RESUMO
OBJECTIVE: To present a rare case of well-differentiated mucus-producing adenocarcinoma of the renal pelvis. METHODS: Patient history, the results of the complementary tests after surgery, treatment and anatomopathological findings are presented. RESULTS/CONCLUSIONS: Well-differentiated mucus-producing adenocarcinoma of the renal pelvis is rare and is often associated with lithiasis, a long history of obstruction and inflammation. Nests of tumor cells surrounded by abundant mucus is a characteristic histological finding in this tumor type.
Assuntos
Adenocarcinoma Mucinoso/patologia , Neoplasias Renais/patologia , Adenocarcinoma Mucinoso/complicações , Adulto , Feminino , Humanos , Cálculos Renais/terapia , Neoplasias Renais/complicações , Gravidez , Complicações na Gravidez/terapiaRESUMO
OBJECTIVE: To report a case of renal parenchymal neurilemoma and review the literature. METHODS/RESULTS: A 44-year-old male patient presented with total hematuria. Patient evaluation by IVP, renal US and CT revealed a right renal mass. Radical nephrectomy was decided. The anatomopathòlogical analysis showed a renal parenchymal neurilemoma. CONCLUSIONS: Renal parenchymal neurilemoma is a rare benign tumor. The diagnosis is based on the clinical symptoms and the IVP, renal US and CT findings and confirmed by the anatomopathological findings. Surgical resection achieves cure and there is usually no recurrence.
Assuntos
Neoplasias Renais/patologia , Neurilemoma/patologia , Adulto , Carcinoma de Células Renais/diagnóstico , Diagnóstico Diferencial , Hematúria/etiologia , Humanos , Neoplasias Renais/complicações , Neoplasias Renais/diagnóstico , Neoplasias Renais/cirurgia , Masculino , Nefrectomia , Neurilemoma/complicações , Neurilemoma/diagnóstico , Neurilemoma/cirurgiaRESUMO
OBJECTIVES: A 49-year-old male with primary lymphoma of the prostate is described. The clinical, diagnostic and therapeutic aspects are discussed. METHODS/RESULTS: The diagnostic yield of ultrasound in this condition is evaluated and the possible site for US-guided biopsy is defined. A significant correlation was found between a positive biopsy and the area of the prostate identified sonographically. There were no recurrence or other manifestations after treatment. CONCLUSIONS: The clinical features are corroborated by the sonographic findings and US-guided biopsy has been demonstrated to be more precise.
Assuntos
Leucemia Linfocítica Crônica de Células B , Neoplasias da Próstata , Humanos , Leucemia Linfocítica Crônica de Células B/diagnóstico , Masculino , Pessoa de Meia-Idade , Neoplasias da Próstata/diagnósticoRESUMO
OBJECTIVES: A case of tuberculosis of the prostate is described. The rarity of this condition and the problems encountered in making the differential diagnosis prompted us to report on this case. METHODS/RESULTS: The clinical features and the diagnostic and therapeutic aspects of a patient with tuberculosis of the prostate are presented. CONCLUSIONS: Tuberculosis of the prostate is an extremely rare condition.
Assuntos
Doenças Prostáticas/diagnóstico , Tuberculose dos Genitais Masculinos/diagnóstico , Idoso , Humanos , MasculinoRESUMO
We report a case of renal abscess caused by gram negative pathogens, possibly Proteus mirabilis, that resolved with medical treatment. The infection was secondary to a purulent infection in the patient's left knee.
Assuntos
Abscesso , Nefropatias , Infecções por Proteus , Proteus mirabilis , Abscesso/diagnóstico por imagem , Abscesso/terapia , Adolescente , Humanos , Nefropatias/diagnóstico por imagem , Nefropatias/terapia , Masculino , Infecções por Proteus/diagnóstico por imagem , Infecções por Proteus/terapia , UltrassonografiaRESUMO
Herein we describe a patient with systemic lupus erythematosus and bilateral psoas abscess, an uncommon condition caused by septic metastases from ulcerous necrotic lesions involving both lower limbs. We describe the clinical features and the complementary work up, which included ultrasound. Similarly, treatment is described, as well as the results yielded by bacteriologic analyses of pus specimen. The literature is reviewed, highlighting the most important criteria.