DSpace Community: Coleção voltada para a inserção de documentos da área de Urologia

Tratamento é decidido em conjunto pelos profissionais

2004-02-01T00:00:00Z

Title: Tratamento é decidido em conjunto pelos profissionais Authors: Instituto Nacional de Câncer (INCA), Brasil; Instituto Nacional de Câncer (INCA), Brasil; Instituto Nacional de Câncer (INCA), Brasil Description: p. 3.: il. p&b.

Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives

2017-01-01T00:00:00Z

Title: Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives Authors: Diniz, André Luiz Lima; Vieiralves, Rodrigo Ribeiro; Souza, Tomás Accioly de; Favorito, Luciano Alves Abstract: We present a male patient, 52 years old, with acute renal failure due to giant bladder stone. In first presentation with acute renal failure, tomography has shown a bladder stone with 10 cm in its largest diameter associated with bila teral ureterohydronephrosis. It was initially treated by bladder catheterization and indicated emergency dialysis and subsequently submitted to surgical treatment through open cistolitotomy. During the procedure it was possible to observe the giant calculus, adhered to the trigone of the bladder, occluding his neck. After the vesical catheter was deployed, the patient had clinical and la boratory improvement during hospitalization. The association between giant bladder stones and urologic kidney failure is a rare condition and once re moved the causative factor, we expect the return to normal limits. Studies with higher levels of evidence are needed to increase knowledge about the subject. Description: p. 1-7.: il. color.

Salvage Lymphadenectomy in the Treatment of Nodal Recurrence of Prostate Cancer Detected by Magnetic Resonance Imaging and PET-PSMA CT - Case Report

2017-01-01T00:00:00Z

Title: Salvage Lymphadenectomy in the Treatment of Nodal Recurrence of Prostate Cancer Detected by Magnetic Resonance Imaging and PET-PSMA CT - Case Report Authors: Martins, Rodrigo Galves Mesquita; Diniz, André Luiz Lima; Pereira Sobrinho, Ulisses Lopes Guerra; Silva, Diogo Eugenio Abreu da; Souza, Tomás Accioly de; Resende Júnior, José Anacleto Dutra de Abstract: EFR, 63 years Diagnosis of prostate adeno carcinoma Gleason 6 (3+3) by biopsy indicated by elevation of PSA (4.8mg/dl), in 2011. Patient underwent Radical Prostatectomy (RP) by sampling obturator lymphadenectomy, whose histopathological report revealed ACP Gleason 8 (5+3) with free margins (pT2C) and lymph nodes with no malignancy (pN0). The PSA remained null during the three consecutive years, in 2014 PSA raised (3.14mg/dl). In 2016 PSA reached 17mg/dl. His disease was re-staged and 68Ga-PSMA-PET/CT revealed areas with anomalous increase of 68Ga-PSMA expression in periaortic and iliac lymph nodes on the left, suggestive of secondary neoplastic lesions. In august 2016, patient underwent retroperitoneal Salvage Lymphadenectomy. Lymph node enlargement was identified in the left obturator chain, left external iliac, paracaval and periaortic chain. The histopathological report described metastatic bilaterally obturator chain carcinoma, left internal iliac, pre-sacral left and paraaortic. The 30-day postoperative PSA was 2.57. Salvage Lymphadenectomy is a path for treatment in patients with disease relapse limited to the LNM after RP, it is a method that can postpone androgen deprivation therapy and chemotherapy; clinical trials are needed to legitimize surgery in this specific scenario. Description: p. 1-4.: il. color.

Partial Nephrectomy as Treatment of an Atypical Metastasis from Prostate Cancer—A Case Report and Review of Literature

2018-01-01T00:00:00Z

Title: Partial Nephrectomy as Treatment of an Atypical Metastasis from Prostate Cancer—A Case Report and Review of Literature Authors: Pereira Sobrinho, Ulisses Lopes Guerra; Diniz, André Luiz Lima; Martins, Rodrigo Galves Mesquita; Silva, Diogo Eugenio Abreu da; Souza, Tomás Accioly de; Resende Júnior, José Anacleto Dutra de Abstract: Prostate cancer is the second most common type of cancer in man and the second in cancer-specific deaths in this population in the world. Most of the causes of death related to prostate cancer are due to its distant metastases, with the most common sites being: skeleton, distant lymph nodes, liver and lung. Renal metastasis is rare, and studies suggest infiltration due to arterial microembolization of the tumor. A key point in this scenario is the clinical suspicion of differential diagnoses, to offer the patient an effective therapy in such a specific case. Aim: To report a case of a patient with pros tate cancer undergoing partial nephrectomy whose histopathological report revealed a metastatic lesion of that primary site. Case Presentation: 74 years old man, referred in May 2015 due to high PSA level and lumbago. PSA 323.11 ng/dl, rectal examination cT3a; biopsy was performed and histopatho logical study reported bilateral prostate adenocarcinoma, Gleason’s score 8 (4 + 4). Patient’s staging showed multiple secondary implants on skeletal scinti graphy. Tomography revealed solid exophytic lesion in the lower pole of the right kidney (4.7 × 3.6 cm); prostate without cleavage planes with seminal ve sicles and pelvic node enlargement. Hormone therapy was initiated, PSA le vels dropped to 9.51 ng/dl and total testosterone < 50 ng/dl. Partial neph rectomy was planned, initially by laparoscopy, but converted to laparotomy in December 2015. Procedure lasting 3 hours, minimal blood loss, no periopera tive complications, discharged on the 3rd postoperative day. Histopathologi cal report described undifferentiated malignant neoplasm, requiring immu nohistochemistry that confirmed prostate adenocarcinoma. Patient remains hormone therapy, with no progression of the disease so far. Conclusion: Given the rarity of these cases, it is not possible to presume that nephrectomy enhances the survival rates. However, we observed that partial nephrectomy was a good choice for our patient, being the first case described in the litera ture. More reports should be available and studies with higher levels of evi dence should be conducted to assist us in patient orientation and decision making. Description: p. 8-16.: il. color.