Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Steffen, Nédio
Data de Publicação: 2011
Outros Autores: Martha, Viviane Feller, Martha, Aline Silveira, Costa, Rafael Lessa
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221
Resumo: Aims: To present a rare case of parapharyngeal involvement in a child with neurofibromatosis type I. Case description: a girl one year and four months old was brought to the clinic of otolaryngology at the Hospital São Lucas da PUCRS because of a swelling in the left parotid region, observed for approximately 30 days. On examination she appeared healthy, and the inspection showed a tumor on the left parotid region, with little mobility. A computed tomography scan with contrast revealed extensive tumor with solid appearance, internal carotid artery bypass to the midline with involvement of the parotid gland and extension into the parapharyngeal space. Excisional biopsy examination with trans-operative freezing revealed a benign neoplasm of neural tissue and the pathological result showed plexiform neuroma. Reviewing the physical examination, three hyperpigmented macules (café au lait spots) were observed in the abdominal region, pointing to the clinical diagnosis of neurofibromatosis type I, or Von Recklinghausen's disease. Conclusions: Neurofibroma of the parapharyngeal space is a rare complication of neurofibromatosis type I, occurring in less than 5% of tumors of the parapharyngeal space. This case report showed the importance of clinical correlation for diagnosis of a rare disease, especially in pediatric patients.
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spelling Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]Neurofibromatose tipo I com manifestação parafaríngea na infânciaNEUROFIBROMATOSIS 1/diagnosisNEUROFIBROMA/complicationsPHARYNGEAL NEOPLASMSCASE REPORTSCHILDINFANT.NEUROFIBROMATOSE 1/diagnósticoNEUROFIBROMA/complicaçõesNEOPLASIAS FARÍNGEASRELATOS DE CASOSCRIANÇALACTENTE.Aims: To present a rare case of parapharyngeal involvement in a child with neurofibromatosis type I. Case description: a girl one year and four months old was brought to the clinic of otolaryngology at the Hospital São Lucas da PUCRS because of a swelling in the left parotid region, observed for approximately 30 days. On examination she appeared healthy, and the inspection showed a tumor on the left parotid region, with little mobility. A computed tomography scan with contrast revealed extensive tumor with solid appearance, internal carotid artery bypass to the midline with involvement of the parotid gland and extension into the parapharyngeal space. Excisional biopsy examination with trans-operative freezing revealed a benign neoplasm of neural tissue and the pathological result showed plexiform neuroma. Reviewing the physical examination, three hyperpigmented macules (café au lait spots) were observed in the abdominal region, pointing to the clinical diagnosis of neurofibromatosis type I, or Von Recklinghausen's disease. Conclusions: Neurofibroma of the parapharyngeal space is a rare complication of neurofibromatosis type I, occurring in less than 5% of tumors of the parapharyngeal space. This case report showed the importance of clinical correlation for diagnosis of a rare disease, especially in pediatric patients.Objetivos: apresentar um caso raro de comprometimento parafaríngeo em uma criança com neurofibromatose tipo I. Descrição do caso: uma menina de um ano e quatro meses foi trazida ao consultório de otorrinolaringologia no Hospital São Lucas da PUCRS por aumento de volume em região parotídea esquerda, observado há aproximadamente 30 dias. Ao exame apresentava bom estado geral e na inspeção observou-se tumoração em região parotídea à esquerda, com pouca mobilidade. Uma tomografia computadorizada com contraste revelou tumoração extensa, com aparência sólida, desvio da artéria carótida interna para linha média com envolvimento da glândula parótida e extensão para o espaço parafaríngeo. A biópsia excisional transoperatória revelou neoplasia benigna de tecido neural e o resultado anatomopatológico mostrou neuroma plexiforme. Revisando-se o exame físico foram observadas três máculas hiperpigmentadas (manchas café com leite) em região abdominal, apontado para o diagnóstico clínico de neurofibromatose tipo I, ou doença de Von Recklinghausen. Conclusões: o neurofibroma do espaço parafaríngeo é uma complicação rara de neurofibromatose tipo I, ocorrendo em menos de 5% das neoplasias de espaço parafaríngeo. Com este relato de caso mostra-se a importância da correlação clínica para o diagnóstico de uma doença rara, especialmente na faixa etária pediátrica.Editora da PUCRS - ediPUCRS2011-07-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221Scientia Medica; Vol. 21 No. 3 (2011); 113-116Scientia Medica; v. 21 n. 3 (2011); 113-1161980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221/6718https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221/6719Steffen, NédioMartha, Viviane FellerMartha, Aline SilveiraCosta, Rafael Lessainfo:eu-repo/semantics/openAccess2013-07-16T11:57:51Zoai:ojs.revistaseletronicas.pucrs.br:article/8221Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-16T11:57:51Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
Neurofibromatose tipo I com manifestação parafaríngea na infância
title Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
spellingShingle Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
Steffen, Nédio
NEUROFIBROMATOSIS 1/diagnosis
NEUROFIBROMA/complications
PHARYNGEAL NEOPLASMS
CASE REPORTS
CHILD
INFANT.
NEUROFIBROMATOSE 1/diagnóstico
NEUROFIBROMA/complicações
NEOPLASIAS FARÍNGEAS
RELATOS DE CASOS
CRIANÇA
LACTENTE.
title_short Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
title_full Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
title_fullStr Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
title_full_unstemmed Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
title_sort Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
author Steffen, Nédio
author_facet Steffen, Nédio
Martha, Viviane Feller
Martha, Aline Silveira
Costa, Rafael Lessa
author_role author
author2 Martha, Viviane Feller
Martha, Aline Silveira
Costa, Rafael Lessa
author2_role author
author
author
dc.contributor.author.fl_str_mv Steffen, Nédio
Martha, Viviane Feller
Martha, Aline Silveira
Costa, Rafael Lessa
dc.subject.por.fl_str_mv NEUROFIBROMATOSIS 1/diagnosis
NEUROFIBROMA/complications
PHARYNGEAL NEOPLASMS
CASE REPORTS
CHILD
INFANT.
NEUROFIBROMATOSE 1/diagnóstico
NEUROFIBROMA/complicações
NEOPLASIAS FARÍNGEAS
RELATOS DE CASOS
CRIANÇA
LACTENTE.
topic NEUROFIBROMATOSIS 1/diagnosis
NEUROFIBROMA/complications
PHARYNGEAL NEOPLASMS
CASE REPORTS
CHILD
INFANT.
NEUROFIBROMATOSE 1/diagnóstico
NEUROFIBROMA/complicações
NEOPLASIAS FARÍNGEAS
RELATOS DE CASOS
CRIANÇA
LACTENTE.
description Aims: To present a rare case of parapharyngeal involvement in a child with neurofibromatosis type I. Case description: a girl one year and four months old was brought to the clinic of otolaryngology at the Hospital São Lucas da PUCRS because of a swelling in the left parotid region, observed for approximately 30 days. On examination she appeared healthy, and the inspection showed a tumor on the left parotid region, with little mobility. A computed tomography scan with contrast revealed extensive tumor with solid appearance, internal carotid artery bypass to the midline with involvement of the parotid gland and extension into the parapharyngeal space. Excisional biopsy examination with trans-operative freezing revealed a benign neoplasm of neural tissue and the pathological result showed plexiform neuroma. Reviewing the physical examination, three hyperpigmented macules (café au lait spots) were observed in the abdominal region, pointing to the clinical diagnosis of neurofibromatosis type I, or Von Recklinghausen's disease. Conclusions: Neurofibroma of the parapharyngeal space is a rare complication of neurofibromatosis type I, occurring in less than 5% of tumors of the parapharyngeal space. This case report showed the importance of clinical correlation for diagnosis of a rare disease, especially in pediatric patients.
publishDate 2011
dc.date.none.fl_str_mv 2011-07-09
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221/6718
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8221/6719
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 21 No. 3 (2011); 113-116
Scientia Medica; v. 21 n. 3 (2011); 113-116
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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