[Ovarian metastasis of a primary renal cell carcinoma].

Objective: We report one case of ovarian metastasis secondary to a renal clear cell carcinoma.

Methods/results: 52 year-old consulting for metrorrhagia with the initial diagnosis of primary ovarian carcinoma. Tumor dissemination work up tests reported a renal mass suggestive of ovarian metastasis.

[Renal cell carcinoma: prognostic factors and staging].

Objectives: To evaluate the prognostic significance of the 2002 TNM tumor classification for renal cell carcinoma, as well as other factors intervening in its survival.

Methods: Retrospective chart review of 316 renal carcinomas operated between 1970 and 2003. Twenty-five prognostic variables were analyzed.

[Intravesical therapy: Influence on superficial bladder cancer progression].

Objectives: To review the influence of various intravesical treatments on superficial bladder cancer progression.

Methods: We retrospectively reviewed 473 superficial bladder neoplasias. Based on diagnosis and transurethral resection of bladder tumor (TUR BT), and depending on pathology, we proposed different treatment and follow-up schemes, with BCG in 139 cases and intravesical chemotherapy, mainly Mytomicin C, in 80.

[Giant intertesticular epidermoid cyst].

Objective: To report a rare case of a giant epidermoid cyst in an intertesticular localization, analyzing its histological and pathologic features, and to perform a bibliographic review.

Methods/results: We report the case of a 49-year-old male consulting for a slowly growing intra-scrotal mass of five years of evolution causing discomfort because of its size. After excision the pathology report showed the presence of a keratoid epidermoid cyst very big in size.

[Solitary pararenal fibrous tumor].

Objectives: To report a rare clinical case of solitary pararenal fibrous tumor, analyzing its pathological characteristics and prognosis by a bibliographic review.

Methods/results: We present the case of a 36-year-old male consulting for right flank colic pain, which was diagnosed of a solid mass in the lower pole of the right kidney and underwent right radical nephrectomy. Pathological study of the surgical specimen showed the presence of a solitary pararenal fibrous tumor.

[Neurosyphilis and bladder dysfunction].

Objectives: Syphilis is a systemic disease the course of which follows successive clinical stages. Central nervous system and spinal cord involvement on late phases may lead to bladder dysfunction. We report one case of neurosyphilis with associated bladder hyperreflexia.

[The treatment of urinary incontinence by injectables. Analysis of our series].

Objectives: To determine the efficacy of endoscopical injections for the treatment of stress urinary incontinence (SUI), evaluating its low invasiveness and positive impact on quality of life.

Methods/results: Belween 1997--2003 30 procedures of periurethral injection of various substances for urinary incontinence were performed at our department in women between 47-80 years. All patients were evaluated before surgery, clinically and urodynamically, in accordance to international standardized parameters (filling pressure/flow studies, maximum urethral closure pressure, LPP-leak point pressure).

[Bladder metastasis of renal carcinoma].

Objectives: We report the case of a patient who had underwent surgery for a clear cell renal carcinoma 2 years before presenting with metastasic extension to bladder on follow-up.

Methods: Radiological finding of a bladder mass during follow-up after nephrectomy.

Results: TURBT was carried out with the pathologic report of clear cell carcinoma, compatible with a primary renal origin.

[Renal cell carcinoma with late lung and ocular metastases].

Objectives: We report one case of ocular and lung metastases seven years after radical nephrectomy for renal cell carcinoma.

Methods: The case of a 45-year-old male patient who underwent radical nephrectomy for a localized renal cell carcinoma (T2N0M0) in 1995 was found in a review of malignant renal neoplastic pathology.

Results: Seven years later he presented with a lung metastasis requiring neumonectomy, and an ocular metastasis requiring enucleation.

[Renal liposarcoma. Report of one case and bibliographic review].

Objectives: To report a new case of well-differentiated renal liposarcoma, and to describe its clinical features, diagnosis, treatment, and differences with other mesenchymal tumors of the retroperitoneum.

Methods: We perform a clinical review of renal mesenchymal tumors, especially liposarcomas. We report one case of well-differentiated renal liposarcoma in a 52-year-old female, and review current lines of treatment and follow-up.

[Non-obstructive azoospermia: 2 new cases of Sertoli cell only syndrome].

Objectives: We report 2 cases of Sertoli cell only syndrome and perform a bibliographic review.

Methods: Clinical and pathologic study of 2 male patients 33 and 37-year-old respectively who presented with infertility.

Results: Testicular biopsy, the most important diagnostic test in the study of infertile men, showed bilateral Sertoli cell only syndrome.

[A new case of bladder endometriosis in a patient with a history of Cesarean section].

Objectives: To report one new case of endometriosis in a patient with history of caesarean section.

Methods: It is the case of a female patient presenting with voiding symptoms and hematuria, with a bladder tumor on ultrasound.

Results: After TUR of a retro trigonal tumor pathology report showed bladder endometriosis.

[Giant bladder diverticulum presenting as inferior vena cava syndrome].

Objectives: To report the case of a giant bladder diverticulum clinically presenting with symptoms of inferior vena cava compression.

Methods: Patient under study because of inferior limbs edema who underwent ultrasound that found a giant bladder diverticulum.

Results: Diverticulectomy plus adenomectomy were performed.

[Assessment of the Gleason score in biopsies and specimens of radical prostatectomy].

Objectives: To evaluate the similarity between Gleason grade on prostate biopsies and their final result after radical prostatectomy.

Methods: We retrospectively review the medical records of 129 patients who underwent radical prostatectomy. Mean PSA value was 10.

[Clinical course of epidermoid carcinoma of the penis in our series].

Objectives: To study the evolution of 49 patients with squamous cell carcinoma of the penis.

Methods: 49 patients who underwent surgery for squamous cell carcinoma of the penis (30 partial penile amputations, 11 total amputations and 7 circumcisions). 27 inguinal lymphadenectomies, superficial, profound and ilio-obturator (2 cases), were performed due to persistent lymph nodes after penile amputation despite of antibiotic treatment for 4 weeks, or to high grade primary tumour.

[Urinary BTA-TRAK in the follow-up of superficial transitional-cell bladder carcinoma].

Objective: 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.

Methods: 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.