Subject(s)
Abnormalities, Multiple , Kidney Calculi/complications , Kidney/abnormalities , Kidney/diagnostic imaging , Abnormalities, Multiple/diagnostic imaging , Adult , Humans , Kidney Calculi/diagnostic imaging , Kidney Calices/abnormalities , Kidney Calices/diagnostic imaging , Male , RadiographyABSTRACT
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
OBJECTIVES: A simplified technique to repair seminal duct obstruction is described. METHODS: Optical magnification, a channeled instrument as a suture guide that we have developed and fibrin glue are utilized. RESULTS: This technique is safe, reduces operating time and achieves similar results as with a surgical microscope. CONCLUSIONS: This technique facilitates repair of small caliber structures, reduces the operating time and does not require large microscopic systems.
