Search

Background and Objective: Thyroid cancer may be clinically evident as a tumor mass in the neck or as a histopathological incidental finding after thyroid surgery for an apparent benign condition. Our objective was to assess the differences in clinical signs, surgical management, and course between incidental and clinically diagnosed thyroid tumors., Methods: A retrospective study was conducted on patients operated on for benign or malignant thyroid disease from January 2000 to March 2014. Among the 1415 patients who underwent any thyroid surgery, 264 neoplasms were found, of which 170 were incidental. A comparison was made of incidental versus non-incidental carcinomas. Among incidental carcinomas, cases whose indication for surgery was Graves' disease were compared to those with multinodular goiter., Results: Incidental carcinomas were in earlier stages and required less aggressive surgery. There were no differences in surgical complications between incidental and clinical tumors, but mortality and relapses were markedly higher in non-incidental cancers (4.4% vs 0% and 13.2% vs 4.8% respectively). Carcinomas developing on Graves' disease showed no differences from all other incidental tumors in terms of complications, mortality, or relapse after surgery., Conclusions: Early stage thyroid cancer has better survival and prognosis after surgical treatment., (Copyright © 2016 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.)

Objective: To present an additional case of mucinous adenocarcinoma of the prostate gland. The histochemical and immunohistochemical findings demonstrating its prostatic origin are presented and the literature is reviewed., Methods/results: A 53-year-old male with no previous symptoms or signs presented for a prostatic examination. DRE was normal and PSA was 35 ng/ml. A prostate biopsy demonstrated adenocarcinoma of the prostate with a Gleason score of 3 + 3. Complementary studies were negative. The patient was submitted to radical prostatectomy. Anatomopathological analysis of the surgical specimen demonstrated a prostatic mucinous adenocarcinoma. At one-year follow-up, the patient is alive and disease-free and PSA values have returned to normal., Conclusions: Mucinous adenocarcinoma of the prostate is a rare anatomopathological variant whose natural history and prognosis are not well-known. This tumor type generally does not respond to any treatment and is hormone-resistant.

Juvenile gangrenous vasculitis of the scrotum is a peculiar form of scrotal gangrene of undetermined etiology, with clinical and pathological features of its own, described in 1973 by Piñol et al. We report a new case, considering this entity as part of the differential diagnosis of scrotal gangrene, and a review of relative literature.

Background: Hairy leukoplakia (HL) is one of the commonest oral lesions associated with infection with the human immunodeficiency virus (HIV). This entity is regarded to be related to replicative Epstein-Barr virus (EBV) infection, in the epithelial cells of the oral mucosa. The present study was aimed at demonstrating the presence of EBV in 19 biopsy specimens, with clinical and histologic diagnosis of HL., Methods: In situ hybridization technique was performed with a biotinylated probe employing formalin-fixed paraffin-embedded sections., Results: All cases exhibited a hybridization signal restricted to nuclei of keratinocytes that displayed a cytopathic effect in the routine microscopic study. The hybridization signal was confined to the nuclei of a large number of intermediate and superficial cell layers, and occasionally of the parakeratin surface., Conclusions: It appears to exist a close relation between the presence of EBV and the development of HL. In situ hybridization technique with a biotinylated EBV DNA probes is a useful diagnostic tool, that allows a highly accurate diagnosis of HL, specially in those lesions with doubtful clinical and histopathological appearances. The HL represents the first known non-tumoral epithelial lesion associated to EBV infection.

Renal oncocytoma is an uncommon, generally benign tumor of the renal parenchyma arising from tubular cells with typical gross, microscopic and ultrastructural features. We report another case of renal oncocytoma that had been treated conservatively on the basis of the pre- and intraoperative findings. The present case provides further insight into the biological behaviour of this tumor type. Its origin, pathological features, diagnostic and therapeutic difficulties, and prognosis are discussed.