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1.
Enferm. glob ; 13(36): 337-351, oct. 2014. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-127761

RESUMO

Introducción: El Síndrome de abstinencia neonatal se define como un conjunto de síntomas que experimenta el recién nacido tras la retirada de drogas que causan adicción. Actualmente el consumo de sustancias de abuso, es uno de los problemas sanitarios más importantes de nuestra sociedad. El consumo de drogas por parte de las mujeres embarazadas es una situación relativamente frecuente e implica graves secuelas para los recién nacidos. Objetivo: Conocer el estado de la prevalencia e incidencia del síndrome de abstinencia neonatal (SAN) recogido en la literatura. Metodología: Se ha llevado a cabo una búsqueda bibliográfica a través de las bases de datos que ofrece la Biblioteca de la Universidad de Sevilla: IME biomedicina, PubMed, SCOPUS, CINAHL, CUIDEN y The Cochrane Library Plus. Resultados: Se han encontrado 627 artículos en total, de los cuales 62 artículos parecían válidos, seleccionando finalmente 22 a los que se han añadido 5 artículos más de una búsqueda secundaria admitiendo en total 27 artículos. Conclusiones: Tras la revisión se ha observado un incremento de la prevalencia en los últimos años respecto al consumo de drogas en mujeres en edad fértil y en mujeres embarazadas, lo que ha repercutido en un aumento del síndrome de abstinencia neonatal. Por lo que sería recomendable la realización de ensayos poblacionales, que permitan comprobar con mayor verosimilitud la incidencia del SAN, junto con la prevención y detección de sustancias tóxicas en el embarazo, que podría ser útil para reducir las cifras de casos (AU)


Introduction: Neonatal abstinence syndromes defined as a group of symptoms experienced by the newborn after the withdrawal of addictive drugs. Currently substance abuses one of the most important health problems in our society. Drug abuse by pregnant women is a relatively common condition and involves serious con sequences for newborns. Aim: To know the state of the prevalence and incidence of neonatal abstinence syndrome (NAS), as reflected in the literature. Methodology: It has been held a bibliographical search through the databases offered by the library of the University of Seville: IMEbiomedicine, PubMed, SCOPUS, CINAHL, CUIDEN and The Cochrane Library Plus. Results: 627 articles have been found in total of which 62 articles seemed to be valid finally selecting 22 which have added 5 more articles, from a secondary search admitting a total of 27articles. Conclusions: After the review it has been observed an increase in prevalence in recent years regarding drug use in women of child bearing age and pregnant women which has resulted in an increase of neonatal abstinence syndrome. So it would be recommendable conducting population studies to check with greater verisimilitude the incidence of SAN along with the prevention and detection of toxic substances in pregnancy which could be useful to reduce the numbers of cases (AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Síndrome de Abstinência Neonatal/epidemiologia , Transtornos Relacionados ao Uso de Substâncias , Gravidez , Cuidados de Enfermagem , Saúde Materno-Infantil
2.
Rev Esp Salud Publica ; 88(3): 419-28, 2014.
Artigo em Espanhol | MEDLINE | ID: mdl-25028309

RESUMO

BACKGROUND: Job satisfaction of nurses is a determinant factor in the quality and organizational adaptation of clinical management models in the current socio-economic context. The aim of this study was to construct and validate a questionnaire to measure job satisfaction of nurses in the Clinical Management Units in the Andalusian Public Health System. METHODS: Clinimetric and cross-sectional study with a sample of 314 nurses of two university hospitals from Seville. Nurses were surveyed in 2011, from March to June. We used the Font Roja questionnaire adapted to our study variables. We performed analyses of correlations, reliability and construct validity, using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to test the a priori model. RESULTS: The end questionnaire consists of 10 items, whose internal consistency was 0.75, with a percentage of variance explaining of 63.67%. CFA confirmed 4 dimensions (work environment, work relationships, motivation, and recognition): significant χ2 (p < .001); χ2/gl = 2.013; GFI= 0.958, RMR = 0.055 y RMSEA = 0.057; AGFI = 0.927, NFI = 0.878, TLI = 0.902, CFI =0.933 e IFI = 0.935; AIC = 132.486 y ECVI = 0.423. CONCLUSION: This new questionnaire (G_Clinic) improves clinimetric values of the Font Roja questionnaire, because it reduces the number of items, improves the reliability of the dimensions, increases the value of variance explained, and allows knowing job satisfaction of nurses in clinical managementt.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Inquéritos e Questionários , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Psicometria , Reprodutibilidade dos Testes , Espanha , Local de Trabalho
3.
Rev. esp. salud pública ; 88(3): 419-428, mayo-jun. 2014. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-122931

RESUMO

Fundamentos: La satisfacción laboral de los profesionales de enfermería es un factor determinante en la calidad y adaptación organizativa de los modelos de gestión clínica en el actual contexto socioeconómico. El objetivo del estudio fue construir y validar un cuestionario para conocer el nivel de satisfacción laboral de los profesionales enfermeros en las Unidades de Gestión Clínica en el Sistema Sanitario Público Andaluz. Métodos: Estudio clinimétrico y transversal, tomando como muestra a 314 profesionales de enfermería pertenecientes a los Hospitales Universitarios Virgen del Rocío y Virgen Macarena de Sevilla. Las encuestas se realizaron en 2011, entre los meses de marzo a junio. Se utilizó como base el cuestionario Font Roja adaptado a las variables de nuestra investigación. Se realizó el análisis de correlaciones, fiabilidad, validez de constructo mediante Análisis Factorial Exploratorio (AFE) y Análisis Factorial Confirmatorio (AFC) para comprobar el modelo apriorístico. Resultados: Se construyó un cuestionario con 10 ítems, cuya consistencia interna es de 0,75 con un porcentaje explicativo de la varianza del 63,67%. El AFC corroboró 4 dimensiones (clima laboral, relaciones laborales, motivación y reconocimiento): χ2 significativo (p<,001); χ2/gl=2,013; GFI=0,958, RMR=0,055 y RMSEA=0,057; AGFI=0,927, NFI=0,878, TLI=0,902, CFI=0,933 e IFI=0,935; AIC=132,486 y EC- VI=0,423. Conclusiones: Este nuevo cuestionario (G_Clinic) mejora los valores del cuestionario Font Roja, ya que disminuye el número de ítems, mejora la fiabilidad de cada una de las dimensiones, aumenta el valor de la varianza explicada y posibilita conoce la satisfacción de los profesionales de enfermería en la gestión clínica (AU)


Background: Job satisfaction of nurses is a determinant factor in the quality and organizational adaptation of clinical management models in the current socio-economic context. The aim of this study was to construct and validate a questionnaire to measure job satisfaction of nurses in the Clinical Management Units in the Andalusian Public Health System. Methods: Clinimetric and cross-sectional study with a sample of 314 nurses of two university hospitals from Seville. Nurses were surveyed in 2011, from March to June. We used the Font Roja questionnaire adapted to our study variables. We performed analyses of correlations, reliability and construct validity, using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to test the a priori model. Results: The end questionnaire consists of 10 items, whose internal consistency was 0.75, with a percentage of variance explaining of 63.67%. CFA confirmed 4 dimensions (work environment, work relationships, motivation, and recognition): significant χ2 (p < .001); χ2/gl = 2.013; GFI= 0.958, RMR = 0.055 y RMSEA = 0.057; AGFI = 0.927, NFI = 0.878, TLI = 0.902, CFI = 0.933 e IFI = 0.935; AIC = 132.486 y ECVI = 0.423. Conclusion: This new questionnaire (G_Clinic) improves clinimetric values of the Font Roja questionnaire, because it reduces the number of items, improves the reliability of the dimensions, increases the value of variance explained, and allows knowing job satisfaction of nurses in clinical managementt (AU)


Assuntos
Humanos , Psicometria/instrumentação , Satisfação no Emprego , Enfermeiras e Enfermeiros/psicologia , Governança Clínica/estatística & dados numéricos , Inquéritos e Questionários , Carga de Trabalho , Esgotamento Profissional/epidemiologia
4.
Rev Enferm ; 36(1): 33-8, 2013 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-23427735

RESUMO

Clinical Management Unit (CMU) is currently set in the Andalusian health institutions as the model reference management. This management model aims to make all healthcare professionals a powerful idea: the best performance of health resources is performed to drive clinical practice using the least number of diagnostic and therapeutic resources. The CMU not only aims at saving money, in the Clinical Management Agreement [1] are measured all the dimensions that make up the UGC: research, training, clinical process, the portfolio of services, objectives, financial management and indicators to control and security. The CMU is to transfer more responsibilities to Health Care Professionals, involving them in the management of the Unit. The CMU sets new approaches that directly affect health professionals and presents advantages and disadvantages for the Doctors and the Nurses, involved in achieving excellence in care work. Nurse Practitioners shows expectant before the changes are generated in health institutions and appears a discussion of skills derived from the CMU. Some Nurses believe that the bur, den of care to which they are subjected in public institutions has increased since the onset of the CMU and yet others believe that they are motivated and rewarded for the results obtained with this model of management. In health institutions, some professionals are more motivated than others and this is found in the outcome of health care activity [2]. Given the positive and negative perceptions that arise in the CMU Professional Nurses, it is considered appropriate to focus the objective of this work in the search for factors that influence job satisfaction of nurses in the CMU. There are few studies about the CMU [3] but are absent when linked with nursing, so the pursuit of scientific knowledge related to nursing management model based on Clinical and Quality Care can lead to establish new concepts around the nursing profession, a profession in which major changes are foreseen when the Grade is effective.


Assuntos
Satisfação no Emprego , Enfermagem , Assistência à Saúde/organização & administração , Humanos , Espanha
5.
Rev. Rol enferm ; 36(1): 33-38, ene. 2013. tab
Artigo em Espanhol | IBECS | ID: ibc-113839

RESUMO

La Unidad de Gestión Clínica (UGC) se ha establecido actualmente en las instituciones sanitarias andaluzas como el modelo de gestión de referencia. Este modelo de gestión pretende instaurar en los profesionales sanitarios una idea-fuerza: el mayor rendimiento de los recursos sanitarios se realiza impulsando la práctica clínica que utilice el menor número de recursos diagnósticos y terapéuticos. La UGC no solo tiene como objetivo el ahorro económico, en el Acuerdo de Gestión Clínica [1] se valoran todas las dimensiones que la integran: la investigación, la formación, el proceso clínico, la cartera de servicios, los objetivos, la gestión económica y los indicadores de control y de seguridad. En ella se pretende transferir más responsabilidades a los profesionales sanitarios, implicándolos en la gestión de la Unidad. La UGC establece nuevos enfoques que afectan directamente a los profesionales sanitarios y plantea ventajas e inconvenientes para los facultativos y los profesionales de enfermería, implicados en la consecución de la excelencia en la labor asistencial. Estos últimos se muestran expectantes ante los cambios que se van generando en las instituciones sanitarias y aparece un debate acerca de las competencias que se derivan de la misma. Algunos profesionales de enfermería consideran que la presión asistencial a la que se ven sometidos en las instituciones públicas ha aumentado desde la aparición de la UGC y, sin embargo, otros se sienten motivados y recompensados por los resultados que obtienen con este modelo de gestión. En las instituciones sanitarias algunos profesionales se sienten más motivados que otros y esto se constata en el resultado de la actividad asistencial [2]. Ante las percepciones positivas y negativas que la UGC plantea, se considera pertinente centrar el objetivo de este trabajo en la búsqueda de los factores que influyen en la satisfacción laboral de los profesionales de enfermería de la UGC. Son escasos los estudios realizados acerca de la misma [3] pero resultan inexistentes si se vinculan con la enfermería; por tanto, la búsqueda del conocimiento científico de enfermería relacionado con el modelo de gestión clínica y fundamentado en la calidad asistencial puede llevar a establecer nuevos conceptos en torno a la profesión enfermera, profesión en la que se vislumbran importantes cambios cuando el Grado sea efectivo(AU)


Clinical Management Unit (CMU) is currently set in the Andalusian health institutions as the model reference management. This management model aims to make all healthcare professionals a powerful idea: the best performance of health resources is performed to drive clinical practice using the least number of diagnostic and therapeutic resources. The CMU not only aims at saving money, in the Clinical Management Agreement [1] are measured all the dimensions that make up the UGC: research, training, clinical process, the portfolio of services, objectives, financial management and indicators to control and security. The CMU is to transfer more responsibilities to Health Care Professionals, involving them in the management of the Unit. The CMU sets new approaches that directly affect health professionals and presents advantages and disadvantages for the Doctors and the Nurses, involved in achieving excellence in care work. Nurse Practitioners shows expectant before the changes are generated in health institutions and appears a discussion of skills derived from the CMU. Some Nurses believe that the burden of care to which they are subjected in public institutions has increased since the onset of the CMU and yet others believe that they are motivated and rewarded for the results obtained with this model of management. In health institutions, some professionals are more motivated than others and this is found in the outcome of health care activity [2]. Given the positive and negative perceptions that arise in the CMU Professional Nurses, it is considered appropriate to focus the objective of this work in the search for factors that influence job satisfaction of nurses in the CMU. There are few studies about the CMU [3] but are absent when linked with nursing, so the pursuit of scientific knowledge related to nursing management model based on Clinical and Quality Care can lead to establish new concepts around the nursing profession, a profession in which major changes are foreseen when the Grade is effective(AU)


Assuntos
Humanos , Masculino , Feminino , Satisfação no Emprego , Enfermeiras Clínicas/organização & administração , Avaliação em Enfermagem/legislação & jurisprudência , Avaliação em Enfermagem/organização & administração , Avaliação em Enfermagem/normas , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/normas , Cuidados de Enfermagem/tendências , Seguro de Serviços de Enfermagem/normas , Legislação de Enfermagem/organização & administração , Enfermagem Prática/métodos , Enfermagem Prática/organização & administração , Enfermagem Prática/normas , /organização & administração , Qualidade da Assistência à Saúde/organização & administração , Qualidade da Assistência à Saúde/normas
6.
Prog. obstet. ginecol. (Ed. impr.) ; 51(6): 370-373, jun. 2008. ilus
Artigo em Espanhol | IBECS | ID: ibc-66364

RESUMO

El angiomixoma agresivo es una neoplasia pocofrecuente, que suele afectar a la región perineal ypelvis, con capacidad infiltrativa local y frecuentesrecurrencias; el tratamiento de elección es laexéresis quirúrgica completa.Presentamos un caso de angiomixoma agresivolocalizado en región pelviperineal, realizando unarevisión de las características clinicopatológicas y elmanejo de estos pacientes.Es importante considerar el diagnóstico deangiomixoma agresivo en pacientes con masa enregión perineopélvica


Aggressive angiomyxoma is a rare tumor thatusually involves the pelvic and perineal regions.These locally infiltrative tumors are associated with a high recurrence rate. The treatment of choiceis radical surgical excision.We report a case of aggressive angiomyxoma ofthe female pelvis and perineum and review theclinical and pathologic characteristics of this entity,as well as the management of these patients.Any perineal-pelvic tumor should be evaluatedas a potentially aggressive angiomyxoma


Assuntos
Humanos , Feminino , Adulto , Mixoma/patologia , Neoplasias Pélvicas/patologia , Mixoma/cirurgia , Processos Neoplásicos , Neoplasias Pélvicas/cirurgia , Diagnóstico Diferencial
7.
Arch Esp Urol ; 60(9): 1.122-4, 2007 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-18077869

RESUMO

OBJECTIVE: Metanephric adenoma is an unfrequent renal neoplasm, usually asymptomatic. Differential diagnosis with other renal tumors has to be performed. METHODS/RESULTS: We report the case of a 67 years old woman with a metanephric adenoma. CONCLUSIONS: Metanephric tumors comprise a pathologic spectrum of lesions. At one end of the pathologic spectrum are the metanephric adenomas. These tumors usually behave in a benign fashion. It is important to differentiate metanephric adenoma from clinically aggressive renal tumors.


Assuntos
Adenoma/diagnóstico , Neoplasias Renais/diagnóstico , Idoso , Diagnóstico Diferencial , Feminino , Humanos
8.
Arch. esp. urol. (Ed. impr.) ; 60(10): 1213-1215, dic. 2007. ilus
Artigo em Espanhol | IBECS | ID: ibc-135625

RESUMO

OBJETIVO: El carcinosarcoma se caracteriza por ser un tumor con componente epitelial y mesenquimal maligno. Se trata de una neoplasia poco frecuente en la vía urinaria y su localización en uréter es excepcional. MÉTODOS/RESULTADOS: Describimos un caso de carcinosarcoma de uréter en un paciente de 69 años de edad al que se le practica tumorectomía con resección ureteral. CONCLUSIÓN: Los carcinosarcomas son tumores malignos con mal pronóstico, probablemente por ser lesiones diagnosticadas en estadio avanzado (AU)


OBJECTIVE: Carcinosarcoma is a neoplasia with malignant epithelial and mesenchymal differentiation. Carcinosarcoma of the urinary tract is a rare neoplasm. It is an extremely rare entity in the ureter. METHODS/RESULTS: We report one case of carcinosarcoma arising from the ureter in a 69-year-old male patient who underwent total ureterectomy. CONCLUSION: Carcinosarcomais a malignant neoplasia associated with poor prognosis, probably resulting from the advanced stage at diagnosis (AU)


Assuntos
Humanos , Masculino , Idoso , Carcinossarcoma/diagnóstico , Neoplasias Ureterais/diagnóstico
9.
Arch. esp. urol. (Ed. impr.) ; 60(9): 1122-1124, nov. 2007. ilus
Artigo em Espanhol | IBECS | ID: ibc-057108

RESUMO

Objetivo: El adenoma metanéfrico es una neoplasia renal poco frecuente, usualmente asintomática, que plantea el diagnóstico diferencial con otros tumores renales más frecuentes. Métodos y resultados: Presentamos un caso de adenoma metanéfrico en una mujer de 67 años de edad. Conclusiones: Los tumores metanéfricos comprenden un amplio espectro de lesiones, encontrándose en uno de sus extremos el adenoma metanéfrico. Se trata de un tumor de comportamiento usualmente benigno, que plantea el diagnostico diferencial con tumores renales malignos (AU)


Objective: Metanephric adenoma is an unfrequent renal neoplasm, usually asymptomatic. Differential diagnosis with other renal tumors has to be performed. Methods/results: We report the case of a 67 years old woman with a metanephric adenoma. Conclusions: Metanephric tumors comprise a pathologic spectrum of lesions. At one end of the pathologic spectrum are the metanephric adenomas. These tumors usually behave in a benign fashion. It is important to differentiate metanephric adenoma from clinically aggressive renal tumors (AU)


Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Adenoma/complicações , Adenoma/diagnóstico , Diagnóstico Diferencial , Neoplasias Renais/complicações , Neoplasias Renais/diagnóstico , Neoplasias Renais/cirurgia , Adenoma/cirurgia , Carcinoma de Células Renais/complicações , Nefropatias/complicações , Nefropatias/cirurgia
10.
Arch Esp Urol ; 60(10): 1.213-1.215, 2007 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-18273981

RESUMO

OBJECTIVE: Carcinosarcoma is a neoplasia with malignant epithelial and mesenchymal differentiation. Carcinosarcoma of the urinary tract is a rare neoplasm. It is an extremely rare entity in the ureter. METHODS/RESULTS: We report one case of carcinosarcoma arising from the ureter in a 69-year-old male patient who underwent total ureterectomy. CONCLUSION: Carcinosarcomais a malignant neoplasia associated with poor prognosis, probably resulting from the advanced stage at diagnosis.


Assuntos
Carcinossarcoma/diagnóstico , Neoplasias Ureterais/diagnóstico , Idoso , Humanos , Masculino
11.
Arch Esp Urol ; 59(9): 914-6, 2006 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-17190218

RESUMO

OBJECTIVE: Persistence of a patent urachus is a relatively rare occurrence; however; the persistence of urachal remnants is common. The pathologic lesions of the urachus include benign and malignant neoplasms. The majority of malignant urachal neoplasms are adenocarcinomas. METHODS AND RESULTS: We report a case of papillary urothelial carcinoma of urachus in a 73-year-old woman. The patient was treated with complete surgical extirpation and partial cystectomy. CONCLUSION: The recognition of urachal remnants as vestigial structures and pathologic lesions of the urachus is important.


Assuntos
Carcinoma de Células de Transição/diagnóstico , Úraco , Idoso , Carcinoma de Células de Transição/cirurgia , Feminino , Humanos
12.
Arch. esp. urol. (Ed. impr.) ; 59(9): 914-916, nov. 2006. ilus
Artigo em Espanhol | IBECS | ID: ibc-052198

RESUMO

OBJETIVOS: La persistencia del uraco en el adulto es relativamente rara, siendo frecuente la presistencia de remanentes. Sobre él pueden desarrollarse diversos procesos patológicos, incluyendo neoplasias benignas y malignas, siendo la mas frecuente el adenocarcinoma. MÉTODOS Y RESULTADOS: Describimos un caso de carcinoma papilar urotelial de uraco en una paciente de 73 años de edad a la que se le practica tumorectomía y cistectomía parcial. CONCLUSIONES: Es importante el reconocimiento del uraco como estructura vestigial, así como el conocimiento de las lesiones desarrolladas sobre él


OBJECTIVE: Persistence of a patent urachus is a relatively rare occurrence; however; the persistence of urachal remnants is common. The pathologic lesions of the urachus include benign and malignant neoplasms. The majority of malignant urachal neoplasms are adenocarcinomas. METHODS AND RESULTS: We report a case of papillary urothelial carcinoma of urachus in a 73-year-old woman. The patient was treated with complete surgical extirpation and partial cystectomy. COCLUSION: The recognition of urachal remnants as vestigial structures and pathologic lesions of the urachus is important


Assuntos
Feminino , Idoso , Humanos , Carcinoma Papilar/patologia , Úraco/patologia , Neoplasias Urológicas/patologia , Urotélio/patologia , Metrorragia/etiologia
13.
Prog. obstet. ginecol. (Ed. impr.) ; 49(9): 540-542, sept. 2006. ilus
Artigo em Espanhol | IBECS | ID: ibc-048493

RESUMO

Introducción: El tumor estromal esclerosante es una neoplasia benigna que representa el 2-6% de los tumores estromales ováricos, y el 80% se presenta en mujeres entre la segunda y tercera décadas de la vida. Suelen ser tumores sólidos con áreas de edema y pequeñas zonas quísticas y un patrón histológico característico. Descripción del caso: Presentamos un caso de tumor estromal esclerosante totalmente quístico en una paciente de 53 años de edad, planteándose el diagnóstico diferencial con otras lesiones quísticas ováricas. Conclusión: El tumor esclerosante ovárico es un tumor benigno que puede plantear el diagnóstico diferencial tanto con lesiones ováricas sólidas como quísticas


Introduction: Sclerosing stromal tumor is a benign neoplasm representing 2-6% of ovarian stromal tumors. Eighty percent of these tumors appear in women in the second and third decades of life. These neoplasms are usually macroscopically solid tumors with small edematous and cystic areas and show characteristic histological features. Case report: We report a case of sclerosing cystic stromal tumor of the ovary in a 53-year-old woman and discuss its differential diagnosis with other solid and cystic ovarian neoplasms. Conclusion: Sclerosing ovarian tumor is a benign entity that may pose problems of differential diagnosis with other solid and cystic tumors


Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Cistos Ovarianos/patologia , Neoplasias Ovarianas/patologia , Células Estromais/patologia
14.
Arch. esp. urol. (Ed. impr.) ; 58(9): 947-949, nov. 2005. ilus
Artigo em Espanhol | IBECS | ID: ibc-042789

RESUMO

OBJETIVOS: Los tumores de próstata representanla neoplasia maligna más frecuente en el varón.Mientras que las lesiones epiteliales son frecuentes, lasneoplasias de origen mesenquimal representan solo un0´2% de las neoplasias malignas prostáticas y son pococonocidas, sobre todo las de origen estromal.METODOS Y RESULTADOS: Este artículo describe un casode un varón de 20 años de edad, con un sarcoma delestroma prostático al que se le realiza una cistoprostatectomíaradical. El tumor ocupa prácticamente la totalidadde la próstata, alcanzando un diámetro de 8 cmHistológicamente está constituido por células fusiformescon moderada atipia y frecuentes figuras de mitosis, entremezcladascon aisladas estructuras ductales elongadas,adoptando un patrón similar al tumor filodes, que planteael diagnóstico diferencial con otros tumores mesenquimalesprostáticos. CONCLUSIONES: El comportamiento clínico de estostumores, basado en los escasos casos descritos en la literatura,es prácticamente desconocido . Las recurrenciaslocales no son raras, y se han descrito casos de metástasisa distancia, fundamentalmente a pulmón y hueso. Ennuestro caso el paciente permanece libre de enfermedada los 12 meses del diagnóstico


OBJECTIVE: Prostatic tumors are the most frequent malignant neoplasms in men, most of them being constituted by carcinomas; only 0,2% of malignant prostatic neoplasms are of mesenchimal origin. They are not well known, especially those of prostatic stromal phenotype. METHODS AND RESULTS: We report the case of a 20- year-old man with a prostatic stromal sarcoma. After total cystoprostatectomy a tumor measuring 8 cm could be seen, replacing almost the whole prostate. Microscopically a spindle cell neoplasia with moderate atypia and a high mitotic index entrapping few elongated prostatic ducts (adopting a phyllodes tumor morphology) was observed. CONCLUSION: The clinical behavior of these infrequent sarcomas is not well-established. Recurrences are not uncommon whereas lung and bone metastases have been described. Twelve months after surgery our patient is alive without evidence of disease


Assuntos
Masculino , Adulto , Humanos , Sarcoma/diagnóstico , Neoplasias da Próstata/diagnóstico
15.
Arch Esp Urol ; 58(9): 947-9, 2005 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-16430043

RESUMO

OBJECTIVE: Prostatic tumors are the most frequent malignant neoplasms in men, most of them being constituted by carcinomas; only 0.2% of malignant prostatic neoplasms are of mesenchimal origin. They are not well known, especially those of prostatic stromal phenotype. METHODS AND RESULTS: We report the case of a 20 year-old man with a prostatic stromal sarcoma. After total cystoprostatectomy a tumor measuring 8 cm could be seen, replacing almost the whole prostate. Microscopically a spindle cell neoplasia with moderate atypia and a high mitotic index entrapping few elongated prostatic ducts (adopting a phyllodes tumor morphology) was observed. CONCLUSION: The clinical behavior of these infrequent sarcomas is not well-established. Recurrences are not uncommon whereas lung and bone metastases have been described. Twelve months after surgery our patient is alive without evidence of disease.


Assuntos
Neoplasias da Próstata/diagnóstico , Sarcoma/diagnóstico , Adulto , Humanos , Masculino
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