RESUMO
A bladder infection of Aspergillus with no evidence of dissemination is rare. We present a case of Aspergillus infection with transitional cell carcinoma of the urinary bladder without any evidence of systemic involvement. A 65-year-old male diabetic whose main complaints were intermittent painful haematuria and nocturia had undergone nephroureterectomy a year and a half back for transitional cell carcinoma of right renal pelvis. Cystoscopy revealed bladder mucosa having fixed broad tumour with encrustation and bleeding on touch at the right vesico-ureteric junction. The histopathologic diagnosis was a high-grade transitional carcinoma with Aspergillus infection. Fungal culture of urine obtained after bladder wash yielded Aspergillus fumigatus.
Assuntos
Idoso , Aspergilose/diagnóstico , Aspergilose/microbiologia , Aspergilose/patologia , Aspergillus fumigatus/isolamento & purificação , Carcinoma de Células de Transição/complicações , Cistite/diagnóstico , Cistite/microbiologia , Cistite/patologia , Cistoscopia , Histocitoquímica , Humanos , Masculino , Bexiga Urinária/microbiologia , Bexiga Urinária/patologia , Neoplasias da Bexiga Urinária/complicaçõesRESUMO
Primary leimyosarcoma of the kidney is extremely rare. The management is unclear due to the limited literature on the subject. The diagnosis should be considered when imaging shows a relatively hypovascular tumor involving one renal pole; with atypical features on microscopy. We report a renal leiomyosarcoma in a 68 year old man; who underwent right radical nephrectomy. A tumor-free surgical margin is the most important prognostic factor. Although various modalities of adjuvant treatment have been tried; the overall prognosis is poor as the tumor is highly aggressive