RESUMO
Vaginal leiomyosarcoma is unfrequent. We report on a case in a 50-year-old multipara patient who had presented a posterior vaginal swelling since 6 months. The tumor was discovered at the occasion of pains and non hemorragic discharge. The histological pattern of the tumor was well-differentiated spindle cell sarcoma with pleiomorphic areas. The immunohistochemistry confirmed the smooth myogenic differentiation. The treatment consisted of posterior pelvic exenteration extended to the vagina. The patient is alive and free of disease at 20 months of fellow-up.
Assuntos
Leiomiossarcoma/cirurgia , Neoplasias Vaginais/cirurgia , Feminino , Humanos , Imuno-Histoquímica , Leiomiossarcoma/patologia , Menopausa , Pessoa de Meia-Idade , Exenteração Pélvica , Prognóstico , Análise de Sobrevida , Resultado do Tratamento , Neoplasias Vaginais/patologiaRESUMO
We report a case of sperm cell seminoma caused by trauma. The data in the literature indicate the frequency is less than 5% of all seminomas. This case was exclusively located in the gonads and was a pure form. Orchidectomy with high ligature of the cord and adjuvant radiotherapy at the dose of 25 Gy centered on the para-aortic and subdiaphragmatic chains is adequate treatment. When inguinoscrotal surgery is performed, this zone must be irradiated with 25 Gy. Prognosis is satisfactory: 5-year survival is 100% with this protocol.
Assuntos
Seminoma/patologia , Neoplasias Testiculares/patologia , Humanos , Linfonodos/efeitos da radiação , Masculino , Pessoa de Meia-Idade , Orquiectomia , Prognóstico , Dosagem Radioterapêutica , Radioterapia Adjuvante , Seminoma/radioterapia , Seminoma/cirurgia , Cordão Espermático/cirurgia , Taxa de Sobrevida , Neoplasias Testiculares/radioterapia , Neoplasias Testiculares/cirurgia , Testículo/lesõesRESUMO
The authors report a case of retroperitoneal fibrosis secondary to actinomycosis with consequences on the urinary tract. They insist on the difficulty of diagnostic, the antibiotic's sensibility and the evolution towards fibrosis which can lead to renal function deterioration.