Renal carcinoma with recurrent urinary infection in a young patient

El cáncer renal es una neoplasia con una tasa de incidencia de 4,4% por 100 000 habitantes a nivel mundial; el carcinoma de células renales representa el 90% de los tumores renales malignos. Las infecciones urinarias recurrentes tienen una prevalencia del 19% y constituyen infecciones de al menos dos episodios en seis meses, o al menos tres episodios en un año. Presentamos el caso de una paciente mujer de 25 años que presentó cuadros de infecciones urinarias recurrentes y que en un estudio tomográfico se evidenció una tumoración renal izquierda. Se le realizó nefrectomía radical cuya pieza operatoria confirmó diagnóstico patológico de carcinoma renal de células clara. En pacientes jóvenes el carcinoma renal es una tumoración aún más rara, que representa 8,7% del total de pacientes diagnosticados de cáncer renal. Se debe promover en la consulta médica la sospecha clínica a mujeres jóvenes con infecciones urinarias recurrentes solicitando exámenes de imagen, con la finalidad de garantizar un temprano diagnóstico y tratamiento adecuado si se tratara de un tumor renal.Renal cancer is a neoplasm with an incidence rate of 4,4% per 100 000 inhabitants worldwide; renal cell carcinoma accounts for 90% of malignant renal tumors. Recurrent urinary infections have a prevalence of 19% and constitute infections of at least two episodes in six months, or at least three episodes in a year. We present the case of a 25-year-old female patient who presented with recurrent urinary tract infections and who had a left renal tumor in a tomographic study. A radical nephrectomy was performed, whose surgical specimen confirmed pathological diagnosis of clear cell renal carcinoma. In young patients, renal carcinoma is an even more rare tumor, representing 8,7% of all patients diagnosed with renal cancer. Clinical suspicion of young women with infections should be promoted in the clinic recurrent urinary traumas requesting imaging tests, in order to guarantee an early diagnosis and adequate treatment if it were a renal tumor

Carcinoma renal con cuadro clínico de infeccion urinaria recurrente en paciente joven

Renal cancer is a neoplasm with an incidence rate of 4,4% per 100 000 inhabitants worldwide; renal cell carcinoma accounts for 90% of malignant renal tumors. Recurrent urinary infections have a prevalence of 19% and constitute infections of at least two episodes in six months, or at least three episodes in a year. We present the case of a 25-year-old female patient who presented with recurrent urinary tract infections and who had a left renal tumor in a tomographic study. A radical nephrectomy was performed, whose surgical specimen confirmed pathological diagnosis of clear cell renal carcinoma. In young patients, renal carcinoma is an even more rare tumor, representing 8,7% of all patients diagnosed with renal cancer. Clinical suspicion of young women with infections should be promoted in the clinic recurrent urinary traumas requesting imaging tests, in order to guarantee an early diagnosis and adequate treatment if it were a renal tumor.El cáncer renal es una neoplasia con una tasa de incidencia de 4,4% por 100 000 habitantes a nivel mundial; el carcinoma de células renales representa el 90% de los tumores renales malignos. Las infecciones urinarias recurrentes tienen una prevalencia del 19% y constituyen infecciones de al menos dos episodios en seis meses, o al menos tres episodios en un año. Presentamos el caso de una paciente mujer de 25 años que presentó cuadros de infecciones urinarias recurrentes y que en un estudio tomográfico se evidenció una tumoración renal izquierda. Se le realizó nefrectomía radical cuya pieza operatoria confirmó diagnóstico patológico de carcinoma renal de células clara. En pacientes jóvenes el carcinoma renal es una tumoración aún más rara, que representa 8,7% del total de pacientes diagnosticados de cáncer renal. Se debe promover en la consulta médica la sospecha clínica a mujeres jóvenes con infecciones urinarias recurrentes solicitando exámenes de imagen, con la finalidad de garantizar un temprano diagnóstico y tratamiento adecuado si se tratara de un tumor rena

Religious affiliation and the intention to choose psychiatry as a specialty among physicians in training from 11 Latin American countries

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. This study aims to evaluate the association between religious affiliation and the intention to choose psychiatry as a specialty among medical students from 11 Latin American countries. We conducted a cross-sectional, multi-country study that included first- and fifth-year students of 63 medical schools in 11 Latin-American countries between 2011 and 2012. The main outcome and measures were the intention to pursue psychiatry as a specialty over other specialties (yes/no) and religious affiliation (without: atheist/agnostic; with: any religion). A total of 8308 participants were included; 53.6% were women, and the average age was 20.4 (SD = 2.9) years. About 36% were fifth-year students, and 11.8% were not affiliated with any religion. Only 2.6% had the intention to choose psychiatry; the highest proportion of students with the intention to choose psychiatry was among students in Chile (8.1%) and the lowest among students in Mexico (1.1%). After adjusting for demographic, family, academic as well as personal and professional projection variable, we found that those who had no religious affiliation were more likely to report the intention to become a psychiatrist [OR: 2.92 (95%CI: 2.14-4.00)]. There is a strong positive association between not having a religious affiliation and the intention to become a psychiatrist. The possible factors that influence this phenomenon must be evaluated in greater depth, ideally through longitudinal research.Revisión por pare