RESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hidronefrose/complicações , Dor Abdominal/complicações , Dor Abdominal/diagnóstico , Nefrectomia/métodos , Cálculos Urinários/diagnóstico , Cálculos Urinários/cirurgia , Litíase/cirurgia , Nefroesclerose/complicações , Nefroesclerose/diagnóstico , Abdome/patologia , Abdome/cirurgia , Abdome , Rim/patologia , Rim/cirurgia , RimRESUMO
El cáncer testicular bilateral suponen el 2-5 % de todos los tumores de testículo, aunque actualmente esa prevalencia va aumentando. La edad media de aparición es de los 15-35 años y el 75 % de ellos se presenta metacrónicamente. Suele haber hallazgos histológicos similares en ambos testículos, siendo el tipo histológico más frecuente el seminoma. El factor de riesgo más importante en el desarrollo del cancer testicular es la presencia de neoplasia intratubular de células germinales. El tratamiento de elección es la orquiectomía radical , aunque en algunos casos seleccionados se puede realizar una cirugía conservadora del testículo Presentamos 4 casos atendidos en nuestro servicio, analizamos los factores de riesgo, manejo de los tumores y realizamos una revisión de la literatura médica
Bilateral testicular cancer represents from 2 to 5 % of all testicle tumors, even though this prevalence nowadays is increasing. The median age of presentation was from 15 to years and in approximately 75 % of them occurred metachronously. There used to be concordance in histological findings between both testicles, being seminoma the most common histological type. The most important risk factor in the development of testicular cancer is the presence of intratubular germ cell neoplasia. Radical orquiectomy is the treatment to choose, although in some carefully selected patients testis-sparing surgery may be considered. We present four cases attended in our medical service, we analize the risk factors, management of tumors and a medical literature review is done
Assuntos
Masculino , Adolescente , Adulto , Humanos , Fatores de Risco , Orquiectomia/métodos , Tomografia Computadorizada de Emissão/métodos , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/terapia , Neoplasias Retroperitoneais/complicações , Neoplasias Retroperitoneais/diagnóstico , Seminoma/complicações , Seminoma/diagnóstico , Seminoma/terapia , Orquiectomia/tendências , Orquiectomia , Neoplasias Embrionárias de Células Germinativas/complicações , Neoplasias Embrionárias de Células Germinativas/diagnósticoRESUMO
Renal cell carcinoma has an unknown evolution. We report a case of a man with a skin metastases from renal cell carcinoma and an unfortunate result, five years after its radical surgical treatment. We review the literature and emphasize the need of a long and exhaustive surveillance in these patients.
Assuntos
Carcinoma de Células Renais/secundário , Neoplasias de Cabeça e Pescoço/secundário , Neoplasias Renais/patologia , Couro Cabeludo , Neoplasias Cutâneas/secundário , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
El carcinoma de células renales se caracteriza por su evolución impredecible. Presentamos un caso clínico de aparición de metástasis cutánea de carcinoma renal de células claras con pronóstico ominoso, tras cinco años de tratamiento quirúrgico curativo del primario renal. Revisamos la literatura e incidimos en la necesidad de un seguimiento prolongado y exhaustivo en estos pacientes
Renal cell carcinoma has an unknown evolution. We report a case of a man with a skin metastases from renal cell carcinoma and an unfortunate result, five years after its radical surgical treatment. We review the literature and emphasize the need of a long and exhaustive surveillance in these patients
Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Carcinoma de Células Renais/patologia , Neoplasias Renais/patologia , Neoplasias Cutâneas/secundário , Metástase Neoplásica/patologiaRESUMO
Bilateral testicular cancer represents from 2 to 5% of all testicle tumors, even though this prevalence nowadays is increasing. The median age of presentation was from 15 to years and in approximately 75% of them occurred metachronously. There used to be concordance in histological findings between both testicles, being seminoma the most common histological type. The most important risk factor in the development of testicular cancer is the presence of intratubular germ cell neoplasia. Radical orquiectomy is the treatment to choose, although in some carefully selected patients testis-sparing surgery may be considered. We present four cases attended in our medical service, we analize the risk factors, management of tumors and a medical literature review is done.
