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Biomedical subjects

Hassan Jira

Publications and source records attributed to Hassan Jira.

10 recordsLinked to original sources

'Burned-out' primary testicular cancer.

OBJECTIVE: To report the natural history of 'burned-out' testicular tumour (a testicular tumour that has regressed spontaneously with no treatment and that generally presents at the stage of metastases). PATIENTS AND METHODS: We report five cases of burned-out testicular tumours to illustrate the clinical, radiological and histopathological features, and discuss the hypothesis of natural history of these neoplasms. RESULTS: The findings in the five patients tended to indicate that metastatic progression appears to induce spontaneous regression of the previous tumour site. Patients explored for extragonadal germ cell tumour present with various clinical features depending on the site of the metastases. CONCLUSION: Despite the controversial hypotheses of the origin of these tumours, extragonadal germ cell tumours should be considered to be metastases of a 'burned-out' primary testicular tumour that must be investigated. When a primary testicular tumour is detected, the testis must be removed, and standard chemotherapy yields good long-term results. The hypothesis of an immunological reaction against the tumour inducing the spontaneous necrosis of the primary tumour and possibly the metastases should be considered. Immunological screening should be proposed in patients to investigate this interesting model of spontaneous tumour regression.

Adolescent↗

[Scrotal angiofibroblastoma].

Angiomyofibroblastoma of the scrotum is a rare and benign tumour which affect old patient. It's treatment is surgical. A case of angiomyofibroblastoma of the scrotum is reported in a 34 years old man. The literature is reviewed with special reference to the ethiopathogenesis, clinical features and treatment of this tumour entity.

Adult↗

[Hydronephrosis arterial hypertension. Report of 4 cases].

Four cases of ureteropelvic junction syndrome associated with arterial hypertension were reported. The authors discuss the ethiopathogenic of hypertension, on the basis of these observations and a review of the literature. They conclude that union bilateral hydronephrosis can lead to hypertension and renal failure by both inappropriate production of renin and water chronic retention. The correction of ureteropelvic junction should return blood pressure to normal levels.

Abnormalities, Multiple↗

[Genital Buschke Loewenstein tumors. Report of 4 cases].

The authors present four cases of Buschke Loewenstein tumor. In three cases, the outcome was good despite areas of anaplasic change are seen in one of them. The outcome of the fourth patient was fatal because of multiples recurrences. Clinical features, diagnosis and treatment of this rare disease are discussed.

Adult↗

[Bilateral malignant non-Hodgkin's lymphoma].

Non Hodgkin's lymphoma (NHL) of the testis in young patient are rare. Bilateral involvement varies from 5 to 20% of cases and has a negative prognosis. The authors report a case of bilateral non Hodgkin's lymphoma of the testis in a 35 year old man. The patient died six months after the diagnosis.

Adult↗

[Dermoid cyst of the testis].

The authors report a case of a 30-year-old patient presenting with a right testicular mass. The presumptive diagnosis was that of a malignant tumour. The definitive diagnosis, confirmed by histological examination of the orchidectomy specimen, was that of a dermoid cyst. The aetiopathogenic, diagnostic and therapeutic characteristics of this exceptional disease are reported.

Adult↗

[Penile reconstruction following amputation by electrocution].

We report a case of penile reconstruction after traumatic loss of the penis in a 27-year old man who was electrocuted. Phalloplasty using the remaining stumps of the corpora cavernosa was performed. The functional and cosmetic aspects of the organ are good.

Adult↗

[Solitary giant retroperitoneal neurofibroma].

Retroperitoneal nerve sheath tumors (RNST), which include benign and malignant schwannomas and neurofibromas, are rare. A 71-year-old woman was complaining of flank pain. Ultrasonography and computed tomography revealed a retroperitoneal tumor measuring 22 x 15. It was successfully removed and extirpated through a midline laparotomy incision. It weighed 7 kgs. Histochemical and immunohistochemical staining of the tumor are useful for the diagnosis of solitary neurofibroma. After a two year follow-up, the patient is in good health, asymptomatic and without evidence of local recurrence.

Aged↗

[Vesicosphincteric disorders and neurosyphilis].

Voiding disorders secondary to neurosyphilis have now become rare. The authors report a case of a patient with arthritis of the knee associated with dysuria and chronic urinary retention. Urethrocystography showed a large bladder with post-voiding residual urine. Urodynamic assessment revealed detrusor areflexia. The aetiological diagnosis was neurosyphilis. Serological tests for sexually transmitted diseases must be systematically performed in patients presenting with idiopathic voiding disorders.

Arthritis, Infectious↗

[Retro-iliac ureter associated with ipsilateral megaureter].

Retro-iliac ureter is a rare congenital abnormality. The authors report a case of retro-iliac ureter associated with ipsilateral megaureter in a 38-year-old patient treated by section of the ureter at the ureterovesical junction, and dissection as far as the iliac pedicle and anterior repositioning of this pedicle, followed by ureterovesical reimplantation. Based on a review of the literature, this appears to be the first published case of this pathological association.

Adult↗