ABSTRACT
OBJECTIVES: To report a new case of infiltrative small cell bladder cancer. METHODS: We describe the case of a 60-year-old male patient who consulted for monosymptomatic hematuria over a few weeks. Cystoscopy showed a neoplasia in the anterior wall of the bladder. Pathological analysis of the TUR chips was compatible with infiltrative small cell tumor. After a negative staging study radical cystectomy plus adjuvant chemotherapy were indicated. RESULTS: Pathological study of the surgical specimen confirmed the diagnosis with involvement of the surrounding fat. There is no evidence of neoplasic involvement after 24 months follow-up. CONCLUSIONS: We point out the validity of a radical surgical approach for this tumor, also emphasizing the importance of adjuvant chemotherapy. We concur with other authors in the need of multicentric studies to outline the most effective surgical option, due to the limited number of cases of this entity.
Subject(s)
Carcinoma, Small Cell/drug therapy , Carcinoma, Small Cell/surgery , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/surgery , Carcinoma, Small Cell/pathology , Combined Modality Therapy , Humans , Male , Middle Aged , Urinary Bladder Neoplasms/pathologyABSTRACT
OBJECTIVES: We report a new case of intra-scrotal inclusion epidermoid cyst. METHODS: We describe the case of a 47-year-old male patient who referred an increase in size of the right hemiscrotum lasting seven months. Physical examination evidenced an intra scrotal mass of elastic consistency, which was confirmed by ultrasound. Testicular tumour markers were negative. Trans-scrotal excision of the lesion was performed. RESULTS: Pathology was compatible with inclusion epidermoid cyst. The patient remains asymptomatic on follow-up visits, without evidence of lesion relapse. CONCLUSIONS: We highlight the importance of establishing a nomenclature consensus for scrotal cystic lesions. We agree with other authors on the indication of simple excision of the lesion as a treatment with intention-to-cure. However, the limited number of cases makes the long-term follow-up of these patients recommendable.
Subject(s)
Epidermal Cyst/pathology , Genital Diseases, Male/pathology , Scrotum/pathology , Epidermal Cyst/classification , Epidermal Cyst/surgery , Genital Diseases, Male/classification , Genital Diseases, Male/surgery , Humans , Male , Middle Aged , Terminology as TopicABSTRACT
OBJETIVO: Presentación de un nuevo caso de quiste epidermoide de inclusión intraescrotal. MÉTODO: Describimos el caso de un paciente varón de 47 años que refiere aumento de dimensiones de hemiescroto derecho, de siete meses de evolución. La exploración física evidenció una masa intraescrotal de consistencia elástica, confirmada posteriormente mediante ecografía. Los marcadores tumorales testiculares resultaron negativos. Se practicó extirpación transescrotal de la lesión. RESULTADOS: El estudio anatomopatológico de la lesión fue compatible con un quiste epidermoide de inclusión. En las revisiones posteriores realizadas al paciente, éste se encuentra asintomático, y sin evidencia de recidiva de la lesión. CONCLUSIONES: Señalamos la importancia del establecimiento deunconsensoenlanomenclaturadelaslesionesquísticasescrotales.Coincidimos con otros autores en la indicación de la extirpación simple de la lesión como tratamiento de intención curativa (AU)
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