[Choriocarcinoma of the lung]. / Coriocarcinoma de pulmón.

Primary choriocarcinoma of the lung is an extremely rare condition with a fatal outcome in most patients. We report the case of a 31-year-old woman with cough, chest pain, and hemoptysis, whose chest radiograph displayed nodules in the right upper lobe. After study and an unsuccessful attempt at histological characterization of the lesions, exploratory surgery was indicated. The patient underwent lobectomy and lymphadenectomy after diagnosis of a malignant process in the intraoperative biopsy. The definitive diagnosis was choriocarcinoma. Gonadal involvement was ruled out and the patient was referred to the oncology department for adjuvant therapy. She remains free of disease after 42 months. Although choriocarcinoma of the lung is extremely rare and it is hard to establish a standard treatment, in cases of localized disease, surgical resection followed by chemotherapy seems to be useful and can achieve long survivals.

[Adenomatoid tumors of the epididymis and testicle: report of 9 cases and bibliographic review]. / Tumor adenomatoide de epidídimo intratesticular: A proposito de nueve casos y revisión de la literatura.

BACKGROUND: To report the cases of adenomatoid tumors seen at Hospital Universitario La Paz in the last 15 years. METHODS: A clinical, pathological, and surgical study was conducted of males with testicular or paratesticular tumors with a histological report of adenomatoid tumor. RESULTS: Among the nine cases studied, seven had paratesticular and two intratesticular adenomatoid tumors. Treatment of choice was mass removal for epididymal tumors and orchidectomy for intratesticular tumors. CONCLUSIONS: Adenomatoid tumors are uncommon benign neoplasms of a possible mesothelial origin. Because of their benign nature, the treatment of choice is local excision (conservative surgery), but orchidectomy was performed in two cases due to tumor location.

Tumor adenomatoide de epidídimo e intratesticular: A proposito de nueve casos y revisión de la literatura / Adenomatoid tumors of the epididymis and testicle: report of 9 cases and bibliographic review

OBJETIVO: Describir los casos de tumores adenomatoides del Hospital Universitario La Paz en los últimos 15 años.MÉTODOS: Se ha realizado estudio clínico, anatomopatológico y quirúrgico de los varones con tumoración testicular o paratesticular con resultado histológico de tumor adenomatoide.RESULTADOS: En total hay nueve casos; siete presentaron tumor adenomatoide de localización paratesticular y dos intratesticular. La exéresis de la masa fue el tratamiento de elección en los epididimarios y orquiectomía en los intratesticulares.CONCLUSIONES: Los tumores adenomatoides son neoplasias benignas, poco frecuentes, de posible origen mesotelial. Como consecuencia de su naturaleza benigna, el tratamiento de elección es la exéresis local (cirugía conservadora), aunque en dos casos se llevó a cabo orquiectomía debido a su localización(AU)

OBJECTIVE: To report the cases of adenoma-toid tumors seen at Hospital Universitario La Paz in the last 15 years.METHODS: A clinical, pathological, and surgical study was conducted of males with testicular or paratesticular tumors with a histological report of adenomatoid tumor.RESULTS: Among the nine cases studied, seven had parates-ticular and two intratesticular adenomatoid tumors. Treatment of choice was mass removal for epididymal tumors and or-chidectomy for intratesticular tumors.CONCLUSIONS: Adenomatoid tumors are uncommon be-nign neoplasms of a possible mesothelial origin. Because of their benign nature, the treatment of choice is local excision (conservative surgery), but orchidectomy was performed in two cases due to tumor location(AU)

Coriocarcinoma de pulmón / Choriocarcinoma of the Lung

El coriocarcinoma primitivo de pulmón es una entidad extraordinariamente infrecuente, con evolución fatal en la mayoría de los pacientes. Se presenta el caso de una mujer de 31 años con tos, dolor torácico y hemoptisis, en cuya radiografía se apreciaron nódulos en el lóbulo superior derecho. Tras estudio e intento de filiación histológica de las lesiones, sin resultado, se indicó exploración quirúrgica y se practicó una lobectomía más linfadenectomía tras el diagnóstico de malignidad en la biopsia perioperatoria. El diagnóstico definitivo fue de coriocarcinoma. Se descartó que hubiera afectación ginecológica y se remitió a la paciente a oncología para tratamiento complementario. No hay evidencia de enfermedad a los 42 meses.Si bien esta enfermedad es muy rara y resulta difícil establecer un tratamiento estandarizado, en la enfermedad localizada parece útil la resección quirúrgica seguida de quimioterapia, con las que pueden conseguirse supervivencias elevadas(AU)

Primary choriocarcinoma of the lung is an extremely rare condition with a fatal outcome in most patients. We report the case of a 31-year-old woman with cough, chest pain, and hemoptysis, whose chest radiograph displayed nodules in the right upper lobe. After study and an unsuccessful attempt at histological characterization of the lesions, exploratory surgery was indicated. The patient underwent lobectomy and lymphadenectomy after diagnosis of a malignant process in the intraoperative biopsy. The definitive diagnosis was choriocarcinoma. Gonadal involvement was ruled out and the patient was referred to the oncology department for adjuvant therapy. She remains free of disease after 42 months.Although choriocarcinoma of the lung is extremely rare and it is hard to establish a standard treatment, in cases of localized disease, surgical resection followed by chemotherapy seems to be useful and can achieve long survivals(AU)