[Testicular injury: presentation of 3 cases and review of the literature].
Explore the source record for details and available documents.
Adolescent↗
Biomedical subjects
J Gil Fabra
Publications and source records attributed to J Gil Fabra.
[Superficial and infiltrating bladder tumor. Epidemiologic differences in a study of incident cases].
An attempt has been made to identify the epidemiological factors associated with occurrence of biologically aggressive vesical tumours. In the Autonomous Community of La Rioja, a survey was conducted between 1975-1991 of incidental vesical tumours, recording in each case the patient's sex, age and occupation. It was found that the male sex, the sixth decade of life and being a farmer were associated to a higher incidence of vesical tumour. All this data was subsequently analyzed, segregating surface from infiltrant tumours depending on whether they affected (infiltrant) or not affected (surface) the vesical muscle layer. After both groups had been compared, no statistically significant differences were identified with regard to age, sex or occupation. The epidemiological factors associated to the occurrence of vesical tumours have no influence on its biological aggressiveness at the time of diagnosis.
Adult↗
[Complete separation between epididymis and testis associated with cryptorchism. Presentation of a case and review of the literature].
We report a case of complete separation of the epididymis and testis discovered during surgery for cryptorchidism. The epididymis was found in the scrotum and the testis in the inguinal canal. Although this malformation has been reported sporadically, the incidence in patients with cryptorchidism may be higher. These cases support the hypothesis that testicular descent is guided by the tail of the epididymis.
Abnormalities, Multiple↗
[Hydraulic dilatation of urethral stenosis controlled with ultrasonography. A new approach].
The present study describes the ultrasound control of water dilatation for urethral stenosis. In our view, the door is open to future developments of water dilatation protocols for urethral strictures.
Catheterization↗
[Bladder leiomyosarcoma. Report of 2 cases].
OBJECTIVES: The difficulties encountered in making the differential diagnosis and the highly malignant nature of leiomyosarcoma of the bladder, an uncommon tumor type, have prompted us to report on these two cases. MATERIAL AND METHODS: Two cases of leiomyosarcoma of the bladder are described: a 64-year-old female that was treated sequentially by TUR and chemotherapy and died of metastatic disease after 14 months, and an 81-year-old male with metastasis at the time of diagnosis. The literature is reviewed and the clinical pathological immunohistochemical features and treatment are discussed. CONCLUSIONS: The differential diagnosis of this tumor type is complex and requires immunohistochemical data. The diagnosis of leiomyosarcoma is confirmed by the expression of myogenic antigens. Historically, patient survival has been poor and management has been based upon information obtained from a relatively small number of cases with diverse treatment regimens. Because the efficacy of chemotherapy and radiotherapy remains unclear, the treatment of choice is by radical cystectomy or partial cystectomy when tumor location and size permit.
Aged↗
[Retrotrigonal bladder lymphoma].
Presentation of one case of vesical involvement due to lymphoma in an 82-year old female which presented as a micturition syndrome, abdominal mass and later picture of obstructive uropathy with acute renal function impairment. Diagnosis was achieved by ultrasound and abdominal CAT, cystoscopy with of vesical biopsy, transvaginal mass biopsy and immunohistochemical techniques. The difficulties of a correct differential diagnosis with other vesical neoplasias as well as the need to differentiate primary from systemic vesical lymphoma were discussed, not only because of the separate prognosis but also for the different therapeutical approaches.
Aged↗
[Bladder tumor lethality. Results in the autonomous community of Rioja between 1975-1991].
Between 1975-1991, a total of 557 cases of bladder carcinoma were identified in the Autonomous Community of La Rioja (CAR) which were followed up to December 1994. The overall lethality was 21.9%. 492 cases with 22.35% lethality were identified in males. In females, however, there was 65 cases with 18.46% lethality. The comparison of males and females lethality resulted in p = 0.525. Lethality between cases diagnosed within each 5-year period analyzed is: 1975-1981: 177 cases, lethality 23.72%. 1982-1986: 168 cases, lethality 30.95%. 1987-1991: 212 cases, lethality 13.20%. Between the first and the second 5-year periods, p = 0.132; between the first and third 5-year periods p = 0.007 and between the second and third 5-year periods p < 0.000. Bladder tumours accounts in CAR for a 22.35% lethality. Lethality is higher in males that in females but the difference is not statistically significant. In the last 5-year period assessed, 1987-1991, a reduction of lethality from bladder neoplasms has been documented.
Female↗
[Bone metaplasia of the bladder associated with urothelial tumor. A clinical case].
One case report of bone metaplasia of the bladder wall associated to urothelial tumour located on the urothelium coating the lesion. Suspicion diagnosis started from findings identified in the transurethral resection. A stone-like mass attached by a pedicle to the bladder wall was found during the examination. The pathoanatomical study confirmed the diagnosis of bone metaplasia of the bladder wall, identifying nests of urothelial tumour adjacent to the urothelium. No report of similar cases has been found in the literature referring to the association of urothelial tumour and bone metaplasia of the bladder wall.
Aged↗