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[PMID]: 29223275 [Au] Autor: Correa V; Vintch J; Lanks C [Ad] Dirección: Division of Pulmonary and Critical Care Physiology and Medicine, Harbor-UCLA Medical Center, Torrance, CA. [Ti] Título: A 26-Year-Old Man From Mexico With Headaches, Dysuria, and a Right Scrotal Mass. [So] Fuente: Chest;152(6):e147-e150, 2017 12. [Is] ISSN: 1931-3543 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: CASE PRESENTATION: A 26-year-old man with no medical history was admitted to the hospital for evaluation of his change in mental status. He was noted to be agitated at work and had difficulty walking for 2 days before being brought in to the ED by his family. According to his uncle, the patient had been complaining of a headache and pain with urination for approximately 1 week. He was born in Guerrero, Mexico (a small farm town), and moved to Los Angeles, California, in 2008. [Mh] Términos MeSH primario: Disuria/etiología Cefalea/etiología Hidrocefalia/complicaciones Mycobacterium bovis/aislamiento & purificación Escroto/diagnóstico por imagen Tuberculosis de los Genitales Masculinos/diagnóstico [Mh] Términos MeSH secundario: Adulto ADN Bacteriano/análisis Diagnóstico Diferencial Disuria/diagnóstico Cefalea/diagnóstico Seres Humanos Hidrocefalia/diagnóstico Imagen por Resonancia Magnética Masculino Mycobacterium bovis/genética Escroto/microbiología Tuberculosis de los Genitales Masculinos/microbiología [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE [Nm] Nombre de substancia: 0 (DNA, Bacterial) [Em] Mes de ingreso: 1712 [Cu] Fecha actualización por clase: 180305 [Lr] Fecha última revisión: 180305 [Sb] Subgrupo de revista: AIM; IM [Da] Fecha de ingreso para procesamiento: 171211 [St] Status: MEDLINE

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[PMID]: 29406058 [Au] Autor: Yura E; Flury S [Ad] Dirección: Department of Urology, Northwestern University, Tarry Building Room 16-703, 300 East Superior Street, Chicago, IL 60611, USA. [Ti] Título: Cutaneous Lesions of the External Genitalia. [So] Fuente: Med Clin North Am;102(2):279-300, 2018 Mar. [Is] ISSN: 1557-9859 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: Individuals with cutaneous diseases of the external genitalia often initially present to their primary care provider. When present, these conditions may be associated with considerable physical symptoms and psychological distress. Dermatoses affecting the genitals may be of infectious, inflammatory, or neoplastic cause, and can be processes confined to the genitalia or a manifestation of a more widespread dermatologic condition. This article provides a guide to recognizing and managing common genital dermatoses and when to refer for specialist opinion. [Mh] Términos MeSH primario: Enfermedades de los Genitales Femeninos/diagnóstico Enfermedades de los Genitales Masculinos/diagnóstico Genitales/patología Enfermedades de la Piel/diagnóstico [Mh] Términos MeSH secundario: Femenino Enfermedades de los Genitales Femeninos/etiología Enfermedades de los Genitales Masculinos/etiología Seres Humanos Masculino Pene/patología Escroto/patología Enfermedades de la Piel/etiología Vulva/patología [Pt] Tipo de publicación: JOURNAL ARTICLE; REVIEW [Em] Mes de ingreso: 1802 [Cu] Fecha actualización por clase: 180208 [Lr] Fecha última revisión: 180208 [Sb] Subgrupo de revista: AIM; IM [Da] Fecha de ingreso para procesamiento: 180207 [St] Status: MEDLINE

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[PMID]: 28467338 [Au] Autor: Sisti A; Tassinari J; Cuomo R; Milonia L; Nisi G; Brandi C; D'Aniello C; Grimaldi L [Ad] Dirección: . asisti6@gmail.com. [Ti] Título: A case of extramammary inguinal Paget disease in a male patient: surgical treatment with an abdominal advancement cutaneous flap. [So] Fuente: Acta Biomed;88(1):79-81, 2017 Apr 28. [Is] ISSN: 0392-4203 [Cp] País de publicación: Italy [La] Idioma: eng [Ab] Resumen: Extramammary Paget disease (EMPD) is a rare neoplasm. The clinical case of a 55-year-old man with a two-year history of a pruritic, painless erythematous skin rash on the inguinal region and scrotum is described. After a delay due to improper diagnosis and improper treatments, the patient came to the attention of the Division of plastic surgery. He underwent a punch biopsy and the pathology report came back as EMPD. Surgical excision was carried out, and an abdominal advancement cutaneous flap was performed for the defect repair. This is the first description of a reconstruction after surgical removal of inguinal EMPD with a flap of this type and we think that this type of treatment can be useful and reliable for disease localization in the groin area, especially for patients that present an excess of abdominal skin. [Mh] Términos MeSH primario: Enfermedad de Paget Extramamaria/cirugía Neoplasias Cutáneas/cirugía Colgajos Quirúrgicos [Mh] Términos MeSH secundario: Ingle/patología Ingle/cirugía Seres Humanos Masculino Mediana Edad Enfermedad de Paget Extramamaria/patología Escroto/patología Escroto/cirugía Neoplasias Cutáneas/patología [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE [Em] Mes de ingreso: 1801 [Cu] Fecha actualización por clase: 180125 [Lr] Fecha última revisión: 180125 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 170504 [St] Status: MEDLINE [do] DOI: 10.23750/abm.v88i1.5608

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[PMID]: 29310366 [Au] Autor: Zhao XY; Zeng M; Yang QY; Jing CP; Zhang Y [Ad] Dirección: Department of Pathology. [Ti] Título: Scrotum solitary fibrous tumor: A case report and review of literature. [So] Fuente: Medicine (Baltimore);96(48):e8854, 2017 Dec. [Is] ISSN: 1536-5964 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: BACKGROUND: A solitary fibrous tumor (SFT) is a rare clinical tumor, often manifesting as solitary nodules. It is a rare condition that occurs in the scrotum. Currently, no study has reported this condition. CASE SUMMARY: We reported a case of an SFT in a 77-year-old man, and discuss its diagnosis, differential diagnosis, and treatment. Clinical and histopathological features, as well as the EnVision 2-step method, were used to diagnosis the SFT. The results of imaging tests and surgery indicated that the SFT was located in the right scrotum with 2 connected tumor nodules and a clear perimeter. The larger one was 11.0 cm × 9.3 cm × 8.1 cm, and the smaller one was 3.1 cm × 2.0 cm × 2.0 cm. Pathological results indicated that in both tumor nodules, tumor cells were spindle-shaped with unclear cell boundaries. The nucleus was vacuolated with mild to moderate atypia. In the larger tumor nodule, there were many thin-walled blood vessels with vasodilation or branching. In the smaller tumor nodule, rich blood vessels were found, mostly with fibrous degeneration of the thick walls of blood vessels, and more collagen-like tissue in the interstitial layers. Immunohistochemical results demonstrated diffuse, strongly positive expression of CD34, CD99, Vim, and Bcl-2 markers. The expression of the new fusion gene, NAB2-STAT6, as an alternative tool specifically confirmed the diagnosis of SFT. This patient underwent lump resection without further treatment. The patient is alive after 18-month follow-up. CONCLUSION: This case was diagnosed as a SFT according to its histopathological features, immunophenotype. The patient is still alive at 18 months follow-up after the lump resection. [Mh] Términos MeSH primario: Escroto/patología Escroto/cirugía Tumores Fibrosos Solitarios/patología [Mh] Términos MeSH secundario: Anciano Diagnóstico Diferencial Seres Humanos Masculino Tumores Fibrosos Solitarios/cirugía [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE; REVIEW [Em] Mes de ingreso: 1801 [Cu] Fecha actualización por clase: 180115 [Lr] Fecha última revisión: 180115 [Sb] Subgrupo de revista: AIM; IM [Da] Fecha de ingreso para procesamiento: 180110 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000008854

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[PMID]: 29255568 [Au] Autor: Naciri I; Hassam B [Ad] Dirección: Service de Dermatologie et Vénérologie, Centre Hospitalier Universitaire Ibn Sina, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Maroc. [Ti] Título: [Perineal verrucous lesions]. [Ti] Título: Lésions verruqueuses périnéales.. [So] Fuente: Pan Afr Med J;28:98, 2017. [Is] ISSN: 1937-8688 [Cp] País de publicación: Uganda [La] Idioma: fre [Ab] Resumen: Verrucous lichen planus (VLP), is a chronic inflammatory dermatosis mainly involving the lower limbs. It rarely affects the perineal area, where it occurs in association with other mucocutaneous lichen lesions. We here report the case of a 51-year old patient with isolated perineal verrucous lichen planus. The patient, who had no significant medical history, presented with painless, verrucous, slightly itchy lesions in the perineal area that had gradually increased in volume over the past 8 years. Clinical examination revealed the presence of multiple firm grayish budding lesions with a rough surface, measuring 1-4 cm in diameter, in the perianal and scrotal area (A). The remainder of the somatic examination was normal. Histology showed verrucous acanthotic epidermis associated with mainly lymphocytic inflammatory infiltrate penetrating the basement membrane and pigmentary incontinence with the formation of apoptotic bodies in the basal layer of epidermis, without signs of viral infection or malignant transformation (B). The diagnosis of verrucous lichen planus was retained. Hepatitis C serology, lipid assessment as well as abdominal ultrasound were normal. A very strong local corticosteroid therapy was prescribed. The patient had a favorable outcome without recidivism at 18-months' follow-up. [Mh] Términos MeSH primario: Liquen Plano/diagnóstico Perineo/patología Escroto/patología [Mh] Términos MeSH secundario: Corticoesteroides/uso terapéutico Estudios de Seguimiento Seres Humanos Liquen Plano/tratamiento farmacológico Liquen Plano/patología Masculino Mediana Edad [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE [Nm] Nombre de substancia: 0 (Adrenal Cortex Hormones) [Em] Mes de ingreso: 1712 [Cu] Fecha actualización por clase: 171222 [Lr] Fecha última revisión: 171222 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 171220 [St] Status: MEDLINE [do] DOI: 10.11604/pamj.2017.28.98.13844

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[PMID]: 28466616 [Au] Autor: Jawdat JR; Kocherov S; Chertin B [Ad] Dirección: Department of Pediatric Urology, Shaare Zedek Medical Center, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel. [Ti] Título: One-Stage Laparoscopic Orchiopexy for the Treatment of Intraabdominal Testis. [So] Fuente: Isr Med Assoc J;18(11):669-672, 2016 Nov. [Is] ISSN: 1565-1088 [Cp] País de publicación: Israel [La] Idioma: eng [Ab] Resumen: BACKGROUND: Laparoscopy has gradually become the gold standard for the treatment of non-palpable testicles (NPT), with different success and complication rates. OBJECTIVES: To evaluate outcomes of the one-stage laparoscopic orchiopexy for NPT in our department. METHODS: We retrospectively evaluated the medical files of patients who underwent laparoscopic orchidopexy with the identical technique. Only patients with at least one year follow-up were included. At follow-up we assessed the age (at surgery), follow-up time, laterality of testes, postoperative complications, testicular size and testicular localization. RESULTS: Thirty-six consecutive patients, median age 16 months, underwent one-stage laparoscopic orchiopexy. Sixteen patients (44.4%) had peeping testis type, in 13 patients (36.1%) the testicle was located within 2 cm from the internal ring and in the remaining 7 patients (19.4%) it was detected > 2 cm from the internal ring. In six children (16.7%) dividing the spermatic vessels was performed in one stage with laparoscopic orchiopexy. In the remaining 30 patients (83.7%) a laparoscopic one-stage procedure was performed with preservation of the spermatic vessels. Testicular atrophy was observed in 2 cases (5.6%), and 6 patients (16%) had a relatively small testicle compared to the contralateral normal testicle at follow-up. Two patients (5.6%) presented with testicle positioning at the entrance area into the scrotum. None of the patients demonstrated hernia recurrence at follow-up. There was no difference in surgical outcome in children who had surgery with preservation of the spermatic vessels versus those who underwent orchiopexy with division of the spermatic vessels in one stage. CONCLUSIONS: Laparoscopic transection of the testicular vessels appeared to be safe in boys with high abdominal testes that did not reach the scrotum after laparoscopic high retroperitoneal dissection. [Mh] Términos MeSH primario: Criptorquidismo/cirugía Laparoscopía/métodos Orquidopexia/métodos Testículo/cirugía [Mh] Términos MeSH secundario: Estudios de Seguimiento Seres Humanos Lactante Laparoscopía/efectos adversos Masculino Orquidopexia/efectos adversos Estudios Retrospectivos Escroto Testículo/anomalías Resultado del Tratamiento [Pt] Tipo de publicación: JOURNAL ARTICLE [Em] Mes de ingreso: 1711 [Cu] Fecha actualización por clase: 171128 [Lr] Fecha última revisión: 171128 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 170504 [St] Status: MEDLINE

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[PMID]: 28953736 [Au] Autor: Weichman KE; Matros E; Disa JJ [Ad] Dirección: New York and Bronx, N.Y. From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center; and the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein School of Medicine. [Ti] Título: Reconstruction of Peripelvic Oncologic Defects. [So] Fuente: Plast Reconstr Surg;140(4):601e-612e, 2017 Oct. [Is] ISSN: 1529-4242 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the anatomy of the peripelvic area. 2. Understand the advantages and disadvantages of performing peripelvic reconstruction in patients undergoing oncologic resection. 3. Select the appropriate local, pedicled, or free-flap reconstruction based on the location of the defect and donor-site characteristics. SUMMARY: Peripelvic reconstruction most commonly occurs in the setting of oncologic ablative surgery. The peripelvic area contains several distinct reconstructive regions, including vagina, vulva, penis, and scrotum. Each area provides unique reconstructive considerations. In addition, prior or future radiation therapy or chemotherapy along with cancer cachexia can increase the complexity of reconstruction. [Mh] Términos MeSH primario: Neoplasias Pélvicas/cirugía Pelvis/cirugía Pene/cirugía Procedimientos Quirúrgicos Reconstructivos/métodos Escroto/cirugía Colgajos Quirúrgicos Vagina/cirugía [Mh] Términos MeSH secundario: Femenino Seres Humanos Masculino Perineo/cirugía [Pt] Tipo de publicación: JOURNAL ARTICLE; REVIEW [Em] Mes de ingreso: 1710 [Cu] Fecha actualización por clase: 171012 [Lr] Fecha última revisión: 171012 [Sb] Subgrupo de revista: AIM; IM [Da] Fecha de ingreso para procesamiento: 170928 [St] Status: MEDLINE [do] DOI: 10.1097/PRS.0000000000003703

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[PMID]: 28930853 [Au] Autor: Du L; Zhang LQ; Hou LZ; Ren L; Wang HJ; Guo XJ; Fan H [Ad] Dirección: aDepartment of Hepatopancreatobiliary Surgery, the Affiliated Hospital of Qinghai University, Xining bXian Yang Central Hospital, Xian Yang cQinghai Province Key Laboratory of Hydatid Disease Research dMedical College of Qinghai University, Xining, China. [Ti] Título: Combined resection of the right liver lobe and retrohepatic inferior vena cava to treat hepatic alveolar echinococcosis: A case report. [So] Fuente: Medicine (Baltimore);96(38):e8097, 2017 Sep. [Is] ISSN: 1536-5964 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: RATIONALE: Hepatic alveolar echinococcosis (HAE) is a potentially fatal and chronically progressive infestation that is caused by the multivesicular metacestode of Echinococcus multilocularis (EM). HAE behaves like a malignant tumor and has been referred to as "worm cancer." The main treatment method for HAE is surgical resection. PATIENT CONCERNS: We present a 41-year-old Tibetan alveolar echinococcosis (AE) patient with AE lesions invading the right liver lobe and retrohepatic inferior vena cava (RHIVC). DIAGNOSES: The patient was diagnosed with HAE based on results obtained from ultrasound examination, computed tomography, liver 3-dimensional reconstruction, serology tests, clinical presentation, and surgical exploration. The final pathology report confirmed the diagnosis as HAE. INTERVENTIONS: A radical surgery that combined resection of the liver and RHIVC was performed successfully. OUTCOMES: The patient had an uneventful postoperative recovery and a good prognosis. LESSONS: When lesions of the liver significantly violate the RHIVC, resecting the RHIVC without reconstruction may be considered if possible. [Mh] Términos MeSH primario: Equinococosis Hepática/cirugía Hepatectomía/métodos Hígado/cirugía Vena Cava Inferior/cirugía [Mh] Términos MeSH secundario: Adulto Equinococosis Hepática/diagnóstico por imagen Edema/etiología Edema/terapia Hepatectomía/efectos adversos Seres Humanos Extremidad Inferior Masculino Derrame Pleural/etiología Derrame Pleural/terapia Complicaciones Posoperatorias/terapia Escroto [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE [Em] Mes de ingreso: 1709 [Cu] Fecha actualización por clase: 171015 [Lr] Fecha última revisión: 171015 [Sb] Subgrupo de revista: AIM; IM [Da] Fecha de ingreso para procesamiento: 170921 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000008097

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[PMID]: 28767923 [Au] Autor: Sobral DSR; Silva HDD; Damázio E [Ad] Dirección: Universidade Federal do Piauí, Teresina, PI, Brazil. [Ti] Título: Surgical correction of ectopic penis and scrotum associated with bilateral orchidopexy. [So] Fuente: Einstein (Sao Paulo);15(2):223-225, 2017 Apr-Jun. [Is] ISSN: 2317-6385 [Cp] País de publicación: Brazil [La] Idioma: eng; por [Ab] Resumen: Ectopic penis is usually associated with penoscrotal transposition, and it is rarely observed in isolation. We report a surgical approach for an extremely rare case. A 10-year-old male patient with bilateral cryptorchidism and ectopic penis and scrotum in perineal area, with no penoscrotal transposition, representing an association not yet described in literature. A previous orchiopexy failed due to ectopic scrotum. By means of an inverted Y incision, the penis was mobilized and a perineal skin flap in form of a testicular sac was prepared. Finally orchiopexy was performed. The surgery was essential to treat cryptorchidism and to improve the self-image of the patient. RESUMO O pênis ectópico geralmente ocorre associado à transposição peno-escrotal, sendo raro isoladamente. Relatamos uma abordagem cirúrgica para um caso extremamente raro. Tratava-se de paciente do sexo masculino, 10 anos, com criptorquidia bilateral e pênis e escroto ectópicos, na região perineal, sem transposição peno-escrotal, representando uma associação ainda não descrita na literatura. Orquidopexia prévia sem sucesso, devido à ectopia do escroto. Por meio de uma incisão em Y invertido, mobilizou-se o pênis e preparou-se um retalho da pele perineal em forma de bolsa testicular. Por fim, realizou-se a orquidopexia. A cirurgia foi fundamental para tratar a criptorquidia e promover ganho na autoimagem do paciente. [Mh] Términos MeSH primario: Criptorquidismo/cirugía Pene/anomalías Pene/cirugía Escroto/cirugía [Mh] Términos MeSH secundario: Niño Circuncisión Masculina/métodos Seres Humanos Masculino Orquidopexia/métodos Escroto/anomalías [Pt] Tipo de publicación: CASE REPORTS [Em] Mes de ingreso: 1709 [Cu] Fecha actualización por clase: 170928 [Lr] Fecha última revisión: 170928 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 170803 [St] Status: MEDLINE

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[PMID]: 28705521 [Au] Autor: García-Martínez P; Curto-Barredo L; Rovira-López R; Pujol RM [Ad] Dirección: Servicio Dermatología, Hospital del Mar-Parc de Salut Mar, Barcelona, España. Electronic address: pablogmh@gmail.com. [Ti] Título: Multiple Epidermolytic Acanthomas on the Scrotum: What Genital Pruritus Can Reveal. [Ti] Título: Acantomas epidermolíticos múltiples del escroto: lo que el prurito genital puede esconder.. [So] Fuente: Actas Dermosifiliogr;, 2017 Jul 11. [Is] ISSN: 1578-2190 [Cp] País de publicación: Spain [La] Idioma: eng; spa [Pt] Tipo de publicación: JOURNAL ARTICLE [Em] Mes de ingreso: 1707 [Cu] Fecha actualización por clase: 170714 [Lr] Fecha última revisión: 170714 [St] Status: Publisher

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