El efecto de la hormonoterapia antes de la prostatectomía radical está siendo estudiado en la actualidad, ya que el subestadiaje ha llegado a ser considerado entre un 40 - 50% en los casos de cáncer de próstata localizado, encontrándoseles estadíos histopatológicos más avanzados en el espécimen quirúrgico. Nosotros queremos presentar nuestra experiencia en el manejo de 13 pacientes con estadíos clínicos B2 (6 casos) y C (7 casos), desde diciembre 91 hasta diciembre 95, quienes fueron tratados con Acetato de Ciproterona 200 mg/día por 6-8 semanas, previa a la prostatectomía radical. Logramos reducir los márgenes quirúrgicos positivos de enfermedad de los reportes internacionales de 38.5% - 52% sin tratamiento hasta un 15.38 % con tratamiento previo. Asimismo, disminución del PSA de una media de 20.8 ng/ml pretratamiento hasta una media 1.6 ng/ml post tratamiento; y de un ...

2do. Premio Nivel A. Hospitales Nacionales IV. Hospital Nacional Guillermo Almenara Irigoyen

Hyperimmunoglobulin E syndrome or Job syndrome is defined as an immune and connective tissue disorder that results in complications such as invasive infections. On the other hand, Fournier gangrene is a rapidly progressive necrotizing fasciitis that affects the perineal area, has a polymicrobial etiology, and its treatment consists of rapid and aggressive surgical debridement, antibiotic therapy, and hemodynamic support. We present the case of Fournier gangrene in an 11-year-old boy with a diagnosis of hyperimmunoglobulinemia E. who was admitted with scrotal necrosis with favorable evolution after initial medical management.

Ureterocele is a cystic dilation of the distal ureter that exits into the urinary bladder. It is a rare condition in adults of which women are the most affected. Its clinical manifestations are very broad and among them the presence of a vulvar mass and symptoms of urinary obstruction stand out. We report the case of a strangulated ureterocele prolapse in a 54-year-old woman with a vulvar mass and signs of urinary obstruction. Initial management with reduction of the mass and finally decided to perform a ureteral reimplantation. Favorable evolution in medical follow-up.