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Aouini H, Chebbi S, Saidani B, Blel A, Chakroun M, Ben Slama MR. Prostatic condyloma acuminata: An uncommon endoscopic discovery in an asymptomatic 68-year-old male. Urol Case Rep 2024; 53:102668. [PMID: 38380085 PMCID: PMC10876692 DOI: 10.1016/j.eucr.2024.102668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 01/23/2024] [Accepted: 01/27/2024] [Indexed: 02/22/2024] Open
Abstract
Prostatic condyloma acuminata is a rarely encountered clinical manifestation primarily linked to low-risk subtypes of human papillomavirus (HPV), such as HPV-6 and HPV-11. Unlike the more common anogenital presentation, prostatic condyloma acuminata remains an infrequent phenomenon, necessitating a nuanced approach to diagnosis and management. We present a case report involving a 68-year-old patient with an intricate medical history, where the discovery of prostatic condyloma acuminata presented diagnostic challenges and clinical intricacies.
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Affiliation(s)
- Houssem Aouini
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia
| | - Sami Chebbi
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia
| | - Bilel Saidani
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia
| | - Ahlem Blel
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Pathology Department, Tunisia
| | - Marouene Chakroun
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia
| | - Mohamed Riadh Ben Slama
- University of Tunis El Manar, Faculty of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia
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Saidani B, Saadi A, Bedoui MA, Zaghbib S, Chakroun M, Slama RB. Leiomyosarcoma of the bladder: A review and a report of four further cases. Int J Surg Case Rep 2023; 110:108735. [PMID: 37657389 PMCID: PMC10509912 DOI: 10.1016/j.ijscr.2023.108735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Revised: 08/23/2023] [Accepted: 08/25/2023] [Indexed: 09/03/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Our study aims to expose the experience of our department in dealing with bladder leiomyosarcomas and illustrate the management tools of this rare pathology. CASE PRESENTATION We present a retrospective study of 4 cases of bladder leiomyosarcoma, gathered in the Department of Urology during the period of 1996-2022. All our patients were exclusively male and aged between 35 and 73 years. No history of pelvic irradiation nor chemotherapy was found in our patients. Three patients had high-grade leiomyosarcoma and pT2 stage whereas only one had a low-grade tumour. Three patients underwent radical treatment by cystoprostatectomy with extensive bilateral pelvic lymph node dissection and one patient was treated by endoscopic re-resection and endoscopic monitoring. We noticed 2 lymph nodes and liver metastasis recurrences in 2 patients treated by radical surgery while 2 patients didn't present recurrences at two years of follow-up. CLINICAL DISCUSSION To date, there is no clear and precise therapeutic approach for the treatment of bladder leiomyosarcoma. Little is known about the long term survival associated with these tumours. All studies agree that the prognosis for bladder leiomyosarcoma is poor, if not diagnosed early, especially those presenting with an undifferentiated tumour grade, distant metastatis and treated without surgical therapy. CONCLUSION Bladder leiomyosarcoma is a rare and highly aggressive tumour. The anatomopathological examination provides diagnosis and prognosis assessment. Radical surgery remains the most suitable therapeutic approach.
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Affiliation(s)
- Bilel Saidani
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Ahmed Saadi
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Mohamed Ali Bedoui
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia.
| | - Selim Zaghbib
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Marouene Chakroun
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia
| | - Riadh Ben Slama
- Urology Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis, Tunisia
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Hermi A, Chakroun M, Saadi A, Saidani B, BelHadj Kacem L, Chebil M. Upper urinary tract urothelial carcinoma diagnosis by biopsy of a vaginal metastasis. Urol Case Rep 2022; 43:102114. [PMID: 35600810 PMCID: PMC9120260 DOI: 10.1016/j.eucr.2022.102114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/06/2022] [Accepted: 05/11/2022] [Indexed: 11/09/2022] Open
Abstract
Upper tract urothelial carcinoma presents 5% of urothelial cancers. The most frequent revealing symptom gross haematuria. Vaginal metastasis is rare revealing condition. The combination on these two symptoms should recall the diagnosis of this neoplasm. Biopsy of the vaginal mass can make the histologic diagnosis easily.
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Saadi M, Saadi A, Chakroun M, Saidani B, Jrad M, Bouzouita A, Derouiche A, Ben Slama R, Ayed H, Chebil M. Predictive factors of failure of conservative management in patients with emphysemtous pyelonephritis. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00548-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Saidani B, Chakroun M, Saadi A, Zaghbib S, Bouzouita A, Derouiche A, Ben Slama M, Ayed H, Chebil M. Interest of FGSI and LRINEC prognostic scores in the management of Fournier gangrene. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00563-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Boulma R, Mestiri A, Khouni H, Saidani B, Chouchen A. Role of ureterolysis in the management of retroperitoneal fibrosis: A systematic review. BLDE Univ J Health Sci 2021. [DOI: 10.4103/bjhs.bjhs_60_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Boulma R, Ahmed YB, Oumaya M, Dhaoui A, Saidani B, Khouni H, Chouchen A. Xeroderma pigmentosum and renal leiomyosarcoma: A very rare case report association. Int J Surg Case Rep 2020; 78:310-313. [PMID: 33385877 PMCID: PMC7779535 DOI: 10.1016/j.ijscr.2020.12.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 12/13/2020] [Accepted: 12/15/2020] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Xeroderma pigmentosum (XP) is a rare genetic disorder causing extreme sensitivity to ultraviolet (UV) rays. It is transmitted by an autosomal recessive mode. This disease is classically characterized by a high risk of skin cancer. The occurrence of extra-dermatological cancers in patients followed for XP has been rarely reported in the literature. We present the case of a 14-year-old adolescent with an exceptional association of XP and renal leiomyosarcoma. PRESENTATION OF CASE A 14-year-old adolescent was presented with an abdominal mass revealed by hematuria and abdominal pain. Computed tomography (CT) of the abdomen showed an enhancing, heterogeneous right renal mass, consistent with the features of renal tumor. After non conclusive biopsy, a total nephrectomy of the right kidney was performed. Based on gross specimen observation and immunochemical analysis, the patient was diagnosed with high-grade renal leiomyosarcoma. An adjuvant chemotherapy was indicated and the patient was referred to medical oncology. At 12 months follow-up, the patient is in total remission; The CT scan did not show any locoregional or distant recurrence CONCLUSION: The risk of renal tumor is increased in patients followed for XP. Attending physicians should ask for renal imaging at the slightest sign of clinical call.
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Affiliation(s)
- Rami Boulma
- Department of Surgery, FSI Hospital, La Marsa, Tunisia; University of Tunis El Manar, Tunis, Tunisia
| | - Yosra Ben Ahmed
- Department of Pediatric Surgery B, Children Hospital Bechir Hamza, 1007 Tunis, Tunisia; University of Tunis El Manar, Tunis, Tunisia
| | - Meriem Oumaya
- Department of Pediatric Surgery B, Children Hospital Bechir Hamza, 1007 Tunis, Tunisia; University of Tunis El Manar, Tunis, Tunisia.
| | - Amen Dhaoui
- Department of Pathology, FSI Hospital, La Marsa, Tunisia; University of Tunis El Manar, Tunis, Tunisia
| | - Bilel Saidani
- Department of Surgery, FSI Hospital, La Marsa, Tunisia; University of Tunis El Manar, Tunis, Tunisia
| | - Hassen Khouni
- Department of Surgery, FSI Hospital, La Marsa, Tunisia; University of Tunis El Manar, Tunis, Tunisia
| | - Adnen Chouchen
- Department of Surgery, FSI Hospital, La Marsa, Tunisia; University of Tunis El Manar, Tunis, Tunisia
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Medeiros R, Benchick A, Rocha-Filho R, Fatibello-Filho O, Saidani B, Debiemme-Chouvy C, Deslouis C. Simultaneous detection of ascorbic acid and dopamine with electrochemically pretreated carbon nitride electrodes: Comparison with boron-doped diamond electrodes. Electrochem commun 2012. [DOI: 10.1016/j.elecom.2012.08.011] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Aitout R, Belgaid A, Makhloufi L, Saidani B. Synthesis of conducting poly-ortho-methoxy-aniline films onto an inert support (Plexiglas) and their modification with gold by cementation: Electrocatalytic tests versus oxidation of hydrazine and proton reduction. REACT FUNCT POLYM 2006. [DOI: 10.1016/j.reactfunctpolym.2005.08.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mokrane S, Makhloufi L, Hammache H, Saidani B. Electropolymerization of polypyrrole, modified with germanium, on a passivated titanium electrode in aqueous nitrate solution: new results on catalytic reduction of protons and dissolved oxygen. J Solid State Electrochem 2001. [DOI: 10.1007/s100080000161] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Makhloufi L, Hammache H, Saidani B. Electrocatalytic reduction of proton on polypyrrole coatings onto aluminium modified by the electrochemical cementation process. Electrochem commun 2000. [DOI: 10.1016/s1388-2481(00)00081-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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