Pub Date : 2024-09-27DOI: 10.1016/j.eucr.2024.102853
Cancer relapsing can rarely occur at the surgical scar. It happens in laparoscopic and robotic surgery more than the traditional open surgery. It is extremely rare after urological cancer surgery. These cases are linked to a poor prognosis, so therapeutic strategies should be developed. Several factors contribute to this phenomenon, including hematogenous spread and high-grade primary tumors. Here, we report a case of a 42-year-old male who developed an incision site metastasis following open radical nephrectomy for metastatic clear cell renal carcinoma.
{"title":"Incision site metastasis following open radical nephrectomy for renal cell carcinoma: A case report","authors":"","doi":"10.1016/j.eucr.2024.102853","DOIUrl":"10.1016/j.eucr.2024.102853","url":null,"abstract":"<div><div>Cancer relapsing can rarely occur at the surgical scar. It happens in laparoscopic and robotic surgery more than the traditional open surgery. It is extremely rare after urological cancer surgery. These cases are linked to a poor prognosis, so therapeutic strategies should be developed. Several factors contribute to this phenomenon, including hematogenous spread and high-grade primary tumors. Here, we report a case of a 42-year-old male who developed an incision site metastasis following open radical nephrectomy for metastatic clear cell renal carcinoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/j.eucr.2024.102856
Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak.
{"title":"Diagnostic CT cystography with diluted gadolinium-based contrast: A viable alternative to an iodinated contrast-based cystogram","authors":"","doi":"10.1016/j.eucr.2024.102856","DOIUrl":"10.1016/j.eucr.2024.102856","url":null,"abstract":"<div><div>Patients with reported history of severe iodinated contrast reaction are not uncommon in daily practice. Iodinated contrast is most frequently administered intravenously (IV) for CT scans but is also used intraluminally during urologic procedures and postoperatively to assess for leaks. Providers often are unaware that patients with prior iodinated contrast allergy after IV administration are still at risk for a reaction during intraluminal administration. We present a case of a patient with history of iodinated severe contrast allergy, in which CT cystography using a gadolinium-based-contrast agent was safely performed as an alternative to iodinated-based-cystography to evaluate for a postoperative leak.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/j.eucr.2024.102855
Solitary fibrous tumor is an uncommon myofibroblastic tumor that affects pleura. While most of these tumors are in the intrathoracic cavity, a small minority have been noted to be found elsewhere, including the prostate. In this case study, we present a patient who presented with obstructive urinary symptoms and was diagnosed with solitary fibrous tumor of the prostate on immunohistochemical staining.
{"title":"CD-34 negative solitary fibrous tumor of the prostate: A case report","authors":"","doi":"10.1016/j.eucr.2024.102855","DOIUrl":"10.1016/j.eucr.2024.102855","url":null,"abstract":"<div><div>Solitary fibrous tumor is an uncommon myofibroblastic tumor that affects pleura. While most of these tumors are in the intrathoracic cavity, a small minority have been noted to be found elsewhere, including the prostate. In this case study, we present a patient who presented with obstructive urinary symptoms and was diagnosed with solitary fibrous tumor of the prostate on immunohistochemical staining.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-25DOI: 10.1016/j.eucr.2024.102854
Sertoli cell tumors are a rare subtype of testicular tumors. This report describes a 55-year-old male who presented with scrotal pain and a palpable mass. Diagnostic imaging revealed a hypoechoic mass in the left epididymis and a hyperechoic mass in the right testis. A right testis-sparing surgical procedure was performed, and subsequent histopathological analysis confirmed the presence of a benign Sertoli cell tumor. The patient experienced an uncomplicated postoperative course and was discharged on the same day. This case underscores the viability of testis-sparing surgery in the management of rare testicular tumors, emphasizing its potential for preserving testicular function.
{"title":"A rare case of Sertoli cell tumor in an adult male with testicular preservation","authors":"","doi":"10.1016/j.eucr.2024.102854","DOIUrl":"10.1016/j.eucr.2024.102854","url":null,"abstract":"<div><div>Sertoli cell tumors are a rare subtype of testicular tumors. This report describes a 55-year-old male who presented with scrotal pain and a palpable mass. Diagnostic imaging revealed a hypoechoic mass in the left epididymis and a hyperechoic mass in the right testis. A right testis-sparing surgical procedure was performed, and subsequent histopathological analysis confirmed the presence of a benign Sertoli cell tumor. The patient experienced an uncomplicated postoperative course and was discharged on the same day. This case underscores the viability of testis-sparing surgery in the management of rare testicular tumors, emphasizing its potential for preserving testicular function.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-25DOI: 10.1016/j.eucr.2024.102850
Scrotal cellular angiofibroma (CAF) is a rare, benign, soft-tissue paratesticular tumor that has been sporadically reported previously. We present a case of a 55-year old male with a scrotal mass ultimately diagnosed with scrotal CAF. Immunohistochemical analysis stained positively for desmin, CD34, and estrogen receptor. Our series is one of the only published to date demonstrating desmin-positive paratesticular CAF. Diagnosis of CAF remains difficult due to the sparsity of paratesticular CAF, its similar characteristics to spindle cell lipoma (SCL), and variability in immunohistochemical reporting.
{"title":"Scrotal cellular angiofibroma: A case report and review of the literature","authors":"","doi":"10.1016/j.eucr.2024.102850","DOIUrl":"10.1016/j.eucr.2024.102850","url":null,"abstract":"<div><div>Scrotal cellular angiofibroma (CAF) is a rare, benign, soft-tissue paratesticular tumor that has been sporadically reported previously. We present a case of a 55-year old male with a scrotal mass ultimately diagnosed with scrotal CAF. Immunohistochemical analysis stained positively for desmin, CD34, and estrogen receptor. Our series is one of the only published to date demonstrating desmin-positive paratesticular CAF. Diagnosis of CAF remains difficult due to the sparsity of paratesticular CAF, its similar characteristics to spindle cell lipoma (SCL), and variability in immunohistochemical reporting.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-25DOI: 10.1016/j.eucr.2024.102851
A pure leiomyoma of the prostate, a rare tumor with fewer than 30 documented cases, typically initiates as focal points within the gland, causing prostatomegaly. Pathological examination is crucial for diagnosis, distinguishing it from leiomyosarcoma. Complete tumor resection is preferred, with methods like transurethral resection, open adenomectomy, or prostatectomy. Here, we detail a 72-year-old male's case of prostatic leiomyoma, treated via Robotic prostatectomy, highlighting the importance of accurate diagnosis and tailored therapy for this rare condition.
{"title":"Prostatic leiomyoma: A case report","authors":"","doi":"10.1016/j.eucr.2024.102851","DOIUrl":"10.1016/j.eucr.2024.102851","url":null,"abstract":"<div><div>A pure leiomyoma of the prostate, a rare tumor with fewer than 30 documented cases, typically initiates as focal points within the gland, causing prostatomegaly. Pathological examination is crucial for diagnosis, distinguishing it from leiomyosarcoma. Complete tumor resection is preferred, with methods like transurethral resection, open adenomectomy, or prostatectomy. Here, we detail a 72-year-old male's case of prostatic leiomyoma, treated via Robotic prostatectomy, highlighting the importance of accurate diagnosis and tailored therapy for this rare condition.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-25DOI: 10.1016/j.eucr.2024.102852
Perineal seeding is an extremely rare complication after prostate biopsy. We found a perineal localization of prostatic adenocarcinoma 5 years after the transperineal biopsy in a patient with metastatic castration resistant prostate cancer. The tumor was identified by a18F-Fluorocholin positron emission tomography-computed tomography (18F-FCH PET-CT) performed after a sudden rise of PSA levels during androgen deprivation therapy and after a negative CT scan. This case report underscores the challenge one may encounter in detecting perineal prostate cancer metastasis after a biopsy when using traditional imaging with CT scan alone or MRI, and the added diagnostic value of PET-CT imaging.
{"title":"A challenging diagnosis of prostate cancer seeding in the perineal needle-tract after transperineal biopsy: is PET-CT the imaging of choice?","authors":"","doi":"10.1016/j.eucr.2024.102852","DOIUrl":"10.1016/j.eucr.2024.102852","url":null,"abstract":"<div><div>Perineal seeding is an extremely rare complication after prostate biopsy. We found a perineal localization of prostatic adenocarcinoma 5 years after the transperineal biopsy in a patient with metastatic castration resistant prostate cancer. The tumor was identified by a<sup>18</sup>F-Fluorocholin positron emission tomography-computed tomography (<sup>18</sup>F-FCH PET-CT) performed after a sudden rise of PSA levels during androgen deprivation therapy and after a negative CT scan. This case report underscores the challenge one may encounter in detecting perineal prostate cancer metastasis after a biopsy when using traditional imaging with CT scan alone or MRI, and the added diagnostic value of PET-CT imaging.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12DOI: 10.1016/j.eucr.2024.102849
Castleman disease (CD) is a heterogeneous hematological condition characterized by distinctive histopathological features. The etiology remains unclear, and clinical symptoms are generally nonspecific. CD can occur in any location containing lymphatic tissue, with the mediastinum being the most common site, while adrenal involvement is rare. Adrenal CD is typically incidentally discovered during physical examination, commonly affecting one side. Imaging studies often make it challenging to differentiate from common adrenal tumors, necessitating pathological confirmation. Surgical intervention is the preferred treatment, and the prognosis is generally favorable.
This paper presents a rare case of a left adrenal mass, which was diagnosed as Castleman disease following surgical resection.
卡斯特曼病（CD）是一种异质性血液病，具有独特的组织病理学特征。其病因尚不清楚，临床症状一般无特异性。CD 可发生在任何含有淋巴组织的部位，纵隔是最常见的部位，而肾上腺受累则很少见。肾上腺 CD 通常是在体检时偶然发现的，通常累及一侧。影像学检查往往难以将其与常见的肾上腺肿瘤区分开来，因此需要进行病理确诊。本文介绍了一例罕见的左侧肾上腺肿块病例，手术切除后确诊为 Castleman 病。
{"title":"Unilateral adrenal Castleman's disease: A case report","authors":"","doi":"10.1016/j.eucr.2024.102849","DOIUrl":"10.1016/j.eucr.2024.102849","url":null,"abstract":"<div><p>Castleman disease (CD) is a heterogeneous hematological condition characterized by distinctive histopathological features. The etiology remains unclear, and clinical symptoms are generally nonspecific. CD can occur in any location containing lymphatic tissue, with the mediastinum being the most common site, while adrenal involvement is rare. Adrenal CD is typically incidentally discovered during physical examination, commonly affecting one side. Imaging studies often make it challenging to differentiate from common adrenal tumors, necessitating pathological confirmation. Surgical intervention is the preferred treatment, and the prognosis is generally favorable.</p><p>This paper presents a rare case of a left adrenal mass, which was diagnosed as Castleman disease following surgical resection.</p></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214442024002031/pdfft?md5=da03eb8c37fda13adb751bb0c060617b&pid=1-s2.0-S2214442024002031-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.eucr.2024.102847
Spina bifida is a congenital condition that often leads to significant urological complications, including an increased risk of kidney and bladder stones. Performing percutaneous nephrolithotomy (PCNL) on patients with spina bifida presents unique challenges due to the anatomical deformities. We present a case of a spina bifida patient with right staghorn stone and bladder stones in a previously augmented bladder. Simultaneous tubeless supine PCNL and cystolitholapaxy was successfully performed. This case highlights the versatility of the supine position in managing complex stones in patients with spina bifida.
{"title":"Simultaneous tubeless supine percutaneous nephrolithotomy and cystolitholapaxy in a patient with spina bifida","authors":"","doi":"10.1016/j.eucr.2024.102847","DOIUrl":"10.1016/j.eucr.2024.102847","url":null,"abstract":"<div><p>Spina bifida is a congenital condition that often leads to significant urological complications, including an increased risk of kidney and bladder stones. Performing percutaneous nephrolithotomy (PCNL) on patients with spina bifida presents unique challenges due to the anatomical deformities. We present a case of a spina bifida patient with right staghorn stone and bladder stones in a previously augmented bladder. Simultaneous tubeless supine PCNL and cystolitholapaxy was successfully performed. This case highlights the versatility of the supine position in managing complex stones in patients with spina bifida.</p></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214442024002018/pdfft?md5=fdbb76581ce0f7719079a74aa230f3aa&pid=1-s2.0-S2214442024002018-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-04DOI: 10.1016/j.eucr.2024.102845
Arterial hypertension is a major cause of mortality and morbidity worldwide. Medical therapy is the most common treatment. However, in some cases there is a persistent high blood pressure despite medical therapy. These patients with medication refractory arterial hypertension can be treated by renal denervation. Until now an endovascular approach has been used. There are however limitations in eligibility based on vascular or anatomical anomalies. For these patients, as well as other patients eligible for renal denervation, robot-assisted renal denervation has the potential to become a surgical treatment option based on our findings.
{"title":"Robot-assisted renal denervation as a new surgical approach for therapy resistant arterial hypertension","authors":"","doi":"10.1016/j.eucr.2024.102845","DOIUrl":"10.1016/j.eucr.2024.102845","url":null,"abstract":"<div><p>Arterial hypertension is a major cause of mortality and morbidity worldwide. Medical therapy is the most common treatment. However, in some cases there is a persistent high blood pressure despite medical therapy. These patients with medication refractory arterial hypertension can be treated by renal denervation. Until now an endovascular approach has been used. There are however limitations in eligibility based on vascular or anatomical anomalies. For these patients, as well as other patients eligible for renal denervation, robot-assisted renal denervation has the potential to become a surgical treatment option based on our findings.</p></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214442024001992/pdfft?md5=70c5728deb2c8b9340516dfadc654f00&pid=1-s2.0-S2214442024001992-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142158190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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