Diagnóstico ecográfico de leiomiosarcoma paratesticular con microlitiasis testicular. Presentación de un caso.
Abstract
El leiomiosarcoma es un tumor paratesticular maligno con una mayor incidencia a partir de la sexta década de la vida, aunque se describen casos a partir de la cuarta década. Suponen el 5% de todos los sarcomas y el 2% de todos los tumores urológicos. No se conoce el origen de este tipo de tumores, pero se especula con la posibilidad del papel de una degeneración de un leiomioma previo, originado a partir de estructuras funiculares de músculo liso, que puede localizarse en las fibras musculares cremastéricas, en el deferente, en los vasos funiculares, incluso en restos vestigiales de músculos de la pared escrotal, de las fibras conjuntivas del conducto peritoneovaginal o de restos mesoblásticos atrapados en el cordón funicular. Se presenta el caso de un paciente de 37 años con diagnóstico de leiomiosarcoma paratesticular asociado a microlitiasis testicular.
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Gutiérrez JC, Pérez EA, Franceschi D, Moffat FL, Livingstone AS, Koniaris LG. Outcomes for soft-tissue sarcoma in 8249 cases from a large state cancer registry. J Surg Res. 2007; 141(1):105-114.
Shaida A, Yung M. Neurofibroma of the pinna. Ear Nose Throat J. 2007; 86:36-8.
Low N. Screening programmes for chlamydial infection: when will we ever learn? Br Med J. 2007; 334:725-728.
Cuba. Ministerio de salud Pública. Dirección Nacional de Estadísticas de Salud. Anuario Estadístico [Internet]. 2010[citado 12 Feb 2012] [aprox. 98 pantallas]. Disponible en: http://files.sld.cu/dne/files/2011/04/anuario-2010-e-sin-graficos1.pdf
Pérez Calleja NC. Caracterización de la enfermedad neoplásica de la infancia en la provincia de Ciego de Ávila. MediCiego [Internet]. 2010 [citado 12 Feb 2012]; 16(1): [aprox. 8 p.]. Disponible en: http://bvs.sld.cu/revistas/mciego/vol16_01_10/pdf/t4.pdf
Meyers D, Wolff T, Gregory K. USPSTF Recommendations for STI Screening. Origin Publish. Am Fam Physic. 2008; 77:819-824.
Hwang L, Shafer MA. Chlamydia trachomatis infection in adolescents. Adv Pediatr. 2004; 51:379-407.
Master V, Turek P. Safety and effectiveness of a new saline - filled testicular prothesis. J Urol. 2009; 65(5):152-159.
Heller MT, Fargiano A, Rudzinski S, Johnson N. Acute scrotal ultrasound: a practical guide. Crit Ultras J [Internet]. 2010 [citado 12 Feb 2012]; 2(2):65-73. Disponible en: http://www.springerlink.com/content/t867835w33371wx2/
Eble JN, Sauter G, Epstein JI, Sesterhenn IA. Tumours of the urinary system and male genital organs. En: World Health Organization. Classification of tumours. Lyon (France): IARC Press; 2004. p. 273-276.
Caretta N, Palego P, Schipilliti M, Torino M, Pati M, Ferlin A, et al. Testicular contrast harmonic imaging to evaluate intratesticular perfusion alterations in patients with varicocele. J Urol [Internet]. 2010 [citado 12 Feb 2012]; 183(1):263-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19942233
Dotan ZA, Tal R, Golijanin D, Snyder ME, Antonescu C, Brennan MF, Russo P. Adult genitourinary sarcoma: the 25-year Memorial Sloan-Kettering experience. J Urol. 2006; 176(5):2038-2039.
Gutiérrez JC, Pérez EA, Franceschi D, Moffat FL, Livingstone AS, Koniaris LG. Outcomes for soft-tissue sarcoma in 8249 cases from a large state cancer registry. J Surg Res. 2007; 141(1):105-114.
Tolosa Izaguirre E, Robles García JE, Lorente Pérez J, Rincón Mayans A. Consulta diferida de un traumatismo escrotal. Actas Urol Esp [Internet]. 2010 [citado 7 Mar 2012]; 34(7):641-643. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-48062010000700014&lng
Méndez Gallart R, Bautista Casanovas A, Estévez Martínez E, Rodríguez Barca P, Taboada Santomil P, Armas A, et al. Hidrocele reactivo tras Palomo laparoscópico en el varicocele pediátrico. Arch Esp Urol [Internet]. 2010 Sep [citado 7 Mar 2012]; 63(7): 532-536. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0004-06142010000700009&lng=es
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