ABSTRACT
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Subject(s)
Humans , Male , Adult , Tuberous Sclerosis/complications , Tuberous Sclerosis/diagnosis , Tuberous Sclerosis/therapy , Hematoma/complications , Hematoma/diagnosis , Angiomyolipoma/complications , Angiomyolipoma/diagnosis , Angiomyolipoma/therapy , Angiolipoma/pathology , Angiolipoma , Kidney Neoplasms/complications , Kidney Neoplasms/diagnosisABSTRACT
OBJECTIVE: To present a case of giant adrenal carcinoma associated with renal vein and inferior vena cava (IVC) thrombus. Up to now, there is no similar case reported in the national literature. METHODS: 75 year old woman with signs of virilization. CT-scan showed an 18 cm adrenal mass with venous thrombus and possible pulmonary metastases. The working diagnosis was primary suprarenal carcinoma. RESULT: Due to elderly age and advanced stage, including metastasis, we decided to not perform surgery, and initiate chemotherapy. CONCLUSIONS: Adrenal Cancer is an infrequent and very aggressive tumor. Surgery is the only curative treatment. In advanced stages chemotherapy is recommended, but with poor results.
Subject(s)
Adrenal Gland Neoplasms/complications , Carcinoma/complications , Renal Veins , Thrombosis/etiology , Vena Cava, Inferior , Adrenal Gland Neoplasms/diagnostic imaging , Adrenal Gland Neoplasms/drug therapy , Adrenalectomy , Aged , Antineoplastic Agents/therapeutic use , Carcinoma/diagnostic imaging , Carcinoma/drug therapy , Carcinoma/secondary , Contraindications , Female , Humans , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/secondary , Melanoma/surgery , Mitotane/therapeutic use , Neoplasms, Second Primary/diagnostic imaging , Neoplasms, Second Primary/drug therapy , Prognosis , Radiography , Thyroid Nodule/surgery , Urinary Bladder Neoplasms/surgery , Virilism/etiologyABSTRACT
OBJETIVO: El objetivo del presente artículo es presentar un nuevo caso de carcinoma suprarrenal de grandes dimensiones, con la particularidad de la presencia de trombo en vena renal y cava inferior, hasta la fecha no descrito en la literatura nacional. MÉTODOS: Mujer de 75 años que presenta signos de virilización. En el TAC solicitado se observa masa suprarrenal izquierda de 18 cms con afectación trombótica venosa y metástasis pulmonares. La sospecha diagnóstica principal es la de un carcinoma suprarrenal primario. RESULTADO: Debido a la avanzada edad de la paciente y al estadio de su enfermedad, se decide la no realización de tratamiento quirúrgico, y se inicia quimioterapia. CONCLUSIONES: El cáncer suprarrenal es un tumor infrecuente con una agresividad muy elevada. Su único tratamiento curativo es la exéresis quirúrgica. En estadíos avanzados se puede aplicar tratamiento quimioterápico, pero con pobres tasas de respuesta y baja supervivencia(AU)
OBJECTIVE: To present a case of giant adrenal carcinoma associated with renal vein and inferior vena cava (IVC) thrombus. Up to now, there is no similar case reported in the national literature. METHODS: 75 year old woman with signs of virilization. CT-scan showed an 18 cm adrenal mass with venous thrombus and possible pulmonary metastases. The working diagnosis was primary suprarenal carcinoma. RESULT: Due to elderly age and advanced stage, including metastasis, we decided to not perform surgery, and initiate chemotherapy. CONCLUSIONS: Adrenal Cancer is an infrequent and very aggressive tumor. Surgery is the only curative treatment. In advanced stages chemotherapy is recommended, but with poor results(AU)
Subject(s)
Humans , Female , Middle Aged , Adrenal Gland Neoplasms/complications , Adrenal Gland Neoplasms/diagnosis , Neoplasm Metastasis/physiopathology , Adrenal Gland Diseases/drug therapy , Adrenal Gland Diseases/pathology , Adrenal Gland Neoplasms/drug therapy , Adrenal Glands , Adrenal Glands/pathology , Adrenal Gland Neoplasms/physiopathology , Adrenal Gland NeoplasmsABSTRACT
SUMMARY OBJECTIVES: Case report of a mature cystic teratoma (dermoid cyst), pseudopilomatrixoma like variant. METHOD: 53-year old patient with a left testicular mass, diagnosed as mature cystic teratoma of the testis(dermoid cyst), the pilomatrixoma-like variant, after radical orchiectomy. Tumoral markers were negative and no extension was observed. The patient is disease-free after 6 months follow-up. RESULTS: Testicular teratoma is a tumour composed of cells derived from the three embryonic layers (ectoderm, endoderm and mesoderm). They can appear at any age, but they are much more prevalent in childhood. They appear at any age, but are much more common in childhood, where they comprise up to 30% of all tumours. They are much less prevalent in adults,representing only 7% of all testicular germ cell tumours CONCLUSIONS: Prepubertal cases are invariably benign in nature, regardless of their histology. However, cases which appear after puberty are potentially malignant, even if histologically pure. Mature cystic teratoma (dermoid cyst) is the only exception to this rule, as no malignant degeneration of these types of tumours has been published.
Subject(s)
Dermoid Cyst/pathology , Testicular Neoplasms/pathology , Humans , Male , Middle AgedABSTRACT
OBJETIVOS: Aportamos un caso de un teratoma quístico maduro testicular (quiste dermoide) en su variante pseudopilomatrixoma.MÉTODOS: Paciente de 53 años con una masa testicular izquierda no dolorosa al que, tras la realización de orquiectomía radical, se diagnostica de teratoma quístico maduro testicular (quiste dermoide) en su variante pseudopilomatrixoma. Estudio de extensión y marcadores tumorales negativos. El paciente se encuentra libre de enfermedad tras 6 meses de seguimiento.INTRODUCCIÓNLos teratomas testiculares son un tipo de tumor compuesto típicamente por varios tejidos que representan las diferentes capas germinales (endodermo, mesodermo y ectodermo).RESULTADOS: El teratoma testicular es un tumor compuesto por células derivadas de las tres hojas embrionarias (ectodermo, endodermo y mesodermo). Aparecen a cualquier edad, siendo mucho más incidentes en la infancia, donde llegan a representar hasta un 30% de todos los tumores. En la edad adulta es mucho menos prevalente, llegando sólo a representar un 7% de todos los tumores germinales del testículo.CONCLUSIONES: Los casos prepuberales son casi invariablemente de carácter benigno, independientemente de su histología. Sin embargo, los casos que aparecen tras la pubertad presentan potencial maligno, incluso si es histológicamente puro. El teratoma quístico maduro (quiste dermoide) representa la única excepción a esta regla, ya que no se ha publicado ninguna degeneración maligna de este tipo de tumores(AU)
OBJECTIVES: Case report of a mature cystic teratoma (dermoid cyst), pseudopilomatrixoma like variant.METHOD: 53-year old patient with a left testicular mass, diagnosed as mature cystic teratoma of the testis (dermoid cyst), the pilomatrixoma-like variant, after radical orchiectomy. Tumoral markers were negative and no extension was observed. The patient is disease-free after 6 months follow-up.RESULTS: Testicular teratoma is a tumour composed of cells derived from the three embryonic layers (ectoderm, endoderm and mesoderm). They can appear at any age, but they are much more prevalent in childhood. They appear at any age, but are much more common in childhood, where they comprise up to 30% of all tumours. They are much less prevalent in adults, representing only 7% of all testicular germ cell tumoursCONCLUSIONS: Prepubertal cases are invariably benign in nature, regardless of their histology. However, cases which appear after puberty are potentially malignant, even if histologically pure. Mature cystic teratoma (dermoid cyst) is the only exception to this rule, as no malignant degeneration of these types of tumours has been published(AU)
Subject(s)
Humans , Male , Middle Aged , Teratoma/surgery , Testicular Neoplasms/surgery , Orchiectomy , /analysisABSTRACT
El plasmocitoma testicular es una neoplasia de células plasmáticas muy poco frecuente. Generalmente se trata de un hallazgo de autopsia carente de expresión clínica, aunque en algunas ocasiones puede constituir una manifestación de un mieloma múltiple y más excepcionalmente ser su única localización. La afectación bilateral es extremadamente infrecuente. Presentamos el caso de un varón de 58 años con mieloma múltiple en remisión que acude a consulta de urología por aumento progresivo del tamaño testicular bilateral. Tras realización de ecografía y PAAF testicular se diagnostica un plasmocitoma testicular bilateral. El tratamiento incluye cirugía (orquiectomía), radio y quimioterapia. El pronóstico de los pacientes depende de si se trata de un caso de plasmocitoma testicular solitario o con mieloma múltiple asociado (AU)
Testicular plasmacytoma is a very unfrequent plasma cells neoplasm. It is usually an incidental autopsy finding devoid of clinical expression, but it presents sometimes as part of a multiple myeloma and is exceptionally its only location. Bilateral involvement is extremely unfrequent. We report the case of a 58 years old man diagnosed with multiple myeloma in complete remission who complains about progressive enlargement of both testicles. After ultrasonography and PAAF, bilateral testicular plasmacytoma is diagnosed. Treatment includes surgery (orchiectomy), radiotherapy and chemotherapy. Prognostic is worse when multiplemyeloma is associated (AU)
Subject(s)
Humans , Male , Middle Aged , Plasmacytoma/diagnosis , Plasmacytoma/surgery , Multiple Myeloma/complications , Multiple Myeloma/diagnosis , Orchiectomy/methods , Plasmacytoma/drug therapy , Plasmacytoma/physiopathology , Plasmacytoma , Multiple Myeloma/pathology , Multiple Myeloma , Biomarkers/analysis , Testis/pathology , Testis , Biopsy, NeedleABSTRACT
OBJECTIVE: To report one case of myofibroblastic bladder tumor. METHODS/RESULTS: We report the case of a 30-year-old woman with recurrent urinary tract infections and incidental finding of a bladder mass after abdominal ultrasound. After TUR, inflammatory myofibroblastic tumor of the bladder was diagnosed. CONCLUSION: Myofibroblastic tumor (also known as inflammatory pseudotumor or pseudosarcoma) is a benign tumor with mesenchymal origin. Bladder location is very uncommon. It must not be misdiagnosed as a malignant neoplasm. Optimal treatment when arising in the bladder is TUR, with excellent long-term prognosis.
Subject(s)
Leydig Cell Tumor/pathology , Urinary Bladder Neoplasms/pathology , Adult , Female , Humans , Inflammation/pathologyABSTRACT
Objetivo: Presentar un nuevo caso de tumor miofibroblástico vesical. Método/Resultados: Mujer de 30 años con ITU de repetición y hallazgo incidental de masa vesical en ecografía abdominal. Tras realización de RTU vesical se diagnostica tumor miofibroblástico inflamatorio de vejiga. Conclusión: El tumor miofibroblástico, (también denominado pseudotumor inflamatorio o pseudosarcoma) es un tumor benigno de origen mesenquimal cuya localización vesical es muy poco común, y que no debe ser confundido con una neoplasia maligna. En caso de presentación vesical el tratamiento consiste en resección transuretral, con buen pronóstico a largo plazo (AU)
Objective: To report one case of myofibroblastic bladder tumor. Methods/Results: We report the case of a 30-year-old woman with recurrent urinary tract infections and incidental finding of a bladder mass after abdominal ultrasound. After TUR, inflammatory myofibroblastic tumor of the bladder was diagnosed. Conclusion: Myofibroblastic tumor (also known as inflammatory pseudotumor or pseudosarcoma) is a benign tumor with mesenchymal origin. Bladder location is very uncommon. It must not be misdiagnosed as a malignant neoplasm. Optimal treatment when arising in the bladder is TUR, with excellent long-term prognosis (AU)
Subject(s)
Adult , Humans , Neoplasms, Muscle Tissue/diagnosis , Urinary Bladder Neoplasms/diagnosis , Urologic Surgical Procedures/methods , Urologic Diseases/complications , Urologic Diseases/surgery , Neoplasms, Muscle Tissue/surgery , Urinary Bladder Neoplasms/surgeryABSTRACT
Testicular plasmacytoma is a very unfrequent plasma cells neoplasm. It is usually an incidental autopsy finding devoid of clinical expression, but it presents sometimes as part of a multiple myeloma and is exceptionally its only location. Bilateral involvement is extremely unfrequent. We report the case of a 58-years-old man diagnosed with multiple myeloma in complete remission who complains about progressive enlargement of both testicles. After ultrasonography and PAAF, bilateral testicular plasmacytoma is diagnosed. Treatment includes surgery (orchiectomy), radiotherapy and chemotherapy. Prognostic is worse when multiple myeloma is associated.
Subject(s)
Multiple Myeloma , Neoplasms, Second Primary , Plasmacytoma , Testicular Neoplasms , Humans , Male , Middle Aged , Multiple Myeloma/therapy , Neoplasms, Second Primary/diagnosis , Neoplasms, Second Primary/therapy , Plasmacytoma/diagnosis , Plasmacytoma/therapy , Testicular Neoplasms/diagnosis , Testicular Neoplasms/therapyABSTRACT
OBJETIVO: El Tumor Fibroso Solitario (TFS) es una neoplasia poco frecuente que fue descrita por primera vez en la pleura, pero puede aparecer en diferentes localizaciones. Su presencia en la zona inguinal es extremadamente rara. MÉTODO/RESULTADOS: Presentamos el caso de un varón de 74 años con masa inguinoescrotal derecha de 50 años de evolución. Tras extirpación quirúrgica de la misma es diagnosticado de tumor fibroso solitario. CONCLUSIONES: La inmensa mayoría de los tumores fibrosos solitarios se comportan de manera benigna. Un pequeño porcentaje se comporta de modo más agresivo, con recurrencia local y metástasis. Su tratamiento es eminentemente quirúrgico, pero después debemos realizar seguimiento a largo plazo en todos los casos (AU)
OBJECTIVE: Solitary fibrous tumours (SFTs) are rare neoplasias that were first reported in pleura, but can occur in different sites. Inguinal location is extremely rare. METHODS/RESULTS: We report one case of a 74 year old man with a right inguinoscrotal mass with 50 years of evolution. After surgical extirpation, solitary fibrous tumour was diagnosed. CONCLUSIONS: The vast majority of solitary fibrous tumours (SFTs) have a benign course. Only a few cases have aggressive behaviour, with local recurrence and metastasis. Treatment is surgical, but we must do a long-term follow up in all cases (AU)
Subject(s)
Humans , Male , Aged , Inguinal Canal , Solitary Fibrous Tumors/diagnosisABSTRACT
OBJECTIVE: Solitary fibrous tumours (SFTs) are rare neoplasias that were first reported in pleura, but can occur in different sites. Inguinal location is extremely rare. METHODS/RESULTS: We report one case of a 74 year old man with a right inguinoscrotal mass with 50 years of evolution. After surgical extirpation, solitary fibrous tumour was diagnosed. CONCLUSIONS: The vast majority of solitary fibrous tumours (SFTs) have a benign course. Only a few cases have aggressive behaviour, with local recurrence and metastasis. Treatment is surgical, but we must do a long-term follow up in all cases.
Subject(s)
Inguinal Canal , Solitary Fibrous Tumors/diagnosis , Aged , Humans , MaleABSTRACT
Describimos un caso de tuberculosis urogenital que debutó clínicamente con hematuria y una tumoración vesical visible en la cistoscopia. Las imágenes radiológicas del conjunto del aparato urinario permitieron sospechar desde un principio el diagnóstico de tuberculosis, pero la naturaleza de la presentación clínica obligó a descartar una neoplasia urotelial mediante el análisis histopatológico de la tumoración
We describe here in a case of genitourinary tuberculosis presenting with a haematuria and a bladder tubercle. Thouh imaging studies made genitourinary tuberculosis diagnostic feasible, the clinical presentation made runing out malignancy mandatory. Bladder tubercle was endoscopicary removed and histopathological analysis performed
Subject(s)
Male , Middle Aged , Humans , Tuberculosis, Urogenital/complications , Tuberculosis, Urogenital/diagnosis , Tuberculosis, Urogenital/surgery , Hematuria/complications , Hematuria/diagnosis , Tuberculosis, Urogenital/etiology , Tuberculosis, Urogenital/pathology , Tuberculosis, Urogenital , Urinary Tract/pathology , Urinary Tract/surgery , Urinary Tract , Mycobacterium tuberculosis/isolation & purification , Mycobacterium tuberculosis/pathogenicity , Epididymis/pathology , EpididymisABSTRACT
We describe here in a case of genitourinary tuberculosis presenting with a haematuria and a bladder tubercle. Though imaging studies made genitourinary tuberculosis diagnostic feasible, the clinical presentation made runing out malignancy mandatory. Bladder tubercle was endoscopicary removed and histopathological analysis performed.
Subject(s)
Hematuria/etiology , Tuberculosis, Urogenital/complications , Urinary Bladder Diseases/complications , Aged , Humans , MaleABSTRACT
La amiloidosis de las vesículas seminales es un hallazgo frecuente en las autopsias, aumentando su incidencia en los individuos de más edad. A pesar de su frecuencia es muy raro que sea sintomática. Presentamos un caso de amiloidosis localizada en las vesículas seminales, sintomático, con hemospermia y dolor suprapúbico, que se diagnosticó mediante biopsias transrectales ecodirigidas. Su presencia obliga a descartar una amiloidosis sistémica. El aumento del tamaño de la vesícula seminal por el depósito de amiloide puede confundirse con una infiltración neoplásica (AU)
Amyloidosis of the seminal vesicles is a common finding in autopsies, with increased incidence in older population. It is usually asymptomatic. We report a case of symptomatic localized amyloidosis of the seminal vesicles, with hemospermia and suprapubic pain. Diagnosis was achieved through ultrasound-guided transrectal biopsy. Systemic amyloidosis must be ruled out through proper evaluation. Seminal vesicle enlargement secondary to amyloid deposit may be misdiagnosed as carcinomatous invasion (AU)
Subject(s)
Adult , Male , Humans , Seminal Vesicles , Amyloidosis , Genital Diseases, MaleABSTRACT
Amyloidosis of the seminal vesicles is a common finding in autopsies, with increased incidence in older population. It is usually asymptomatic. We report a case of symptomatic localized amyloidosis of the seminal vesicles, with hemospermia and suprapubic pain. Diagnosis was achieved through ultrasound-guided transrectal biopsy. Systemic amyloidosis must be ruled out through proper evaluation. Seminal vesicle enlargement secondary to amyloid deposit may be misdiagnosed as carcinomatous invasion.
Subject(s)
Amyloidosis , Seminal Vesicles , Adult , Amyloidosis/diagnosis , Genital Diseases, Male/diagnosis , Humans , MaleABSTRACT
Bladder hernia is present in an important number of cases of inguinal hernias. Massive inguinoscrotal bladder hernias are rarer. The association of massive bladder hernia and bilateral ureterohydronephrosis is not often found. According to our knowledge, there have been only seven cases documented in the last ten years. Therefore, we will present a case of renal failure secondary to inguinoscrotal bladder hernia with bilateral obstructive uropathy. Once we have analyzed a clinical case, we will give the diagnosis and treatment for those hernias.
Subject(s)
Hernia, Inguinal/complications , Ureteral Obstruction/etiology , Urinary Bladder Diseases/complications , Adult , Humans , Male , ScrotumABSTRACT
La hernia vesical está presente en un número importante de casos de hernias inguinales. Las hernias vesicales inguinoescrotales masivas son más raras. La asociación de hernia vesical masiva y ureterohidronefrosis bilateral es muy infrecuente, habiéndose documentado hasta la fecha siete casos en la literatura de los últimos diez años, según nuestro conocimiento. Presentamos un nuevo caso de fracaso renal secundario a hernia vesical inguinoescrotal con uropatía obstructiva bilateral, analizando cuadro clínico, pruebas diagnósticas y tratamiento de dichas hernias (AU)
