[Acute urologic symptoms associated with uterine myoma]. / Sintomatología urológica aguda asociada al mioma uterino.

While prevalence of uterine leiomyoma is high, its presentation affecting the urinary tract is uncommon. We contribute the cases of two adult women with symptoms of nephritic colic and urinary retention. Etiology was acute obstruction of the urinary tract due to previously asymptomatic urine myomas. Management in both patients was surgery, using hysterectomy to resolve the urinary obstruction. A brief review of the literature is included.

[Cushing syndrome caused by macronodular hyperplasia ACTH-independent]. / Síndrome de Cushing por hiperplasia macronodular ACTH independiente.

Case report of a 49-year old male patient who presented with signs and symptoms in agreement with Cushing's Syndrome, the etiology of which was shown to be an ACTH-independent macronodular hyperplasia. In such cases, the therapeutical choice is bilateral adrenalectomy which was adopted by us using a posterior approach. The relevance of the clinical diagnosis and therapeutical aspects of this condition are reviewed.

Adenomatoid tumor of intratesticular localization.

The germinal cell tumor represents the most common malignancy of the testicular tissues. Benign testis tumors are exceptional, and in this situation organ preservation should be considered. The adenomatoid tumor is the most common paratesticular type with anatomic distribution limited to the epididymis, testicular membranes and rarely to the spermatic cord. Its intratesticular localization is very rare. We report here the clinical case of a 32-year-old man with a testicular tumor who came to our department with a 6-month growth of a testicular mass (normal alpha-fetoprotein and beta-HCG). The pathologic report revealed a solid and small tumor at the lower pole of the testicle with total intratesticular tumor growth (adenomatoid tumor of intratesticular localization). Because of its rarity, the clinical, diagnostic and therapeutic aspects and the possibilities of testicular preservation are discussed.

T1 GIII bladder cancer. Management with transurethral resection only.

OBJECTIVE: Transurethral resection (TUR) is the elective procedure in the treatment of superficial bladder tumor. The association of intravesical chemotherapy has no influence on survival and cause specific survival. This study was carried out to determine the evolution of T1 GIII bladder carcinoma treated with TUR only. PATIENTS AND METHODS: We retrospectively reviewed the records of 42 consecutive patients with T1 GIII bladder carcinoma. Follow-up was available for 34 patients. No patient received either adjuvant or neoadjuvant therapy. All the patients were treated with TUR only and followed for a median of 40 months. They were followed by cystoscopy, urinary cytology and intravenous urography. RESULTS: Forty-seven percent of patients had a solitary tumor while 53% had multiple tumors. Tumor recurrence occurred in 50% with a disease-free interval until the first relapse of 9.6 months. Progression of the primary tumor was observed in 23.5% of patients. The overall survival rate was 73.6% and the cancer-specific survival estimate was 88.2% at mean 36 months of follow-up. CONCLUSIONS: T1 GIII bladder carcinoma may be treated initially with transurethral resection only with acceptable recurrence and progression rates. This would avoid costs and complications of the adjuvant/neoadjuvant therapies.

Adenocarcinoma de cólon sigmóide com invasäo vesical / Adenocarcinoma of the colon involving bladder

Apresentamos uma série de 10 pacientes com adenocarcinoma de intestino grosso com invasäo vesical, operados no nosso Hospital. Em 8 casos realizamos cistectomia parcial com ressecçäo de sigmóide e nos 2 casos restantes, cistectomia radical com neobexiga ortotópica e ressecçäo de sigmóide. Com um seguimento médio de 27 meses, 7 pacientes se encontram assintomáticos e livres da enfermidade