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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 adrenocortical carcinoma is rare and aggressive. It has a bimodal presentation, predominantly female, > 20% of cases will be diagnosed incidentally. 43-year-old male, with colic pain in the left flank, weight loss and intermittent fever. Computed tomography with a tumor on the left adrenal with liver metastases, block resection surgery was performed, pathological report of adrenocortical carcinoma with a 7 points of Weiss score and Ki67 40%. Adrenocortical carcinoma is a rare and aggressive neoplasm; the clinical presentation is variable. Systemic therapy is important even in patients with localized disease and independent of surgical approach., (Copyright: © 2021 Permanyer.)

Antecedentes: Las metástasis de mama a uréter son extremadamente raras y la mayoría son asintomáticas., Caso Clínico: Mujer de 67 años, con cáncer de mama derecha EC IA luminal A de 5 años de evolución. Presentó infección de vías urinarias de repetición, hematuria macroscópica total y dolor renal derecho. La tomografía abdominopélvica mostró dilatación del cáliz superior y defecto de llenado en la pelvis renal derechos. Se le realizó nefroureterectomía radical derecha, rodete vesical. El reporte histopatológico fue metástasis de carcinoma infiltrante con afectación de pelvis renal y uréter., Conclusiones: La metástasis tardía del cáncer de mama al uréter y la pelvis es rara., Background: Breast metastases to ureter are extremely rare. Most are asymptomatic., Case Report: A 67-year-old woman with 5 years of evolution, with right breast cancer stage IA luminal A. She presented repeated urinary tract infection, total macroscopic hematuria and pain in the right renal fossa. The computed tomography showed dilation of the upper calyx and filling defect in the renal pelvis. A right laparoscopic radical nephroureterectomy was realized; the histopathological report was metastasis of infiltrating carcinoma without specific pattern involving renal pelvis and ureter., Conclusions: Late metastasis of breast cancer to ureter and pelvis are rare., (Copyright: © 2020 Permanyer.)