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Introduction: Testicular cancer is most common in men aged 15-35 years, their classification in seminoma and nonseminoma determines the treatment of nodal metastases and about 70% of non-seminomas present with dissemination predictable metastatic activity. In the treatment of germ cell tumors nonseminoma lymphadenectomy is an option in the case of teratoma complete surgical resection is the treatment of choice. Objective: To report the initial experience with laparoscopic retroperitoneal lymphadenectomy in the treatment of non-seminoma testicular cancer in the Hospital General del Estado de Sonora. Material and methods: We present a male patient 30 years old with diagnosis of stage IIA testicular cancer, and histopathologic results of mixed tumor (seminoma 80% and mature teratoma 20%) treated with laparoscopic retroperitoneal lymphadenectomy. Results: The harvest was 5 lymph nodes negative for malignancy. A surgical time of 230 minutes without complications, bleeding of 70 cc; hospital stay of two days and preserved antegrade ejaculation. Conclusion: Laparoscopic retroperitoneal lymphadenectomy is a feasible therapeutic option for nonseminoma testicular cancer; offers lower perioperative morbidity, fewer days of hospitalization and convalescence compared to open procedures, without compromising the oncologic outcomes. [ABSTRACT FROM AUTHOR]

Background: Prostate cancer is the most common cancer in men. Radical prostatectomy is the best method of treatment with curative intent, however, there are several types of approach for its removal, laparoscopic radical prostatectomy offers a similar incidence recurrence with conventional open surgery approach. Objective: Determine recurrence of prostate cancer comparing open radical prostatectomy with laparoscopic in Specialty Hospital Medical Center "La Raza", in the period of January 2006 to December 2010. Material and methods: Observational, retrospective, descriptive and transversal study in Specialty Hospital National Medical Center "La Raza". 118 patients with documented prostate cancer by transrectal biopsy were studied and who underwent surgery for open and laparoscopic radical prostatectomy. Results: 32 patients who underwent laparoscopic radical prostatectomy and 86 with open approach were studied. It was found that the overall recurrence in patients undergoing LRP and ORP was 43.75 and 50.0%, respectively. Conclusions: There is no statistically significant difference in overall recurrence rate when comparing both surgical techniques, having the laparoscopic approach with a difference of 6.25% in favor. There is evidence of better functional results and long term benefits related to sexual perfomance and urinary continence. [ABSTRACT FROM AUTHOR]

The acral angioosteoma cutis is a benign tumor composed of capillaries and bone elements; clinically, it resembles a pyogenic granuloma. To date, few cases have been published. We communicate the case of a male patient with a clinical lesion resembling pyogenic granuloma that was histopathologically diagnosed as acral angioosteoma cutis. [ABSTRACT FROM AUTHOR]

Introduction. In the general HIV-infected population, there are few data on the prevalence and risk factors for anogenital condyloma, precursor lesions for anogenital cancer. In Cuba, there have been few studies about the prevalence of HPV in HIV infected people. Objective. Detection and typing HPV in anogenital condyloma lesions from Cuban HIV-1 infected men. Materials and Methods. We studied samples of warts from 30 Cuban patients attending the Instituto Pedro Kouri. HPV DNA was detected using PCR with MY09/11 primers. HPV DNA typing was conducted by hybridization with 32 low and high-risk HPV DNA biotin-labelled probes. Clinic, epidemiologic and immunologic features of these patients were analyzed. Results. HPV DNA was detected in 100% of the lesions sampled. Associated with the condyloma lesions, HPV 6 and 11 were detected in 19 of 30 cases (63.3%) and 16 of 30 patients (53.3%), respectively. Multiple infections with high-risk HPV types, predominantly HPV 16 (50%) and 18 (43.3%) were observed in 19 samples, with up to 11 different genotypes in the same patient. Condylomas were frequently localized in perianal region. Trichloroacetic acid (80%) was the most used therapy. In patients with a T lymphocyte CD4+ count < 500 cell/mm³ high-risk HPV types were detected more frequently. This correlation was statistically significant [Χ² = 11.27; RR=28.5; 95% IC: 2.6-306.6 (p=0.008)]. Conclusions. High and low risk HPV types detection in condylomas from HIV-infected men and T lymphocyte CD4 count should be considered for the monitoring and early detection of anogenital neoplasia. These findings could be a valuable data for follow-up and treatments. [ABSTRACT FROM AUTHOR]

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Introduction: Testicular cancer is the most common malignant neoplasia in men aged 20-35 and represents 1% of malignancies in men, although an increase in relapse has been reported in recent years. Most of testicular neoplasias are germ-sourced (95%). A non painful testicular mass is the classical show up of a primary testicular tumor, but happens in few patients. Currently, more than 95% of the testicle germ cell tumor patients can be cured. Material and methods: More useful imaging methods in our field for testicular cancer integral evaluation are Testicular Ultrasound (UST), thorax x-ray and computed tomography (CT). However, magnetic resonance imaging (MR) and Computed tomography CT with (18F)-FDG positron emission tomography (PET-CT) and PET have a special place in different clinical situations. The method of initial imaging for timely and early detection of testicle cancer is with color Doppler ultrasound using high-frequency transducers between 7.5 to 10 MHZ. Conclusions: A good multidisciplinary testicular tumors management has a general healing rate of about 90%, at different neoplasia stages with significant morbidity decrease. CT is the mode of election of these neoplasms management and follow-up, while MR, PET and PET-CT, are used in case of relapses, recurrence and to assess the response to medical or surgical treatment. [ABSTRACT FROM AUTHOR]