[Cystic renal papillary carcinoma. Apropos of a case]. / Carcinoma papilar renal quístico. A propósito de un caso.

OBJECTIVES: Papillary renal cell carcinoma is a malignant neoplasia which represents 5-10% of all renal cell carcinomas. We perform a bibliographic review, and detail the clinical, diagnostic and therapeutic aspects of the case, as well as its postoperative outcome. METHODS: 55-year-old patient who was admitted in the urology department from the emergency room. On physical examination we detected a mass in the left flank and left upper abdominal quadrant, painful on flank percussion, and gross hematuria also. It was a patient who debuted with left lumbar-abdominal pain and hematuria with clots after a physical effort. Blood tests, ultrasound, x-rays and surgical treatment were performed. RESULTS AND CONCLUSIONS: On evaluation of the ultrasound and x-ray films it was concluded that it was a significant renal tumor. Left radical nephrectomy was performed and pathology reported papillary renal cell carcinoma. Postoperative outcome was satisfactory after three months.

[Renal cell carcinoma and simultaneous left varicocele]. / Carcinoma de células renales y varicocele izquierdo de forma simultánea.

OBJECTIVES: To report a rare case of left renal cell carcinoma causing simultaneous acute left varicocele. We also performed a bibliographic review. METHODS: We present the case of a male adult who was diagnosed as having a left varicocele during a medical exam at his work center and referred to the urology clinic. On physical examination a left flank and hypochondrium mass was found. We analyze the diagnostic tests performed and possible therapies. RESULTS: With the diagnosis of left hypernephroma the patient underwent surgery. A big lower pole and medial portion kidney tumor displacing neighbor structures was found, and left radical nephrectomy was performed. CONCLUSIONS: Although it was easy to diagnose a hypernephroma with the diagnostic tests performed, the clinical presentation is not frequent, neither is the sudden onset of left varicocele. Currently, after 8 years of follow-up, the patient has normal blood-ultrasound tests.

[Supernumerary penis. Report of a case]. / Pene supernumerario. Informe de un caso.

OBJECTIVES: To report the case of a newborn with a supernumerary penis. To make this extremely rare pathological entity known, although the newborn was not operated due to religious beliefs, so that histological evaluation was not performed. METHODS: We report the case of a newborn that was found to have a perianal malformation at the time of birth. On call, the urologist diagnosed all the characteristics of a supernumerary penis with a blind urethral meatus and empty scrotum after physical examination. RESULTS/CONCLUSION: With the diagnosis of supernumerary penis on physical examination proper tests, like blood tests, X-rays and sexual chromosomes were performed, but surgery was not allowed by his parents and the patient was discharge from the hospital.

[Simultaneous leiomyoma and transitional carcinoma of the bladder. Report of a case]. / Leiomioma y carcinoma transicional de vejiga de forma simultánea. Presentación de un caso.

OBJECTIVES: To report this case of bladder leiomyoma, benign tumor of the bladder, due to its low frequency (0.43%) and to perform a bibliographic review. METHODS AND RESULTS: Case of a 46 year old female who refers a history of voiding symptoms, macroscopic haematuria with clots, asthenia, anorexia and right flank pain for 15 days prior to consultation. After blood tests, X ray tests, ultrasound and CT scan she underwent hysterectomy, anexectomy, radical cystectomy and ureteral reimplantation to a Mainz II sigmoid pouch. Currently, 44 months after surgery her outcome has been satisfactory. CONCLUSION: Bladder leiomyoma, a disease without specific symptoms, is occasionally found in pathological evaluation; biopsy is the confirmative diagnostic test. They are rarely found outside the uterus and gastrointestinal tract.