RESUMO
INTRODUCTION: Sarcoidosis is a multisystem disorder that rarely involves the genitourinary tract. CASE: A 35-year-old man had intrascrotal extratesticular mass. Surgical exploration found noncaseating granulomatous inflammation. After the CT scan revealed mediastinal lymphadenopathy and splenomegaly, we diagnosed sarcoidosis. The patient responded rapidly to corticosteroids. DISCUSSION: Intrascrotal sarcoidosis is an unusual differential diagnosis for an intrascrotal mass. Histological testing is necessary to diagnose noncaseating granulomas. Other granulomatous diseases must be ruled out. Corticosteroid treatment is indicated only for symptomatic sarcoidosis with diffusion of granulomatous lesions and involvement of vital organs.
Assuntos
Sarcoidose/diagnóstico , Sarcoidose/patologia , Doenças Testiculares/diagnóstico , Doenças Testiculares/patologia , Corticosteroides/uso terapêutico , Adulto , Diagnóstico Diferencial , Humanos , Inflamação , Doenças Linfáticas/etiologia , Masculino , Sarcoidose/complicações , Sarcoidose/cirurgia , Esplenomegalia/etiologia , Doenças Testiculares/cirurgiaRESUMO
Several cases of association between pemphigus vulgaris and Castleman's pseudolymphoma have been reported. We describe a new case with mucocutaneous involvement and improvement after tumor removal. A review of the literature is presented.
Assuntos
Hiperplasia do Linfonodo Gigante/patologia , Pênfigo/patologia , Adolescente , Proteínas do Sistema Complemento/análise , Imunofluorescência , Humanos , Imunoglobulina G/análise , Masculino , Pele/patologiaRESUMO
Over a 2-year period, 15 patients with spleen injuries underwent a spleen repair using an absorbable perisplenic mesh. This procedure was the sole treatment in 11 cases, and it proved both simple and reliable. No major complication was observed. Eight patients could be followed up until the computerized tomographic images became normal. The absorbable perisplenic mesh is an important improvement, and in some cases it may replace other techniques for arresting splenic bleeding.