Miguel Blas Marín | PubMed Health

PubMedDate not supplied

[Laparoscopic lymphadenectomy. Current indications].

OBJECTIVES: To analyse the experience of our own group and other reference groups with laparoscopic pelvic lymphadenectomy since 1990 regarding different aspects: Technical details, results, complications, and establishment of its current indications for prostate cancer treatment. METHODS: We report a retrospective statistical analysis of a series of lymphadenectomies over a 10 year period with a total of 202 cases (69 laparoscopic and 133 open surgical) analysing different lymph node invasion risk factors. RESULTS: Elevated PSA and Gleason resulted in more lymph node infiltration being the cutting point in 40 and 7 respectively. CONCLUSIONS: Laparoscopic lymphadenectomy provides equal diagnostic reliability than the traditional technique. Currently we perform laparoscopic lymphadenectomy in prostate cancer for T3 tumours (independently of PSA or Gleason score) and in < T3 with PSA > or = 40, Gleason > or = 8, and in cases with Gleason 7 and PSA > 20.

Adenocarcinoma↗

PubMedDate not supplied

[Bladder villous adenoma: report of a new case].

OBJECTIVES: Villous adenoma is a benign neoplasia, the appearance of which in the urinary tract is extraordinarily unfrequent. We report a new case recently experienced in our department. METHODS: We report the case with its past urologic history, clinical picture, diagnostic tests, and treatment. RESULTS: Pathologic report confirmed the diagnosis of bladder villous adenoma, being transurethral resection the only treatment applied to leave the patient disease-free. CONCLUSIONS: Prognosis of this kind of neoplasia, which is unfrequent, is excellent; being endoscopic resection curative, with no local or distant progression, except in cases associated with adenocarcinoma foci, in which local recurrence or distant metastasis are possible, and a more aggressive treatment might be indicated.

Adenoma, Villous↗