Volumen 31 No. 1 (2013)

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Browsing Volumen 31 No. 1 (2013) by Subject "Cirugia"

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    Carcinoma medular de tiroides
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-04) García Alvarado, Santiago Alberto; Salamea Molina, Santiago Rafael; Palacios Nieto, Sergio Esteban; Tapia Peralta, Yadira Zhanina
    Thyroid medullary carcinoma (TMC) represents 4% to 8% of all thyroid cancers. It mostly occurs in the fifth decade of life, especially in women. In 1959 Hazard, et al. described TMC as a neoplasia which did not prevent follicular cells. Between 1966 and 1967 Williams suggested that follicular cells derived from C parafollicular cells. The sporadic medullary carcinoma represents 60% to 70% of TMC cases. It is presented as an isolated and unilateral tumor. When it is obvious, the lymphatic dissemination occurs. The hereditary type is presented as a multifocal and bilateral tumor. It is easily observed as part of a multiple endocrine neoplasia syndrome. The genetic study for its classification is the gold standard. This is the reason we present a clinical case and take advantage for a bibliographic revision due to its low incidence, hereditary pattern and its complex management
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    Quiste no parasitario de bazo: resolución laparoscópica
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-04) Astudillo Molina, Rubén Arturo; Uriguén Jerves, Juan Alejandro; Serrano Hinojosa, Bolívar Eugenio
    Splenic cysts are a rare pathology. According to their classification, splenic cysts can be parasitical and non-parasitical. Non-parasitic cysts are divided into true or primary and false or pseudo cysts. The symptomatology occurs if the cyst is big in size or has some kind of complication. There has not been any case with laparoscopic resolution published in Ecuador referred to splenic cysts. This is a case study of a 21 year-old single woman, with a body weight of 45Kg , she has had it since nearly a year ago, a painless abdominal mass in the upper left abdomen; without clinical manifestations. Imaging tests are taken and they corroborate the diagnosis of splenic cyst of lower pole. Multilocular splenic cysts are found and the surgical procedure is unroofing; the anatomopathological report is simple cyst. The evolution is favorable and complications are not present.