Browsing by Autor "Melisse Milano Molina"

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Carcinoma urotelial primario de la trompa uterina, una patología infrecuente: reporte de un caso
(Universidad Internacional de La Rioja, 2013) Stefano Pozzobon-Borregales; Jesús Rico Castillo; Pierina Petrosino Tepedino; Melisse Milano Molina; Julio Cesar Lacruz
Primary Carcinoma of the uterine tube is an unusual malignant pathology that occurs between the 0,1% and the 1,8% of all malignant tumors, being the urothelial histological type even less frequent, which represents 10% of malignant tumors of the uterine tubes. These tumors usually appear in women between the 5th and 7th decades, and in 18% of the cases they become clinically manifest with the following triad: palpable mass and/ or abdominal distention, pain, and metrorrhagia. We present a case of a 44 year old woman who began current pathology in December 2010 with pelvic pain and continuous genital bleeding. The magnetic resonance reported a lesion that occupied the right parauterine space, and suggested a malignant neoplasia of the right ovary. The report of Ca-125 tumor marker showed high values, along with symptoms and paraclinic results that suggested a malignant disease. A gynecologic laparotomy was performed, with evidence of a right Fallopian tube tumor. The histological study was concluded as a Carcinoma with Urothelial differentiation. Afterwards, a staging surgery was performed, which included peritonea washing out, total hysterectomy, left salpingo-oophorectomy, omentectomy, appendicectomy, and selective, bilateral lymphadenectomy. The biopsy report from the surgical pieces was negative for malignancy. Actually, the patient is disease-free. This case was reported given the unusual of the pathology.
Lepra lepromatosa . A propósito de un caso clínico
(Universidad Internacional de La Rioja, 2014) Anays Toro; Silvana Vielma; Pierina Petrosino Tepedino; Melisse Milano Molina
A case reportAbstract Leprosy is a chronic infectious disease, declared by the WHO as successfully controlled since several years ago, is causal by an acid-alcohol-resistant bacilli (AARB) called Mycobacterium leprae. Infection has a long incubation period and mainly affects skin, mucous membranes and peripheral nerves. Its clinical presentation comprises two polar types, lepromatous leprosy (LL), tuberculoid leprosy (TL) and three borderline expressions. Here we report a case of a 36 year-old male patient, who suffers since two years ago skin lesions characterized by hyperchromic macules that progressed to nodules, initially in hands and feet, then spread throughout the body, without respect of palm of hands and feet. Preceded by Dengue infection (20 days before), and a histopathological diagnosis as Glomangiosarcoma. Upon admission, the patient had countless indurated, multiform and confluent nodular lesions, associated to unaltered superficial or deep sensitivity or neuromuscular symptoms. Radiological studies from thorax, abdomen and pelvis showed no musculoskeletal or visceral lesions without nodal involvement. The second biopsy reported chronic inflammation, few lymphocytic infiltrate, foamy macrophages, countless and slightly curved intracellular (macrophages) AARB. Lepromin test was negative reported. The final diagnosis was lepromatous leprosy. Triple multitherapy (dapsone, rifampicin, clofazimine) was prescribed and two months later, evidence of improvement in the number and size of lesions was observed. Early diagnoses through clinical, histopathological, immunological tests are central to the broader context of clinical presentations in Leprosy.
Tumor sólido pseudopapilar de páncreas. Presentación de un caso reportado en Hospital Universitario de Los Andes, Mérida-Venezuela
(Universidad de Los Andes, 2013) Naisbet Ortega Vásquez; Melisse Milano Molina; Ana Valentina Rojas-Esquerre; Estrella Celeste Uzcátegui Paz; Carlos González Torres; Pierina Petrosino Tepedino; Asmiria Sotolongo; Elymar Barreto; Julio Tabares
El tumor solido pseudopapilar de pancreas es una neoplasia de bajo grado de malignidad, de etiologia incierta y relativamente raro con una incidencia de 0.2 a 2.7% entre los tumores de pancreas exocrino. Se presenta con mayor frecuencia en mujeres jovenes, siendo muy raro en varones, y existen pocos casos de mortalidad asociados a este tumor. Pueden encontrarse incidentalmente o dar sintomas abdominales inespecificos. Presentamos el caso de paciente femenina de 16 anos de edad, quien consulto por saciedad temprana y dolor abdominal tipo colico en epigastrio e hipocondrio derecho. Se realizo endoscopia digestiva superior puncion con aguja guiada (PAF) guiada por ultrasonido endoscopico de lesion quistica en cola de pancreas, con hallazgos compatibles con tumor solido pseudopapilar de pancreas. Se realizo Pancreatectomia corporo-caudal con estudio de biopsia, los cuales confirmaron el diagnostico preoperatorio. El tumor solido pseudopapilar pancreatico incluye entre sus manifestaciones clinicas dolor abdominal, sensacion de plenitud o saciedad temprana, masa abdominal, nauseas y vomitos, entre otras. La tomografia axial computarizada puede revelar masa heterogenea grande y encapsulada. El diagnostico definitivo se realiza con el estudio histopatologico y el tratamiento de eleccion es la cirugia, la cual por si sola tiene un nivel elevado de curacion. Solid-pseudopapillary tumor of the pancreas. A report in the Hospital Universitario de Los Andes, Merida-Venezuela Abstract Solid pseudopapillary tumor of the pancreas is a neoplasm of low malignant, of uncertain etiology and relatively rare with an incidence of 0.2 to 2.7% between exocrine pancreatic tumors. It occurs most often in young women and is very rare in men, and there are few cases of mortality associated with this tumor. May be found incidentally or give nonspecific abdominal symptoms. We report the case of a female patient aged 16, who consulted with early satiety and cramping abdominal pain in epigastrium and right hypochondrium. Upper gastrointestinal endoscopy was performed and a endoscopic ultrasound guided fine needle aspiration of the cystic lesiom was performed, with findings consistent with pancreatic solid pseudopapillary tumor. Pancreatectomy was performed porated-flow with biopsy study, which confirmed the preoperative diagnosis. Solid pseudopapillary tumor pancreatic includes among its clinical manifestations abdominal pain, fullness or early satiety, abdominal mass, nausea and vomiting, among others. Computed tomography may reveal large encapsulated heterogeneous mass. The definitive diagnosis is made by histological study and treatment of choice is surgery, which alone has a high level of healing.
Utilidad de la biopsia transbronquial en el diagnostico de enfermedades pulmonares en pacientes VIH/SIDA
(Universidad Internacional de La Rioja, 2014) Carmen Fuenmayor; Maryori García; I García Contreras; Jhoana Veruschka Santeliz Casavilca; Melisse Milano Molina; A. García; Antonio Faieta; Rafael Mena Pérez
Transbronchial biopsy is a useful tool in the diagnosis of a heterogeneous group of lung diseases. The aim of this study was to determine the etiology of pulmonary processes more frequent in the group of HIV / AIDS patient sin controlled Autonomous Institute of the Andes University Hospital during the period February to September2009. We performed an observational, analytical and descriptive epidemiological approach, clinical and pathological in a group of 39 patients with human immunodeficiency virus. Of these only 36 met the inclusion criteria for this study. Blood analyzes were made, immunological profile, imaging studies, bronchoalveolar lavage, bronchial brushing and transbronchial biopsy. The histological sections showed inflammatory response at different stages of evolution, diffuse alveolar damage and intra-alveolar edema. Diagnosis was made from a group of opportunistic diseases such as pneumocystosis, Histoplasmosis, Candida, and injury probably due to Herpes virus and Cytomegalovirus. It emphasizes the participation of more than a germ. In addition there was vasculitis, thrombi, areas of ischemic necrosis, interstitial fibrosis and findings suggestive of pulmonary hypertension. One of the patients showed undifferentiated epithelial malignancy neoplasm. The use of this technique allowed us to evaluate the presence of opportunistic infections and unusual neoplasms and findings suggestive of pulmonary hypertension. Its use is justified, before the need for an etiologic diagnosis and establish the indicated therapy.