RESUMEN
The local recurrence of the renal cell carcinoma in renal fossa after complete radical nephrectomy is uncommon. According to the latest articles related to this issue it ranges between 2% and 4%. For the period of 1999-2005 we evaluated 11 patients who underwent surgery for isolated renal cell carcinoma recurrence, all of them without clinical presence of distal metastases. 9 of the patients were operated for their first time in our department, and only two in other hospitals. These 9 patients represent 1.41% of the whole number of radical nephrectomies for RCC (637) which took place in our department for the same period of time. The tumor stage of the primary tumor varied from T1 to T3a. In addition lymph node dissection was performed on 7 of the patients. The average time for developing clinically significant fossa recurrence was 18 months. The current article has the purpose to present newer the data for the factors, which may be directly related to the risk of developing local recurrence in the renal fossa after complete radical nephrectomy--the initial tumor stage of the RCC, the relationship between the primary tumor and the histological type of the recurrent masses.
Asunto(s)
Carcinoma de Células Renales/cirugía , Neoplasias Renales/cirugía , Recurrencia Local de Neoplasia/cirugía , Nefrectomía/métodos , Adulto , Anciano , Anciano de 80 o más Años , Carcinoma de Células Renales/epidemiología , Carcinoma de Células Renales/patología , Supervivencia sin Enfermedad , Femenino , Humanos , Neoplasias Renales/epidemiología , Neoplasias Renales/patología , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/epidemiología , Recurrencia Local de Neoplasia/etiología , Recurrencia Local de Neoplasia/patología , Factores de RiesgoRESUMEN
METHODS: A rare case of 16 years old boy with rabdomyosarcoma of the penis is presented. RESULTS: The patient was treated with subtotal local excision of the tumor. The treatment was continued with chemotherapy courses. The tumor was histologically verified and immunohistochemically with specifical anti-mussule antibodies. Other cases from world literature are reviewed.
Asunto(s)
Neoplasias del Pene , Rabdomiosarcoma Alveolar , Adolescente , Humanos , Masculino , Neoplasias del Pene/diagnóstico , Neoplasias del Pene/cirugía , Rabdomiosarcoma Alveolar/diagnóstico , Rabdomiosarcoma Alveolar/cirugía , Resultado del TratamientoAsunto(s)
Enfermedades de la Mama/etiología , Granuloma de Cuerpo Extraño/etiología , Parafina/efectos adversos , Autocuidado/efectos adversos , Anciano , Mama/patología , Enfermedades de la Mama/patología , Calcinosis/etiología , Calcinosis/patología , Enfermedad Crónica , Femenino , Granuloma de Cuerpo Extraño/patología , Humanos , Factores de TiempoRESUMEN
Diseases of the penis account for a minor part of the general biopsy materials sent for examination, and usually represent varying in nature inflammatory processes and tumors. In the laboratory of andrology and mammary pathology of the department of pathoanatomy and cytopathology with the Alexander Hospital-Sofia, a total of 65 biopsies from the penis are investigated over an eight-year period. The greatest share of the latter is assigned to tumors and tumor-like processes (47.7 per cent), next ranking chronic nonspecific and granulomatous inflammatory processes (29.9 per cent), induratio penis plastica (18.5 per cent) and other diseases. Among the tumors carcinoma of the penis is the commonest (77.4 per cent); in 87.5 per cent it is a matter of flat-cellular, prevailingly highly differentiated neoplasm, and in 12.5 per cent-verrucous, posing considerable difficulties in histological differentiation from papillary benign neoplasms. Diagnosis may be rendered difficult in some of the seldom encountered granulomatous inflammations-sarcoidosis, sclerosing lipogranuloma.
Asunto(s)
Enfermedades del Pene/patología , Pene/patología , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Biopsia , Bulgaria/epidemiología , Niño , Preescolar , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Enfermedades del Pene/epidemiología , Pene/lesionesRESUMEN
A clinico-morphologic study of epididymis cysts was made in 52 patients at mean age 39.4 years, observed over a period of 2 ys. 4 mos. In approximately half of the cases (49.2 per cent) the cysts were localized in the left epididymis. Four types of histologic structure were distinguished: 1. smooth outlines of the lumen, filled with spermatozoa, and wall built up of fibrous tissue and different proportion of smooth- muscle, elastic and reticular fibers, and lined with one-row ciliary columnar or cubic epithelium; 2. similar to the former structure, but without spermatozoa in the lumen; 3. stellate-outlined lumen without spermatozoa in it, with a wall built up of connective tissue and lined with one-row ciliary columnar epithelium; 4. the wall is stellate-folded, built up of loose connective tissue and lined with one-row cubic epithelium, forming micropapillary structures, without presence of spermatozoa. Considerable difficulties are pointed out in determining the types of cysts according to the nature of their epithelial lining and the structure of their wall. Precise classification is possible when thorough clinico-morphologic parallel is used.