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A 20-year-old male diagnosed with rhabosarcoma at 2 years of age, who underwent surgical treatment with chemotherapy and subsequent radiotherapy. He was free of retroperitoneal disease four years earlier due to later controls. |
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She came to the emergency room of the hospital with urinary retention with leaks due to anger and constitutional syndrome with malaise and pain. |
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On physical examination, there is muscle weakness, occupation and pain associated with hypogastric tenderness, in which a mass is identified as bladder globe. |
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The imaging study (CAT and MRI) showed bilateral granule hydronephrosis and a well-defined mass with a well-defined appearance, which appeared to be encapsulated in front of the prostate, which seemed to be microbladder. |
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No lymphadenopathy was observed. |
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Transrectal ultrasound guided prostate puncture-biopsy was performed under general anesthesia, and with the diagnosis of myxoid sarcoma radical cystoprostatectomy was performed with derivation of both ureters in gunshot. |
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In the extension study no metastases were observed and no further adjuvant treatment was performed. |
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In the macroscopic study of the specimen, a tumor of 8 cm maximum is observed occupying the prostate and encompassing the seminal vesicle, not recognizing pro-preserved diameter parenchyma. |
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The microscopic study showed a tumor composed of spindle cells, with mild cytological atypia and frequent mitotic figures, arranged with a lax pattern, with areas of higher cell density. |
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Enmerged in the tumor, elongated glandular structures are seen, corresponding to non-contrast prostatic glandular structures. |
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Immunohistochemical study was performed to determine CD34, Vimentin, broad-spectrum cytokeratin, Actin smooth muscle specific, Desmin, protein S-100, CD11ak progesterone isolated expression Cytom California, estrogen receptors |
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