[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.

[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.