RESUMO
Penile cancer requires careful clinical follow-up. Therefore, when a patient presented with a florid papillary lesion at his penectomy site, it was immediately biopsied. The histologic examination, however, revealed a benign angiokeratoma with no evidence of recurrent cancer. Angiokeratoma on the scrotum after treatment for carcinoma of the penis has only been documented once. To our knowledge, this is the first description of it causing a diagnostic dilemma with recurrence. A radiotherapy association has only been documented in vulval lesions. Symptomatic treatment is laser vaporization. This emphasizes the importance of histologic assessment before any oncologic surgery intervention.
Assuntos
Angioceratoma/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Penianas/diagnóstico , Neoplasias Cutâneas/diagnóstico , Carcinoma de Células Escamosas/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/terapiaRESUMO
A Cowper's syringocele in an adult is rare. Ten cases are reported in the world literature. The authors report a case of painful haematuria due to the presence of a Cowper's syringocele in an adult. The classification of lesions of the Cowper's gland is discussed together with common symptoms and differential diagnosis.
Assuntos
Glândulas Bulbouretrais/patologia , Doenças dos Genitais Masculinos/diagnóstico , Doenças dos Genitais Masculinos/reabilitação , Meningomielocele/diagnóstico , Transtornos Urinários/diagnóstico , Transtornos Urinários/reabilitação , Diagnóstico Diferencial , Terapia por Exercício , Doenças dos Genitais Masculinos/complicações , Hematúria/diagnóstico , Hematúria/etiologia , Hematúria/prevenção & controle , Humanos , Masculino , Meningomielocele/complicações , Dor/diagnóstico , Dor/etiologia , Dor/prevenção & controle , Doenças Raras/diagnóstico , Doenças Raras/terapia , Transtornos Urinários/etiologiaRESUMO
BACKGROUND: CaP has a higher incidence and mortality in Black men. We hypothesized that subpopulation differences in AR expression may contribute to this phenomenon. METHOD: AR immunostaining was compared in epithelium and PES of normal, BPH, and CaP tissues from Black African men and UK Caucasian men. RESULTS: AR expression was similar in normal prostatic epithelium of both groups, but was higher in BPH and CaP epithelium of Black than Caucasian men (P = 0.0001). Also, AR expression in PES was higher in Caucasian than Black men in normal/atrophic and benign hyperplastic tissues, but there was a similar significant loss of AR expression in PES of CaP tissues of both groups (normal and BPH stroma versus CaP stroma (P = 0.0001). CONCLUSIONS: Variations in AR expression between subpopulations may contribute to the phenotypic differences of prostatic diseases in Black and Caucasian men.