scholarly journals Rare late metastasis of testis seminoma to the bladder

2015 ◽  
Vol 9 (11-12) ◽  
pp. 823
Author(s):  
Ali Rıza Türkoğlu ◽  
Soner Coban ◽  
Muhammet Guzelsoy ◽  
Murat Demirbas ◽  
Nazmi Mutlu ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Bladder Wall ◽  
First Year ◽  
Curative Surgery ◽  
Evaluation Result ◽  
Testis Tumour ◽  
The Right ◽  
Late Metastasis ◽  
Disease Free

A 45-year-old male presented to our clinic with complaining of hematuria for a month. The investigations showed a 59 × 24-mm myxoid mass on the right lateral bladder wall and this was removed with transurethral resection. The histopathology evaluation result was seminoma (classic type). The medical history revealed that the patient had undergone inguinal orchiectomy for a testis tumour 10 years before and the diagnosis was classic type seminoma. He received chemotherapy following the orchiectomy, but had not gone for follow-up after the first year. There was no other metastasis and he was put on the iphosphamide, etoposide, cisplatin (IPE) protocol. The patient has been disease-free for the last 5 months and the tumour markers and cystoscopy were normal. Testis tumours can rarely cause other organ metastases in the late stage even if curative surgery and chemo-radiotherapy were initially administered. Proper follow-up is crucial. It is also necessary to query the tumour history when a tumour in any organ is considered.

scholarly journals Radiofrequency ablation of lymphoma

Blood ◽  
2006 ◽  
Vol 107 (4) ◽  
pp. 1624-1626 ◽  
Author(s):  
Deepak Sudheendra ◽  
Mara M. Barth ◽  
Upendra Hegde ◽  
Wyndham H. Wilson ◽  
Bradford J. Wood
Keyword(s):  
Cell Lymphoma ◽  
Bladder Wall ◽  
B Cell Lymphoma ◽  
Rf Ablation ◽  
Image Guided ◽  
Large B Cell Lymphoma ◽  
Refractory Lymphoma ◽  
The Right ◽  
Posttransplantation Lymphoproliferative Disorder ◽  
Disease Free

Percutaneous minimally invasive radiofrequency (RF) ablation has not been described for lymphoma. This image-guided modality is presented in 3 different settings for the treatment of refractory lymphoma. The first patient received RF ablation for the curative treatment of a solitary residual hepatic mass following rituximab-based chemotherapy for a posttransplantation lymphoproliferative disorder (PTLD) and is disease-free 4 years later. The second patient received RF ablation for successful palliation of progressive follicular lymphoma adjacent to the bladder wall following chemotherapy and maximum radiation. The third patient received RF ablation for prevention of airway obstruction from progressive diffuse large B-cell lymphoma of the right neck following chemotherapy and maximum radiation. RF ablation may be clinically beneficial and should be considered for the treatment of local lymphoma that is refractory or not amenable to standard approaches.

Treatment of Hepatic Embryonal Undifferentiated Sarcoma With Cardiothoracic Involvement

2018 ◽  
Vol 11 (4) ◽  
pp. NP199-NP202 ◽  
Author(s):  
Carlos Domínguez-Massa ◽  
Félix Serrano-Martínez ◽  
Óscar R. Blanco-Herrera ◽  
Alberto Berbel-Bonillo ◽  
Fernando Hornero-Sos ◽  
...  
Keyword(s):  
Inferior Vena ◽  
Circulatory Arrest ◽  
Tumor Resection ◽  
Vena Cava ◽  
Hepatic Tumors ◽  
Undifferentiated Sarcoma ◽  
Right Pulmonary Artery ◽  
The Right ◽  
Disease Free

Thorough study is required to decide the appropriate management of hepatic tumors in children. We present a case report of a hepatic embryonal undifferentiated sarcoma with unfavorable prognosis in a nine-year-old girl. After undergoing a detailed cancer characteristics and extension study, a two-stage surgery approach was decided. The hepatic tumor resection was the first procedure to be performed. One week later, under cardiopulmonary bypass, deep hypothermia, and circulatory arrest, thrombectomy of the inferior vena cava and right atrium was accomplished, plus thromboendarterectomy of the right pulmonary artery. During a four-year follow-up, the patient continues to be disease-free.

Primary tubal choriocarcinoma

2004 ◽  
Vol 14 (5) ◽  
pp. 1040-1044 ◽  
Author(s):  
C. R. GÁLVEZ ◽  
V. C. Fernández ◽  
J. M. R. De Los Reyes ◽  
M. M. M. Jaén ◽  
R. G. Teruel
Keyword(s):  
Abdominal Pain ◽  
First Year ◽  
Intense Pain ◽  
Weekly Basis ◽  
Chorionic Villi ◽  
Vaginal Ultrasound ◽  
Beta Human Chorionic Gonadotropin ◽  
Ectopic Pregnancies ◽  
The Right

Choriocarcinoma is one of the most serious forms of gestational trophoblastic tumor. It is a malignant tumor from the epithelium of the chorionic villi. The most frequent location site is the uterus. Associated with ectopic pregnancy, it is extremely rare and in general, very aggressive. In 75% of the cases, it items from distant metastasis; therefore, a histological examination of the tubes must be performed in all ectopic pregnancies. Our patient was a 33-year-old woman who was admitted to emergency room (ER) with an intense pain in the right, iliac cavity, and limited genital bleeding. During the exploration, there was abdominal pain, with doubtful signs of peritoneal irritation. The vaginal ultrasound offered an image that was compatible with an extra uterine pregnancy in the left appendages. At emergency, right salpingectomy was performed via laparotomy. The patient was treated with polychemotherapy and contraceptives for a year, with no recurrence of the disease. Control follow-up was performed using beta-human chorionic gonadotropin (HCG) testing on a weekly basis during the first month and then bi-monthly during the first year of follow-up.

PHAEOCHROMOCYTOMA OF URINARY BLADDER

1962 ◽  
Vol 39 (1) ◽  
pp. 1-12 ◽  
Author(s):  
R. Mićić ◽  
M. Kičić ◽  
S. Adanja
Keyword(s):  
Blood Pressure ◽  
Urinary Bladder ◽  
Arterial Hypertension ◽  
Bladder Wall ◽  
Short Review ◽  
Uneventful Recovery ◽  
Urinary Bladder Wall ◽  
The Right ◽  
Catecholamines In Urine

ABSTRACT A case of phaeochromocytoma localized in the urinary bladder wall above the right ureter in a 19 years old male is described. The patient had a sustained arterial hypertension between 170/120 and 260/170, without haematuria, with regular headache and palpitations immediately after urination. Catecholamines in urine 409 and 340 micrograms per day. A partial resection of the urinary bladder wall was performed with extirpation of a tumour weighing 40 g. Size of the tumour 80 × 60 × 60 mm. The tumour contained 1.5 mg adrenaline and 0.03 mg noradrenaline per g of tissue. Postoperatively blood pressure 140/90, catecholamines in the urine normal, and the patient made an uneventful recovery. The last follow-up ten months after operation. A short review of previously published cases is given.

scholarly journals Right Ventricular Function during Trastuzumab Therapy for Breast Cancer

2021 ◽  
Author(s):  
Geris Mazzutti ◽  
Fernando Pivatto Júnior ◽  
Guilherme Oliveira Magalhães Costa ◽  
Andreia Biolo ◽  
Angela Barreto Santiago Santos
Keyword(s):  
Breast Cancer ◽  
Global Longitudinal Strain ◽  
First Year ◽  
Relative Reduction ◽  
Trastuzumab Therapy ◽  
Main Adverse Effect ◽  
The Right ◽  
Rv Function

Abstract PurposeCardiotoxicity (CDT) is the main adverse effect related to trastuzumab (TTZ) use, and the role of the right ventricle (RV) in this context is not clear. We aimed to evaluate the longitudinal changes in RV function during TTZ therapy and to determine the differences in RV function associated with subclinical CDT.MethodsPatients with breast cancer underwent echocardiograms at the beginning of TTZ treatment (Ex 1) and every 3 months during the first year (Ex 2, 3, 4). Subclinical CDT was defined as ≥ 12% relative reduction of left ventricle global longitudinal strain (LV GLS).ResultsTwenty-five women (52.1 ± 13.1 y-o) were included. We found a decrease in LV ejection fraction between the first and fourth exams and the LV GLS gradually decreased during follow-up (Ex1: -20.6 ± 2.0; Ex2: -19.4 ± 2.1; Ex3: -19.2 ± 1.8; Ex4: -19.0 ± 2.1, all p < 0.05). RV GLS changed from baseline to 3 month and to 6 month (Ex1: -23.9% ± 1.6; Ex2: -22.5% ± 2.1; Ex3: -22.5% ± 2.3, all p < 0.05), and the RV Fractional Area Change was lower in the third exam (Ex1: 44.3% ± 6.6 vs Ex3: 39.9% ± 6.0, p = 0.004). We found subclinical CDT in 13 patients (52%); changes in RV parameters had the same pattern of changing in the group with and without subclinical CDT.ConclusionIn this sample, the RV function decreased during TTZ therapy and the decrease was not associated to the observed LV cardiotoxicity.

scholarly journals A Case of Early Stage Bladder Carcinosarcoma in Late Recurrence of Urothelial Carcinoma after Transurethral Resection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Daisaku Hirano ◽  
Toshiyuki Yoshida ◽  
Daigo Funakoshi ◽  
Fuminori Sakurai ◽  
Shou Ohno ◽  
...  
Keyword(s):  
Urothelial Carcinoma ◽  
Transurethral Resection ◽  
Early Stage ◽  
Bladder Wall ◽  
Late Recurrence ◽  
Gross Hematuria ◽  
Pelvic Mri ◽  
History Of ◽  
The Right ◽  
Immunohistochemical Studies

Carcinosarcomas of the urinary bladder are rare biphasic neoplasms, consisting of both malignant epithelial and malignant mesenchymal components, and the prognosis of this tumor is unfavorable in most patients with even possibility of resection of disease. A 77-year-old male with a history of transurethral resection (TUR) of urothelial carcinoma (UC) of the bladder and adjuvant intravesical chemotherapy with pirarubicin 10 years ago revisited our department with a gross hematuria. Cystoscopy demonstrated an approximately 2.5 cm nonpapillary tumor on the right wall of the bladder. Pelvic MRI showed the tumor without extending the base of the bladder wall. The tumor could be completely removed with TUR. The malignant epithelial elements consisted of high-grade UC and the majority of mesenchymal components were fibrosarcomatous differentiation based on immunohistochemical studies. The tumor could be pathologically also suspected to be an early stage on TUR specimens. Although he has received no additional intervention due to the occurrence of myocardial infarction at three weeks after the TUR, he has been alive with no evidence of recurrence of the disease 27 months after the TUR. Some early stages of bladder carcinosarcoma might have a favorable prognosis without aggressive treatments.

scholarly journals A Case Report of Chondrosarcoma of Temporomandibular Joint

2021 ◽  
Author(s):  
Hage Ampu ◽  
Tanya Singh ◽  
Sunil Kumar ◽  
H. P. Singh ◽  
Shalini Bhalla
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Histopathological Examination ◽  
Mandibular Condyle ◽  
Joint Space ◽  
Neuralgic Pain ◽  
Well Differentiated ◽  
The Right ◽  
Disease Free

AbstractIn this case report we describe a rare case of chondrosarcoma of the Temporomandibular joint in a 70 years old female who presented with a right preauricular swelling, trismus and neuralgic pain. On examination, firm and tender swelling was noted in the right preauricular region. CT Scan revealed 3.48 × 3.0 cm size mass lesion in the region of mandibular condyle and extending into the right temporomandibular joint space. The cytopathological report was suggestive of chondroid malignancy. The tumor was excised and histopathological examination showed large sheets of atypical tumor cells with cartilaginous matrix and diagnosis of a well differentiated Chondrosarcoma was confirmed. Post-surgical resection, patient remains disease free at 15 months follow up.

scholarly journals Primitive Neuroectodermal Tumor of Axilla in an Adult: A Rare Entity

2021 ◽  
Vol 3 (2) ◽  
pp. 1-2
Author(s):  
Shravan S Shetty ◽  
◽  
Vidhi Shah ◽  
Eshpuniyani Prriya Prriya ◽  
◽  
...  
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Subcutaneous Tissue ◽  
Neuroectodermal Tumor ◽  
Round Cell ◽  
Primitive Neuroectodermal Tumors ◽  
Neuroectodermal Tumors ◽  
Poorly Differentiated ◽  
The Right ◽  
Disease Free

Primitive neuroectodermal tumors (PNETs) are poorly differentiated small round cell neoplasms which mainly affect children and are not commonly seen in adults. Superficial primitive neuroectodermal tumors are rare and have a favourable prognosis compared to conventional deep seated tumors. We report a case of a 62 year old gentleman with a primitive neuroectodermal tumor arising from the subcutaneous tissue of the right axilla. He was treated with multimodal treatment including surgery and radiotherapy. He is alive and disease free at 2 year follow up.

Transurethral Resection of the Prostate in Recurrent Acute Bacterial Prostatitis

2014 ◽  
Vol 94 (4) ◽  
pp. 442-444 ◽  
Author(s):  
Karel Decaestecker ◽  
Willem Oosterlinck
Keyword(s):  
Side Effects ◽  
Transurethral Resection ◽  
Bladder Neck ◽  
Infected Tissue ◽  
Bladder Neck Contracture ◽  
Bacterial Prostatitis ◽  
Acute Bacterial Prostatitis ◽  
Disease Free

Objective: To explore the outcome of transurethral resection of the prostate (TURP) in the treatment of refractory recurrent acute bacterial prostatitis. Patients and Methods: From 2004 to 2013, 23 TURP for this indication were performed in 21 patients; two patients underwent it twice. The files of these patients were retrospectively analysed for outcome and side effects. TURP intended to remove as much infected tissue as possible under appropriate antibiotherapy. Results: Twelve patients became free of symptoms during a follow-up of 3-108 months (median 44), two others became disease-free after one and two postoperative attacks, respectively; eight were not cured and had rapid recurrences; three patients had follow-up of a few weeks only. Two failures developed orchiepididymitis shortly after the procedure and one a year later. No incontinence or bladder neck contracture was noted. Conclusion: TURP is an acceptable procedure in the treatment of refractory recurrent bacterial prostatitis. It could cure about two thirds of patients.

Long-term results of percutaneous transluminal coronary rotational atherectomy for localized stenosis caused by Kawasaki disease

2021 ◽  
pp. 1-19
Author(s):  
Etsuko Tsuda ◽  
Yasuhide Asaumi ◽  
Teruo Noguchi ◽  
Satoshi Yasuda
Keyword(s):  
Kawasaki Disease ◽  
Rotational Atherectomy ◽  
Long Term Results ◽  
First Year ◽  
Cardiac Events ◽  
Main Trunk ◽  
The Right ◽  
Percutaneous Transluminal

Abstract Thirteen boys and one girl, 5–30 years (median 13 years), underwent percutaneous transluminal coronary rotational atherectomy. The interval from the onset of Kawasaki disease to PTCRA ranged from 5 to 29 years (median 12 years). The follow-up period was 1–22 years (median 13 years). The target vessels were the right coronary artery (7), left anterior descending artery (3), left circumflex (2), and left main trunk (2). The maximum burr size used was 1.75 mm in four, 2.00 mm in four, and 2.15 mm in six. The immediate results of rotational atherectomy were successful in all patients, and the mean stenosis degree improved from 86 ± 15% (mean ± standard deviation) to 37 ± 14% (p < 0.001). Cardiac events in the late period were found in four patients (29%). Acute myocardial infarction occurred in two, and syncope and ventricular fibrillation in one each. The cardiac event-free rate at 10 and 20 years was 79% (95% confidence interval 50–92) and 39% (6–87), respectively, (n = 14). The overall 20-year patency rate was 54% (95% CI 28–78). That in patients more than 10 years old was 77% (95% CI 42–94, n = 10). PTCRA alone is suitable for severe localised stenosis with calcification caused by KD in young adults except for small children. Re-stenosis within the first year after PTCRA often develops because of reactive intimal thickening after the procedure. If a target vessel is a patent 1 year after the procedure, long-term patency may be expected in patients more than 10 years old.

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