Neurofibomatosis type 1 with parapharyngeal manifestation in childhood [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , |
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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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 |
_version_ |
1809101749508636672 |