Hémangiome

H é mangiome
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    文章类型: English Abstract
    OBJECTIVE: To study the diagnostic and therapeutic aspects of hemangioma of the tongue.
    METHODS: A 65 year old man admitted to ENT for a swelling of the tongue that appeared two years ago and progressively increased in volume leading to permanent protrusion. The swelling took up the entire anterior third of the tongue. It had a reddish appearance. On palpation, it was a rounded, firm, well-limited, slightly sensitive mass, measuring 5 cm in diameter. The rest of the ENT examination was unremarkable. Lingual CT scan revealed a very limited mass with hyperechogenic content that did not increase in size after injection of the contrast agent. Surgical excision was performed and the postoperative follow-up was simple. Histology concluded that there was a hemangioma of the tongue.
    CONCLUSIONS: Hemangioma of the tongue is a rare pathology. It must be considered in front of any lingual mass in adults. Its positive diagnosis is clinical and histological.
    UNASSIGNED: Etudier les aspects diagnostiques et thérapeutiques de l\'hémangiome de la langue.
    METHODS: Un homme de 65 ans admis en ORL pour une tuméfaction de la langue apparue depuis deux ans ayant progressivement augmenté de volume entrainant sa protrusion permanente. La tuméfaction prenait toute le tiers antérieur de la langue. Elle était d\'aspect rougeâtre. A la palpation, il s\'agissait d\'une masse arrondie, ferme, bien limitée, légèrement sensible, mesurant 5 cm de grand diamètre. Le reste de l\'examen ORL était sans particularité. La TDM linguale a objectivé une masse bien limitée à contenu hyperechogène ne se rehaussant pas après injection du produit de contraste. L\'exérèse chirurgicale a été effectuée et les suites opératoires ont été simples. L\'histologie a conclu à un hémangiome de la langue.
    CONCLUSIONS: L\'hémangiome de la langue est une pathologie rare. Il faut y penser devant toute masse linguale chez l\'adulte. Son diagnostic positif est clinique et histologique.
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  • 文章类型: Case Reports
    血管瘤是最常见的良性肝肿瘤。血管瘤通常无症状,但有时会导致致残症状,具体取决于其大小和位置。手术和介入放射学是这种情况下治疗的基石。放射治疗,已用于治疗肝癌和转移肝恶性病变,具有良好的疗效和安全性,在由于多个或非常大的病变而手术禁忌症的情况下,是一个相关的选择。在这种情况下,我们报告了一个患者出现多个症状性肝血管瘤的病例,在我们部门成功接受放射治疗.这些良好的结果证明了对文献的回顾,以报告该适应症治疗的一系列患者并描述所使用的主要治疗方案。
    Haemangioma is the most frequent benign hepatic tumour. Haemangioma is generally asymptomatic but it can sometimes cause disabling symptoms depending on its size and location. Surgery and interventional radiology are the cornerstone of the treatment in this situation. Radiation therapy, already used with good efficacy and safety to treat hepatic malignant lesions as hepatocarcinoma and metastases, is a relevant option in case of contraindication to surgery because of multiple or very large lesions. In this context, we report the case of a patient presenting with multiple symptomatic hepatic haemangiomas, successfully treated by radiation therapy in our department. These good results justified a review of the literature to report series of patients treated in this indication and to describe the main treatment regimens used.
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  • 文章类型: Case Reports
    Résumé Dans la majorité des cas asymptomatiques, les hémangiomes vertébraux peuvent être, dans de rares cas, symptomatiques avec des manifestations cliniques purement neurologiques. S´ils sont fréquemment observés chez un sujet adulte jeune, ils peuvent exceptionnellement être observés chez un sujet âgé. Nous rapportons un cas d´hémangiome vertébral neuro-agressif de révélation tardive traité par une chirurgie décompressive, une sclérothérapie, une cimentoplastie et suivi d´une évolution favorable. English abstract In the majority of asymptomatic cases, vertebral hemangiomas can be, in rare cases, symptomatic with purely neurological clinical manifestations. They commonly occur in young adults, exceptionally in elderly subjects. We here report a case of late onset aggressive vertebral hemangioma with neurological signs treated with decompressive surgery, sclerotherapy and cementoplasty, with favorable outcome.
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  • 文章类型: Journal Article
    In order to describe the latest news in Pediatric dermatology (pathophysiology, clinical aspects and therapy), a literature review was performed from September 2017 to September 2018. This article is not an exhaustive review but present the new data that may infuence the daily practice. The results are presented by disease that may be common or rare. Some references are available as supplements.
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  • 文章类型: Journal Article
    2017年在儿科皮肤病学中,有一些关于儿童牛皮癣的共识建议和荟萃分析,特应性皮炎或PHACE综合征,抗JAK治疗在青少年斑秃中的作用案例系列,用于血管畸形的西罗莫司,伊维菌素治疗酒渣鼻,用于1型神经纤维瘤病的MEK抑制剂或用于痤疮的口服异维A酸或用于未成熟血管瘤的普萘洛尔的副作用。关于阿达木单抗治疗银屑病或局部西罗莫司治疗结节性硬化症中的血管纤维瘤的兴趣,仅发表了很少的随机对照研究。也有关于各种情感的临床文章,例如头皮发领标志,童年时期的普鲁士,鱼鳞病,特应性皮炎,疣或寨卡病毒感染。最后,许多出版物报道了马赛克中引起皮肤病的新基因,并提出了新的疑问和观点。
    The year 2017 in pediatric dermatology was marked by several consensus recommendations and meta analyzes on childhood psoriasis, atopic dermatitis or PHACE syndrome, case series on the role of anti-JAK treatment in adolescent with alopecia areata, sirolimus for vascular malformations, ivermectine for rosacea, inhibitors of MEK for type 1 neurofibromatosis or on the side effects of the oral isotretinoin for acne or propranolol for immature hemangioma. Only few randomized controlled studies have been published on the interest of adalimumab in the treatment of psoriasis or topical sirolimus for angiofibroma in tuberous sclerosis complex for example. There were also clinical articles on various affections such as the sign of the scalp hair collar sign, childhood prurigo, ichthyosis, atopic dermatitis, warts or Zika virus infection. Finally, numerous publications reported new genes responsible for dermatosis in mosaics with new questionings and perspectives.
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  • 文章类型: Historical Article
    In this document, Pr Guy Magalon presents a reflection on the plastic pediatric surgery drawn from 30 years of surgical practice. His thinking is supported by several examples of plastic surgery results from children reviewed in adulthood. These cases highlight the evolution of surgical practices and the need for continuing education for surgeons to adapt to technical progress. Professor Magalon honors his masters and shares his personal vision of the principles of pediatric plastic surgery.
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  • 文章类型: Case Reports
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  • 文章类型: English Abstract
    OBJECTIVE: To provide guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF), based on the best evidence available, concerning rare benign breast tumors: Abrikossoff (granular cell tumor), erosive adenomatosis of the nipple, cytosteatonecrosis, fibromatosis (desmoid tumor), galactocele, hamartoma, hemangioma, lipoma, juvenile papillomatosis, pseudoangiomatous hyperplasia, and syringomatous adenoma.
    METHODS: Bibliographical search in French and English languages by consultation of Pubmed, Cochrane and international databases.
    RESULTS: For erosive adenomatosis of the nipple, surgical excision is recommended to exclude Paget\'s disease or cancer (grade C). When surgery is performed for breast desmoid tumor or syringomatous adenoma, free margins are recommended (grade C). Without clinico-radio-histologic discordance, surgical abstention may be proposed for Abrikossoff tumor (granular cell tumor), cytosteatonecrosis, galactocele, hamartoma, hemangioma, lipoma, juvenile papillomatosis, pseudoangiomatous hyperplasia, and syringomatous adenoma (grade C).
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  • 文章类型: English Abstract
    本文通过分析2012年10月至2013年10月之间发表的文章,选择了儿科皮肤病学领域最重要的发展。在血管异常领域,普萘洛尔仍然是婴儿血管瘤的研究热点.血管畸形领域出现了新的临床概念,与该领域的遗传进展并行。新的流行病学数据或新的病理生理概念适用于特应性皮炎。儿童的先天性或非典型痣受益于遗传进步或临床知识的改善。虽然罕见,儿童黑色素瘤因其发病率增加及其误导性临床特征而受到关注。这里报告的其他数据与儿童的感染性皮肤有关,Morpheas,神经纤维瘤病1型、银屑病等儿童常见病。
    This article is a selection of the most significant developments in the field of pediatric dermatology through an analysis of the articles published between October 2012 and October 2013. In the field of vascular anomalies, propranolol remains a topic of interest for infantile hemangiomas. New clinical concepts appear in the field of vascular malformations in parallel to genetic progress in this area. New epidemiological data or new pathophysiological concepts apply to atopic dermatitis. Congenital or atypical nevi of the child benefit from genetic progress or improvement of clinical knowledge. Although rare, melanoma of the child concerns by its increasing incidence and its misleadingclinical characteristics. Other data reported here relate to infectious skin of the child, morpheas, neurofibromatosis type 1, psoriasis and other commonly seen dermatoses in children.
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