Asunto(s)
Estradiol/análogos & derivados , Neoplasias Hormono-Dependientes/tratamiento farmacológico , Neoplasias de la Próstata/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Castración , Terapia Combinada , Estradiol/uso terapéutico , Fulvestrant , Humanos , Masculino , Persona de Mediana Edad , Neoplasias Hormono-Dependientes/patología , Neoplasias Hormono-Dependientes/cirugía , Pronóstico , Neoplasias de la Próstata/patología , Neoplasias de la Próstata/cirugíaRESUMEN
A 52-year-old woman with a rising carcinoembryonic antigen CEA, no clinical or radiological findings, a negative colonoscopy, and a positron emission tomography (PET) scan that revealed an isolated hypermetabolic lesion in the spleen. The patient underwent splenectomy by laparoscopic surgery. The pathological study confirmed the presence of an isolated metastasis to the spleen. This case reveals the rare occurrence of isolated splenic metastases in the context of colorectal cancer and illustrates the role of PET when a patient shows a rising CEA with negative clinicoradiological studies.
Asunto(s)
Adenocarcinoma/secundario , Neoplasias Colorrectales/patología , Neoplasias del Bazo/diagnóstico por imagen , Neoplasias del Bazo/secundario , Adenocarcinoma/terapia , Protocolos de Quimioterapia Combinada Antineoplásica , Antígeno Carcinoembrionario/sangre , Neoplasias Colorrectales/terapia , Femenino , Fluorodesoxiglucosa F18 , Humanos , Neoplasias Hepáticas/secundario , Neoplasias Hepáticas/terapia , Persona de Mediana Edad , Tomografía de Emisión de Positrones , Esplenectomía , Neoplasias del Bazo/sangreRESUMEN
Epidermoid carcinomas account for 9 to 17% of primitive pyelocaliceal tumours. Key predisposing factor are infections and lithiasis, pre-operative diagnosis being difficult due to insidious growth and absence of pathognomonic syndrome. The paper introduces one case of epidermoid pyelocaliceal carcinoma where diagnosis was supported by intravenous urography, ultrasound and CAT, and where the catheter-obtained cytology was definite in terms of diagnostic value. Ureteropyeloscopy can be a crucial examination in case of diagnostic doubt. Choice therapy is nephroureterectomy with vesical collar resection when the tumour's anatomical state or the subtotal nephrectomy allow it. Prognosis of these tumours is very poor, mean survival of patients being of about 4 months. Our patient died one month after surgery.
Asunto(s)
Carcinoma de Células Escamosas/diagnóstico , Neoplasias Renales/diagnóstico , Pelvis Renal , Anciano , Carcinoma de Células Escamosas/patología , Humanos , Neoplasias Renales/patología , Pelvis Renal/patología , MasculinoRESUMEN
Benign epididymal epithelial tumours are very uncommon. Their frequency rating is as follows: adenomatoid tumour, leiomyoma and papilliferous cystoadenoma. This paper contributes a new case of epididymal adenomatoid tumour in a 29-year old male who presented with testicular pain. Diagnosis was achieved through physical examination and echography. A simple tumourectomy was performed. As a result of this case, a review was made of the Spanish literature.