RESUMEN
Inverted papilloma of the prostatic urethra is an especially rare finding. A 75-year-old man with urinary retention wished to proceed with a holmium laser enucleation of the prostate (HoLEP) and was found to have a mass arising from his prostate vs bladder on preoperative imaging. Cystourethroscopy revealed the mass arising from the median lobe of the prostate. After transurethral resection and frozen analysis confirmed the benign pathology of an inverted papilloma, the patient subsequently underwent a successful HoLEP during the same surgical setting. Images of this rare prostatic mass are presented to increase urologist recognition and to assist management during HoLEP.
Asunto(s)
Terapia por Láser , Papiloma Invertido/diagnóstico , Hiperplasia Prostática/cirugía , Resección Transuretral de la Próstata , Neoplasias Uretrales/diagnóstico , Anciano , Cistoscopía , Humanos , Hallazgos Incidentales , Láseres de Estado Sólido , Masculino , Papiloma Invertido/complicaciones , Papiloma Invertido/patología , Cuidados Preoperatorios , Hiperplasia Prostática/complicaciones , Resección Transuretral de la Próstata/métodos , Neoplasias Uretrales/complicaciones , Neoplasias Uretrales/patologíaRESUMEN
OBJECTIVE: The aim of this study was to investigate the clinical features and prognosis of patients with squamous cell carcinoma (SCC) associated with sinonasal inverted papilloma (IP). METHODS: The medical records of 95 patients who were diagnosed with IP or SCC associated with IP were retrospectively reviewed. Out of 95 patients, 15 were diagnosed with SCC associated with IP. The clinical characteristics, treatment modalities, and survival outcomes of the patients were analyzed. RESULTS: The incidence of SCC associated with IP was 15.8%. Although differential diagnosis between IP and SCC associated with IP is difficult, epistaxis may be the specific symptom in SCC associated with IP cases. The 3-year disease-specific survival rate was higher in cases with T1, 2 and 3 than in cases with T4. There was no significant difference in survival rate between maxillary sinus and other primary sites. On the other hand, there was a significant difference in survival rate between the microscopic SCC with IP cases and the other cases. In addition, the patients with <70 years old better than those with >70 years old with a 3-year disease free survival of 80% versus 0%. CONCLUSIONS: Some T4 patients were found to have a highly aggressive disease. Therefore, complete surgical resection followed by chemo-radiation therapy is the recommended treatment for patients with T4 disease to control of the primary tumor site.
Asunto(s)
Antineoplásicos/uso terapéutico , Carcinoma de Células Escamosas/terapia , Quimioradioterapia Adyuvante , Neoplasias de Cabeza y Cuello/terapia , Neoplasias del Seno Maxilar/terapia , Neoplasias Primarias Múltiples/terapia , Neoplasias Nasales/terapia , Procedimientos Quirúrgicos Otorrinolaringológicos , Papiloma Invertido/terapia , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Carcinoma de Células Escamosas/complicaciones , Carcinoma de Células Escamosas/diagnóstico por imagen , Carcinoma de Células Escamosas/patología , Supervivencia sin Enfermedad , Combinación de Medicamentos , Epistaxis/etiología , Femenino , Fluorouracilo/uso terapéutico , Neoplasias de Cabeza y Cuello/complicaciones , Neoplasias de Cabeza y Cuello/diagnóstico por imagen , Neoplasias de Cabeza y Cuello/patología , Humanos , Estimación de Kaplan-Meier , Imagen por Resonancia Magnética , Masculino , Neoplasias del Seno Maxilar/complicaciones , Neoplasias del Seno Maxilar/diagnóstico por imagen , Neoplasias del Seno Maxilar/patología , Persona de Mediana Edad , Cavidad Nasal , Obstrucción Nasal/etiología , Estadificación de Neoplasias , Neoplasias Primarias Múltiples/complicaciones , Neoplasias Primarias Múltiples/diagnóstico por imagen , Neoplasias Primarias Múltiples/patología , Neoplasias Nasales/complicaciones , Neoplasias Nasales/diagnóstico por imagen , Neoplasias Nasales/patología , Ácido Oxónico/uso terapéutico , Papiloma Invertido/complicaciones , Papiloma Invertido/diagnóstico por imagen , Papiloma Invertido/patología , Neoplasias de los Senos Paranasales/complicaciones , Neoplasias de los Senos Paranasales/diagnóstico por imagen , Neoplasias de los Senos Paranasales/patología , Neoplasias de los Senos Paranasales/terapia , Radioterapia Adyuvante , Estudios Retrospectivos , Carcinoma de Células Escamosas de Cabeza y Cuello , Tegafur/uso terapéutico , Tomografía Computarizada por Rayos XRESUMEN
Se presenta un caso de papiloma vesical invertido tratado por resección endoscópica, señalándose las características histológicas típicas y el comportamiento clínico benigno de este tipo de patología que mejor pudiera denominarse adeno urotelioma de Von Brunn