Publications by authors named "Alvaro Gutierrez-Domingo"

6 Publications

  • Page 1 of 1

Synchronous occurrence of IgG4-related sialadenitis and ductal carcinoma of the parotid gland: a case report.

Gland Surg 2021 Jun;10(6):2069-2075

Department of Surgery, School of Medicine, University of Seville, Seville, Spain.

Immunoglobulin G4-related disease (IgG4-RD) is a rare chronic systemic inflammatory pathology that poses a diagnostic challenge since it can simulate malignancy when it affects a salivary gland as a mass-like lesion. Here, the authors report an unusual clinical case of a 42-year-old man who presented with a painless, slow-growing swelling located in the right parotid gland with a 12-month evolution. Based on imaging tests and open biopsy, a diagnosis of chronic parotitis was presumed and oral methylprednisolone was prescribed. Due to poor response to medication, a total parotidectomy preserving the facial nerve was performed. The final pathology described a unilateral IgG4-related sialadenitis (IgG4-RS) in the parotid gland in combination with a poorly differentiated multifocal ductal carcinoma. The postoperative course was uneventful except for a temporary facial paresis (grade III according to the House-Brackmann classification system) that resolved completely within 5 months. There were no systemic manifestations on the whole-body 18F-FDG PET/CT. Adjuvant radiotherapy was administered without complications. Twenty-four months follow-up after surgery showed no recurrence or evidence of systemic involvement. This clinical report highlights the importance of considering the synchronous occurrence of a carcinoma underlying an isolated parotid gland mass in the context of IgG4-RS, especially if there is no response to prior steroid medication.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.21037/gs-21-90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8258885PMC
June 2021

[HIGH GRADE ADENOSARCOMA OF ENDOCERVIX AND ENDOMETRIAL CAVITY WITH A HETEROLOGOUS COMPONENT OF RHABDOMYOSARCOMA. CASE REPORT AND REVIEW OF THE LITERATURE].

Rev Colomb Obstet Ginecol 2019 06;70(2):122-128

Unidad de Gestión Clínica de Obstetricia y Ginecología del Hospital Universitario Virgen Macarena, Sevilla (España).

Objective: To present the case of a patient diagnosed with high grade adenosarcoma of the endocervix and the endometrial cavity, with a heterologous component, and to conduct a review of the literature focusing on the diagnosis and therapeutic management of this disease condition.

Methods: We present the case of a 31-year-old female patient who came to Virgen Macarena University Hospital of Seville, a Level III regional institution, complaining of genital bleeding arising from an endocervical polypoid mass. The biopsy of the mass revealed a high grade, poorly differentiated leiomyosarcoma of the endocervix. The patient was taken later to total abdominal hysterectomy. The study of the surgical specimen provided the following result: adenosarcoma of the endocervix and endometrial cavity with a heterologous rhabdomyosarcoma component. A search was conducted in the Medline database via Pubmed using the terms "adenosarcoma," "endocervical," "cervix," "uterus," "heterologous." The search in- cluded literature review articles, case reports and clinical case series describing aspects of cervical adenosarcoma and the heterologous rhabdomyosar- coma component, published in English and Spanish since 1974.

Results: Six articles corresponding to literature reviews, case reports or case series in which the most relevant aspects of the diagnosis and treatment of this disease condition are described were retrieved.

Conclusions: This condition is characterized, on occasions, by rapid and aggresive growth, hence the importance of early diagnosis and optimal treatment based on a combination of surgery, radiation therapy and chemotherapy. However, due to its low prevalence, further studies are needed in order to confirm these data.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.18597/rcog.3258DOI Listing
June 2019

Alveolar Microlithiasis And Its Distinctive Clinical And Radiological Disassociation.

Arch Bronconeumol (Engl Ed) 2018 Sep 4;54(9):493-494. Epub 2017 Nov 4.

Servicio de Radiodiagnóstico, Hospital Universitario Virgen Macarena, Sevilla, España.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arbres.2017.08.016DOI Listing
September 2018

Lymphomatoid Granulomatosis: A Rare Tumor with Poor Prognosis.

Arch Bronconeumol (Engl Ed) 2018 Feb 31;54(2):108-109. Epub 2017 Aug 31.

Servicio de Anatomía Patológica, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arbres.2017.07.008DOI Listing
February 2018

Seborrheic keratosis with basal clear cells: Report of a case and review of the literature.

J Cutan Pathol 2017 06 12;44(6):600-602. Epub 2017 Apr 12.

Department of Pathology, Hospital Universitario Virgen Macarena, Seville, Spain.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1111/cup.12936DOI Listing
June 2017

Single colonic polyp as a presentation of mantle cell lymphoma.

Gastroenterol Hepatol 2017 12 9;40(10):682-684. Epub 2016 Dec 9.

Unidad de Gestión de Anatomía Patológica, Hospital Universitario Virgen Macarena, Sevilla, España.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gastrohep.2016.09.001DOI Listing
December 2017
-->