ABSTRACT
OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma. METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan). RESULTS: The treatment of this neoplasia was radical nephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma. CONCLUSIONS: Renal leiomyoma is a rare benign mesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless, due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen.
Subject(s)
Kidney Neoplasms , Leiomyoma , Aged , Humans , Kidney Neoplasms/diagnosis , Kidney Neoplasms/surgery , Leiomyoma/diagnosis , Leiomyoma/surgery , MaleABSTRACT
OBJETIVO: Aportar un nuevo caso de leiomiomacapsular asintomático.MÉTODO: Paciente de 68 años asintomático que tras estudioradiológico (ECO y TAC ) es diagnosticada de masa sólida.RESULTADO: El tratamiento de este proceso neoformativo renal , fue nefrectomía radical, con curso postoperatorio sin incidencias y anatomía patológica, leiomioma renal.CONCLUSIÓN: El leiomioma renal es un tumor mesenquimatosobenigno poco frecuente que debe tenerse en cuenta ante el diagnóstico de masa renal , dado que sería subsidiario de una cirugía renal conservadora, no obstante ante la dificultad para diferenciarlo del carcinoma renal, no es infrecuente que el diagnóstico se produzca tras el análisis histológico de la pieza de nefrectomía
OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma.METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan).RESULTS: The treatment of this neoplasia was radicalnephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma.CONCLUSIONS: Renal leiomyoma is a rare benignmesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless,due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen
Subject(s)
Male , Aged , Humans , Leiomyoma/diagnosis , Leiomyoma/surgery , Kidney Neoplasms/diagnosis , Kidney Neoplasms/surgeryABSTRACT
OBJECTIVES: To report one case of right paratesticular rabdomyosarcoma in a 21-year-old young adult. METHODS: After treatment with right radical orchiectomy through an inguinal incision it was classified as clinical group I A following the IRS-III (localized disease completely excised) and received adjuvant treatment with Vincristine and actinomicin D. RESULTS/CONCLUSIONS: The patient is disease free 18 months after surgery. We emphasize the importance of adjuvant treatment in the posterior evolution of the tumoral disease.
Subject(s)
Rhabdomyosarcoma , Testicular Neoplasms , Adult , Humans , Male , Rhabdomyosarcoma/diagnosis , Rhabdomyosarcoma/surgery , Testicular Neoplasms/diagnosis , Testicular Neoplasms/surgeryABSTRACT
OBJECTIVES: To report one case of renal brucelloma, an extraordinarily rare pathology in our environment. METHODS: 51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control. RESULTS: Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney. Microbiological diagnosis was negative. Radical nephrectomy was performed. Purulent material came out from the kidney during the operation, which cultured (+) to Brucella Melitensis. Pathologic study was compatible with renal brucelloma. CONCLUSIONS: Genitourinary involvement by Brucella is second in frequency after osteoarticular, being orchyoepididymitis the most common clinical presentation, followed by prostatitis. Renal involvement is exceptional.
Subject(s)
Brucellosis/diagnosis , Kidney Diseases/diagnosis , Humans , Male , Middle AgedABSTRACT
OBJECTIVES: To emphasize the importance of early diagnosis of encrusted pyelitis in kidney transplant patients. METHODS: We report one case of encrusted pyelitis in a 10-year-old girl with a kidney graft who was treated by means of nephrostomy tube irrigation with an acidifier liquid substance. RESULTS: After 16 days of treatment there was a significant decrease of the size of the calcified pyelic plaque, keeping a good renal function afterwards. CONCLUSIONS: This disease should be thought of in every case of kidney transplant patient with negative urine cultures and alkaline pH, and the microbiologist should be alerted of the possibility of urinary tract infection by Corynebacterium.
Subject(s)
Kidney Transplantation , Postoperative Complications/pathology , Pyelitis/pathology , Child , Female , Humans , Magnesium Compounds/analysis , Nephrostomy, Percutaneous , Phosphates/analysis , Postoperative Complications/diagnosis , Postoperative Complications/metabolism , Postoperative Complications/therapy , Pyelitis/diagnosis , Pyelitis/metabolism , Pyelitis/therapy , Struvite , Therapeutic Irrigation , Urothelium/chemistry , Urothelium/pathologyABSTRACT
OBJETIVO: Destacar la importancia del diagnóstico precoz de la pielitis incrustante (PI) en pacientes trasplantados renales. MÉTODO: Presentamos un caso de PI en una niña de 10 años portadora de injerto renal que tratamos mediante irrigación por nefrostomía de una substancia líquida acidificante. RESULTADOS: Tras 16 días de tratamiento se produjo una disminución del tamaño de la placa piélica calcificada, manteniéndose una buena función renal en la evolución posterior. CONCLUSION: En todos los pacientes trasplantados renales con urinocultivos negativos y pH alcalino debemos pensar en esta patología y comunicar al microbiólogo la posibilidad de infección urinaria por Corynebacteriun. (AU)
