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J Avila Padilla

Publications and source records attributed to J Avila Padilla.

11 recordsLinked to original sources

[Inverted bladder papilloma. Our contribution (7 cases)].

Seven cases of urothelium inverted papilloma in vesical location. Frequency in our centre is 1.4% of all urothelium tumours and mean age of patients is 63 years, 57.1% men (4 cases) and 42.9% women (3 cases). Typical clinical signs and symptoms at presentation are hacmaturia and, less frequently, a mictional irritative picture or recurrent urinary infection. It can also be accidentally found during vesico-prostate surgery performed for other cases. Evolution is benign, similar to that of transitional papilloma in our experience, and only one case of asynchronic association with a low grade vesical papillar tumour has been observed. Treatment has been endoscopic in all cases and we do not believe that chemoprophylaxis and/or immunotherapy are useful.

Aged↗

[Left supraclavicular adenopathy. Metastasis of carcinoma of the prostate].

Herein we describe two cases of prostatic carcinoma whose presenting feature was a left supraclavicular lymphadenopathy. The patients had presented no urinary symptomatology and the rectal examination of the prostate had disclosed minimal changes. A review of the literature has shown that the survival and treatment should be approached with the same protocols used in patient that initially present with bony or visceral metastasis. The finding of a supraclavicular lymphadenopathy should always prompt us to suspect the possibility of prostatic cancer.

Adenocarcinoma↗

[Leiomyosarcoma of the spermatic cord].

Presentation of an uncommon paratesticular tumour, located in the spermatic cord and originated in the smooth muscle of the cremaster, deferent, or the cord's vascular structures. In 1966, KYLE in Canada reviewed 22 cases of paratesticular leiomyosarcoma from the English literature, and in 1984 PUTS in the Netherlands extended this catalogue to 39. TAKAHA in 1991 presented 18 cases found in the Japanese literature. The theory of malignant degeneration from a previously existing leiomyomatous tumour is generally accepted. This entity is clinically associated with a clear tendency to local relapse, which does not imply a worse prognosis, and with a high percentage of blood metastasis three years after exeresis. The choice therapy is oncologic inguinal orchiectomy. Radiotherapy and chemotherapy, as coadjuvant therapies, appeared to be more effective in children's than in adult's sarcoma. Prognosis of these neoplasias in the reviewed literature is highly variable, ranging between 10% and 62% survival at 5 years, possibly due to the diversity of therapies and the patient's stage at the time of diagnosis.

Aged↗

[Bladder schistosomiasis: presentation of a new case].

We report a case of urinary schistosomiasis involving only the bladder and mimicking a transitional cell pseudotumor. We describe the clinical and pathological features and discuss the diagnosis, medical and surgical treatment of this disease entity whose incidence is slowly increasing in black immigrants of the Maresme area of Barcelona.

Adult↗

[Supernumerary right pararenal spleen].

Presentation of one case report of unexpected retroperitoneal mass, since it occurred no only in a supernumerary spleen but also because of the right pararenal location. A discussion is presented on the diagnostic difficulties due to such cases being most often asymptomatic, and on the differential diagnosis with splenosis, although the possibility of an embryologic origin was also considered.

Adult↗