[Healthcare impact of introduction of thyroid ultrasound in a thyroid nodule pathology unit].

Introduction: Worldwide incidence of thyroid cancer has increased in recent decades.

Objective: To provide evidence of the diagnostic and care efficiency of a monographic thyroid nodule clinic integrating clinical examination, ultrasound examination, and cytology with on site evaluation.

Patients And Methods: Patients attending the monographic thyroid nodule clinic from January 2004 to June 2010.

Outpatient surgical unit: critical review after the first year of operation.

Introduction: Outpatient surgery has been quickly accepted by many hospitals, showing a lot of advantages, both in the quality of health care and also in hospital management. Following this trend, our Hospital started operating an Outpatient Surgical Unit in May 1997. Objectives: Once we had reached our 'cruising speed', we thought it wise to make a critical review of our experience.

[Parameatal cysts of the penis].

Parameatal cysts of the penis are highly infrequent, benign cysts of varied sizes usually unilateral. Contribution of two cases of parameatal cysts of the penis, one and epidermoid inclusion, allegedly post hypospadias surgery, while the other one is similar to the middle raphe cysts and appears to derive from the endodermal debris following a defective closure of the urogenital folds. Treatment is by surgical excision; simple aspiration or marsupialization may result in relapse and unsatisfactory cosmetic results.

[Spermatic cord lipoma].

In spite of being the most frequent tumour in this location, together with adenomatoid tumours, the spermatic cord lipoma is a very rare entity (30-35% each). The etiology is unknown but linked to a constitutional factors, obesity, an its presentation is more frequent in the fifth or sixth decade of life. It progresses always as an asymptomatic tumour, usually unilateral, showing a swift growth to masses larger than 10 cm.