ABSTRACT
We report a case of testicular tunica albuginea cyst with psammoma body which was treated with excision and testicular preservation. The presumptive diagnosis of a simple intratesticular cyst was made by ultrasound. The intraoperative pathological diagnosis was benign serous cyst and then simple excision of the lesion with testicular masses, and it may permit identification of lesions that can be excised locally with testicular preservation. To our knowledge tunica albuginea cyst with psammoma body, a characteristic histological finding, has not been reported. Its histogenesis was also discussed.
Subject(s)
Diagnosis , Testis , UltrasonographyABSTRACT
The serum PSA concentration is directly correlated with patient age and prostatic volume. Thus, rather than rely on a single reference range for men of all age group, it is more appropriate to have age-specific reference ranges. We define the cancer-free population as men with a PSA less than or equal to 4.0ng/ml and nonsuspicious digital rectal examination, and those with an abnormality in either parameter with a nonmalignant prostate biopsy. A total of 905 men was recruited for a prostate cancer detection study using serum PSA and digital rectal examination, of whom 869 fulfilled our criteria of cancer-free. The upper limits for PSA(mean +2 standard deviations) by age were 2.89ng/ml in the 40 to 49-year group, 4. 67ng/ml in the 50 to 59-year group, 5.49ng/ml in the 60 to 69-year group and 6.48ng/ml in the 70 to 79-year group. It is the purpose of our study to know that how accurate our definition of normal as evidenced by a lack of cancer in men with a normal digital rectal examination and PSA between 4.0 and the derived upper limit of normal is. The apparent accuracy of these new limits is strong in the 50 to 69-year group but it declines in the next decade. The data support further attempts at using PSA, age and digital rectal examination to establish selection criteria for prostate biopsy with adequate specificity.
Subject(s)
Humans , Male , Biopsy , Digital Rectal Examination , Patient Selection , Prostate , Prostatic Neoplasms , Reference Values , Sensitivity and SpecificityABSTRACT
The ancillary practice for the management of upper ureteral stones is to push the stone up the renal pelvis before extracorporeal shock wave lithotripsy(ESWL). We evaluated 103 patients with mid and upper ureteral stones for identifying the significant factors of success in push up procedure. The clinical factors of success of push up procedure may be regarded to location (upper, mid), size( 12mm>=,12mm=, 1Mo=, 1Mo 5, WBC0.05). Complications of push up were infrequent, with hematuria (30.7%), flank pain (29.7% ), and ureteral perforation (2.2% ), all of which were managed conservatively. From these data we conclude that upper ureter stones with successful clinical factors should be tried push-up into the renal pelvis before ESWL to improve the therapeutic results.
Subject(s)
Humans , Flank Pain , Hematuria , Kidney Pelvis , Pyuria , Shock , UreterABSTRACT
We report a case of massive retroperitoneal hemorrhage from a spontaneous rupture of a renal angiomyolipoma in a 35 year-old man, that appeared unilateral and solitary tumor without stigma of tuberous sclerosis. He experienced a sudden onset severe pain on the right flank, but had no history of specific associated diseases or factors such as trauma or stone. The patient presented with a clinical picture of shock because of massive hemorrhage in despite of the emergency care and was treated by right total nephrectomy. Herein we review briefly the clinical presentation, diagnosis and management of renal angiomyolipoma.
Subject(s)
Adult , Humans , Angiomyolipoma , Diagnosis , Emergency Medical Services , Hemorrhage , Nephrectomy , Rupture, Spontaneous , Shock , Shock, Hemorrhagic , Tuberous SclerosisABSTRACT
Schwannoma, also referred to as neurilemmoma, neurinoma, and perineural fibroblastoma, is the most frequent solitary tumor of the peripheral nerves. It is an encapsulated sheath tumor consisting or two components: a highly ordered cellular component( Antoni A area) and a loose, myxoid tomponent( Antoni B area ). It is usually solitary and may be benign or malignant, solid or cystic, encapsulated or diffuse. It rarely occurs in the retroperitoneal space. We report a very rare case of Schwannoma developed in the muscular layer of the bladder wall and review the relevant literatures.