Search our Database of Scientific Publications and Authors

I’m looking for a
    [Paratesticular sarcoma with synchronous renal carcinoma.]
    Arch Esp Urol 2017 Sep;70(7):670-674
    Departamento de Urología Oncológica. Instituto Nacional de Enfermedades Neoplásicas. Lima-Perú.
    Objetive: Primary undifferentiated pleomorphic sarcoma (UPS) of the testicular tunics is rare, and synchronism with other malignancies of the urinary tract is uncommon, and may complicate the staging and therapeutic approach. We report the case of a patient diagnosed with primary paratesticular UPS with synchronous Renal Carcinoma.

    Methods: Patient presenting with intrascrotal tumor who underwent left radical orchiectomy. In staging work up studies a second urologic neoplasia was found in the kidney. Histological diagnosis using immunohistochemical techniques for adequate characterization was performed. Adjuvant treatment options were evaluated. We review the literature and discuss the case.

    Results: The UPS diagnosis was performed with immunohistochemistry. Paratesticular origin from testicular tunics was evident in the macroscopic evaluation. After finding the synchronic ipsilateral renal tumor, he underwent conventional left radical nephrectomy, ipsilateral adrenalectomy, excision of remnant left cord and para-aortic and pelvic lymphadenectomy. He received chemotherapy and adjuvant radiotherapy. Currently, after twelve months of follow-up there is no evidence of disease.

    Conclusions: The UPS is a heterogeneous group with an exclusion immunohistochemical diagnosis. Its management requires a multidisciplinary approach; the initial surgical treatment is accepted for the paratesticular mass with high section radical orchiectomy. Although there is insufficient evidence of the efficacy of adjunctive lymphadenectomy, chemotherapy and/or radiotherapy.

    Similar Publications

    Testicular tumors in children.
    J Pediatr Surg 2001 Dec;36(12):1796-801
    Departments of Pediatric Surgery and Pediatric Oncology, Hacettepe University Medical Faculty, Ankara, Turkey.
    Purpose: The aim of this study was to present an updated picture of surgical management of pediatric testicular tumors based on our 30 years' experience, which consisted of one of the largest noncollected series treated in a single medical center.

    Methods: Records of children who were treated for testicular tumor in our unit from 1970 to 1999, inclusive, were reviewed retrospectively. Information recorded for each patient included age, sex, past medical history, clinical characteristics, diagnostic procedures, treatment methods, histopathologic findings, and outcome. Read More
    Paratesticular liposarcoma of the spermatic cord: a case report and a review of the literature.
    West Afr J Med 2011 Nov-Dec;30(6):447-52
    Callaghan Brendon Costello, Madhuri Deolekker, North Manchester General Hospital,Departments of Urology and Pathology Delaunays Road, Crumpsall, Manchester, M8 5RB, United Kingdom.
    Background: Paratesticular liposarcomas are uncommon and in view of this most practitioners would be unfamiliar with the diagnosis and management.

    Objective: To report a case of paratesticular liposarcoma, a rare tumour and to review the literature on paratesticular liposarcoma.

    Methods And Results: A 77-years old man with paratesticular liposarcoma originating from the left spermatic cord is reported. Read More
    Paratesticular rhabdomyosarcoma: a case report.
    Arch Esp Urol 2013 Apr;66(3):305-7
    Urology Department, University Hospital Doctor Peset,Valencia, Spain.
    Objective: To report a case of paratesticular rhadomyosarcoma and to perform a bibliographic review.

    Methods: We report the case of a 16-year-old male referred to our Department because of a left paratesticular hard tumor with progressive growth. Ultrasound examination showed a paratesticular heterogeneous mass with Internal flow on Doppler. Read More
    Paratesticular sarcomas in Brazil.
    Urol Int 2009 8;82(4):448-52. Epub 2009 Jun 8.
    Division of Urology and Department of Pathology, Medical School of Santa Casa of São Paulo, São Paulo, Brazil.
    Purpose: Paratesticular sarcomas are rare and frequently reported as isolated case reports. Studies evaluating the relative frequency of the paratesticular sarcomas are limited, and to the best of our knowledge, this is the first study of paratesticular sarcomas in the Brazilian population.

    Patients And Methods: Medical records of all patients undergoing treatment for paratesticular sarcomas between 1993 and 2006 were retrieved from the archives of our institution. Read More