[Prostate carcinosarcoma.] / Carcinosarcoma de próstata.

OBJECTIVE: To report a new case of prostatic carcinosarcoma, an uncommon and locally and distance aggressive tumor. METHOD: We analyzed one case diagnosed in our Center, from clinical and pathological diagnosis to death, describing the treatments received. RESULT: Patient presented a huge pelvic mass and a pulmonary metastasis that was treated with cystoprostatectomy and bilateral cutaneous ureterostomy with the diagnosis of carcinosarcoma of the prostate. He received 8 cycles of Docetaxel with bone progression and then 3 cycles of doxorubicin, suspending treatment due to progression. The survival was 18 months. CONCLUSIONS: Prostate carcinosarcoma is a very aggressive neoplasia that does not respond to the usual treatments of prostate cancer.

Carcinosarcoma de próstata / Prostate carcinosarcoma

OBJETIVO: Reportar un nuevo caso de carcinosarcoma prostático, un tumor infrecuente y agresivo localmente y a distancia. MÉTODO: Se ha analizado un único caso diagnosticado en nuestro Centro, desde el diagnóstico clínico y anatomopatológico hasta el éxitus, describiéndose los tratamientos recibidos por el mismo. RESULTADO: Paciente que presenta gran masa pélvica y una metástasis pulmonar que es sometido a cistoprostatectomia y ureterostomía cutánea bilateral con el diagnóstico de carcinosarcoma de próstata. Recibió 8 ciclos de Docetaxel objetivándose progresión ósea y posteriormente 3 ciclos de Doxorrubicina suspendiéndose por progresión. La supervivencia fue de 18 meses. CONCLUSIONES: El carcinosarcoma prostático es una neoplasia muy agresiva que no responde a los tratamientos habituales del cáncer de próstata

OBJECTIVE: To report a new case of prostatic carcinosarcoma, an uncommon and locally and distance aggressive tumor. METHOD: We analyzed one case diagnosed in our Center, from clinical and pathological diagnosis to death, describing the treatments received. RESULT: Patient presented a huge pelvic mass and a pulmonary metastasis that was treated with cystoprostatectomy and bilateral cutaneous ureterostomy with the diagnosis of carcinosarcoma of the prostate. He received 8 cycles of Docetaxel with bone progression and then 3 cycles of doxorubicin, suspending treatment due to progression. The survival was 18 months. CONCLUSIONS: Prostate carcinosarcoma is a very aggressive neoplasia that does not respond to the usual treatments of prostate cancer

[Emphysematous cystitis: Report of 2 cases with different outcomes]. / CYSTITIS ENFISEMATOSA: 2 CASOS CON DIFERENTE EVOLUCIÓN.

OBJECTIVE: To report two cases of emphysematous cystitis, a rare, potentially serious disease. METHODS: Analysis of two different cases treated in our center and review of the existing literature. RESULTS: One patient underwent emergency surgery (radical cystectomy) due to the advanced stage of the disease. The second patient, whose was in an initial stage, benefited from a new treatment, consisting of hyperbaric oxygen and wide spectrum antibiotics. CONCLUSIONS: Early diagnosis is the cornerstone of the conservative management of the disease. Hyperbaric oxygen therapy may be beneficial due to the improvement in oxygenation of the tissues affected by the disease.

Cistitis enfisematosa: 2 casos con diferente evolución / Emphysematous cystitis: Report of 2 cases with different outcomes

OBJETIVO: Reportar dos nuevos casos de cistitis enfisematosa, una patología poco frecuente pero potencialmente grave. MÉTODO: Análisis de dos casos tratados en nuestro centro de diferente forma y revisión de la literatura. RESULTADO: El primer paciente dado lo avanzado del caso tuvo que ser sometido a una cistectomía radical urgente; el segundo, se benefició de un tratamiento conservador y novedoso, al ser sometido a dos sesiones de oxigenoterapia hiperbárica. CONCLUSIONES: Es importante un diagnóstico precoz de esta patología. La oxigenoterapia hiperbárica puede ser beneficiosa debido a la mejora en la oxigenación de los tejidos afectos por la enfermedad

OBJECTIVE: To report two cases of emphysematous cystitis, a rare, potentially serious disease. METHODS: Analysis of two different cases treated in our center and review of the existing literature. RESULTS: One patient underwent emergency surgery (radical cystectomy) due to the advanced stage of the disease. The second patient, whose was in an initial stage, benefited from a new treatment, consisting of hyperbaric oxygen and wide spectrum antibiotics. CONCLUSIONS: Early diagnosis is the cornerstone of the conservative management of the disease. Hyperbaric oxygen therapy may be beneficial due to the improvement in oxygenation of the tissues affected by the disease