Marcelo Di Gregorio

Liposarcoma of the Spermatic Cord: An Infrequent Pathology

Objective: To describe a rare pathology, the liposarcoma of the spermatic cord (LSC), and discuss its diagnosis and treatment. Materials and Methods: We report a case of well-differentiated LSC in a 61-year-old man. The main complaint was painless enlargement in the right inguinoscrotal area that appeared 6 months prior to presentation. Ultrasonography showed a heterogeneous and hyperechogenic mass of the right spermatic cord that was highly suspicious of malignancy. Computed tomography confirmed a heterogeneous supratesticular mass. The mass was surgically removed. Results: Pathological examination showed a well-differentiated LSC. The patient did not receive any additional treatment. The follow-up did not present complications or further symptoms and, at present, the patient is in complete remission. Conclusion: LCSs are a very rare entity. The diagnosis is difficult and often mistaken with common scrotal swelling associated with a hernia, hydrocele, or other tumour. Treatment should include complete surgical excision, usually by radical inguinal orchiectomy. A long follow-up period is necessary.

Female Urethral Diverticulum: Diagnosis, Treatment and Outcome

Objectives: To share our experience regarding the handling of symptomatic or asymptomatic female urethral diverticula. Clinical presentation, diagnostic methods, and therapeutic strategies are reviewed. Methods: This was a retrospective analysis involving eight female patients with urethral diverticula who were followed up in our urology department between 2007 and 2015. Preoperative assessment included clinical examination and cystoscopy, voiding cystourethrogram, or magnetic resonance imaging. Postoperative follow-up visits were scheduled at 3, 6, and 12 months. Results: Diagnosis was based on anamnesis and physical examination, and then confirmed by complimentary exams such as voiding cystourethrogram and magnetic resonance imaging. All patients experienced symptomatic relief and improved esthetic outcome after surgery. Magnetic resonance imaging was instrumental in confirming the diagnosis and in planning the surgical approach. Surgical excision of the diverticulum and reconstruction resulted in good aesthetic and functional outcomes. There were no major postoperative complications. Conclusions: Previously unrecognized female urethral diverticula can now be more easily detected using magnetic resonance imaging. In our small series, surgical excision and reconstruction was associated with good clinical outcome.

testicular metastasis of prostatic adenocarcinoma after ablatherm treatment

Testicular metastases are rare in prostatic adenocarcinomas. The discovery is often fortuitous, and they are diagnosed with a histological examination. Metastasis is often confused with a primitive testicular tumor. We describe an 86-year-old patient with metastatic prostate adenocarcinoma that affected the left testis. The metastasis was discovered after Ablatherm® treatment. A prostatic origin must be suspected in a patient over 50 years old with testicular metastasis. This study highlights the importance of clinicopathological investigation and immunohistochemistry in determining the etiopathogenesis of testicular masses.

Recurrent Masses after Testicular Cancer: Growing Teratoma Syndrome. A Case Report and Review of the Literature.

Background: Growing teratoma syndrome is a rare syndrome that affects patients with nonseminomatous germ-cell tumors (NSGCTs). It is characterized by recurrent growing masses that appear during or after chemotherapy in the presence of normal levels of tumor markers. Histological examination is the only way to confirm the diagnosis. Case Presentation: We present the case of a 36-year-old man who developed recurrent masses after curative treatment for NSGCT of the testicle. His tumor markers were normal. The patient was cured after multiple surgical procedures. Conclusions: Close follow-up after treatment for NSGCT is very important for early detection of this syndrome, which can occur even many years after tumor onset. Normal blood makers can be misleading, and surgery remains the only curative treatment.

Gangrène de Fournier sur escarre ischiatique: utilisation du pansement occlusif aspiratif et stratégie thérapeutique.

Vacuum-assisted closure (V.A.C.) was used in two paraplegic patients with Fourniers gangrene in a context of ischial pressure ulcer This type of dressing facilitated preparation of reconstruction.