RESUMO
Mesotheliomas of the tunica vaginalis testis are very uncommon tumors, with rare cases published in the literature. This report demonstrates a case in with such a tumor was diagnosed in a 50-year-old man who presented to the emergency room with mild, acute scrotal pain and swelling, without previously known scrotal pathology. It is noted that sonographers should be aware of the typical characteristics that allow for suspecting malignancy in scrotal sonography performed in the emergency setting; this was particularly important in this case. Surgical pathology analysis of the right radical orchiectomy specimen confirmed the diagnosis.
Assuntos
Testículo/patologia , Adulto , Idoso , Epitélio/patologia , Humanos , Hiperplasia , Imuno-Histoquímica , MasculinoRESUMO
Mesoteliomas são tumores oriundos das células mesoteliais da pleura, peritônio, pericárdio ou túnica vaginal, sendo a exposição prolongada ao asbesto o principal fator de risco. Neoplasias mesoteliais benignas da região paratesticular são raras. Relata-se um caso de Mesotelioma de Túnica Vaginal associado à hidrocele, destacando a utilidade da ecografia na avaliação das massas escrotais (AU)
Mesotheliomas are tumors originating from the mesothelial cells of the pleura, peritoneum, pericardium or tunica vaginalis, with prolonged exposure to asbestos the main risk factor. Benign mesothelial neoplasms of the paratesticular region are rare. Here we report a case of tunica vaginalis mesothelioma associated with hydrocele, highlighting the usefulness of ultrasound in the evaluation of scrotal masses (AU)
Assuntos
Humanos , Masculino , Adulto , Neoplasias Testiculares/patologia , Mesotelioma/patologia , Neoplasias Testiculares/cirurgia , Neoplasias Testiculares/diagnóstico , Mesotelioma/cirurgia , Mesotelioma/diagnósticoRESUMO
INTRODUCTION: Nowadays, buccal mucosa grafts are the most successful method to reconstruct bulbar urethral strictures. Dorsal placement of the graft has been recently proposed, allowing the graft to be spread fixed on the tunica albuginea of the corporal bodies overlying the stricture. The dorsal graft is ingenious and represents a useful addition to the surgical armamentarium, since it offers a better chance for graft take than does the spongiosum when the urethra is diseased and poorly vascularized. We developed an additional reconstructive option using tunica vaginalis grafts, placed dorsally, for the treatment of anterior urethral strictures. SURGICAL TECHNIQUE: A total of 11 patients with anterior urethral strictures were treated with a tunica vaginalis graft urethroplasty. The surgical technique was done as described by Barbagli. The urethra was dissected from the corpora cavernosa and rotated 180 degrees. The dorsal urethral surface was exposed and fully opened. Both the distal and proximal lumina were calibrated. The tunica vaginalis graft was sutured, splayed and quilted over the corpora cavernosa using 6-0 PDS running stitches. The left side of the urethral mucosa was sutured to the graft using 6-0 PDS sutures. A 18F silicone Foley catheter was inserted at this point. The urethra was rotated back to its original position and sutured laterally to the right side of the graft. At the end of the procedure, the graft was completely covered by the urethra. With a follow-up ranging from 7 weeks to 5 months, all patients were voiding well (uroflowmetry > 14 mL per second). CONCLUSION: This initial experience in 11 patients indicates that tunica vaginalis dorsal graft urethroplasty may be considered within the reconstructive armamentarium of genitourinary surgeons.
Assuntos
Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/transplante , Retalhos Cirúrgicos , Membrana Serosa/transplante , Uretra/cirurgia , Estreitamento Uretral/cirurgia , Anastomose Cirúrgica , Seguimentos , Procedimentos Cirúrgicos Urológicos Masculinos/métodosRESUMO
Autogenous vaginal tunics have been researched in lamellar keratoplasty in dogs using fresh autogenous grafts in the repair of superficial keratectomies. Fourteen dogs have been used for the evaluation at the early, intermediary and late postoperative periods. Photophobia, blepharospasm, ocular discharge, edema, neovascularization and pigmentation have been observed. The results have showed that the original procedure is useful for the repair of corneas after superficial keratectomies.
Empregou-se a túnica vaginal autógena, a fresco, na ceratoplastia lamelar em cães. Foram utilizados 14 cães, a serem avaliados nos períodos iniciais, intermediários e tardios. Fotofobia, blefarospasmo, descarga ocular, edema, neovascularização e pigmentação corneanas foram observados. Os resultados mostraram ser a técnica factível de utilização na reparação corneana após ceratectomias superficiais.