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Resumen Introducción. El carcinoma similar al linfoepitelioma (LELC por sus siglas en inglés) es una variante de tumor muy infrecuente y agresiva, llamado así por su similitud histológica con linfoepiteliomas nasofaríngeos. Presentación del caso. Hombre de 60 años que fue remitido al servicio de urología de un hospital público en la ciudad de Madrid (España) por una tumoración en el pene de 2 cm de diámetro de aproximadamente dos años de evolución. El análisis histopatológico reveló un tumor de crecimiento endofítico que ocupaba la porción ventral del glande, que infiltraba el meato uretral, cuerpo cavernoso, cuerpo esponjoso y uretra. Se decidió tratamiento quirúrgico (penectomía parcial) sin tratamiento neoadyuvante. El examen histológico confirmó el diagnóstico de carcinoma similar al linfoepitelioma de uretra. Conclusión. El carcinoma similar al linfoepitelioma es un tumor poco frecuente en el aparato urinario y su aparición en el pene es excepcional. Cuando se localiza en esta zona el tratamiento generalmente combina cirugía y quimioterapia, y tiene buen pronóstico y mejores tasas de respuesta cuanto mayor es el componente linfoide en el tumor.

ObjectivesThis study analyzes the subjective emotional impact COVID-19 deaths have had on healthcare, social services, and funeral services professionals, it explores the different implications, and analyzes the different reactions of health and social care professionals and funeral professionals to the volume of deaths.MethodsThis work is based on a qualitative, phenomenological, and interpretative approach through in-depth interviews with 42 informants, including 36 social and healthcare professionals, as well as 6 family members of those who died from COVID-19 in Madrid. The interviews were processed through a qualitative, interpretative, categorical analysis.ResultsHealthcare professionals were overexposed to a significant number of deaths under dramatic circumstances. Many of these professionals had difficulties processing their experiences and expressed the need for psychological help. The fact that certain professionals had previous exposure to high mortality rates was not a protective factor. Some coping differences were seen between healthcare professionals and professionals dedicated to the care of the deceased (undertakers or firemen), particularly in the degree to which they personalized the care they provided.ConclusionThe overexposure to death with the circumstances that existed during the state of emergency had a significant emotional impact on the professionals, which can lead to mental health problems in the near term.