ABSTRACT
OBJETIVO: Presentar un nuevo caso de metástasis renal de un carcinoma epidermoide de pulmón. MÉTODOS: Varón de 60 años remitido a consultas externas de urología por hallazgo ecográfico de una masa renal en estudio por microhematuria. RESULTADOS: Los estudios de imagen evidenciaron la presencia de una tumoración sólida en polo superior que se introducía hacia el seno renal, originando un atrapamiento de la arteria renal. El TC planteó el diagnóstico diferencial entre un carcinoma de células renales, un urotelioma o un proceso metastático. CONCLUSIONES: El cáncer de pulmón puede producir metástasis en cualquier órgano, pero el riñón no es uno de los órganos de asentamiento más frecuentes, sin embargo, la existencia de dos o más metástasis extratorácicas confieren un pobre pronóstico a esta patología (AU)
OBJECTIVE: To report a new case of renal metastasis from an squamous cell carcinoma of the lung. METHODS: A 60 year old male presented to the outpatient office with an ultrasound finding of renal mass. RESULTS: Imaging test studies showed a heterogeneous mass in the upper pole of the left kidney, involving the pelvis and trapping the renal artery. CONCLUSIONS: Clinically recognised or symptomatic metastases to the kidney from pulmonary cancer have been a rare occurrence. Nevertheless, prognosis associated with lung carcinoma metastatic to the kidney is very poor, since the likelihood of a truly solitary metastasis is remote (AU)
Subject(s)
Humans , Male , Middle Aged , Carcinoma, Squamous Cell/secondary , Kidney Neoplasms/secondary , Lung Neoplasms/pathologyABSTRACT
OBJECTIVE: To report a new case of renal metastasis from an squamous cell carcinoma of the lung. METHODS: A 60 year old male presented to the outpatient office with an ultrasound finding of renal mass. RESULTS: Imaging test studies showed a heterogeneous mass in the upper pole of the left kidney, involving the pelvis and trapping the renal artery. CONCLUSIONS: Clinically recognised or symptomatic metastases to the kidney from pulmonary cancer have been a rare occurrence. Nevertheless, prognosis associated with lung carcinoma metastatic to the kidney is very poor, since the likelihood of a truly solitary metastasis is remote.
Subject(s)
Carcinoma, Squamous Cell/secondary , Kidney Neoplasms/secondary , Lung Neoplasms/pathology , Humans , Male , Middle AgedABSTRACT
OBJECTIVE: To report a rare case of a giant epidermoid cyst in an intertesticular localization, analyzing its histological and pathologic features, and to perform a bibliographic review. METHODS/RESULTS: We report the case of a 49-year-old male consulting for a slowly growing intra-scrotal mass of five years of evolution causing discomfort because of its size. After excision the pathology report showed the presence of a keratoid epidermoid cyst very big in size. CONCLUSIONS: Superficial scrotal epidermoid cysts are frequent in clinical practice; that is not the case of the so-called "intra scrotal inclusion cysts". Epidermoid cysts are firm, mobile, slowly growing, generally asymptomatic intra epidermal neoformations. There are descriptions in multiple sites, even the genitalia, nevertheless their size in this location does not usually pass 5 cm.
Subject(s)
Epidermal Cyst/pathology , Testicular Diseases/pathology , Humans , Male , Middle AgedABSTRACT
OBJECTIVES: To determine the efficacy of endoscopical injections for the treatment of stress urinary incontinence (SUI), evaluating its low invasiveness and positive impact on quality of life. METHODS/RESULTS: Belween 1997--2003 30 procedures of periurethral injection of various substances for urinary incontinence were performed at our department in women between 47-80 years. All patients were evaluated before surgery, clinically and urodynamically, in accordance to international standardized parameters (filling pressure/flow studies, maximum urethral closure pressure, LPP-leak point pressure). The kind of material employed for injection, surgical technique and satisfaction degree were also evaluated. RESULTS: The indication for surgery was SUI in 17 cases (56.6%), and mixed urinary incontinence in 73 cases (43.3%). 16 cases (53.3%) had history of previous surgery for SUI. Regarding urodynamic parameters, 19 patients (63.3%) have a maximum urethral closure pressure below 25 H2O cm, and 22 patients (73.3%) had a leak point pressure below 60 H2O cm. Collagen was employed in six cases (20%) and macroplastic in 24 (80%) (14 of them with the MIS system). 22 patients had three injection sites (73.3%). Mean follow-up was 38 months. Continence outcomes were evaluated in relation to complete continence (12 cases, 40%), mild incontinence and patient satisfaction (11 cases, 36.6%), and severe incontinence (7 cases, 23.3%). CONCLUSIONS: 1-To achieve acceptable results it is mandatory to do the best possible indication (Mc Guire type III SUI). 2.-There is an excellent relationship between minimal invasiveness and good results.
