RESUMO
Primary osteosarcoma of the spermatic cord is a rare tumour with few mentions in the literature. A 59-year-old man presented with a large painless left inguinal and scrotal mass. The patient underwent excision of the mass, which arose from the spermatic cord. A left high dissection of the spermatic cord and radical orchiectomy due to associated atrophy of the left testicle were performed. Pathological findings were suggestive of spermatic cord osteosarcoma. The patient died eleven years later of metastatic lung disease. Spermatic cord osteosarcoma is an uncommon neoplasm and its preoperative diagnosis is very difficult. Any palpable suspicious mass of the cord should be investigated with ultrasonography before excision; CT scan and magnetic resonance imaging may be helpful in defining preoperative diagnosis and the extension of the mass into the neighbouring tissues. Surgical treatment of spermatic cord sarcomas in adults is via a radical orchiectomy with high dissection of the spermatic cord and en bloc excision of involved neighbouring tissues; overall 5- and 10-year survival rates are reported in the literature to be 75% and 55%, respectively.
Assuntos
Neoplasias Ósseas/patologia , Osteossarcoma/patologia , Cordão Espermático/patologia , Neoplasias Testiculares/patologia , Neoplasias Ósseas/cirurgia , Evolução Fatal , Humanos , Neoplasias Pulmonares/secundário , Masculino , Pessoa de Meia-Idade , Orquiectomia , Osteossarcoma/cirurgia , Cordão Espermático/cirurgia , Neoplasias Testiculares/cirurgiaRESUMO
In this study, the authors examined health-related quality of life in severely obese patients prior to and following biliopancreatic diversion (BPD). They evaluated quality of life (QoL) by using the Impact of Weight on Quality of Life (IWQOL), a 74-item self-report questionnaire that assesses the QoL in physical and mental areas and the comfort with food. The questionnaire was administered to 50 obese patients prior to and at 1 year following BPD, to 150 postobese subjects at 3 years following BPD, and to 50 lean controls. At 1 year after the operation, the authors found a sharp improvement toward normality in the QoL, and the cross-sectional findings suggest that this result was maintained in the long term. Following BPD, patients' weight loss and long-term maintenance are accompanied by overall beneficial effects on their QoL.