3 research outputs found
Mesenteric Panniculitis in Sjögren’s Syndrome: A New Systemic Manifestation to Consider?
The association between mesenteric panniculitis and Sjögren's syndrome, although rare, is starting to be recognized. Usually, mesenteric panniculitis is symptomatic, presenting with either general or gastrointestinal symptoms. Sjögren's syndrome is an autoimmune disease that typically affects secretory glands, but may have serious systemic involvement. We report the case of a 77-year-old patient in whom accidental discovery of asymptomatic mesenteric panniculitis on computed tomography led to the diagnosis of Sjögren's syndrome with several systemic manifestations
Adenopatia supraclavicular como forma de apresentação de cancro da próstata metastizado
Prostate cancer in its advanced form usually metastasizes to the bone or
pelvic ganglia. The involvement of the supraclavicular lymph nodes is rare
(0.4% to 1% of all cases)1. Its presentation as a supraclavicular lymphadenopathy
is even more unusual with only a few cases described in the
literature2-7. In this context, we describe the case of a 62 year old man presenting
with a left supraclavicular mass without any other signs or associated
symptoms. After all the workup, we established the diagnosis of widely
metastasized prostate adenocarcinoma. We bring forward this case as an
example of a rare form of presentation of prostate cancer and we use it as
a base for discussing an approach to isolated peripheral lymphadenopathy.A neoplasia da próstata na sua forma avançada tem geralmente metastização
óssea ou para gânglios pélvicos. O envolvimento de gânglios supraclaviculares
é raro (0,4-1% de todos os casos)1 e a sua apresentação
como adenopatia supraclavicular é ainda mais rara, com apenas alguns
casos descritos na literatura2-7. Neste contexto, apresentamos o caso de
um homem de 62 anos, saudável, com tumefação de novo na fossa supraclavicular
esquerda, sem sintomas associados. Após a investigação
estabeleceu-se o diagnóstico de adenocarcinoma da próstata em fase
avançada, com metastização disseminada. Alertamos para uma forma
rara de apresentação de adenocarcinoma da próstata e discutimos a
abordagem diagnóstica em casos de adenopatias isoladas