ABSTRACT
OBJECTIVE: We report the case of a penile tumor presenting with lung and lymph node metastasis, with fatal evolution after the absence of response to surgery and adjuvant treatment. METHODS: Male patient presenting with a penile mass appearing progressively, with metastases. RESULTS: Partial penectomy and adjuvant chemotherapy were performed, with the appearance of a rapidly growing local recurrence which led to death of the patient in a few months. The tumor was a penile sarcoma with osteosarcomatous differentiation. CONCLUSIONS: Penile sarcoma is an unfrequent tumor that has a very aggressive behavior, requiring early diagnosis and aggressive management. It has tendency to local recurrence, and when it presents with distant metastases is lethal within a few months.
Subject(s)
Penile Neoplasms , Sarcoma , Fatal Outcome , Humans , Male , Middle Aged , Penile Neoplasms/pathology , Penile Neoplasms/therapy , Sarcoma/pathology , Sarcoma/therapyABSTRACT
OBJETIVO: Presentamos el caso de un tumor de pene que debutó con metástasis pulmonares y ganglionares con evolución fatal sin respuesta a cirugía y terapia adyuvante. MÉTODOS: Varón que se presenta con masa peneana de aparición progresiva con metástasis. RESULTADOS: Se practica penectomía parcial y quimioterapia adyuvante, apareciendo recidiva local de crecimiento rápido provocando la muerte del paciente en pocos meses. El tumor resultó ser un sarcoma de pene con diferenciación osteosarcomatosa. COINCLUSIONES: El sarcoma de pene es un tumor infrecuente pero de comportamiento muy agresivo que requiere un diagnóstico precoz y una actitud agresiva en su manejo. Tiene tendencia a la recurrencia local y cuando debuta con metastasis a distancia es letal en pocos meses
OBJECTIVE: We report the case of a penile tumor presenting with lung and lymph node metastasis, with fatal evolution after the absence of response to surgery and adjuvant treatment. METHODS: Male patient presenting with a penile mass appearing progressively, with metastases. RESULTS: Partial penectomy and adjuvant chemotherapy were performed, with the appearance of a rapidly growing local recurrence which led to death of the patient in a few months. The tumor was a penile sarcoma with osteosarcomatous differentiation. CONCLUSIONS: Penile sarcoma is an unfrequent tumor that has a very aggressive behavior, requiring early diagnosis and aggressive management. It has tendency to local recurrence, and when it presents with distant metastases is lethal within a few months
Subject(s)
Male , Middle Aged , Humans , Sarcoma/pathology , Penile Neoplasms/pathology , Lymphatic Metastasis/pathology , Neoplasm Metastasis/pathology , Lung Neoplasms/secondary , Penile Neoplasms/drug therapyABSTRACT
OBJECTIVE: Certain pathologic entities should be ruled out in the diagnostic work up of hematuria, because they are so rare that if they would not share diagnostic tests with more frequent urological diseases they could be missed. The cavernous haemangioma of the bladder is one of them. METHODS: We report the case of a male patient presenting with rectal bleeding and hematuria with the diagnosis of rectal-vesical cavernous haemangioma. RESULTS: After 8 years of follow-up he did not need surgical treatment, only blood transfusions at the time of diagnosis. He has self limited episodes of hematuria not requiring aggressive therapy. CONCLUSIONS: The cavernous haemangioma of the bladder is a rare disease presenting as bleeding bladder excrecent lesions that do not require surgery as first treatment option if the bleeding is not life-threatening.
Subject(s)
Hemangioma, Cavernous/diagnosis , Urinary Bladder Neoplasms/diagnosis , Humans , Male , Middle AgedABSTRACT
OBJETIVO: Existen ciertas patologías a tener en cuenta en el estudio de una hematuria, que por su infrecuencia pasarían desapercibidas de no ser porque comparten pruebas diagnosticas con las patologías urológicas más comunes; una de ellas es la cavernomatosis vesical. MÉTODO: Presentamos el caso de un paciente que debutó con rectorragias y hematuria y fue diagnosticado de cavernomatosis rectovesical. RESULTADOS: Después de 8 años de seguimiento de su hematuria no ha requerido tratamiento quirúrgico alguno y solamente ha precisado de transfusión al inicio del diagnóstico. Los episodios de hematuria son autolimitados y no requieren maniobras agresivas. CONCLUSIONES: La cavernomatosis vesical es una patología infrecuente que se manifiesta en forma de lesiones vesicales excrecentes que sangran y que no requiere tratamiento quirúrgico de entrada si no compromete la vida del paciente (AU)
OBJECTIVE: Certain pathologic entities should be ruled out in the diagnostic work up of hematuria, because they are so rare that if they would not share diagnostic tests with more frequent urological diseases they could be missed. The cavernous haemangioma of the bladder is one of them. METHODS: We report the case of a male patient presenting with rectal bleeding and hematuria with the diagnosis of rectalvesical cavernous haemangioma. RESULTS: After 8 years of follow-up he did not need surgical treatment, only blood transfusions at the time of diagnosis. He has self limited episodes of hematuria not requiring aggressive therapy. CONCLUSIONS: The cavernous haemangioma of the bladder is a rare disease presenting as bleeding bladder excrecent lesions that do not require surgery as first treatment option if the bleeding is not life-threatening (AU)
