[Renal leiomyoma: case report]. / Leiomioma renal: aportación de un nuevo caso.

OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma. METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan). RESULTS: The treatment of this neoplasia was radical nephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma. CONCLUSIONS: Renal leiomyoma is a rare benign mesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless, due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen.

Leiomioma renal: aportación de un nuevo caso / Renal leiomyoma: case report

OBJETIVO: Aportar un nuevo caso de leiomiomacapsular asintomático.MÉTODO: Paciente de 68 años asintomático que tras estudioradiológico (ECO y TAC ) es diagnosticada de masa sólida.RESULTADO: El tratamiento de este proceso neoformativo renal , fue nefrectomía radical, con curso postoperatorio sin incidencias y anatomía patológica, leiomioma renal.CONCLUSIÓN: El leiomioma renal es un tumor mesenquimatosobenigno poco frecuente que debe tenerse en cuenta ante el diagnóstico de masa renal , dado que sería subsidiario de una cirugía renal conservadora, no obstante ante la dificultad para diferenciarlo del carcinoma renal, no es infrecuente que el diagnóstico se produzca tras el análisis histológico de la pieza de nefrectomía

OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma.METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan).RESULTS: The treatment of this neoplasia was radicalnephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma.CONCLUSIONS: Renal leiomyoma is a rare benignmesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless,due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen

[Paratesticular rabdomyosarcoma: report of one case in an adult patient]. / Rabdomiosarcoma paratesticular: a propósito de un caso en el adulto.

OBJECTIVES: To report one case of right paratesticular rabdomyosarcoma in a 21-year-old young adult. METHODS: After treatment with right radical orchiectomy through an inguinal incision it was classified as clinical group I A following the IRS-III (localized disease completely excised) and received adjuvant treatment with Vincristine and actinomicin D. RESULTS/CONCLUSIONS: The patient is disease free 18 months after surgery. We emphasize the importance of adjuvant treatment in the posterior evolution of the tumoral disease.

Bruceloma renal: patologia excepcional / Renal brucelloma: an exceptional pathology

OBJETIVOS: Presentar un caso clínico de Bruceloma renal, patología extraordinariamente rara en nuestro medio. MÉTODO: Paciente de 51 años, totalmente asintomático, remitido desde Atención Primaria, para estudio de calcificación sobre silueta renal derecha detectada en control radiológico. RESULTADO: El estudio radiológico (ECO+TAC+UIV) demuestra una masa irregular calcificada en polo inferior del riñón derecho, con anulación de dicha unidad renal. El diagnóstico bacteriológico fue negativo. Se realizó nefrectomía radical, con salida de material purulento durante la intervención con cultivo (+) a Brucella melitensis. El estudio anatomopatológico de la pieza fue concordante con Bruceloma renal. CONCLUSIONES: La afectación genitourinaria por Brucella es la segunda en frecuencia después de la osteoarticular, siendo la orquiepididimitis la manifestación más usual, seguida de la prostatitis. La afectación renal es excepcional, motivo por el que presentamos este caso. (AU)

[Renal brucelloma: an exceptional pathology]. / Bruceloma renal: patología excepcional.

OBJECTIVES: To report one case of renal brucelloma, an extraordinarily rare pathology in our environment. METHODS: 51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control. RESULTS: Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney. Microbiological diagnosis was negative. Radical nephrectomy was performed. Purulent material came out from the kidney during the operation, which cultured (+) to Brucella Melitensis. Pathologic study was compatible with renal brucelloma. CONCLUSIONS: Genitourinary involvement by Brucella is second in frequency after osteoarticular, being orchyoepididymitis the most common clinical presentation, followed by prostatitis. Renal involvement is exceptional.