An Unusual Presentation of Limited Granulomatosis with Polyangiitis Involving Vagina and Urethra.

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing granulomatosis vasculitis characterized by predilection to affect small- and medium-sized blood vessels and commonly affects the upper and lower respiratory tract and kidneys in most cases. Genital involvement is reported in <1% of cases in large cohorts and nearly all cases have been in the setting of multisystemic disease or during the course of the disease in patients already diagnosed as GPA. A case is presented of uncommon limited urogenital GPA in a 66-year-old woman with an irregular mass occupying urethra and vagina.

Neuroendocrine carcinoma of the urinary bladder. 15-year retrospective analysis.

Objectives: Neuroendocrine tumors (NET) are cancers found in the bronchopulmonary tract, where they were first described in 1926. The tumors are associated with poor prognosis due to their high metastatic potency even after radical treatments associated with other neo- or adjuvant therapies. NET of the urinary bladder is a rare tumor and accounts for 0.

Tumor inside an inguinoscrotal bladder hernia.

Objective: To describe two cases of urothelial tumors in inguinoscrotal bladder hernias and comment on the low incidence of this condition.

Methods: Two patients were diagnosed and treated by partial cystectomy and hernia repair.

Results: The clinical outcome of both patients was good at two and three years, respectively, and neither patient experienced hernia or tumor recurrence.

[Bilateral synchronic testicular tumour of different histology].

Objective: To report one case of bilateral synchronic germ cell testicular tumour of different histology.

Methods/results: 37 year-old patient with left testicular tumor under study was found to have a contralateral synchronic testicular tumor on ultrasound. Bilateral inguinal orchiectomy was performed and pathology reported the presence of bilateral testicular tumours of different histological type.

[Retroorbital metastasis in the initial diagnosis of prostate cancer].

Objective: To describe one case of advanced prostate cancer first presenting with binocular diplopia due to retroorbital metastasis.

Methods: We present the case of a 54-year-old patient with the diagnosis of disseminated prostate cancer treated by complete androgen blockade.

Results: After the start of hormonal treatment, the patient initially improved although survival was limited.

[Late lymph node metastasis in renal cell carcinoma. Case report].

Objective: To report one case of late metastasis of a clear cell carcinoma treated by radical surgery.

Methods/results: Patient with history of radical nephrectomy and lymphadenectomy six years before presenting with regional lymph node metastasis in a followup diagnostic test. After treatment with immunotherapy, stopped because of intolerance, surgery of the metastatic lymph node mass was decided.

[Penile incarceration by a steel ring].

Objectives: To report a new case of penile incarceration by a metallic object.

Methods: 28-year-old male presenting to the emergency room with a ring at the medial part of the penis that he was unable to remove. The ring was placed 16 hours before.