[Post vasectomized spermiogenic nodule. Diagnostic imaging].
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Biomedical subjects
Publications and source records attributed to C Pellicé.
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Series of comments on the clinical history of one patient diagnosed "a posteriori" with a focal infarction of the testis. The case was pre-operatively handled as a tumour, as a result of which the patient underwent radial orchiectomy. The only notable feature in the patient's background was a vasectomy, performed two years earlier. The rationale for this communication is the rarity of this entity and the differential diagnosis to be practised. Reference is made to some complementary diagnostic tests that may be requested. It includes a number of considerations on testis vascularization. After reviewing some studies contributed by the Spanish literature, several complications to be taken into consideration when performing a vasectomy are explained.
Presentation of the case of one patient with epididymal adenomatoid tumour presenting as episodes of inguino-scrotal discomfort. With no evidence of relapse, the case is monitored three years after surgery. On the lines of the literature review presented, a series of considerations on what has been a controversial histogenesis are made. The reason for this report is the differential diagnosis which conditions all inguino-scrotal processes with torpid evolution.
Subsequent to a certain amount of aggression, the vesical epithelium can induce some histological changes which would range from the most innocent morphological vicarious forms to the most aggressive neoplastic types (transitional, squamous and/or glandular tumours). Co-existence in the same urothelium of metaplastic, dysplastic and/or neoplastic lesions should not therefore be a surprise. With the intention of assessing the urothelium evolutive potential, we present a morphological study of the male cervix-trigonal epithelium abnormally involved in the steroidal hormones immunosuppression and actions. The typical patches of "female cervical trigonitis" have not been seen in this epithelium although there has been a wide range of evolutive possibilities of squamous and/or glandular lineage. Both tissular options have a clear metaplastic etiology. They present neither atypia not dysplasia, but participate of the distinctive dynamics of Von Brunn nidi. (C. Pellicé Jr: Doctorate Thesis, 1990). Of all the various evolutive options displayed by the urothelium when subjected to aggression, this study will focus on the Von Brunn nidi because of their atypical behaviour, their peculiar histogenesis and their dubious and controversial participation in vesical carcinogenesis.
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Explore the source record for details and available documents.
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Description of 17 cases of columns of Bertin's hypertrophy found by chance while performing 587 urological ecographies carried out while following other urogenital diagnostic approaches. The present report is prompted by the entity's features and the differential diagnosis forced by the "renal mass effects". A series of reflections are built on the various supplementary tests that can be performed.
Exclusively penial lymphatic affections can be considered a highly infrequent occurrence. In the absence of an scrotal oedema, an "elephantiac" involvement with tumoral appearance in the penis, is indeed exceptional. A clinical case is briefly commented here. It refers to a patient with a significant sociopathy who presented a lymphedema confined to the penis in its maximum expression (elephantiasis verrucosa nostras).