RESUMO
Report on two new cases of Bellini's collector duct carcinoma (CTC), discussing the clinical, radiological and pathological aspects which differentiate this disorder from the clear cells carcinoma, and review of the related literature.
Assuntos
Neoplasias Renais/diagnóstico , Túbulos Renais Coletores , Adolescente , Idoso , Humanos , MasculinoRESUMO
A case of paratesticular rhabdomyosarcoma in a 17-year-old patient is described. The clinical features, diagnostic and therapeutic aspects of this rare tumor type are briefly discussed.
Assuntos
Rabdomiossarcoma/patologia , Neoplasias Testiculares/patologia , Adolescente , Humanos , MasculinoRESUMO
We report on a 61-year-old patient with massive scrotal herniation of the bladder and non-Hodgkin malignant lymphoma. We briefly describe this disease entity and its form of presentation, and discuss its diagnosis and treatment.
Assuntos
Hérnia Inguinal , Escroto , Doenças da Bexiga Urinária , Hérnia/diagnóstico , Hérnia Inguinal/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Bexiga Urinária/diagnósticoRESUMO
We report a case of carcinosarcoma whose most striking feature was its markedly chondroid elements that initially prompted us to suspect a chondrosarcoma. The clinical features and treatment of this rare tumor type are briefly discussed.
Assuntos
Carcinossarcoma/patologia , Neoplasias da Bexiga Urinária/patologia , Idoso , Idoso de 80 Anos ou mais , Condroma/patologia , Humanos , MasculinoRESUMO
We report on a patient with two primary and synchronous urological tumors (hypernephroma and leiomyosarcoma of the bladder). Patient follow-up of 14 months revealed no evidence of tumor recurrence. The clinical, diagnostic and therapeutic aspects of this rare tumor of the bladder are highlighted. We consider surgical treatment mandatory and radio- and chemotherapy adjunctive treatment modalities.
Assuntos
Carcinoma de Células Renais , Neoplasias Renais , Leiomiossarcoma , Neoplasias Primárias Múltiplas , Neoplasias da Bexiga Urinária , Idoso , Carcinoma de Células Renais/patologia , Carcinoma de Células Renais/cirurgia , Humanos , Neoplasias Renais/patologia , Neoplasias Renais/cirurgia , Leiomiossarcoma/patologia , Leiomiossarcoma/cirurgia , Masculino , Neoplasias da Bexiga Urinária/patologia , Neoplasias da Bexiga Urinária/cirurgiaRESUMO
Renal adenocarcinoma presenting as a cystic mass is uncommon and causes difficulty in making the differential diagnosis. Ultrasound and particularly CT are considered to be the most useful diagnostic methods. The usefulness of ultrasound or CT-guided punction-aspiration has yet to be established since the aspirate is often non-specific. The major difficulty encountered when making the differential diagnosis is that of distinguishing cystic renal adenocarcinoma from multilocular cystic nephroma. Multilocular renal carcinoma and multilocular cystic nephroma are the most common adult multilocular renal cystic masses. The latter is more common in the female, whereas cystic renal adenocarcinoma is more common in the male patient.
Assuntos
Carcinoma de Células Renais/diagnóstico , Neoplasias Renais/diagnóstico , Carcinoma de Células Renais/patologia , Carcinoma de Células Renais/cirurgia , Diagnóstico Diferencial , Humanos , Doenças Renais Císticas/diagnóstico , Neoplasias Renais/patologia , Neoplasias Renais/cirurgia , Masculino , Pessoa de Meia-Idade , Neoplasias Primárias Múltiplas , Nefrectomia , Neoplasias Gástricas , Tomografia Computadorizada por Raios XRESUMO
Two cases of transitional cell inverted papilloma are described. The first case was a 44-year-old male patient who presented with hematuria. The second case was an incidental finding during a retropubic adenomectomy procedure. We describe the clinical features of this condition and discuss its histogenesis and treatment. Because of the possibility, although very small, of its evolving to malignancy, these patients must be followed carefully.
Assuntos
Papiloma/patologia , Neoplasias da Bexiga Urinária/patologia , Idoso , Idoso de 80 Anos ou mais , Hematúria/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Papiloma/complicações , Papiloma/cirurgia , Neoplasias da Bexiga Urinária/complicações , Neoplasias da Bexiga Urinária/cirurgia , Retenção Urinária/etiologiaRESUMO
Lymphomas constitute a group of malignant lymphoreticular diseases that may affect the adrenal glands and the GU system as a primary condition or, more frequently, as distant invasion. We report on a case of diffuse, histiocytic non-Hodgkin lymphoma that had been in hematologic clinical remission but had recurred with invasion of the right renal parenchyma. Initially, it could not be determined whether it was a primary neoplasm or the result of primary lymphatic spread. The reports published in the literature relative to this condition are reviewed.
Assuntos
Neoplasias Renais/secundário , Linfoma Difuso de Grandes Células B/patologia , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Terapia Combinada , Humanos , Neoplasias Renais/diagnóstico por imagem , Linfoma Difuso de Grandes Células B/diagnóstico por imagem , Linfoma Difuso de Grandes Células B/tratamento farmacológico , Linfoma Difuso de Grandes Células B/cirurgia , Masculino , Neoplasias do Mediastino/tratamento farmacológico , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A case of diverticulum of the female urethra complicated by lithiasis is described. The etiopathogenic aspects, clinical features, diagnostic methods and treatment of this rare condition are discussed.
Assuntos
Divertículo/diagnóstico por imagem , Doenças Uretrais/diagnóstico por imagem , Cálculos Urinários/diagnóstico por imagem , Divertículo/complicações , Divertículo/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Radiografia , Doenças Uretrais/complicações , Doenças Uretrais/cirurgia , Cálculos Urinários/complicações , Cálculos Urinários/cirurgiaRESUMO
We present a case of diffuse malignant mesothelioma of the tunica vaginalis testis, a very uncommon tumor site, in a patient who also had a tumor localized to the chest. We could not determine however, whether the testicular neoplasm was a primary tumor or a distant metastasis. We describe this tumor type, its mode of presentation, diagnosis and treatment.
Assuntos
Mesotelioma/ultraestrutura , Neoplasias Testiculares/ultraestrutura , Humanos , Masculino , Mesotelioma/diagnóstico por imagem , Mesotelioma/cirurgia , Pessoa de Meia-Idade , Neoplasias Testiculares/diagnóstico por imagem , Neoplasias Testiculares/cirurgia , UltrassonografiaRESUMO
We report on a 50-year-old male patient with acquired urethral diverticulum complicated by calculus in the anterior urethra. The etiologic factors, the hypotheses put forward relative to the pathogenesis of urethral diverticulum, its diagnosis and forms of treatment are discussed.
Assuntos
Divertículo , Doenças Uretrais , Divertículo/diagnóstico , Divertículo/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Uretrais/diagnóstico , Doenças Uretrais/cirurgiaRESUMO
A case of lithiasis in a front diverticulum of the urethra in male is presented. The unusual presentation it had together with the lack of frequency was pointed out, commenting briefly the diagnostic methods and ways of treatment.
Assuntos
Divertículo/diagnóstico por imagem , Doenças Uretrais/diagnóstico por imagem , Cálculos Urinários/diagnóstico por imagem , Divertículo/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Doenças Uretrais/cirurgia , Cálculos Urinários/cirurgiaRESUMO
A case of hydatid cyst of the adrenal gland in a patient with a previous history of hydatidosis is described. Following a brief discussion of the pathological features of adrenal cysts, attention is focussed on the diagnosis and treatment of this specific form of adrenal cyst: the hydatid adrenal cyst.
Assuntos
Doenças das Glândulas Suprarrenais/diagnóstico , Equinococose/diagnóstico , Idoso , Humanos , MasculinoRESUMO
A case of inflammatory malignant fibrous histiocytoma is described herein. We discuss its clinical features, therapeutic possibilities and diagnosis, highlighting the usefulness of magnetic resonance imaging as well as the importance of correct anatomopathological diagnosis.
Assuntos
Histiocitoma Fibroso Benigno/diagnóstico , Neoplasias Retroperitoneais/diagnóstico , Idoso , Histiocitoma Fibroso Benigno/diagnóstico por imagem , Histiocitoma Fibroso Benigno/patologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Neoplasias Retroperitoneais/diagnóstico por imagem , Neoplasias Retroperitoneais/patologia , Tomografia Computadorizada por Raios X , UrografiaRESUMO
Three additional cases of cephalad blind-ending ureters are reported herein. These cases had been diagnosed during IVP evaluation for other disorders. Its mode of presentation and diagnosis are briefly discussed and the literature reviewed.
Assuntos
Ureter/anormalidades , Adulto , Feminino , Humanos , Masculino , Radiografia , Ureter/diagnóstico por imagemRESUMO
We report a case of duplicated inferior vena cava and right retrocaval ureter with a urothelial tumor. The embryonal, clinical and diagnostic aspects of this disease entity are discussed. CT permitted noninvasive visualization of the retrocaval ureter and the urothelial tumor. We underscore the usefulness of the foregoing imaging technique versus the more invasive techniques such as cavography and ascending pyelography.
Assuntos
Carcinoma de Células de Transição/diagnóstico por imagem , Ureter/anormalidades , Neoplasias Ureterais/diagnóstico por imagem , Veia Cava Inferior/anormalidades , Adulto , Humanos , Masculino , Tomografia Computadorizada por Raios X , UrografiaRESUMO
A case of urinary retention from infranuclear neurogenic bladder secondary to perineal herpes zoster infection is described. We discuss the different urological compromise (neurologic and vesico-prostatic) following herpes zoster infection and the importance of correct diagnosis and patient follow-up. We do not recommend instituting drug therapy. Intermittent use of a catheter is advocated as the only treatment modality for this condition, which is reversible in most of the cases.
Assuntos
Herpes Zoster/complicações , Bexiga Urinaria Neurogênica/etiologia , Idoso , Feminino , Humanos , Bexiga Urinaria Neurogênica/fisiopatologia , UrodinâmicaRESUMO
A case of epidermoid carcinoma of the renal pelvis is described. The etiologic, prognostic and therapeutic aspects of this uncommon tumor of the upper urothelium are discussed.
Assuntos
Carcinoma de Células Escamosas/diagnóstico , Neoplasias Renais/diagnóstico , Pelve Renal , Idoso , Humanos , MasculinoRESUMO
We report on 55 cases of torsion of spermatic cord. We describe the clinical features and the findings on physical examination as well as other factors such as patient age, past history of transient painful episodes which should prompt us to consider this condition. In our view, immediate surgical exploration is justified in all cases of acute scrotum in patients in the second-third decade of life in whom this condition is suspected. This approach has allowed us to achieve testicular salvage in 76% of the cases immediately postoperatively. Contralateral fixation is mandatory. The possibility that unilateral testicular torsion might cause subsequent infertility from lesion to the contralateral testis probably due to an autoimmune mechanism has led to a reconsideration of radically conservative management of testicular torsion. Testes whose viability is doubtful should be removed. If untwisting and fixation is performed, patients should be followed closely for a long period to evaluate patient fertility.