Page 78 - Revista Portuguesa - SPORL - Vol 41. Nº2
P. 78
BEA'RII ARENAZ EUA JOSE ANTONIO BRANDARIZ CASTELO JOAQUIN Df VERGAS C—LHZERREÍ
ES'HER ÍÇONDE GALLE(J(,) JUAN JOSE ALVAREZ VK ENT
CASE REPORT gms anory reconstructron was made reflecr
ttng postcncmd mucosa! flop over the excwed
A óQ-yeorold mon presented to the emer‘ ontenOId ond posterior border of the Intact thy
gency room of the hospttol wnth o 3Amonth hus- rOId cortnloge
tory of progressrve dysphogro, throat drscomr The patent progressed well meetmg oll num
tort ond shortness of breath In some post tronol needs orally by the thurd posoperotwe
ttons(whr|e reclmmg For example) Hrs medical week and was deconnuloted uneventfully No
hnsrory Included hypertenmon, hyperuncemro comp|ementory treatment was IndICOTOd He IS
ond esophageal lemon 14 years ogo(sugges shll tree of dnseose 24 months otter the surgery
hve of hpomo but there IS no pothologncol
dtognosm because the poluem swollowed n PATHOLOGIC FINDINGS
acodentolly durrng endoscopic explorotron)
Indnrect loryngoscopy revealed 0 yellowrsh, Porothn sectrons were stomed wuth homo
rubbery ond polypoud mass centered on the left toxylrn ond eosm tor routrne htstology The
prrttorm smus ond orytenOId corttloge, the true streptovrdtn buohn perOxIdose complex method
vocal cords were fully mobile there was no cer was used for ImmunOhleOChOmICCll reactrons
vncol Odenopothy Computed tomographuc scan The hISTOIOglC appearance of the biopsy
demonstrated on heterogeneous mass In the let? revealed 0 nonencopsuloted tum0r(un|rke the
ptrttorm smus ond orytenOId C0rtn|oge(FIgure I) lrpomos) formed by lobules separated by ther
hbrous trssues tracts These lobules showed
mature Odeocytes ond other cells some pleo
morphlc wtth the features of Itpoblosts thrs wos
Interpreted os well drtterenttoted Itposurcomo
The hustologlcol features of the portrol loryn
ge<tomy speomen were Simllor to those seen In
the bropSy Immunohistmhemtcol reorttons tor
well dttterenhoted orcas were posrtwe tor wmen
tune STOO protem CD34 und collagen IV but
rt also showed ()brupt trunsmon to h.ghgrude
spindle (ell orcas wtth pleomorphusm otyptu
(md high number of mrtmts so rt was drag
"O l (Y KAN W A M85 IN ll" "QUO.“ “MUS
nosed os dedrtterenttoted llpoaun ()mo(hgure ?)
ANO nmuooo cnnuoc
thns dedttterenttmed orcas were poartwe tor
wmentm Bd ? (md collagen IV
A b'opSy made under general unesthcsno
was Suggestive of welldrtterenhoted lnposorco
mu so the vmwa- ot the procedure was
eroto med ', ’he p(xhent (md he underwent u
XW'U phu'y'wy-mr—ynngomv The ()pproorh
wcta mode by T(xterrxl phoryngmtmmy thts
(:“—Uwv(1;;»,u(í «"“,(llxznhrm mf the (":“-umd (1nd
""CdWCÍ WÇIW (" "TO pwform ',]HUS Resectmn
'M*».,;1€-d let' (tvtertmd rxdlorent (xrteptglom
ªux: ‘ime wu," qmd und meducfl wall of pm
"O 2. ! 700 “| AllAi O' Wlu DIHIIINHAYID U'OSAICOMA
' 4"" 3 'um) w m ()(Ínqun't' mot trrsr mph (xl mor NO" INI A""(Al UDOOKASYS WIÍNIN INI "OKI "IIOUS “"A
lxl
