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Laryngektomia jako postępowanie ratujące u chorych z nasilonym odczynem popromiennym po radioterapii raka krtani

100%
Piotrowski S.
Otolaryngologia Polska
|
2007
|
vol. 61(3)
243-253
PL
Introduction. Author discusses problems and treatment principles of patients with massive postradiation injury, who had laryngectomy procedure as a result of insufficience of the farmacological treatment. Material and methods. There were 12 patients who were performed laryngectomy as a treatment of massive postradiation injury of the larynx in the period 1975–2005. We suspected presence of persistent neoplasm with postradiation changes. Seven laryngectomies were performed after confirmation of the neoplasm in 1–3 biopsies. Three patients were treated operatively without this confirmation in spite of two biopsies which were negatively, and two patients were treated in this way without biopsies. Results. Two patients had tomour free postlaryngectomy specimens in the histopathological examinations, and among 10 others the reccurence of the tumour after radiotherapy was present during the post-laryngectomy histopathological examinations. In 7 cases this reccurence was proved with massive postradiation injury in endoscopic biopsies before laryngectomy. Discussion. Author presents his own problems and presents methods of treatment of the patients with massive postradiation injury of the larynx described in literature.
2
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Laryngectomy as a salvage procedure of the patients with massive postradiation injury of the larynx

100%
Piotrowski S.
Otolaryngologia Polska
|
2007
|
vol. 61(3)
243-253
EN
Introduction. Author discusses problems and treatment principles of patients with massive postradiation injury, who had laryngectomy procedure as a result of insufficience of the farmacological treatment. Material and methods. There were 12 patients who were performed laryngectomy as a treatment of massive postradiation injury of the larynx in the period 1975–2005. We suspected presence of persistent neoplasm with postradiation changes. Seven laryngectomies were performed after confirmation of the neoplasm in 1–3 biopsies. Three patients were treated operatively without this confirmation in spite of two biopsies which were negatively, and two patients were treated in this way without biopsies. Results. Two patients had tomour free postlaryngectomy specimens in the histopathological examinations, and among 10 others the reccurence of the tumour after radiotherapy was present during the post-laryngectomy histopathological examinations. In 7 cases this reccurence was proved with massive postradiation injury in endoscopic biopsies before laryngectomy. Discussion. Author presents his own problems and presents methods of treatment of the patients with massive postradiation injury of the larynx described in literature.
3
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Dąbska Tumor – a rare neoplasm of the paranasal sinuses. Case report and review of world literature

51%
Piotrowski S., Śmiałek U., Kropidłowska S.
Polski Przegląd Otorynolaryngologiczny
|
2021
|
vol. 10(2)
34-39
EN
The authors present a rare case of endovascular papillary angioendothelioma also known as “Dąbska tumor”, which occurs mainly in children and young adults. This neoplasm was found in the right maxillary sinus and nasal cavity in a 22-year-old woman that remained undiagnosed for one year. After the initial diagnostic imaging, the tumor was removed through the endoscopic approach. After a year, the patient developed a mucopurulent cyst in the postoperative cavity, which was removed without any recurrence of the neoplastic disease in the follow-up histopathological examination. The authors present the clinical picture of this potentially malignant neoplasm and review the current literature.
4
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Guz Dąbskiej – rzadki nowotwór zatok przynosowych. Opis przypadku i przegląd piśmiennictwa światowego

51%
Piotrowski S., Śmiałek U., Kropidłowska S.
Polski Przegląd Otorynolaryngologiczny
|
2021
|
vol. 10(2)
34-39
PL
Autorzy opisują rzadki przypadek śródbłoniaka wewnątrznaczyniowego brodawkowatego, znanego również jako „guz Dąbskiej”, występującego głównie u dzieci i młodych dorosłych. Nowotwór ten został stwierdzony w prawej zatoce szczękowej i w jamie nosa u 22-letniej pacjentki, u której rozwijał się niezdiagnozowany przez jeden rok. Po wstępnej diagnostyce obrazowej guz został wycięty doszczętnie na drodze endoskopowej. Po upływie roku u chorej doszło do wytworzenia torbieli śluzowo-ropnej w loży pooperacyjnej. Torbiel usunięto, a w kontrolnym badaniu histopatologicznym nie stwierdzono nawrotu choroby nowotworowej. Autorzy przedstawiają kliniczny obraz tego potencjalnie złośliwego nowotworu oraz dokonują przeglądu aktualnego piśmiennictwa.
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