ABSTRACT
OBJECTIVE: To report a new case of metastatic renal carcinoma with atypical localization. Skin metastatic involvement by urological tumors is a rare clinical entity. It is usually associated with internal organ involvement, so that this finding makes prognosis poor. We review the most frequent metastatic sites, their prognostic implications and treatment. METHODS: We present the case of a 60-year-old male patient with the diagnosis of inferior maxillary skin metastasis 18 months after radical nephrectomy for clear cell adenocarcinoma. RESULTS: The patient was treated with oral Sorafenib within a phase II clinical trial. Two years after diagnosis the patient is alive and a disease-free. CONCLUSIONS: The wide variability of localizations and forms of presentation of metastatic renal carcinoma obliges to be alert during followup. New antiangiogenic drugs are an efficient therapeutic option.
Subject(s)
Carcinoma, Renal Cell/secondary , Kidney Neoplasms/pathology , Skin Neoplasms/secondary , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
We report a case of spontaneous, perineal haematoma depending on corpora cavernosa but without injury of them. No erectile dysfunction was associated. Not traumatic injury was known. Etiopathology, diagnosis and treatment are analyses.
Subject(s)
Hematoma , Perineum , Hematoma/diagnosis , Hematoma/etiology , Hematoma/therapy , Humans , Male , Middle Aged , PenisSubject(s)
Diaphragm , Kidney Neoplasms/pathology , Muscle Neoplasms/secondary , Muscle Neoplasms/surgery , Aged , Female , HumansABSTRACT
Robotic surgery is the newst technologic option in urology. To understand how new robots work is interesting to know their history. The desire to design machines imitating humans continued for more than 4000 years. There are references to King-su Tse (clasic China) making up automaton at 500 a. C. Archytas of Tarentum (at around 400 a.C.) is considered the father of mechanical engineering, and one of the occidental robotics classic referents. Heron of Alexandria, Hsieh-Fec, Al-Jazari, Roger Bacon, Juanelo Turriano, Leonardo da Vinci, Vaucanson o von Kempelen were robot inventors in the middle age, renaissance and classicism. At the XIXth century, automaton production underwent a peak and all engineering branches suffered a great development. At 1942 Asimov published the three robotics laws, based on mechanics, electronics and informatics advances. At XXth century robots able to do very complex self governing works were developed, like da Vinci Surgical System (Intuitive Surgical Inc, Sunnyvale, CA, USA), a very sophisticated robot to assist surgeons.