RESUMO
We report the case of a 25-year-old unmarried male patient who presented with painful swelling of the right lumbar area of one month's duration, associated with fever and general debility, but without any urological or gastro-intestinal symptoms. He admitted having had unprotected sexual intercourse. Abdominal radiography revealed an abscess in the right psoas muscle, which was drained by lumbotomy. Analysis of the pus revealed Staphylococcus aureus. Histological examination of the abscess wall found non-specific inflammation. A test for tuberculosis was negative, while serological examination revealed HIV. The patient was treated with antiretroviral drugs
Assuntos
Humanos , Masculino , Abscesso do Psoas/cirurgia , Abscesso do Psoas/microbiologia , Infecções por HIVRESUMO
Squamous cell carcinoma of the penis is rare, representing less than 1% of all adult cancers. The etiology of this cancer is still unknown, but many risk factors have been suggested, above all the human papilloma virus. The authors describe two cases of infiltrating penile tumors. The first patient presented with a glandular tumor of 5 cm which was treated by a distal penile amputation. The second patient had a ventrally located penile tumor associated with a urethral fistula. He was subjected to total penectomy with bilateral inguinal lymphadenectomy. Postoperatively, he developed lymphorrhea which resolved spontaneously. Surgery remains the treatment of choice for penile tumors and consists - depending on the case - of wide excision, partial or total penectomy with perineal urethrostomy