authors
-
Zygmunt Dobrowolski 1, Mieczysław Gałęzia 2, Wacław Lipczyński 1, Janusz Jaszczyński 1, Wiesław Węglarz 1, Bolesław Papla 3
- 1 Katedra i Klinika Urologii CM UJ
Kierownik: dr hab. med. Z. Dobrowolski
2 Oddział Urologii Szpitala w Czerwonej Górze
Ordynator: dr med. M. Gałęzia
3 Katedra Patomorfologii CM UJ
Kierownik: prof. dr hab. med. J. Stachura
keywords
-
minor pelvis ? non-typical tumours
summary
- Tumours in minor pelvis may originate not only from the parts of urinary
- tract or sexual system situated in this space but from other tissues like muscular,
- fat and connective as well. They may exist as a singular or multifocular
- infiltration and sometimes they coexist with other neoplasms or with specific
- and non-specific inflammation.
- Material and methods. There were 7 patients treated in period 1992-1998 in
- Urological Clinic of CM UJ in Kraków and in Urological Ward of the hospital
- in Czerwona Góra. Pathological examinations proved the tissue structure
- very rare existed in minor pelvis. The age of patients was 26-65 years.They
- were 2 women and 5 men among them. The tumour was found in 3 patients
- in minor pelvis and retroperitoneal space during physical examination. In
- other 4 cases it turned to be a bladder tumour. The first diagnosis was based
- on ultrasonography than followed by IVU an CT. Additionally the biopsy
- was performed in 3 cases. Each patient was operated on. Schwannoma type
- Antoni B was found in 1 case, Schwannoma malignum in 1 case and 1 case of
- very large fibroadenoma 40 cm in diameter.
- Tumours resected from the bladder turned to be adenocarcinoma male
- differentiatum in 1 case, carcinoma planoepitheliale keratodes in 2 cases and
- pheochromocytoma malignum in 1 case.
- Conclusions. In diagnosis of the tumours in minor pelvis ultrasonography is
- the method of choice. CT, MRI and BAC are useful very often because of
- heterogeneous lesions. Especially BAC may supply the important diagnostic
- informations. Coexistaence with many other lesions, inflammation included,
- make the diagnosis and treatment very difficult. In nontypical and large
- tumours of the retroperitoneal space the risk of the laparotomy should be
- undertaken.
references
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- ma of the urinary bladder, report of a case and review of the literature. Rev. Hosp.
- Clin. Fac. Med. Sao Paulo 1997,52,28-31.
- [2] Murphy, W.: Diseases of the urinary bladder in urological pathology. Sannders
- Company 1997, Chap. 2, 8,10.
- [3] Piedrola, G., Lopez, E., Rueda, M. D., Lopez, R., Serrano, J., Sancho,
- M.: Malignant pheochromocytoma of the bladder: current controversies. Eur. Urol.
- 1997,31,122-125.
- [4] Trifero, M., Frattaroli, F. M., Ciccone, A. M., Guadalaxara, A., Oddi, G.,
- Pappalardo, G.: Retroperitoneal malignant schwannoma. A case report. Tumori
- 1994, 30, 80, 238-40.
- [5] Ziparo, V.,_Bocchetti, T., Mercantini, R, Di Giacomo, G., Caleno, M. R,
- Lucandri, G.: Retroperitoneal schwannoma: report of a clinical case and review of
- the literature. G. Chir. 1996,17,399-404.
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