RESUMEN
INFECCIÓN POR PAPILLOMAVIRUS EN EL HOMBRE. ESTADO ACTUALEl Virus del Papiloma Humano (VPH), clásicamente se ha relacionado con infecciones de transmisión sexual y procesos oncológicos malignos del aparato genital femenino y con menos frecuencia del masculino. Las nuevas técnicas diagnósticas, basadas en biología molecular (mediante reacción en cadena de la polimerasa), ayudan a una mejor aproximación epidemiológica, una mejora en el diagnostico viral, y un correcto enfoque terapéutico. El objeto de este trabajo es revisar el estado actual del VPH desde los puntos de vista etiopatogénico, epidemiológico, clínico, diagnóstico, terapéutico y profiláctico.Palabras clave: Papiloma Humano. Reacción en Cadena de la Polimerasa. Cáncer genital.
ABSTRACT
INFECTION FOR PAPILLOMAVIRUS IN THE MAN. CURRENT STATE.The Virus of the Human Papiloma (HPV), classically he/she has been related with infections of sexual transmission and processes wicked oncologists of the feminine genital apparatus and with less frequency of the masculine one. The new technical diagnostics, based on molecular biology (by means of polymerase chain reaction), they help to a better epidemic approach, an improvement in the I diagnose viral, and a correct therapeutic focus. The object of this work is to revise the current state of the VPH from the points of view etiopatogenics, epidemic, clinical, diagnosis, therapeutic and preservative.
The renal cell tumour supposes 1% of the adult's tumors, while the transitional carcinoma has an incidence of 7%. The simultaneous appearance of a carcinoma of renal cells, and a transitional tumour of pelvis in the same kidney, they suppose an exceptional fact not existing but of 30 cases published in the world, presenting an approximate incidence of 0.14% of the pathology renal tumoral. We present a new case of this unusual association that supposes the 4 case indexed in the literature in Spanish.
El tumor de células renales supone el 1% de los tumores del adulto, mientras que el carcinoma transicional tiene una incidencia del 7%. La aparición simultánea de un carcinoma de células renales, y un tumor transicional de pelvis en el mismo riñón, suponen un hecho excepcional no existiendo más de 30 casos publicados en el mundo, presentando una incidencia aproximada del 0,14% de la patología tumoral renal. Presentamos un nuevo caso de esta inusual asociación que supone el 4 caso referenciado en la literatura en español.
TUMOR MIOFIBROBLASTICO DE VEJIGA El tumor miofibroblásticos es un tumor mesenquimal benigno de carácter excepcional, siendo su localización mas habitual es el pulmón; mientras que su aparición en la vejiga, es excepcional, no existiendo mas de 100 casos publicados, de este tipo de tumor en la vejiga. Este tipo de tumor queclínica y radiológicamente, se comporta como un tumor maligno. El diagnóstico patológico es complejo, debido a su similitud con los sarcomas, siendo necesario recurrir a la inmunohistoquímica para un diagnostico de certeza.El tratamiento mediante resección amplia suele ser suficiente no existiendo en la actualidad ningún caso de metástasis a distancia, ni de malignizacion. Presentamos un nuevo caso de este tumor, realizando una amplia revisión bibliográfica.Palabras clave: Pseudotumor inflamatorio. Pseudosarcoma vesical.
ABSTRACT
MIOFIBROBLASTIC TUMOR OF BLADDERThe miofibroblastic tumor, is a mesenchimal benign tumor of exceptional character, being its localization but habitual it is the lung; while its appearance in the bladder, is exceptional, not existing but of 100 published cases, of this tumor type in the bladder. This tumor type that clinic and radiologics, behave as a wicked tumor. The pathological diagnosis is complex, due to its similarity with the sarcomas, being necessary to appeal to the inmunohistoquimics for a I diagnose of certainty.The treatment by means of wide resection is usually enough not existing any case of metastasis at the present time at distance, neither of malignization. We present a new case of this neoplasm, carrying out a wide bibliographical revision.
The primary bladder amiloidosis is an uncommon pathology, not existing in the world more than 150 published cases, being even more exceptional the secondary bladder amiloidosis being described around 25 cases. The secondary bladder amiloidosis associates in most from the patients to arthritis reumatoide of long evolution. The diagnoses clinical it is difficult, being necessary the differential diagnosis with the bladder tumour. The pathological study and inmunohistochemics, confirm the diagnosis. We present the case of a patient that I debut with frank hematuria, hemodynamic uncertainty and renal inadequacy that it required combined treatment, doctor and surgical for the resolution of their square.
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