RESUMEN
Objetivo: Conocer la incidencia real de cáncer de próstata (CP) en las áreas sanitarias de Castilla y León en el año 2014. Material y métodos: Estudio multicéntrico en el que participan 7 de las 9 áreas sanitarias de Castilla y León. Se recogen datos con carácter retrospectivo que incluyen el 87,8% de la población diana (varones diagnosticados de CP con confirmación histopatológica en el año 2014). Se calculan incidencias brutas e incidencias ajustadas por edad según el método directo. Los datos epidemiológicos comunitarios y nacionales son consultados en el Instituto Nacional de Estadística. Resultados: Se diagnosticaron 1.198 nuevos casos de CP. La tasa de incidencia bruta comunitaria es 109,54 casos por 100.000 varones. Las tasas ajustadas a población española y europea resultan en 115,41 y 110,07, respectivamente. El grupo etario de mayor concentración diagnóstica fue el de 60-70 años, con el 41,97% de los diagnósticos, y el que mostró mayor incidencia fue el comprendido entre 70 y 80años, con 438,87 casos por 100.000 habitantes. Se objetivan diferencias en las incidencias brutas y ajustadas por grupo de edad, así como en el factor edad al diagnóstico entre las diferentes áreas sanitarias incluidas. Conclusiones: La tasa de incidencia bruta comunitaria resultó ser mayor que la mayoría de datos existentes previamente. Se aprecian importantes diferencias entre las distintas áreas geográficas que pueden ser explicadas principalmente por la distribución del factor edad y las políticas de cribado oportunista en cada una de ellas
Objective: To determine the actual incidence of prostate cancer (PC) in the healthcare areas of Castilla-Leon in 2014. Material and methods: A multicentre study was conducted with the participation of 7 of the 9 healthcare areas of Castilla-Leon. We collected retrospective data that included 87.8% of the target population (men diagnosed with PC with histopathological confirmation in 2014). We calculated the raw and age-adjusted incidence rates based on the direct method and consulted the community and national epidemiological data in the Spanish National Institute of Statistics. Results: A total of 1198 new cases of PC were diagnosed, with a raw incidence rate in the community of 109.54 cases per 100,000 men. The adjusted rates for the Spanish and European populations were 115.41 and 110.07, respectively. The age group with the highest diagnostic concentration was the 60-70-year group, with 41.97% of the diagnoses. The group with the highest incidence was the 70-80-year group, with 438.87 cases per 100,000 inhabitants. There were differences in the raw and age-adjusted incidence rates and in the age at diagnosis among the various included healthcare areas. Conclusions: The community raw incidence rate was higher than most existing data. We observed significant differences among the various geographical areas, which could be explained mainly by the age distribution and the opportunistic screening policies for each area
Asunto(s)
Humanos , Masculino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Neoplasias de la Próstata/epidemiología , Neoplasias de la Próstata/prevención & control , Diagnóstico Precoz , España/epidemiología , Estudios Retrospectivos , 17140 , Neoplasias de la Próstata/patologíaRESUMEN
OBJECTIVE: To determine the actual incidence of prostate cancer (PC) in the healthcare areas of Castilla-Leon in 2014. MATERIAL AND METHODS: A multicentre study was conducted with the participation of 7 of the 9 healthcare areas of Castilla-Leon. We collected retrospective data that included 87.8% of the target population (men diagnosed with PC with histopathological confirmation in 2014). We calculated the raw and age-adjusted incidence rates based on the direct method and consulted the community and national epidemiological data in the Spanish National Institute of Statistics. RESULTS: A total of 1198 new cases of PC were diagnosed, with a raw incidence rate in the community of 109.54 cases per 100,000 men. The adjusted rates for the Spanish and European populations were 115.41 and 110.07, respectively. The age group with the highest diagnostic concentration was the 60-70-year group, with 41.97% of the diagnoses. The group with the highest incidence was the 70-80-year group, with 438.87 cases per 100,000 inhabitants. There were differences in the raw and age-adjusted incidence rates and in the age at diagnosis among the various included healthcare areas. CONCLUSIONS: The community raw incidence rate was higher than most existing data. We observed significant differences among the various geographical areas, which could be explained mainly by the age distribution and the opportunistic screening policies for each area.
Asunto(s)
Neoplasias de la Próstata/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Áreas de Influencia de Salud , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Sistema de Registros , España/epidemiologíaAsunto(s)
Humanos , Masculino , Adolescente , Pérdida de Hueso Alveolar/etiología , Aparatos Ortodóncicos/efectos adversos , Diastema , Procedimientos Innecesarios , Cierre del Espacio Ortodóncico/efectos adversos , Regeneración Tisular Dirigida , Maloclusión Clase I de Angle/diagnóstico , Maloclusión Clase I de Angle/terapia , Periodontitis/etiología , Periodontitis/terapia , Curetaje SubgingivalRESUMEN
Presentation of one case of retrovesical hydatidic cyst with no evidence of hydatidosis in other abdominal organ. Both the case and the medical-surgical procedures performed are described.
Asunto(s)
Equinococosis , Adulto , Equinococosis/diagnóstico , Humanos , Vejiga UrinariaRESUMEN
Fibroepithelial polyps are rare benign tumours presenting in one every hundred cases of ureter primitive tumours. Interest on this type of pathology is founded in its low incidence and on being able to reach a pre-operative diagnosis prior to taking surgical action. Uretero-renoscopy is currently the best method available for the identification and histological diagnosis of this polyp.
Asunto(s)
Fibroma/diagnóstico , Neoplasias Ureterales/diagnóstico , Endoscopía , Femenino , Fibroma/cirugía , Humanos , Persona de Mediana Edad , Neoplasias Ureterales/cirugía , UrografíaRESUMEN
We describe two cases of adenocarcinoma of the prostate, which deserve being commented because of the unusual features of their occurrence. These were two stage D2 adenocarcinomas discovered within one year in a father and his son. One of the tumors was identified following hemostatic disorders. Thus three aspects of carcinoma of the prostate are studied: their possible occurrence in younger patients, the paraneoplastic disorders of coagulation, and the familial forms.
Asunto(s)
Adenocarcinoma/genética , Neoplasias de la Próstata/genética , Adenocarcinoma/sangre , Adenocarcinoma/diagnóstico , Adulto , Anciano , Hemostasis , Humanos , Masculino , Pronóstico , Neoplasias de la Próstata/sangre , Neoplasias de la Próstata/diagnósticoRESUMEN
We present a fresh case of testicular angioma in a 15-year-old patient. The symptomatology displayed, along with the scrotal echograph, made us suspect the existence of testicular tumoration, which led us to carry out surgical exploration. After orchiectomy, it is Pathological Anatomy that provides us with the final diagnosis. We comment on the different histological patterns and make a review of the literature.