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ABSTRACT: We report a rare clinical case of scrotum carcinoma and evaluate its treatment and prognosis.
We describe the case of a 62 year old man who presented an ulcerated-bleeding lesion on the right side of the scrotum. The diagnostic tests found carcinoma of the scrotum. We performed surgical radical treatment preserving the left scrotum.
Histological examination showed lesions of well differentiated squamous cell tumor.
After literature review we conclude that scrotal carcinoma is currently a rare tumor, and even more in cases with industrial exposure to carcinogens. Its incidence has declined greatly and advanced cases requiring radical surgery are rare.
Archivos españoles de urología 07/2011; 64(6):541-3.
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ABSTRACT: We report a clinical case of renal carcinoma in horseshoe kidney and some anatomical particularities during surgery.
We describe the case of a 54 year old man who presented pain and prostatism. A renal tumor in horseshoe kidney was found in the diagnostic tests.
We performed surgical treatment saving the left kidney .
Horseshoe kidney is the most frequent fusion abnormality of the kidney. Renal carcinoma in this type of renal fusion is similar to those with normal anatomy. Anatomical particularities should be taken into account during surgery.
Archivos españoles de urología 06/2009; 62(4):323-4.
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ABSTRACT: We present one case of urinoma after gynecologic surgery and the surgical repair.
46-year-old woman referred for urologic consultation for flank pain after hysterectomy.
CT scan showed the existence of an urinoma with the ureter included in the radiological lesion.
Early treatment after diagnosis with end-to-end anastomosis solved the problem.
Archivos españoles de urología 07/2008; 61(5):624-6.
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ABSTRACT: To report our experience with one case of penile silicone granuloma, that has clinical interest for its unfrequent presentation.
We report the case of a patient with sexual dysfunction secondary to subcutaneous injection of liquid silicone in the penis resulting in a penile granuloma and migration of the particles to the penile root and midline scrotal raphe. We proceeded to the surgical excision of the granuloma and migrated particles, repairing the penile defect with scrotal skin.
Subcutaneous injection of liquid silicone is a practice that does not have any justification because of its devastating effects and requires major perations for the elimination of the injected material.
Archivos españoles de urología 07/2005; 58(5):457-60.
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ABSTRACT: OBJECTIVES: Malacoplakia is a chronic granulomatous disease which can involve different areas of the body, being the genital renal system the most frequent site. We describe a case of unilateral renal malacoplakia. METHODS/RESULTS: We report the case of a female patient with the clinical working diagnosis of renal cell carcinoma that required drainage of a homolateral abscess which cultured positive for E. Coli. Nephrectomy was performed. Pathologic study showed the presence of Michaelis-Gutmann bodies, patognomonic of malacoplakia.
Archivos españoles de urología 58(1):63-6.
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ABSTRACT: To determine the efficacy of urinary BTA-TRAK as a marker in monitoring superficial transitional cell carcinoma of the bladder and to compare urine cytology with urinary sediment testing.
700 consecutive determinations using BTA-TRAK to monitor unselected patients that had undergone surgery for transitional cell carcinoma of the bladder were analyzed. Cystoscopy, urinary sediment and urine cytology were performed during follow-up. Urography was performed yearly or when tumor of the upper urinary tract was suspected. (positive cytology or hematuria with no bladder tumor). Cystoscopy was performed a few days after determination of BTA-TRAK and voiding urine cytology and urinary sediment analyses (considered positive when microhematuria was observed) were both requested.
Of the 700 determinations, 95 (13.6%) were urothelial carcinomas (93 bladder, 2 upper urinary tract) that had been discovered during patient monitoring. Of the 93 bladder tumors, 39 were Ta (37 TaG1 and 2 TaG2), 29 T1 (4 T1G1, 20 T1G2 and 5 T1G3), 5 Tis and 20 muscle-infiltrating tumors (progression from T2-4 during monitoring). The sensitivity of urine cytology to detect urothelial tumor was 41.1% and the specificity was 97.3%. The urine cytologies were negative in 48.4% and inflammatory in 9.5% of the tumors. The sensitivity was 19% in low grade tumors. The sensitivity of urinary sedimentation testing to detect urothelial tumor (microhematuria) was 40% and the specificity was 96.7%. When associated with pyuria, it was considered to be a urinary infection or urothelial inflammatory condition, which was observed in 10.6% of the cases. Considering the proposed normal reference value for BTA-TRAK (< or = 14 U/ml), we have found a sensitivity of 62.1% and a specificity of 68.4%. A logistic regression model was developed, including BTA-TRAK, urinary sedimentation and cytology, to identify the independent variables that are useful for tumor detection during follow-up of superficial carcinoma of the bladder in this series. The combination of three variables showed an odds ratio of 18.5 (8.9-38.5) for urinary cytology, 11.8 (5.9-23.5) for urinary sedimentation and an odds ratio for BTA-TRAK that did not fall within the equation.
Although overall the sensitivity of BTA-TRAK is higher than that of urine cytology and urinary sedimentation testing, it provides no additional information than that obtained from the combination of urine cytology and urinary sedimentation testing in the detection of tumor recurrence during monitoring for superficial bladder cancer.
Archivos españoles de urología 55(1):41-9.
