PubMed Health⌕ Search

Biomedical subjects

R Cortadellas Angel

Publications and source records attributed to R Cortadellas Angel.

27 records · Page 2Linked to original sources
PubMed1992

[Leiomyoma of the renal capsule. Presentation of a case and review of the literature].

Leiomyoma of the renal capsule is rare and very difficult to diagnose preoperatively. We report on a patient in whom a solid renal mass had been incidentally detected during ultrasound evaluation for a gastroenterological condition. A CT scan confirmed the presence of a solid mass. The intraoperative biopsy showed it was a benign tumor and conservative surgery was performed. According to the literature, this tumor type has, as yet, not been diagnosed preoperatively. However, some angiographic features may indicate the presence of this condition. This is the fourth case of leiomyoma of the renal capsule reported in the literature and the second case treated by conservative surgery.

Biopsy↗
PubMedDate not supplied

[The preoperative diagnosis of complex renal cystic masses].

OBJECTIVE: To analyze the preoperative diagnostic methodology in a series of patients with complicated cystic renal masses in relation to the definitive anatomopathological findings. METHOD: 20 cases of asymptomatic complicated cystic renal masses in 19 patients submitted to surgical exploration are described. All cases were evaluated by US and CT. Fine needle punction-aspiration biopsy (FNPA) was done in 17 of the 20 masses and pre and postoperative anatomopathological analyses were performed. RESULTS: Following the Bosniak classification for complicated cystic masses, the US study showed two cases were type I, 5 type II, 10 type III, and 3 type IV, while the CT findings showed no type I, 8 type II, 9 type III and 3 type IV. The definitive anatomopathologic diagnosis was that of renal cell carcinoma in 11 cases. All but one (type II) of these 11 cases were Bosniak III or IV. Nine had a preoperative FNPA which showed malignant cells in two cases, while the remaining 7 were negative. The preoperative biopsy was negative in one of the 11 cases with renal cell carcinoma. The remaining 9 cases of complicated renal mass were simple cysts complicated by hemorrhage or infection. CONCLUSIONS: In our series, the use of the Bosniak classification system preoperatively highly correlated with the presumed benign or malignant nature of the lesion. FNPA biopsy, however, was not found to be very useful in the preoperative diagnosis of complicated cystic renal masses; it showed a sensitivity of 22% and a negative predictive value of 46.7%. Although the foregoing data have no statistical significance, a negative FNPA biopsy of a complicated cystic renal mass that raises reasonable doubts does not change the indication for a surgical exploration.

Adult↗
PubMedDate not supplied

[Pulmonary fibrosis secondary to nitrofurantoin].

Herein we report a case of pulmonary fibrosis secondary to chronic administration of nitrofurantoin following radical surgery for a bladder tumor and urinary intestinal diversion. The patient developed pulmonary superinfection and acute respiratory failure. She initially responded to treatment, but relapsed after two weeks. She died from the underlying disease.

Aged↗
PubMedDate not supplied

[Pulmonary fibrosis secondary to nitrofurantoin].

We report a case of pulmonary fibrosis from long-term furantoin therapy after radical surgery for a bladder tumor and urinary intestinal diversion. The patient developed pulmonary superinfection and acute respiratory failure. She initially responded to treatment, but relapsed two weeks later. The underlying pathological condition led to the patient's death.

Colon, Sigmoid↗
PubMedDate not supplied

[Paratesticular rhabdomyosarcoma. Report of 2 cases].

Reporting 2 cases of paratesticular embryonal rhabdomyosarcoma with different locations, one epididymal and one in the testicle tunic vaginalis. In both cases a retroperitoneal disease was present at the time of diagnosis. Although the treatment was similar the clinical evolution has been very different. One patient died 3 years after diagnosis with pulmonary metastasis, the other one is still disease-free 7 years after diagnosis. Discussion of the clinical presentation, differential diagnosis and most important the multidisciplinary therapy used in this type of tumours.

Adolescent↗
PubMedDate not supplied

[Is the inverted position of the kidney graft a cause of disease after transplantation?].

The authors explain their experience in a series of 317 consecutive RTs that resulted in renal inversion during transplantation surgery. The likely vascular complications as well as those of the excretory tract are correlated with the above situation of heterotopic graft. No differences have been noted due to placement with regard to necrosis of the ureter; stenosis of the passage, whether distally or at the pyelo-ureteral junction, have occurred in inverted kidneys but at a really low rate (1.7%) in both cases. There has been, however, a higher incidence of arterial thrombosis when the kidney is not inverted. A conclusion can be drawn that it is preeminent to place the kidney with a good vascular arrangement and that, once this is achieved, the tendency is to leave the posterior pelvis which allows to shorten the ureter.

Humans↗
PubMedDate not supplied

[Germinal tumor of the testis and acquired immunodeficiency syndrome].

Over the last few years a number of testicular tumours in seropositive patients or patients with AIDS-diagnostic factors have been described in the literature with no clear relationship having been established between both conditions. Most authors believe management should not differ from that being given to non-immunodeficient patients. The paper presents one case of non-seminomatous germinal tumour in a 41-year old homosexual patient, HIV positive, with unfavourable evolution in spite of the treatment received.

Acquired Immunodeficiency Syndrome↗