Gregory Palmateer , Edouard H. Nicaise , Jatin Gandhi , Taylor Goodstein , Michelle Sheng , Kenneth Ogan , Omer Kucuk , Melinda Yushak , Martin G. Sanda , Keith A. Delman , Viraj Master
{"title":"The diagnostic challenges of differentiating metastatic extramammary Paget disease and prostatic adenocarcinoma: A case report and review of the literature","authors":"Gregory Palmateer , Edouard H. Nicaise , Jatin Gandhi , Taylor Goodstein , Michelle Sheng , Kenneth Ogan , Omer Kucuk , Melinda Yushak , Martin G. Sanda , Keith A. Delman , Viraj Master","doi":"10.1016/j.eucr.2024.102875","DOIUrl":"10.1016/j.eucr.2024.102875","url":null,"abstract":"<div><div>Extramammary Paget disease (EMPD) is a rare dermatologic malignancy with a high rate of recurrence and increased risk for developing secondary malignancies. We present a 74-year-old male with previously resected primary EMPD who presented with widespread PSMA-avid lesions without prostatic uptake, an elevated PSA >100, and a negative prostate biopsy. Based on this and immunohistological staining, recurrent EMPD was suspected. However, after additional staining and reexamining their clinical presentation, metastatic prostate cancer without a detected primary lesion is more probable. This case highlights the diagnostic challenge variable expression of shared biomarkers found in EMPD and prostate cancer present to clinicians.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102875"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randy Casals, Tyler Overholt, Steve Hodges, Marc Colaco
{"title":"Surgical repair of extensive penile shaft skin injuries following neonatal circumcision","authors":"Randy Casals, Tyler Overholt, Steve Hodges, Marc Colaco","doi":"10.1016/j.eucr.2024.102878","DOIUrl":"10.1016/j.eucr.2024.102878","url":null,"abstract":"<div><div>Circumcision is a common procedure performed since ancient times with an excellent safety profile and potential health benefits. In the United States, it is commonly performed in the neonatal period using devices such as the Gomco, Mogen, or Plastibell device. In the rare circumstance of a complication, it is often related to bleeding and usually managed conservatively. However, complications requiring surgical intervention can occur and remind practitioners of the importance of proper equipment and technique. Herein, we report a case in which extensive injuries to the penile skin after neonatal circumcision using a Gomco clamp required emergent intervention.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102878"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Undetectable renal stone on computed tomography","authors":"Guanghan Zhang , Zhicong Huang , Shaoying Li , Guohua Zeng , Wei Zhu","doi":"10.1016/j.eucr.2024.102873","DOIUrl":"10.1016/j.eucr.2024.102873","url":null,"abstract":"<div><div>Noncontrast computed tomography(CT) is commonly recommended for the diagnosis of suspected renal stones. In this paper, we present a case of a renal stone that cannot be detected by CT. The stone was made of n-butyl α-cyanoacrylate, a kind of surgical adhesives commonly used in partial nephrotomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102873"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A rare case of an infected urethral diverticulum due to urinary melioidosis","authors":"Madeleine Bain, Simon Pridgeon","doi":"10.1016/j.eucr.2024.102872","DOIUrl":"10.1016/j.eucr.2024.102872","url":null,"abstract":"<div><div>Melioidosis infecting a periurethral diverticulum and behaving as an abscess is a rare complication. A 76-year-old woman presented with pelvic pain, dysuria and urinary frequency. CT identified a large periurethral cystic collection and melioidosis was cultured in her urine. Cystoscopy revealed communication between urethra and diverticulum, requiring multiple transvaginal aspirations for re-accumulation and relapsing symptoms. No risk factors for melioidosis were identified, and was likely that isolated urinary infection is due to her urinary tract pathology. This challenging case with a rare pathogen highlights management and source control of melioidosis may need to adapt to anatomical variations promoting abscess reformation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102872"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie-Lisa Eich , Kira Furlano , Georg Hilfenhaus , Bernhard Ralla , Ulrich Keilholz , Maria Joosten , Damian T. Rieke , Thorsten Schlomm , David Horst , Simon Schallenberg
{"title":"Solitary fibrous tumor of the prostate with accompanying low-grade prostate cancer","authors":"Marie-Lisa Eich , Kira Furlano , Georg Hilfenhaus , Bernhard Ralla , Ulrich Keilholz , Maria Joosten , Damian T. Rieke , Thorsten Schlomm , David Horst , Simon Schallenberg","doi":"10.1016/j.eucr.2024.102879","DOIUrl":"10.1016/j.eucr.2024.102879","url":null,"abstract":"<div><div>We present the rare case of a 51-year-old male diagnosed with a solitary fibrous tumor (SFT) of the prostate, along with a concurrent low-grade prostate adenocarcinoma (Gleason score 3 + 3, Grade Group 1). The diagnosis was confirmed by positive immunohistochemical markers, including CD34, BCL2, and STAT6, and molecular analysis showing a NAB2-STAT6 fusion. Following successful surgical management and the simultaneous diagnosis of a pulmonary relapse from a prior thyroid carcinoma, the patient remains under clinical surveillance. This is particularly significant given the patient's history of multiple tumors, including Hodgkin's lymphoma, papillary thyroid carcinoma, prostate cancer, and SFT.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102879"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edouard H. Nicaise , Ernest Morton , Benjamin Croll , Gregory Palmateer , Gaurav Patel , Bryan Swilley , Viraj A. Master
{"title":"Multidisciplinary management of chylous ascites following resection of a retroperitoneal, functional Paraganglioma","authors":"Edouard H. Nicaise , Ernest Morton , Benjamin Croll , Gregory Palmateer , Gaurav Patel , Bryan Swilley , Viraj A. Master","doi":"10.1016/j.eucr.2024.102888","DOIUrl":"10.1016/j.eucr.2024.102888","url":null,"abstract":"<div><div>Extra-adrenal, functional paraganglioma, if not medically controlled, requires early surgical resection. This can often be challenging when found in a retroperitoneal location, where resections are prone to lymphatic disruption and chyle leaks. Chylous ascites carry a significant risk of protein and caloric malnutrition, dehydration, and even mortality given the nutrient-rich characteristic of lost lymphatic fluid. Dietary modification involving minimal fat intake is often frontline conservative treatment, however, prolonged, heavy-volume chylous ascites will require advanced medical and surgical intervention. This case illustrates the difficulties, complexities, and solutions with multidisciplinary management of lymphatic leakage following resection of a functional, retroperitoneal paraganglioma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102888"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ketty Bai, Niccola B. Lynch, Christina P. Carpenter
{"title":"Prostatic cyst in autosomal recessive polycystic kidney disease: A case presentation and literature review","authors":"Ketty Bai, Niccola B. Lynch, Christina P. Carpenter","doi":"10.1016/j.eucr.2024.102881","DOIUrl":"10.1016/j.eucr.2024.102881","url":null,"abstract":"<div><div>Prostatic cysts are common in the adult male population with intervention of these cysts typically reserved for symptomatic patients. However, current literature is limited on the diagnosis and management of prostatic cysts in the pediatric population. We report the case of a 13-year-old boy with autosomal recessive polycystic kidney disease (ARPKD) who presented with an incidentally discovered prostatic cyst. This is the first known case report to highlight the clinical presentation, diagnosis, and management of an asymptomatic prostatic cyst in ARPKD.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102881"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges of laparoscopic radical nephrectomy at the upper limits of obesity","authors":"Peter Galloway , Berni Frost , Avi Raman","doi":"10.1016/j.eucr.2024.102874","DOIUrl":"10.1016/j.eucr.2024.102874","url":null,"abstract":"<div><div>As worldwide obesity rates increase the number of patients with an elevated BMI requiring urological surgery will increase. Although obesity has previously been considered a relative contra-indication to laparoscopic surgery, here we present a case of successful laparoscopic nephrectomy performed due to renal cancer in a patient with a BMI >60 kg/m<sup>2</sup> together with a review of the associated challenges.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102874"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Page kidney in a child with ureteropelvic junction obstruction of lower moiety in a partial duplex system","authors":"Hidenori Nishio , Kentaro Mizuno , Takuya Sakata , Daisuke Matsumoto , Hideyuki Kamisawa , Satoshi Kurokawa , Akihiro Nakane , Tetsuji Maruyama , Takahiro Yasui , Yutaro Hayashi","doi":"10.1016/j.eucr.2024.102880","DOIUrl":"10.1016/j.eucr.2024.102880","url":null,"abstract":"<div><div>Reports of hydronephrosis-induced hypertension in pediatric patients are rare. A 7-year-old girl with hypertension was referred to our hospital with left hydronephrosis caused by ureteropelvic junction obstruction of the lower moiety in a partial duplex system. Because the lower moiety was almost nonfunctional, a laparoscopic heminephrectomy was performed. Antihypertensive drugs were unnecessary on the day after surgery. This is the first report of a Page kidney in a patient with ureteropelvic junction obstruction of the lower moiety. The cause of hypertension was evaluated based on the plasma renin activity and pathological findings of the lower moiety.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102880"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tislelizumab: An effective anti-PD-1 antibody for the treatment of advanced basal cell carcinoma of the prostate","authors":"Hua Jiang","doi":"10.1016/j.eucr.2024.102742","DOIUrl":"10.1016/j.eucr.2024.102742","url":null,"abstract":"<div><div>Basal cell carcinoma (BCC) of the prostate is a rare and enigmatic tumor with uncertain biological behavior and treatment modalities. Some studies suggest that BCC exhibits invasive characteristics and a high degree of malignancy, necessitating proactive management and vigilant monitoring. Notably, there is a lack of reported effective treatment utilizing programmed cell death protein-1 (PD-1) inhibitors for advanced BCC of the prostate. This study explores the efficacy of tislelizumab, as a single-agent therapy, in the successful treatment of advanced prostate BCC.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102742"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}