Fine needle aspiration and touch imprint cytology of a malignant fibrous histiocytoma of the spermatic cord. Case report.

BACKGROUND: No cytologic reports on spermatic cord sarcomas have been published. CASE: A 64-year-old man presented with a slowly growing, painless, left spermatic cord enlargement. Fine needle aspiration (FNA) obtained < 1 mL of bloody fluid consisting of solitary, mark-edly anaplastic and pleomorphic tumor giant cells occasionally arranged in small fragments. Rare atypical spindle cells could be observed. Some reactive lymphocytes were observed intermingled with tumor cells. Immunohistochemistry displayed vimentin reactivity and negativity for keratins and leukocytic common antigen. The specimen removed showed a well-circumscribed, 30-mm, yellowish solid tumor. Touch imprints displayed pleomorphic tumor cells showing intense anisonucleosis; a moderate amount of clear, sometimes microvacuolated cytoplasm; and tissue fragments with a storiform pattern. Histologic examination revealed microscopic and immunohistochemical features of malignant fibrous histiocytoma (MFH) arising in soft tissues of the spermatic cord. CONCLUSION: FNA of a spermatic cord lesion may reveal a pleomorphic sarcoma. A pleomorphic appearance together with some spindle elements and compatible immunocytochemistry could help diagnose spermatic cord MFH. This is one of the few reports dealing with FNA cytology of paratesticular tumors and the first report, to the best of our knowledge, showing the cytologic characteristics of a case of spermatic cord MFH.

[Melanoma metastatic to the female urethra. Report of a case]. / Melanoma metastásico a uretra femenina. Aportación de un caso.

We report a case of a 77 years old woman with an previous malignant melanoma, who presented an urethral metastasis. The disease was treated with conservative therapy by local excision after pedicle ligation, and she is free of symptoms after one 1 year of control.

[Urinary bladder xanthoma. A cystoscopic finding]. / Xantoma vesical. Hallazgo cistoscopico.

Urinary bladder xanthoma (UBX) is an infrequent lesion that has been very rarely referred to in medical literature. We describe a case of UBX that was associated with a low-grade transitional cell carcinoma of the urinary bladder. The cystoscopic aspect of this lesion was so characteristic that diagnosis could be suggested at cystoscopy, while histological examination confirmed this.

[Vegetable foreign body in the testis]. / Cuerpo extraño vegetal intratesticular.

A vegetable foreign body located inside the testicular parenchyma is presented. It's about an unexpected pathological finding in an orchidectomy sample, performed on account of testicular atrophy secondary to very advanced funicular twist. The finding of a vegetal material inside the testis is outstanding. In our knowledge we don't know about another similar case. Pathologic aspects, including granulomatous reaction, regarding arguments of testicular atrophy and the foreign body eruption mechanism are discussed. The handling of the scrotum by paramedical people could justify his presence.

Sangre, hemorragia, hematuria, urología / Blood, hemorrhage, hematuria, urology

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Xantoma vesical. Hallazgo cistoscopico / Urinary bladder xanthoma. A cystoscopic finding

Se presenta un caso de xantoma vesical, asociado a carcinoma de células transicionales de vejiga, como hallazgo casual en la cistoscopia practicada para estudio de una hematuria macroscópica. El hallazgo de xantomas en la vejiga es muy raro. Se han descrito 9 casos en la literatura. Sus manifestaciones clínicas son inespecíficas. Se suele objetivar como un hallazgo cistoscópico con imagen característica que hay que diferenciar histológicamente de otras lesiones vesicales de aspecto semejante

Urinary bladder xanthoma (UBX) is an infrequent lesion that has been very rarely referred to in medical literature. We describe a case of UBX that was associated with a low–grade transitional cell carcinoma of the urinary bladder. The cystoscopic aspect of this lesion was so characteristic that diagnosis could be suggested at cystoscopy, while histological examination confirmed this

Cuerpo extraño vegetal intratesticular / Vegetable foreign body in the testis

Se presenta un caso de cuerpo extraño de origen vegetal ubicado en el parénquima testicular. Se trata de un hallazgo anatomopatológico inesperado en una pieza de orquiectomía realizada con motivo de la atrofia testicular secundaria a una torsión de cordón muy evolucionada. El hallazgo de un material vegetal dentro del testículo es excepcional y, en nuestro conocimiento, no existen otras comunicaciones al respecto. Se discuten los aspectos anatomopatológicos, incluida la reacción granulomatosa presente, así como las cuestiones relacionadas con la atrofia testicular y el mecanismo de entrada del cuerpo extraño. La manipulación del escroto por parte de curanderos durante la fase de atrofia testicular explica la presencia de este material vegetal intratesticular (AU)

Melanoma metastásico a uretra femenina. Aportación de un caso / Primary melanoma metastatized to female urethra. Contribution of one case

Se describe el caso de una mujer de 77 años con el antecedente previo de melanoma maligno en extremidad inferior, que presentó una lesión uretral compatible con metástasis de melanoma maligno. La lesión fue tratada con medidas conservadoras por medio de una exéresis local tras ligadura de su pedículo, estando la paciente asintomática a 1 año de seguimiento (AU)

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