lado, el hiperaldosteronismo primario también ha expandido su fenotipo más allá del clásicamente descrito con daño vascular avanzado, hipertensión resistente e hipokalemia, abarcando en la actualidad a pacientes asintomáticos, normotensos y normokalemicos. Por esta razón es imprescindible un correcto estudio protocolizado en todo incidentaloma suprarrenal, incluyendo una precisa caracterización radiológica, así como una evaluación hormonal sistemática utilizando puntos de corte más sensibles. Los hallazgos de este estudio son relevantes, pues permiten guiar de forma más individualizada el manejo médico y quirúrgico de estos pacientes.
Descritores: Neoplasias das Glândulas Suprarrenais/diagnóstico
Neoplasias das Glândulas Suprarrenais
Achados Incidentais
-Hidrocortisona
Neoplasias das Glândulas Suprarrenais/terapia
Aldosterona
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1094201
Autor: Ladrón de Guevara H, David; Munizaga M, Claudia; García S, Natalia; Letelier B, Carolina; Wash F, Alex.
Título: Frecuencia de malignidad en incidentalomas tiroideos detectados con tomografía por emisión de positrones/tomografía computada (PET/CT) con F18-FDG de cuerpo entero / Frequency of malignancy in thyroid incidentalomas detected by whole body 18F-FDG PET/CT
Fonte: Rev. méd. Chile;148(1):10-16, Jan. 2020. tab, graf.
Idioma: es.
Resumo: Background: Thyroid incidentalomas detected by 18F-Fludeoxyglucose (FDG) PET/CT are defined as an incidental and unexpected thyroid focus present in a patient studied for a non-thyroid disease. Aim: To assess the frequency of malignancy of nodular thyroid incidentalomas, and their association with 18F-FDG avidity (standard uptake value (SUV) max). Material and Methods: Whole body PET/CT performed from December 2008 to December 2017 were reviewed selecting those that showed nodular thyroid foci. Glands with diffuse increased uptake were excluded. Thyroid ultrasonography and fine-needle aspiration cytology (FNAC) performed after PET/CT were reviewed. Bethesda score and SUVmax were correlated. Results: Of 5,100 whole body 18F-FDG PET/CT, 119 showed a thyroid nodular uptake (2.3%). Forty eight percent of these patients were studied with FNAC or surgery, 50% of which (29/58) were confirmed as malignant. Benign nodules showed significantly lower 18F-FDG uptake (n = 20, SUVmax: 3.5 ± 1.7) than Bethesda V-VI (n=24, SUVmax: 8.2 ± 5.2) and thyroid metastases (n=5, SUVmax: 6.3 ± 2.1). The best cut-off value to distinguish between benign and malignant nodules was a SUVmax of 5.0, with a sensitivity of 76% (95% confidence intervals (CI) 56-90%), a specificity of 85% (95% CI 62 - 97%), and positive likelihood ratio of 5 (95% CI 1.8 - 14.6). The size of the thyroid nodule was not predictive of malignancy. Conclusions: Half of nodular thyroid incidentalomas detected by 18F-FDG PETC/CT are malignant. A nodule with a SUVmax ≥ 5,0 is highly suggestive of malignancy, regardless of its size.
Descritores: Neoplasias da Glândula Tireoide/diagnóstico por imagem
Nódulo da Glândula Tireoide
-Estudos Retrospectivos
Compostos Radiofarmacêuticos
Fluordesoxiglucose F18
Achados Incidentais
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
Limites: Humanos
Responsável: CL1.1 - Biblioteca Central


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Id: lil-785231
Autor: Oguz, Ayten; Tuzun, Dilek; Ozdemir, Elif; Ersoy, Reyhan; Yazgan, Aylin Kilic; Cakir, Bekir.
Título: Importance of ectopic thyroid tissue detected in the midline of the neck: single center experience
Fonte: Arch. endocrinol. metab. (Online);60(3):231-235tab, graf.
Idioma: en.
Resumo: Objective Ectopic thyroid tissue (ETT) is a rare abnormality of the thyroid gland and the true prevalence and importance is not known. The aim of this study was to evaluate ultrasonography (US) guided fine needle aspiration biposy (FNAB) results, sonographic features, and frequency of ETT detected in the midline of the neck. Subjects and methods Five thousand five hundred and twenty outpatients who were referred to our thyroid clinic between September 2010 and April 2012 and underwent thyroid US, were retrospectively analyzed. Patients with ETT, detected in the midline of the neck in US were included in the study. Thyroid functions, sonographic features, and US guided FNAB results were evaluated. Results There were 81 (81.8%) female and 18 (18.2%) male patients with a mean age of 50.9 ± 11.7. The ETT in the midline was present in 1.79% (99/5,520) of the patients. In the majority of the patients, benign sonographic features (isoechoic, regular margin, type 1 vascularization) were detected. There were 92 (92.9%) patients with a previous history of thyroidectomy and all were histopathologically benign. In 7 (7.1%) patients, there was no history of thyroid operation. FNAB results of ETT were benign. Conclusion This study evaluated the importance of ETT detected incidentally in the midline of the neck. Especially in patients with a history of thyroidectomy, the thyroid masses in the midline of the neck can be found as incidental with imaging methods. Our results suggests that the incidence of malignancy in this group is much lower than orthotopic thyroid nodules and they are often benign.
Descritores: Coristoma/patologia
Disgenesia da Tireoide/patologia
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico
Pescoço/patologia
-Glândula Tireoide/patologia
Glândula Tireoide/diagnóstico por imagem
Turquia/epidemiologia
Cintilografia
Prevalência
Estudos Retrospectivos
Coristoma/epidemiologia
Achados Incidentais
Disgenesia da Tireoide/epidemiologia
Disgenesia da Tireoide/diagnóstico por imagem
Pontos de Referência Anatômicos/diagnóstico por imagem
Pescoço/diagnóstico por imagem
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Responsável: BR1.1 - BIREME


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Id: biblio-1090667
Autor: Arellano-Villalón, Manuel; Navarro, Pablo; Arias, Alain; Fuentes, Ramón.
Título: Hallazgo radiográfico de cuerpo extraño en piso de seno maxilar de sujeto asintomático / Radiographic finding of a foreign body in the maxillary sinus floor of an asymptomatic subject
Fonte: Int. j. odontostomatol. (Print);14(2):150-153, June 2020. graf.
Idioma: es.
Resumo: El seno maxilar (SM) es una cavidad par presente en el hueso maxilar, que puede presentar diversas alteraciones o lesiones patológicas factibles de ser pesquisadas mediante estudios imagenológicos. En este sentido, la opacidad, el ocupamiento y/o engrosamiento de las mucosas son los signos orientadores para el diagnóstico de patologías en estas estructuras, las que pueden ir desde sinusitis, hasta antrolitos, pasando por hipoplasias, pseudoquistes u osteomas. En el siguiente reporte presentamos el caso de una mujer de 75 años de edad en la cual mediante examinación radiográfica de rutina se observa un cuerpo extraño en el SM derecho en relación a diente 1.6. De acuerdo a esto, se solicitó una tomografía computarizada cone-beam (CBCT) para evaluar posibles implicancias con tratamiento dental rehabilitador. Al examen se observan dos estructuras de alta densidad (densidad metálica), redondeadas, una al lado de la otra, en contacto inmediato a la cortical sinusal sin comprometerla. También se observa una cortical sinusal conservada en todo su recorrido y discreto engrosamiento mucoso en relación a dichas estructuras. En consideración con los antecedentes de la paciente, se opta por un manejo conservador del hallazgo mediante controles periódicos. Se propone la hipótesis de la formación de un antrolito de origen exógeno, que se corresponde con el historial de tratamiento endodóntico en la zona. El diagnóstico diferencial de los hallazgos radiográficos encontrados es fundamental para establecer los lineamientos terapéuticos de nuestros pacientes, por ello es importante contar con personal clínico capacitado para la interpretación de las imágenes.

The maxillary sinus (SM) is an even cavity present in the maxillary bone, which may present a number of pathological alterations or lesions that can be investigated through imaging analysis. In this sense, opacity, location and / or thickening of the mucous membranes are guides for the diagnosis of pathologies in these structures. These can range from sinusitis, to antrolites, to hypoplasias, pseudocysts or osteomas. In this study the case of a 75-year-old woman is presented. During routine radiographic examination, a foreign body was observed in the right MS in relation to tooth 1.6. A cone-beam computed tomography (CBCT) was requested to evaluate possible rehabilitative dental treatment. Upon examination, two highdensity rounded structures (metal density) adjacent to each other were noted. The structures were in direct contact with the sinus cortex without compromising it. Furthermore in relation to the above structures, scant cortical sinus was observed throughout its course, as well as slight mucous thickening. Considering the patient's background, it was determined to use conservative treatment through periodic controls. Hypothesis of an exogenous mass is proposed, corresponding to the history of endodontic treatment in the area. In view of the differential diagnosis of radiographic findings found, it is essential to implement therapeutic guidelines for patients and have trained clinical staff available to interpret the images.
Descritores: Corpos Estranhos/diagnóstico por imagem
Seio Maxilar/diagnóstico por imagem
-Radiografia Panorâmica
Achados Incidentais
Tomografia Computadorizada de Feixe Cônico
Tratamento Conservador
Limites: Humanos
Feminino
Idoso
Tipo de Publ: Relatos de Casos
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1090677
Autor: Vaiciulis, Liz Anne G; Cavalcanti, Samantha Christine X. B; Chilvarquer, Israel; Luz, João Gualberto C.
Título: Occurrence of nonarticular incidental findings on panoramic radiographs in painful temporomandibular disorders / Ocurrencia de hallazgos incidentales no articulares en ortopantomografias en los trastornos temporomandibulares dolorosos
Fonte: Int. j. odontostomatol. (Print);14(2):213-219, June 2020. tab, graf.
Idioma: en.
Resumo: Facial pain is one of the symptoms of temporomandibular disorders (TMDs) but can be associated with other pathological conditions. The present study retrospectively evaluated the occurrence of nonarticular incidental findings in panoramic radiographs in a group of patients with painful TMDs. Outpatients with a diagnosis of TMD were included and distributed into three groups: arthralgia, myalgia or arthralgia and myalgia, according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Nonarticular incidental findings of their panoramic radiographs were classified in relation to pathological, dental and endodontic status. The dependency relationships among the variables were analyzed using the likelihood test. Sixty patients (38 women and 22 men; mean age: 36.9 years) were evaluated. There was a predominance of arthralgia plus disc displacement (43.4 %), followed by myopain plus arthralgia and disc displacement (38.3 %) and myopain (18.3 %). Pathologic radiographic changes such as bone loss, caries, maxillary sinus opacification and periapical lesions were frequent. Dental alterations such as the absence and altered position of teeth and impacted teeth were frequent. Endodontic changes such as periapical lesions with or without endodontic treatment were frequent. There was no significant difference between groups except for gyroversion. The incidental findings were compatible with caries, sinusitis, impacted tooth and periapical lesion, which may be associated with orofacial pain and could potentially be superimposed on the initial diagnosis, although this hypothesis was discarded. Findings such as the absence and altered position of teeth were also frequent, which may represent occlusal factors associated with TMDs.

El dolor orofacial es uno de los síntomas de los trastornos temporomandibulares (TTM), pero puede estar asociado con otras afecciones patológicas. El presente estudio evaluó retrospectivamente la aparición de hallazgos incidentales no articulares a través de ortopantomografías en un grupo de pacientes con TTM dolorosas. Se incluyeron pacientes con diagnóstico de TTM y se distribuyeron en tres grupos: artralgia, mialgia o artralgia y mialgia, de acuerdo con los criterios de diagnóstico para los trastornos temporomandibulares (DC/TMD). Los hallazgos incidentales no articulares de las ortopantomografias se clasificaron en relación al estado patológico, dental y endodóncico. Las relaciones de dependencia entre las variables se analizaron mediante la prueba de probabilidad. Fueron evaluados 60 pacientes (38 mujeres y 22 hombres; edad media: 36,9 años). Hubo predominio de artralgia más desplazamiento de disco (43,4 %), seguido de mialgia más artralgia y desplazamiento de disco (38,3 %) y mialgia (18,3 %). Las alteraciones radiográficas patológicas como pérdida ósea, carie dentaria, opacificación del seno maxilar y lesiones periapicales fueron frecuentes. Entre las alteraciones dentales, las impactaciones, malposiciones o ausencias dentarias fueron frecuentes. Entre las alteraciones endodóncicas, las lesiones periapicales frecuentes. No hubo diferencias significativas entre los grupos, excepto para la girosversión dentaria. Los hallazgos incidentales fueron compatibles con carie dentaria, sinusitis, diente impactado y lesión periapical, lo que podría estar asociado con el dolor orofacial y así estar sobrepuesto en el diagnóstico inicial, aunque esta hipótesis fue descartada. Hallazgos como la ausencia y la posición alterada de los dientes también fueron frecuentes, lo que puede representar factores oclusales asociados con TTM.
Descritores: Dor Facial/diagnóstico por imagem
Radiografia Panorâmica
Doenças Mandibulares/diagnóstico por imagem
-Dor Facial/etiologia
Doenças Mandibulares/complicações
Doenças Mandibulares/epidemiologia
Transtornos da Articulação Temporomandibular/diagnóstico por imagem
Estudos Retrospectivos
Achados Incidentais
Limites: Humanos
Masculino
Feminino
Adulto
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-887644
Autor: Fama, Fausto; Sindoni, Alessandro; Cicciu, Marco; Polito, Francesca; Piquard, Arnaud; Saint-Marc, Olivier; Gioffre´-Florio, Maria; Benvenga, Salvatore.
Título: Preoperatively undiagnosed papillary thyroid carcinoma in patients thyroidectomized for benign multinodular goiter
Fonte: Arch. endocrinol. metab. (Online);62(2):139-148, Mar.-Apr. 2018. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objective Incidental thyroid cancers (ITCs) are often microcarcinomas; among them, the most frequent histotype is the papillary one. The purpose of this study was to evaluate the rate of papillary thyroid cancer (PTC) in patients thyroidectomized for benign multinodular goiter. Subject and methods We retrospectively evaluated the histological incidence of PTC in 207 consecutive patients who, in a 1-year period, underwent thyroidectomy for benign multinodular goiter. All patients came from an iodine-deficient area (Orleans, France) with three nuclear power stations located in the neighboring areas of the county town. Results Overall, 25 thyroids (12.1%) harbored 37 PTC, of which 31 were microcarcinomas. In these 25 PTC patients, mean age was 55 ± 10 years (range 30-75), female:male ratio 20:5 (4:1). In 10 patients (40% of 25 and 4.8% of 207), PTCs were bilateral, and in 7 (2 with microPTCs) the thyroid capsule was infiltrated. These 7 patients underwent central and lateral cervical lymph node dissections, which revealed lymph node metastases in one and two cases, respectively. Radioiodine treatment was performed in 7 cases. Neither mortality nor transient and permanent nerve injuries were observed. Four (16%) transient hypocalcaemias occurred as early complications. At last follow-up visit (mean length of follow-up 17.2 ± 3.4 months), all patients were doing well and free of any clinical local recurrence or distant metastases. Conclusion With a 12% risk that multinodular goiter harbors preoperatively unsuspected PTCs, which can have already infiltrated the capsule and that can be accompanied by PTC foci contralaterally, an adequate surgical approach has to be considered.
Descritores: Tireoidectomia/estatística & dados numéricos
Neoplasias da Glândula Tireoide/epidemiologia
Carcinoma Papilar/epidemiologia
Bócio Nodular/cirurgia
-Neoplasias da Glândula Tireoide/diagnóstico
Carcinoma Papilar/diagnóstico
Incidência
Estudos Retrospectivos
Fatores de Risco
Medição de Risco
Achados Incidentais
Período Pré-Operatório
França/epidemiologia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Responsável: BR1.1 - BIREME


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Id: biblio-970828
Autor: Cordero A, Francisco; Pineda B, Pedro.
Título: Incidentalomas endocrinos, más que una imagen / Endocrine incidentalomas, more than an image
Fonte: Rev. Hosp. Clin. Univ. Chile;28(3):237-244, 20170000. ilus, tab.
Idioma: es.
Resumo: Endocrine incidentalomas are nodular lesions located in endocrine glands, diagnosed serendipitously by different image techniques requested for non-endocrine reasons. They can be located in many sites, but this review describes those that compromise pituitary, adrenal and thyroid gland. The main diagnostic challenges of endocrine incidentalomas are discrimination between benign and malignant lesions, and their functional or non-functional endocrine activity. The relevance of adequate image interpretation and associated hormonal study is discussed. (AU)
Descritores: Neoplasias Hipofisárias/diagnóstico por imagem
Neoplasias da Glândula Tireoide/diagnóstico por imagem
Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem
-Achados Incidentais
Limites: Humanos
Masculino
Feminino
Tipo de Publ: Revisão
Responsável: CL36.1 - Biblioteca Hospital Clínico


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Id: biblio-1115553
Autor: Castillo H, Felipe; Aretxabala U, Xabier De; Rencoret P, Guillermo; Vivanco L, Marcelo; Solano V, Nicolás; Hepp K, Juan.
Título: Técnica de linfadenectomía y resección del lecho vesicular laparoscópica por cáncer vesícula biliar incidental / Lymphadenectomy technique and laparoscopic vesicular bed resection for incidental gallbladder cancer
Fonte: Rev. cir. (Impr.);72(3):262-266, jun. 2020. ilus.
Idioma: es.
Resumo: Resumen El cáncer de vesícula es infrecuente a nivel mundial, a diferencia de su alta incidencia en Chile. Su pronóstico es malo en general, y dependerá de su forma de presentación, siendo mejor en los casos diagnosticados después de una colecistectomía laparoscópica por patología benigna. La reintervención, que incluye la resección hepática y linfadenectomía, es el pilar de la terapia curativa en esta neoplasia. Presentamos la descripción de la técnica quirúrgica realizada en los pacientes con cáncer de vesícula de diagnóstico incidental, en el Servicio de Cirugía de Clínica Alemana de Santiago y en el Hospital de la Fuerza Aérea de Chile. El abordaje laparoscópico representa una alternativa quirúrgica válida en el tratamiento de pacientes con cáncer de vesícula biliar diagnosticados después de la colecistectomía. La estandarización de la técnica debiera contribuir a su mayor empleo y a la obtención de buenos resultados desde un punto de vista oncológico.

Gallbladder cancer is considered an infrequent disease but in Chile has a higher incidence. Prognostic is considered dismal except in those patients in whom the diagnosis is performed after the cholecystectomy specimen study. Reoperation with gallbladder bed resection and lymphadenectomy is considered the treatment in patients with incidental cases. We show the way this operation is performed in Clinica Alemana of Santiago and in the Air Force Hospital. The laparoscopic approach is an alternative to those patients in whom the diagnosis was done after the cholecystectomy. Laparoscopy allows to accomplish same objectives and to obtain identical results that the open approach. The technical standardization should contribute to spread its employment and to improve the results.
Descritores: Procedimentos Cirúrgicos do Sistema Biliar/métodos
Vesícula Biliar/cirurgia
Neoplasias da Vesícula Biliar/cirurgia
Excisão de Linfonodo/métodos
-Procedimentos Cirúrgicos do Sistema Biliar/efeitos adversos
Laparoscopia
Gerenciamento Clínico
Achados Incidentais
Excisão de Linfonodo/normas
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CL61.1 - Biblioteca Central Campus Sur



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