Metástasis inusual a distancia de carcinoma epidermoide de laringe: acrometástasis hacia las partes blandas de la muñeca / Unusual distant metastasis from epidermoid carcinoma of the larynx: acrometastasis to the soft parts of the wrist

Se presenta un caso de metástasis hacia partes blandas de la muñeca (acrometástasis) de un carcinoma epidermoide de la laringe. Se trata de un paciente de 65 años de edad, a quien se realizó una laringectomía total con disección radical de cuello derecho y funcional del otro lado. La operación se practicó hace 12 meses a causa de una lesión glótica supraglótica. A los 30 días de la intervención el paciente fue irradiado con cobaltoterapia en ambos cuellos. En la actualidad presenta aumento de volumen de las partes blandas de la región anterior de la muñeca izquierda, por lo que se le realizó una biopsia aspirativa con aguja fina. La biopsia arrojó un informe positivo de metástasis de carcinoma(AU)

A case of metastasis to soft parts of the wrist (acrometastasis) from an epidermoid carcinoma of the larynx was presented. The case of a 65-year-old male patient, who underwent total laryngectomy with radical dissection of the right neck and functional dissection of the other side was presented. The operation was performed 12 months ago due to a supraglotic and glotic lesion. 30 days after surgery, the patient was irradiated with cobalt therapy in both necks. At present, he presents increase of the volume of the soft parts of the anterior region of the left wrist, so a fine needle aspiration biopsy was performed. The biopsy yielded a positive report of metastasis from epidermoid carcinoma and of multiple metastases in both lung fields(AU)

[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.