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8.
Arch Esp Urol ; 53(1): 65-7, 2000.
Artigo em Espanhol | MEDLINE | ID: mdl-10730426

RESUMO

OBJECTIVE: To report a case of liposarcoma of the spermatic cord in a young male, with special reference to the difficulties encountered in making the clinical and histopathological differential diagnosis. METHODS/RESULTS: A 43-year-old patient underwent surgery for a tumor (8 x 7 cms) in the left spermatic cord. Pathological analysis demonstrated a well-differentiated liposarcoma with myxoid areas. Radical orchidectomy was performed. The patient is well, with no tumor recurrence or metastasis. RESULTS/CONCLUSIONS: Paratesticular liposarcoma is rare. It is therefore difficult to establish the guidelines for treatment, prognosis and differential diagnosis. Similarly, difficulty is encountered when making the preoperative diagnosis, although US and CT can be useful. As in liposarcomas localized to other sites, the histological type and grade of the lesion are useful for the prognosis. Radical inguinal orchidectomy is the treatment of choice.


Assuntos
Neoplasias dos Genitais Masculinos/diagnóstico , Neoplasias dos Genitais Masculinos/terapia , Lipossarcoma/diagnóstico , Lipossarcoma/terapia , Cordão Espermático , Adulto , Diagnóstico Diferencial , Humanos , Masculino
9.
Actas Urol Esp ; 20(6): 582-5, 1996 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-8928688

RESUMO

Presentation of one case of non-differentiated small cell prostate carcinoma, not associated to adenocarcinoma, in a male patient diagnosed with Benign Prostate Hyperplasia and Lymphoproliferative Syndrome, seen at the clinic due to worsening of mictional symptomatology. The diagnosis of non-differentiated carcinoma was reached through transrectal biopsy of a prostate node. Initial staging after diagnosis was T4a, N2, M1c (TNM, 1992), as liver and brain metastasis were already present. No bone or lung involvement was found. Specific Prostate Antigen value was 7.4 ng/ml, Carcino-Embryonary Antigen (CAE) was normal and ACTH slightly elevated. Differential diagnosis was primarily established with lymphoma. Using immunohistochemical techniques, the tumoral cells were positive for low molecular weight Keratin (CAM 5.2) and specific neuronal Enolase; negative for specific prostate antigen, prostate acid phosphatase, common leucocyte antigen and ACTH. The initial treatment consisted in one course of carboplatin plus VP-16 chemotherapy. The patient died six months after diagnosis.


Assuntos
Neoplasias Encefálicas/secundário , Carcinoma de Células Pequenas/secundário , Neoplasias da Próstata/patologia , Idoso , Humanos , Transtornos Linfoproliferativos/complicações , Masculino
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