Envíe este artículo por correo electrónico CaraterÃsticas imagiológicas de lesões nasossinusais: uma série de casos
Resumen
Objetivo: Descrever a abordagem diagnóstica e as caraterÃsticas imagiológicas de diferentes lesões nasossinusais.Â
Desenho do estudo: Série de casos. Â
Material e métodos: Revisão do processo clÃnico de doentes com lesões nasossinusais, avaliadas no Hospital Pedro Hispano no ano de 2020, com análise das caraterÃsticas demográficas, apresentação clÃnica e caracterÃsticas imagiológicas.Â
Resultados: Obtivemos 6 casos, 4 mulheres e 2 homens, com idade média de 52.7 ± 22,8 anos. Lesões nasossinusais incluÃdas: hemangioma capilar lobular, linfoma B difuso de grandes células, papiloma invertido, sarcoma mieloide, melanoma e meningoencefalocelo. A obstrução nasal unilateral foi o sintoma mais comum (100 %). Outros sintomas: epistáxis (66,7%), cefaleia (66,7%), diplopia (33,4%), rinorreia (16,7%) e hipoacusia unilateral (16,7%). Todos realizaram TC dos seios perinasais (100%), 2 (33,4%) realizaram RMN. Em 5 deles (83,3%) foi realizada uma biópsia pré-operatória.
Conclusão: O padrão imagiológico das lesões fornece pistas relativamente ao seu comportamento histológico, permitindo por vezes fazer o diagnóstico e evitar biópsias perigosas.Â
Palavras chave: TC; RM; Hemangioma capilar lobular; Papiloma invertido; Melanoma; Linfoma B difuso de grandes células; Sarcoma mieloide; Meningoencefalocelo
Palabras clave
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