[Leydig cell tumor. Case report and review of the literature]. / Tumor de células de Leydig. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: To report a new case of the rare Leydig cell tumor, and to perform bibliographic review. METHODS: We report the case of a 38-year-old male with the clinical and ultrasound diagnosis of testicular tumor, and normal hormonal and extension studies. He underwent inguinal radical orchyectomy and the pathology report of the specimen showed a Leydig cell tumor. It was staged as T1N0M0, not receiving any further treatment with chemotherapy or radiotherapy. Five years after surgery there is no evidence of disease on follow-up. RESULTS: The patient does not show evidence of recurrence after chest x-rays, abdominal-pelvic CT scan, ultrasound of the contralateral testis, and tumor markers. CONCLUSIONS: We recommend a long-term follow-up with contralateral testicle ultrasound, CT scan, chest x-ray, and tumor markers.

[Bladder endometriosis. Case report and review of the literature]. / Endometriosis vesical. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: To report a new case of bladder endometriosis and to perform a bibliographic review. METHODS: We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. RESULTS: Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. CONCLUSIONS: We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist.

Endometriosis vesical. A propósito de un nuevo caso y revisión de la literatura / Bladder endometriosis. Case report and bibliographic review

OBJETIVO: Describir un nuevo caso de endometriosis vesical y hacer una revisión de la literatura MÉTODOS: Presentamos el caso de una enferma de 34 años diagnosticada de endometriosis vesical tratada mediante R.T.U. y soporte hormonal posterior con buenos resultados al año del diagnostico. RESULTADOS: Tras la R.T.U. se instaura conjuntamente con el Servicio de Ginecología, un tratamiento con análogos durante seis meses, estando la enferma asintomática al año del diagnóstico y con un estudio cistoscópico normal. CONCLUSIONES: Como conclusiones, destacar la necesidad de diagnóstico precoz dado el evidente aumento de morbilidad y gasto sanitario, así como la necesidad del tratamiento quirúrgico de todas las lesiones urológicas, antes de toda maniobra hormonal, fundamentalmente las lesiones ureterales. Destacar finalmente que el tratamiento definitivo corresponde, por lógica y por derecho, al ginecólogo

OBJECTIVE: To report a new case of bladder endometriosis and to perform a bibliographic review. METHODS: We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. RESULTS: Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. CONCLUSIONS: We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist

Tumor de células de Leydig. A propósito de un nuevo caso y revisión de la literatura / Leydig cell tumor. Case report and bibliographic review

OBJETIVO: Presentar un nuevo caso del infrecuente tumor de células de Leydig, junto a na revisión de la literatura. MÉTODOS: Presentamos el caso de un varón de 38 años de edad con u diagnostico clínico y ecográfico de tumoración testicular, con estudio hormonal y de extensión normal. Se interviene practicándose orquiectomía radical vía inguinal y la pieza fue informada como un tumor de células de Leydig. Estudiado como T1N0M0 no recibió tratamiento posterior con quimioterapia ni radioterapia. Tras 5 años de seguimiento no se ha evidenciado recidiva. RESULTADOS: El enfermo no presenta recidiva de la enfermedad, habiéndose realizado estudios radiológicos de Radiografía de Tórax, T.C. abdominopélvico, Ecografía del teste contralateral, así como estudio de marcadores tumorales. CONCLUSIONES: Como conclusión, se aconseja el seguimiento a largo plazo con la práctica de ecografia del teste contralateral, otros estudios radiológicos como T.A.C y radiografía de tórax, así como marcadores tumorales

OBJECTIVE: To report a new case of the rare Leydig cell tumor, and to perform bibliographic review. METHODS: We report the case of a 38-year-old male with the clinical and ultrasound diagnosis of testicular tumor, and normal hormonal and extension studies. He underwent inguinal radical orchyectomy and the pathology report of the specimen showed a Leydig cell tumor. It was staged as T1N0M0, not receiving any further treatment with chemotherapy or radiotherapy. Five years after surgery there is no evidence of disease on follow-up. RESULTS: The patient does not show evidence of recurrence after chest x-rays, abdominal-pelvic CT scan, ultrasound of the contralateral testis, and tumor markers. CONCLUSIONS: We recommend a long-term follow-up with contralateral testicle ultrasound, CT scan, chest x-ray, and tumor markers