RESUMO
A 17-year-old woman was admitted to our hospital for the investigation of asymptomatic gross hematuria. Twenty nine months ago, she had received the right lower lobectomy because of the malignant salivary gland type mixed tumor of the bronchus. The intravenous pyelography and the right retrograde pyelography showed the irregular wall of the right renal pelvis. The computerized tomography showed a hypodense tumor which occupied the lower half of the right kidney. Cystoscopy showed bleeding from the right ureteral orifice. Chest X-ray revealed multiple lung metastases at the first examination, but right nephrectomy was performed because gross hematuria continued. The tumor thrombus, which spreaded into vena cava, was removed. The pathological diagnosis was the metastatic renal tumor of malignant salivary gland type mixed tumor. The patient died 102 days postoperatively.
Assuntos
Neoplasias Renais/secundário , Neoplasias Pulmonares/patologia , Tumor Misto Maligno/secundário , Idoso , Evolução Fatal , Feminino , Hematúria/etiologia , Humanos , Neoplasias Renais/patologia , Neoplasias Renais/cirurgia , Tumor Misto Maligno/patologia , Tumor Misto Maligno/cirurgia , NefrectomiaRESUMO
A 79-year-old woman was admitted to our hospital with gross hematuria and abdominal pain. She had had a uterine cancer 11 years previously and received 56 Gy 60Co external irradiation combined with 129 Gy 137Cs internal irradiation. She had a sign of pan-peritonitis. An emergency operation revealed an intraperitoneal rupture of the dome of the urinary bladder 8 cm in length. Because a primary suturing of the bladder wall was unsuccessful, bilateral cutaneous ureterostomy was performed. Histologically, the ruptured bladder wall showed a mucosal erosion and fibrosis of the muscle layer.
Assuntos
Cistite/complicações , Lesões por Radiação/complicações , Doenças da Bexiga Urinária/etiologia , Idoso , Feminino , Humanos , Radioterapia/efeitos adversos , Ruptura Espontânea , Neoplasias Uterinas/radioterapiaRESUMO
We report a rare case of primary malignant lymphoma of the penis developing a bulky scrotal mass. Tumor excision and radiotherapy were followed by abdominal recurrence. Salvage chemotherapy was unsuccessful and the patient died 9 months later.
Assuntos
Linfoma de Células B/diagnóstico , Neoplasias Penianas/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Evolução Fatal , Humanos , Masculino , Neoplasias Penianas/cirurgia , Escroto/patologiaRESUMO
Thirty-four patients with stage 1 or stage 2A testicular tumor all survived 5 years after the treatment, whereas eighteen patients with stage 2B or 3 testicular tumor, including only nonseminomatous tumor, had a 5-year survival rate of less than 50%. Spermatogenesis returned to normal in 3 patients surviving 22 months after chemotherapy. Five patients who had undergone retroperitoneal lymph node dissection with division of the inferior mesenteric artery developed impaired ejaculation, whereas 3 patients who had undergone the operation without division of the inferior mesenteric artery had normal ejaculation. In 17 patients with right testicular tumor metastases were found in the para-aortic, paracaval and interaortocaval lymph nodes. On the other hand, in 4 patients with left testicular tumor metastases were limited to the para-aortic nodes. These results indicate that impaired spermatogenesis by conventional chemotherapy is reversible in patients with stage 1 or 2 testicular tumor, and patients with stage 1 tumor or stage 2 tumor with localized para-aortic metastases, not involving the inferior mesenteric artery, should undergo retroperitoneal lymph node dissection without division of the inferior mesenteric artery to preserve postoperative fertility.
