RESUMEN
Malignant paratesticular tumors are uncommon. Of these, liposarcoma of the spermatic cord constitutes a rare tumor. Only a hundred cases have been reported. They are typically presented in elderly people. The usually have a good prognosis because of their low level of malignancy and their relapses tend to be localized. It has a high rate of survival over 5 years. Preoperative diagnosis is infrequent, it is suggested by the appearance of a progressively enlarging mass in the scrotum and the ultrasonography which shows a solid mass of the spermatic cord that is independent of the testicle. The choice treatment is radical orchidectomy, while long-term follow-up of these patients is mandatory because of local relapses. When local relapses become evident, the choice treatment is extensive local excision followed by adjuvant radiotherapy. In the present study we report a new case of a recurring, well differentiated spermatic cord liposarcoma of the type sclerotic, in a 50-year-old man. An exhaustive review of the literature has been made.
Asunto(s)
Neoplasias de los Genitales Masculinos/diagnóstico , Liposarcoma/diagnóstico , Cordón Espermático , Neoplasias de los Genitales Masculinos/patología , Neoplasias de los Genitales Masculinos/cirugía , Humanos , Liposarcoma/patología , Liposarcoma/cirugía , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/diagnóstico , Recurrencia Local de Neoplasia/radioterapia , Recurrencia Local de Neoplasia/cirugía , Orquiectomía , Radioterapia Adyuvante , Cordón Espermático/patología , Cordón Espermático/cirugía , Factores de TiempoRESUMEN
Wide ureteral injuries are unusual but not exceptional and have few conservative therapeutic options, specially those that involve the upper ureter. Autotransplantation, ureteral substitution by intestine and combined Boari bladder flap-psoas bladder hitch are basically the only chances to avoid nephrectomy. In this paper we report five cases in which ileum was used to substitute the ureter and review the most outstanding literature about this subject.
Asunto(s)
Íleon/trasplante , Uréter/lesiones , Uréter/cirugía , Enfermedades Ureterales/cirugía , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The abnormal persistence of the patent processus vaginalis determines the appearance of four types of pathology, depending on the grade and sort of communication: communicating hydrocele, hydrocele of cord, scrotal hydrocele and intrafunicular hernia. We have revised our casuistry of children with patent processus vaginalis pathology for the two last years (1995-1996), and we have found 75 communicating hydrocele cases, 5 hydrocele of cord and 16 scrotal hydrocele cases, on children between 1 month and 13 years old. The diagnostic was done after physical exploration with transillumination and inguino-scrotal ultrasound. Initially, conservative treatment was followed, which was enough for 58 patients (60.4%). In the 38 cases (39.6%) in which there were no improvement, surgical treatment via inguinal was carried out, with good results in nearly all cases. As a conclusion, we can assert that ultrasound is an excellent diagnostical method for patent processus vaginalis pathology and conservative treatment must have priority upon surgery, since a great number of spontaneous resolutions are observed, most of all on children aged less than two years old.
Asunto(s)
Conductos Paramesonéfricos/anomalías , Cordón Espermático , Hidrocele Testicular/terapia , Adolescente , Niño , Preescolar , Quistes/etiología , Quistes/terapia , Humanos , Lactante , Masculino , Conductos Paramesonéfricos/diagnóstico por imagen , Estudios Retrospectivos , Hidrocele Testicular/diagnóstico por imagen , Hidrocele Testicular/etiología , UltrasonografíaRESUMEN
Contribution of two new cases of vesicouterine fistula secondary to a cesarean incision. In one case, diagnosis was achieved through cystography and cystoscopy, while in the second case cystography, cystoscopy and stain testing (methylene blue) were used. In both cases management was through transperitoneal and transvesical fistulorrhaphy. The two cases showed favourable post-operative evolution with no relapse.
Asunto(s)
Fístula/diagnóstico , Fístula de la Vejiga Urinaria/diagnóstico , Enfermedades Uterinas/diagnóstico , Adulto , Femenino , Fístula/diagnóstico por imagen , Fístula/cirugía , Humanos , Radiografía , Fístula de la Vejiga Urinaria/diagnóstico por imagen , Fístula de la Vejiga Urinaria/cirugía , Enfermedades Uterinas/diagnóstico por imagen , Enfermedades Uterinas/cirugíaRESUMEN
Tumours derived from sex cords and primitive gonadal stroma account for 4% of total testicular tumours. The low frequency of Sertoli's cells tumour (SCT) and the uneven study and follow-up of patients makes analysis of this tumoral entity difficult. This paper contributes one case report of a Sertoli's giant cell tumour calcified in a 13-year old patient, and reviews the clinical aspects, clinico-pathological varieties believed to require assessment in patients with this type of disease. This type of tumour is considered benign in its biological behaviour, although some malignant forms have also been described. SCT is actually an heterogeneous tumoral pathogenic entity with regard to pathogenic and prognostic aspects. Our final conclusions show that the clinico-pathological variety, age, size and associated clinical manifestations appear to be related to the prognosis.
Asunto(s)
Tumor de Células de Sertoli/patología , Neoplasias Testiculares/patología , Adolescente , Humanos , Masculino , Pronóstico , Tumor de Células de Sertoli/clasificación , Neoplasias Testiculares/clasificaciónRESUMEN
Presentation of a review of vesico-vaginal fistulae diagnosed and treated in our Hospital between 1978-1992. There has been 20 cases. Etiology is varied, with predominance of cases due to gynaecological surgery. Considerations on diagnostic tests used in each case and the various therapeutical approaches applied, as well as on the results obtained. A revision is made of literature available on this condition.
Asunto(s)
Fístula Vesicovaginal , Adulto , Anciano , Femenino , Humanos , Persona de Mediana Edad , Fístula Vesicovaginal/diagnóstico , Fístula Vesicovaginal/etiología , Fístula Vesicovaginal/terapiaRESUMEN
Presentation of our experience and results in the treatment of localized renal adenocarcinoma with radiotherapy supplementary to surgery. The influence of post-operative radiotherapy in the subsequent occurrence of relapse and survival is analyzed. Also, the predictive value in our series of pre-surgery VSG, FA and LDH determinations is analyzed.