TITLE

Trattamento nephron sparing delle neoplasie dell' alta via escretrice

AUTHOR(S)
CALLEA, A.; SBLENDORIO, D.; PICCINNI, R.; BERARDI, B.; ZIZZI, V.; TEMPESTA, A.; GALA, F.; CAFARELLI, A.; FIORENTINO, N.; TRAFICANTE, A.
PUB. DATE
December 2009
SOURCE
Urologia;2009 Supplement, Vol. 76 Issue S-12, pS28
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Nephroureterectomy with excision of a cuff of bladder remains the standard for managing upper tract transitional cell carcinoma, which could, in selected cases, be managed conservatively. In 10 years we have treated 67 reno-ureteral unities (r.u.u.) for urothehal tumors; 36 r.u.u. with low-stage and low-grade disease (28 patients, 8 with bilateral tumor and 2 solitary kidney), were treated by an endoscopic approach; in 34 cases (3 for high grade recurrences after conservative approach) nephroureterectomy was performed. In 36 r.u.u. treated by ureteroscopic approach, we observed 3 high-grade recurrences (nephroureterectomy) and 22 low-grade (G1-G2) recurrences. Each r.u.u. received an average of 2.08 ureteroscopic operative procedures. The patients were followed up fora mean of 47.6 months after initial treatment and currently they are all recurrence free. Nine patients (13,4%) with suspect tumor of the upper tract had no carcinoma in the ureteroscopic biopsy. Ureteroscopic approach of upper urinary tract urothelial tumors in the current literature has been used successfully, resulting in recurrence rates ranging from 31% to 65% and disease-free rates of 35% to 86%. Progression and metastatic rates are low and correlate with tumor grade.
ACCESSION #
41334834

 

Related Articles

  • Metastasectomy for RCC: Rationale and outcomes. Master, Viraj // Urology Times;Jun2007, Vol. 35 Issue 7, p24 

    The article examines the outcomes of patients who underwent metastasectomy for renal cell carcinoma (RCC). According to the author, sites of metastatic disease are widespread and can occur in brain, lungs, and pancreas. Several studies were conducted to investigate the role of metastasectomy on...

  • Multimodal treatment options for bilobar colorectal liver metastases. Homayounfar, Kia; Liersch, Torsten; Niessner, Martin; Meller, Johannes; Lorf, Thomas; Becker, Heinz; Ghadimi, B. Michael // Langenbeck's Archives of Surgery;Aug2010, Vol. 395 Issue 6, p633 

    We evaluated individualized multimodal oncological strategies in patients with bilobular colorectal liver metastases (biCRC-LM) as well as their effect on R0 resection rates, disease-free survival (DFS), and overall survival (OS). Between January 2001 and December 2008, 64 patients were assigned...

  • The Current Standards of Care in Basal Cell Carcinoma. Rigel, Darret S. // Journal of Clinical & Aesthetic Dermatology;2010 Supplement, pS17 

    The article focuses on the standards of care for patients with basal cell carcinoma (BCC) in the U.S. It notes that nearly 1.25 millions BCC and squamous cell carcinoma cases in the country as of 2008. It added that one in five Americans develops skin cancer of some sort during the person's...

  • Molecular answers and targets on the horizon for the treatment of genitourinary malignancies.  // Annals of Oncology;Sep2012 Supplement 9, Vol. 23 Issue suppl_9, pix39 

    No abstract available.

  • Circulating tumor cells in gastrointestinal cancer. Takeuchi, Hiroya; Kitagawa, Yuko // Journal of Hepato -- Biliary -- Pancreatic Sciences;Sep2010, Vol. 17 Issue 5, p577 

    Since the first report in the nineteenth century, there have been numerous reports on the isolation and characterization of circulating tumor cells (CTCs) in peripheral blood in patients with various carcinomas. In general, CTCs have been observed in the peripheral blood of cancer patients at...

  • Mini-Margin Nephron Sparing Surgery for Renal Cell Carcinoma 4 cm or Less. Quanlin Li; Hongwei Guan; Jie Qin; Tao Jiang // Advances in Urology;2010, p1 

    Objectives. To explore the safety and efficacy of mini-margin nephron sparing surgery (NSS) for renal cell carcinoma (RCC) 4 cm or less. Methods. Total of 389 cases of RCC 4 cm or less with normal contralateral kidneys were included in the study, including 135 cases treated by mini-margin NSS,...

  • Current and Future Perspectives in Thyroid Carcinoma Treatment. Gómez-Sáez, José Manuel // U.S. Endocrinology;Winter2013, Vol. 9 Issue 2, p171 

    Thyroid nodules are a common clinical problem and evaluation with neck and thyroid ultrasound and fine-needle aspiration biopsy are the most accurate methods for evaluating and identifying those that require surgical resection. The surgical treatment of differentiated thyroid carcinoma is the...

  • Simultaneous Laparoscopic Resection of Primary Colorectal Cancer and Metastatic Liver Tumor: Initial Experience of Single Institute. Lee, Jung-Sun; Hong, Hong-Tea; Kim, Ji-Hun; Lee, In-Kyu; Lee, Keun-Ho; Park, Il-Young; Oh, Seung-Teak; Kim, Jun-Gi; Lee, Yoon-Suk // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct2010, Vol. 20 Issue 8, p683 

    Background: Approximately 20%-25% of patients with colorectal cancer have synchronous liver metastasis at the time of diagnosis. Simultaneous resection of primary colorectal cancer and metastatic liver tumor is the treatment option in colorectal cancer with liver metastasis. The aim of this...

  • A population-based analysis on the rate and surgical management of colorectal liver metastases in Southern Germany. Hackl, Christina; Gerken, Michael; Loss, Martin; Klinkhammer-Schalke, Monika; Piso, Pompiliu; Schlitt, Hans // International Journal of Colorectal Disease;Nov2011, Vol. 26 Issue 11, p1475 

    Purpose: Early detection and multidisciplinary treatment of colorectal liver metastases (CLM), preferably resection, can significantly prolong the survival of colorectal cancer patients. The purpose of this study was to analyze the incidence, management and long-term clinical outcome of CLM...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics