Introduction: the prostate cancer it is the second cause of cancer most diagnosticated and the fifth cause of death in men; in 2019 Mexico reported a incidence of 52.3 cases and 19.4 deaths per 100 000 people respectively; it is estimated that the 70 % of the cases are diagnosticated at advanced stages. Objective: to explore the perception of barriers and facilitators for prostate cancer prevention in a group of Yucatecan men without social security. Material and methods: this qualitative study, conducted through focus groups, seeks to answer the question: What is needed to improve the timely diagnosis of prostate cancer in Yucatan, Mexico? Results: participants mentioned that they do not identify the risk factors for developing prostate cancer in themselves but perceive risks in other conditions such as diabetes. Conclusions: it is crucial to implement campaigns for the detection of prostate cancer with extramural activities, to ensure that the information reaches the potential population for these services and to incorporate experiences of patients diagnosed with prostate cancer in the detection campaigns. Rectal examination needs be destigmatized and other screening methods for early diagnosis of should be disseminated.
10 January 2025 in Vascular and Endovascular Surgery
Background: Carotid body tumor (CBT) is a rare neoplasm that arises from the chemoreceptor cells located at the carotid bifurcation. Giant CBTs are extremely rare, with only 16 cases reported to date. Case Summary: A 63-year-old male with an unremarkable medical history presented with a right-sided, giant, Shamblin III CBT. For 20 years, he had been suffering from progressive dyspnea, dysphonia, and pain with left neck rotation. A computed tomography scan confirmed its dimension of 89 × 61 × 60 mm (height × width × depth). We performed our routine retrocarotid dissection technique (RCDT) without preoperative embolization. Histopathology reported an encapsulated, non-epithelial neuroendocrine neoplasm with architectural Zellballen pattern. His postoperative period was uneventful and was discharged home on day 2. At 5 years, he remains symptom-free without neoplasm recurrence. Conclusion: This case illustrates the atypical clinical presentation and the successful treatment of a giant, Shamblin III CBT with the RCDT without preoperative embolization.
Intravesical migration of intrauterine devices (IUDs) is an uncommon complication that may lead to recurrent urinary tract infections, lower urinary tract symptoms, and bladder stone formation. Diagnosis requires high clinical suspicion and confirmation through imaging and cystoscopy. We present the case of a 33‐year‐old hypertensive woman with a history of two cesarean deliveries for preeclampsia who underwent IUD placement in 2016. She subsequently developed recurrent urinary tract infections. In 2024, hysteroscopic removal was attempted unsuccessfully. Computed tomography revealed a calcified “T‐shaped” image in the posterior right bladder wall. Open cystolithotomy was performed, achieving complete removal without complications, and the patient had a favorable postoperative course. Bladder migration of IUDs is rare and may occur years after insertion. Clinical presentation is often nonspecific, which can delay diagnosis. Imaging, including CT scan, and cystoscopy are essential for localization and surgical planning. Open cystolithotomy is a safe and effective approach in cases with large calculi. This case highlights the importance of considering intravesical IUD migration in women with persistent urinary tract symptoms and absence of the device in the uterine cavity. Early diagnosis and appropriate surgical management allow safe resolution and prevent major complications.