ABSTRACT
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.
