ABSTRACT
Presentamos el caso de un paciente afecto de mesotelioma maligno de túnica vaginal, del cual existen menos de 80 casos descritos en la literatura. Se trata de un varón de 62 años, remitido por masa escrotal de 3 meses de evolución , comprobando tumoración escrotal izquierda, con signos flogóticos y erupción pápulovesicular en escroto-hipogastrio. Se realizó orquiectomía, con escrototomía parcial. Tras la exéresis quirúrgica y diagnóstico anatomopatológico de mesotelioma maligno infiltrante, se constató mediante TAC, la presencia de metástasis retroperitoneales, pulmonares y hepáticas. El paciente está recibiendo tratamiento combinado de Quimioterapia y Radioterapia con un pronóstico sombrío. Revisamos el diagnóstico, histología y opciones de tratamiento de este tipo infrecuente de tumor paratesticular (AU)
Subject(s)
Middle Aged , Male , Humans , Mesothelioma , Orchiectomy , Testicular NeoplasmsABSTRACT
Case report of a new case of malignant mesothelioma of the tunica vaginalis testis. A mediterranean male age 62, presented with enlargement and swelling of the scrotum, treated as orchiepydidymitis within the previous 3 months. Physical and ultrasonography examination showed a left scrotal mass with extension to the skin of the scrotum. After surgery (orchiectomy and partial hemiscrotectomy) and histopathology diagnosis of locally advanced malignant mesothelioma, CT showed metastasis in retroperitoneum, Lung and Liver. The patient undergoes chemotherapy and radiotheraphy with a poor prognose. We review the diagnosis, histopathology and therapeutical approach for this uncommon kind of paratesticular tumor (less than 80 cases reported in the last 30 years).
Subject(s)
Mesothelioma/pathology , Testicular Neoplasms/pathology , Humans , Male , Mesothelioma/surgery , Middle Aged , Orchiectomy , Testicular Neoplasms/surgeryABSTRACT
Dermatomyositis is an inflammation of the striated muscle with an important leukocyte infiltrate which is accompanied by a characteristic cutaneous exanthema. In the international classification we find DM associated with neoplasm in 10% of cases. It is accepted that neoplasms are related to DM if it does not exceed it in two years (prior o after the onset of the disease. The most commonly associated are lung, ovary and breast cancers. In the pas ten years only two cases of DM associated to renal cancer (both in renal cell cancers) have been published. In this article we present a case history of a woman with a DM associated to a renal oat-cell carcinoma. Also, we will review the literature on this theme and will evaluate the predictive parameters of the presence of malignancies in this pathology.
Subject(s)
Carcinoma, Small Cell/complications , Dermatomyositis/complications , Kidney Neoplasms/complications , Aged , Aged, 80 and over , Female , HumansABSTRACT
We discuss the cystic pathology of seminal vesicles, and its relation with ureteral ectopy, as well as the therapeutic options for both entities. We present our experience in the resolution of three typical cases.
Subject(s)
Cysts/complications , Genital Diseases, Male/complications , Kidney Diseases/complications , Kidney/abnormalities , Seminal Vesicles/diagnostic imaging , Ureter/abnormalities , Adult , Cysts/diagnostic imaging , Cysts/surgery , Genital Diseases, Male/diagnostic imaging , Genital Diseases, Male/surgery , Humans , Kidney/diagnostic imaging , Kidney Diseases/diagnostic imaging , Male , Seminal Vesicles/surgery , Tomography, X-Ray Computed , Ultrasonography , Ureter/diagnostic imaging , Ureteral Diseases/complications , Ureteral Diseases/diagnostic imaging , UrographyABSTRACT
From a consecutive series of 106 renal transplants, we present our experience on spontaneous renal allograft rupture. This complication appeared in 6 patients, which accounts for 5.6% of the overall group: four patients (66.6%) had acute rejection, two (33.3%) developed thrombosis of the renal vein (one of which coincided with rejection), and rupture was attributed to trauma in one patient (16.6%). Rupture was diagnosed within the first two weeks after transplant in five patients and on day 27 in one patient. The therapeutic approach was determined according to the cause of the rupture. In our view, nephrectomy is warranted in those cases with venous thrombosis and in acute rejection correction of hypovolemia and adequate immunosuppression are essential. Drainage of perirenal hematoma is the first step when conservative surgical treatment is required. We use three-dimensional renal corsetage with polyglycolic acid mesh (PAM) for hemostasis and to prevent expansion and fragmentation of the parenchyma. PAM is easy to handle and covers the kidney completely and uniformly. Two nephrectomies were carried out and in both cases thrombosis of the renal vein was diagnosed. PAM was placed in two cases: one with rejection and the other with trauma. The remaining two patients were managed conservatively due to the good response of rejection to immunosuppressor therapy and the patients response to medical treatment. There were no deaths and complications were observed in only one patient (16.6%). All patients with preserved transplant (66.6%) had a good course and renal function was preserved.
