Résumé
ABSTRACT Purpose: In this study we aimed to review urological soft tissue sarcomas of genitourinary tract that were diagnosed in our institution and their prognostic factors for survival. Materials and Methods: The clinical and pathological records of 31 patients who had diagnosis of soft tissue sarcomas primarily originating from the genitourinary tract between 2005-2011 were reviewed. Results: The most common site was kidney (17 cases, 54.8%), and most common diagnosis was leiomyosarcoma (11 cases, 35.4%). A total of 24 patients (77.4%) had surgical excision. The surgical margins were positive in 7 patients who presented with local recurrence after primary resection. Twelve patients developed metastatic disease. During follow-up (range 9-70 month), 26 of the 31 patients (88.9%) were alive. Significant survival differences were found according to histological type (p: 0.001), with lower survival rates for malignant fibrous histiocytoma. The tumor size, the presence of metastasis at the time of diagnosis and tumor localization were not statistically significant for overall survival. Conclusions: In our series, prostate sarcomas, paratesticular rhabdomyosarcoma and malignant fibrous histiocytoma had poor prognosis, especially in patients presenting with metastatic disease.
Sujets)
Humains , Mâle , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Jeune adulte , Tumeurs de la prostate/anatomopathologie , Sarcomes/anatomopathologie , Tumeurs du testicule/anatomopathologie , Tumeurs de la vessie urinaire/anatomopathologie , Tumeurs du rein/anatomopathologie , Pronostic , Tumeurs de la prostate/mortalité , Sarcomes/mortalité , Tumeurs du testicule/mortalité , Tumeurs de la vessie urinaire/mortalité , Incidence , Études rétrospectives , Études de suivi , Estimation de Kaplan-Meier , Tumeurs du rein/mortalité , Adulte d'âge moyen , Métastase tumoraleRésumé
Hypercalcemia may be seen in children with malignancy. We report a 4-year old child with rhabdomyosarcoma that initially presented with signs of hypercalcemia and bone involvement.
Résumé
A case of primary chondrosarcoma of the testis is reported. A 40-year-old man presented a painless swelling of the right testis that he has been observing for 3 years. Gross examination of the resected specimen showed an encapsulated, gray to tan colored, roughly rounded tumor. Histologically, the tumor revealed a well-differentiated chondrosarcoma.