Presentamos un nuevo caso de papiloma invertido de uréter, con una inusual forma de presentación en forma de uropatía obstructiva. A pesar de haberse considerado una patología benigna, el papiloma invertido del tracto urinario puede recidivar o asociarse a carcinoma transicional de bajo grado. Su tratamiento, disponiendo de un diagnóstico preoperatorio fiable, puede ser conservador o endourológico, siendo obligatorio el seguimiento urográfico y cistoscópico de estos pacientes.
RESUMEN
CONSIDERACIONES EN TORNO A LA HIPERPLASIA ANGIOLINFOIDE CON EOSINOFILIA (ALHE). A PROPÓSITODE UN CASO LOCALIZADO EN EL PENE Presentamos el caso de un paciente varón de 27 años de edad que presentaba un nódulo en la cara ventral del pene que aumentaba de tamaño y se volvía doloroso durante la erección por lo que se sospechó que se trataba de una lesión vascular, confirmado posteriormente mediante estudio Doppler. Se realizó la extirpación del nódulo con anestesia local. El informe anatomopatológico fue de "hiperplasia angiolinfoide con eosinofilia" en su variante intravascular.Este caso representa la tercera comunicación de esta lesión en el pene, pero ninguna otra adoptaba la variante intravascular como la aquí presentada. Se discute acerca de esta excepcional entidad y se revisa la literatura.Palabras clave: Hiperplasia angiolinfoide con eosinofilia. Pene.
ABSTRACT
CONSIDERATIONS ABOUT ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA (ALHE) WITH REGARD TO A CASELOCALIZED IN THE PENIS We report the case of a 27 years old man who presented a nodule in the ventral face of the penis, which increased in volume an turned painful during erection so a vascular lesion was suspected, later confirmed with a Doppler study. A complete excision of the lesion was carried out with local anaesthesia. The pathological specimen was informed as "angiolimphoid hyperplasia with eosinophilia" in its intravascular form. This is the third communication of this kind of lesion in the penis but no other adopted the intravascular variant like the present case. We discuss about this exceptional entity and make review of the most relevant literature.
In vitro keratinocyte culture techniques could be applied to other epithelial tissues like the urothelium. We obtained a three-dimensional in vitro tissue suitable for grafting in a relatively short time, which needs the matrix interactions in order to mature.
We report the case of a 27 year old man who presented a nodule in the ventral face of the penis, which increased in volume and turned painful during erection so a vascular lesion was suspected, later confirmed with a Doppler study. A complete excision of the lesion was carried out with local anaesthesia. The pathological specimen was informed as "angiolimphoid hyperplasia with eosinophilia" in its intravascular form. This is the third communication of this kind of lesion in the penis but no other adopted the intravascular variant like the present case. We discuss about this exceptional entity and make review of the most relevant literature.
TRATAMIENTO TOPICO CON IMIQUIMOD CREMA AL 5% DE LA ENFERMEDAD DE BOWEN DEL PENE Presentamos una alternativa más de tratamiento para las neoplasias intraepiteliales de pene (enfermedad de Bowen) mediante la aplicación tópica de imiquimod crema al 5% 3 días alternos a la semana durante 5 semanas. El imiquimod es una imidazoquinolona, modificador de la respuesta inmune con efectos antiviral y antitumoral indirectos, que presenta escasos efectos secundarios a nivel local y que puede constituir una opción más en el tratamiento de la enfermedad de Bowen del pene. Palabras clave: Carcinoma in situ. Neoplasia de pene. Neoplasia intraepitelial.
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