RESUMEN
Leydig-cell tumours of the testis are rare and usually benign in children. The possibility of metachronous bilateral tumours should be considered not only for testicular teratomas but also in the follow up of a Leydig-cell tumour. Testis-sparing surgery is feasible and safe in prepubertal boys after exclusion of a malignant tumour.
Asunto(s)
Tumor de Células de Leydig/patología , Neoplasias Primarias Secundarias/patología , Neoplasias Testiculares/patología , Biopsia con Aguja , Niño , Estudios de Seguimiento , Humanos , Inmunohistoquímica , Tumor de Células de Leydig/diagnóstico por imagen , Tumor de Células de Leydig/cirugía , Masculino , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Estadificación de Neoplasias , Neoplasias Primarias Secundarias/diagnóstico por imagen , Neoplasias Primarias Secundarias/cirugía , Orquiectomía/métodos , Neoplasias Testiculares/diagnóstico por imagen , Neoplasias Testiculares/cirugía , Factores de Tiempo , Resultado del Tratamiento , Ultrasonografía DopplerRESUMEN
We report a four-year-old boy with a nevus covering all the plantar side of his second finger on the left foot. He was also affected by congenital phimosis. Surgical excision of the nevus was indicated, but the skin defect would have been too large to be directly closed. The foreskin was taken as a full-thickness skin graft to cover the cutaneous defect of the finger. The graft intake was favourable and provided a functional repair with good aesthetic characteristic.
RESUMEN
OBJECTIVE: Hydrocele and testicular edema caused by division of lymphatic vessels during varicocelectomy could lead to decrease in testicular function. In-vivo methylene blue mapping of testicular lymphatic vessels should prevent damage to the lymphatic system. MATERIALS AND METHODS: We retrospectively compared outcomes for 46 patients who received an intraparenchymal injection of 0.25 ml of vital dye (isosulphan blue) before a laparoscopic or an inguinal/subinguinal spermatic vein ligation with 93 controls in whom no mapping technique was adopted. RESULTS: Methylene blue mapping of testicular lymphatics reduced the incidence of postvaricocelectomy hydrocele from 6.4% (6/93) to 2.1% (1/46); the incidence of hydrocele was 0% in all cases of successful lymphatic mapping. CONCLUSION: Mapping of testicular lymphatic drainage with intraparenchymal vital dye is an easy, safe, rapid and cost-free technique. We stress the importance of sparing the lymphatic system to ensure the best andrological outcome.
Asunto(s)
Sistema Linfático/anatomía & histología , Azul de Metileno , Complicaciones Posoperatorias/prevención & control , Hidrocele Testicular/prevención & control , Varicocele/cirugía , Adolescente , Niño , Edema/epidemiología , Edema/prevención & control , Humanos , Incidencia , Laparoscopía , Sistema Linfático/metabolismo , Sistema Linfático/cirugía , Masculino , Azul de Metileno/farmacocinética , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Hidrocele Testicular/epidemiologíaRESUMEN
The Authors report a case of congenital megacystis without other anomalies, diagnosed in a 27GW female fetus. At prenatal counselling the diagnostic hypothesis formulated were obstructive uropathy (cloacal malformation, uro-genital sinus, urethral atresia), functional alteration (neurogenic bladder, primitive myopathies) or Prune Belly Syndrome (rare in females). The outcome following treatment suppose a visceral myopathy, for this condition, however definitive etiology is obscure.
