6 9What ' s known on the subject? and What does the study add? Population-based studies implicate an increased incidence of complications after prostate needle biopsy. Such information is essential for adequate patient counselling before the procedure.A limitation of population-based studies is the absence of individual patient data to better characterize the nature of post-biopsy complications. This study of 1000 consecutive patients treated at a single centre highlights hospital admissions as well as Emergency Department visits for patients after prostate needle biopsy. Importantly, it allows for characterization of specifi c complications, aetiologies, management and outcomes for affected patients.
The 13th case of malignant interstitial cell tumor of the testicle is reported, and review of the literature made. Six cases of malignant interstitial cell tumor were associated with hydroceles. Absence of urinary chorionic gonadotropin levels does not indicate a more favorable prognosis. The average age at discovery of malignant interstitial cell tumor is 60 years. Retroperitoneal lymph nodes, lung, liver, and bones are the most frequent sites of metastatic involvement. The best treatment appears to be radical orchiectomy and surgical resection of metastases. Chemotherapy may offer remission when surgical resection of metastases is not possible.
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