[Carcinoma of the penis: long-term follow-up]. / Carcinoma de pene: seguimiento a largo plazo.

Penis epidermoid carcinoma is responsible for about 1% of deaths by neoplastic diseases in developed countries. During a 5-10 years follow-up review, we found 14 patients, 9 of which started as localized stages in glans and/or prepuce. Lymph node affection was found in 9 cases, either at beginning of diagnosis or during follow-up. Lymphadenectomy, which demonstrated metastatic affection in 4 cases, was considered indicated in 6 patients. Two cases received inguinal chain radiotherapy and the remaining one underwent chemotherapy as first therapy. Percentage of actual survival rate, found after 5 years, among the 14 patients studied was 42.8% (6 cases), still unchanged after a 10-year follow-up. Five patients died due to their basic illness progression and 3 died of other tumour-unrelated processes. The paper analyzes the results obtained based on the literature reviewed, and discusses current therapy approaches for inguinal metastatic conditions.

[Testicular torsion: experience with 28 cases]. / Torsión testicular: experiencia en 28 casos.

The present study reports our experience in 28 cases of testicular torsion that had been treated at the Emergency Service of our hospital. The following parameters were analyzed: patient age, compromised side, torsion type, history of previous episodes, associated disorders and treatment. We underscore the importance of diagnosing the condition early based on patient history, clinical features and by Doppler ultrasound. Once the diagnosis has been made or when torsion is suspected, surgical intervention is advised to salvage testes compromised by this vascular accident.

[Migration of a renal lithiasis to the inguinal region]. / Migración de una litiasis renal a región inguinal.

We report on a case of psoas abscess from a renal stone that remained in the lumbar fossa following nephrectomy. Subsequently, it had migrated to the inguinal region, where it was removed.

Definitive and adjunctive external irradiation in bladder cancer without radical cystectomy.

The retrospective study of 150 bladder tumor cases from I.P.O. (Madrid) that had received a total dose of 5,000 rads of radiotherapy and a minimum 3-year follow-up without subsequent radical surgery is presented. During 1974-1978 all those cases that complied with the minimum requirements were selected. Radiotherapy effectiveness has not been defined. In this series we report the natural evolution of patients with this final treatment. The fact that invasive bladder tumors will become downstaged following irradiation is well known. The percentage varies from 10-40 percent within a short period of time after radiotherapy. The time of response, the possibility of relapse, the prevention of new tumors and the delay in the evolution and disease progression have not been well established. Thus, we have tried to analyze in our series, the time period of tumor relapse in the superficial tumor group, the influence of radiotherapy, as well as the overall survival. In the advanced tumor group, we have examined the response of the tumor to radiotherapy, its lasting period, and survivals. In clinic, a high number of patients with invasive bladder tumor do not undergo total surgery because of the frequent high surgery risk, old age, patient refusal, or indecision by the surgeon. Sometimes the real aggressiveness of the tumors is not apparent initially, or, at diagnosis, the disease has advanced to a stage that precludes effective surgery. In view of the results of chemotherapy in advanced bladder tumors, definitive radiotherapy in older patients with frequent renal dysfunction can result in frequent control of hematuria as well as tumor regression.(ABSTRACT TRUNCATED AT 250 WORDS)