RESUMO
En los últimos 10 años se han identificado diversos factores que confieren efecto pronóstico en el cáncer renal. El estadio patológico, el grado nuclear e histológico, son los más frecuentemente estudiados y los más importantes en este momento. Evaluamos esos factores y agregamos otras variables, en un intento por encontrar nuevos parámetros que pudieran ser de utilidad. Se incluyeron para el presente estudio 96 casos de cáncer de células renales no metastásico. Encontramos como se menciona por otros autores que el estadio patológico y de Furhman son los factores pronósticos más fuertes, pero la presencia de tumor palpable, dolor o pérdida de peso también tuvieron significancia estadística (AU)
In the last 10 years, several factors have been identified to confer a prognostic effect on renal cancer outcome. Pathologic stage, nuclear and histologic grade are the most frecuent studied and the most important at this moment. We evaluated those factors and introduced some others, looking for new parameters that could be useful. 96 cases of non methastatic renal cell cancer were included in our study. We found that as was mentioned by other authors pathologic and Furhman stage are the stronger prognostic factors but the presence of palpable tumor, pain and weight lost had significance too (AU)
Assuntos
Humanos , Masculino , Feminino , Neoplasias Renais/diagnóstico , Neoplasias Renais/epidemiologia , Prognóstico , Prognóstico Clínico Dinâmico Homeopático/métodos , Carcinoma/complicações , Carcinoma/cirurgia , Nefrectomia/métodos , Hematúria/complicações , Hematúria/diagnóstico , Hipercalcemia/complicações , Estudos Retrospectivos , Tabagismo/efeitos adversos , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Primárias Múltiplas/cirurgiaRESUMO
We report a case of encrusted prostatitis, term which is not found in MedLine search. Alkaline encrusted cystitis was described 70 years ago and few cases have been described since that time, most of them associated with Corynebacterium infection. In fact, we find these two entities very similar, except for the organ affected. Both present irritative urinary symptoms, alkaline urine and tisular necrosis below a calcification layer. Another entity described in 1993 is encrusted pyelitis, related to patients with immunodeficiency, particularly those with renal transplantation and also associated with ureolytic bacteria. The treatment of encrusted cystitis an pyelitis may include specific antibiotics, urinary acidification and endoscopic excision of the calcified lesions.
Assuntos
Prostatite/patologia , Idoso , Humanos , MasculinoRESUMO
Presentamos un caso clínico de prostatitis incrustante, término que no se encuentra en la búsqueda hecha en MedLine. La cistitis alcalina incrustante se describió hace 70 años y son pocos los casos descritos desde entonces, la mayoría de ellos asociados a infección por Corynebacterium1 . De hecho, consideramos que estas dos entidades son muy similares, excepto en lo que se refiere al órgano afectado. Ambas presentan síntomas urinarios causantes de irritación, orina alcalina y necrosis tisular por debajo de una capa de calcificación. Otra entidad descrita en 1993 es la pielitis incrustante, relacionada con pacientes con inmunodeficiencia, especialmente los receptores de trasplante renal y también asociada a bacterias ureolíticas. El tratamiento de la cistitis y la pielitis incrustantes puede incluir antibióticos específicos, acidificación urinaria y escisión endoscópica de las lesiones calcificadas
We report a case of encrusted prostatitis, term which is not found in MedLine search. Alkaline encrusted cystitis was described 70 years ago and few cases have been described since that time, most of them associated with Corynebacterium infection1 In fact, we find these two entities very similar, except for the organ affected. Both present irritative urinary symptoms, alkaline urine and tisular necrosis below a calcification layer. Another entity described in 1993 is encrusted pyelitis, related to patients with immunodeficiency, particularly those with renal transplantation and also associated with ureolytic bacteria. The treatment of encrusted cystitis an pyelitis may include specific antibiotics, urinary acidification and endoscopic excision of the calcified lesions
