Abstract：
OBJECTIVES:To assess the clinical usefulness of bone-specific alkaline phosphatase (B-AKP) to detect or rule out bone metastases in patients with prostate cancer. METHODS:Between November 2001 and July 2003 111 patients with the diagnosis of prostate adenocarcinoma were evaluated to rule out bone metastases. Bone metastases were studied after clinical suspicion, PSA value higher than 10 ng/ml, or Gleason score higher than 7. Bone scan was used as detection test. Patients were tested for serum B-AKP with a reference value equal or higher than 30ng/ml. The sensitivity, specificity, positive predictive value and negative predictive value of B-AKP were measured in comparison to bone scan as the gold standard. RESULTS:111 patients with the diagnosis of prostate adenocarcinoma were evaluated to rule out bone metastases. Mean age was 69.70 years (50-83 years). Average B-AKP value was 29.28 ng/ml (9-56 ng/ml). Bone scan was positive in 31 patients. Among these 31, 26 patients had positive B-AKP and five negative. AP patients had negative bone scan. From this AP patients, B-AKP was positive in 17 and negative in 63. The sensitivity of the test was 83.8%. The specificity was 78%. Positive predictive value was 60% and negative predictive value was 92%. CONCLUSIONS:Bone alkaline phosphatase is a greatly useful test for the study of patients with prostate cancer in whom bone metastases are suspected either to confirm them or to rule out their presence.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Rasch-Isla Muñoz A,Cataño Cataño JGsubject
Has Abstractpub_date
2004-09-01 00:00:00pages
693-8issue
7eissn
0004-0614issn
1576-8260journal_volume
57pub_type
杂志文章abstract：:Patient reported outcome measures (PROMs) are essential to fully understand the impact of diseases and the effectiveness of treatment from a patient's perspective. Generic and disease-specific tools have been used to assess the impact of nephrolithiasis on patients' quality of life (QoL), as well as the impact of vari...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:To report one case of metastatic prostatic carcinoma with a gaudy presentation as a lump which resulted to be a cutaneous metastasis. METHODS:We describe the debut in a patient, who thanks to the pathologic analysis of a lesion mimicking a lipoma, which was reported as adenocarcinoma, was worked up for prost...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:Urological surgery is rapidly developing towards less invasive and more conservative approaches without detriment to its proven efficacy. The authors, who perform endourologic surgery in 60% of the cases, have sought to enhance endoscopic suture techniques in the bladder using the triangulation procedure. Investigatio...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To analyze the association of congenital bilateral agenesis of the vas deferens and cystic fibrosis. METHODS:Three azoospermic patients with surgically confirmed congenital agenesis of the vas deferens in whom a molecular genetics study had been performed to discard the more common mutations of cystic fibros...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：:The authors present four cases of metastasic penis tumours, two of which followed a prostate carcinoma, one vesical carcinoma and the other a carcinoma of the excretory duct. They make a review of world literature on the subject and study the possible ways of dissemination as well as the clinical picture and different...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
abstract：:A case of polyorchism is described and the literature reviewed, highlighting the rarity of this pathological condition. To our knowledge, only 70 cases have been reported in the world literature. Similarly, Nocks' embryological development theory is discussed herein. The present case was diagnosed intraoperatively. No...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：BACKGROUND:The renal parenchyma acute infection, known as acute pyelonephritis (APN), is diagnosed and treated in some Hospital Departments of the H.C.U. Lozano Blesa. We want to know if the process was made in a homogeneous way, fixed to the described quality standards and if we could detect improvement areas. METHOD...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142009000300003
更新日期：2009-04-01 00:00:00
abstract：:A simple endourological management of benign renal cyst is described. Percutaneous circular electrosection of the peripheric cyst wall is performed, thereafter the cyst wall is extracted en bloc and an aspirative drainage is placed for 2 days. Five patients with symptomatic renal cyst were treated with this method. No...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：OBJECTIVES:Dorsal urethroplasty as described by Barbagli has gained wide acceptance in the treatment of urethral stricture, given the simplification afforded by obtaining a free graft versus a flap. We present a series of 50 patients treated in our department of urethral stricture by dorsal onlay free graft urethroplas...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：:Most of the urodynamic studies are conducted in the laboratory during a brief recording time and under nonphysiological conditions and, thus, may fail to unfold the nature of existing pathological conditions of the lower urinary tract; false positives and false negatives are possible. To overcome some of the difficult...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:To report one case of transitional cell carcinoma with areas of small cell carcinoma presenting in its evolution an adrenal metastasis with the neuroendocrine component only. We perform a bibliography review for the cases of small cell carcinoma of the bladder, its epidemiology, prognosis and treatment. METH...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142007000300016
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:A case of epididymal leiomyoma is presented. This lesion is uncommon and sometimes misdiagnosed. The literature is briefly reviewed. METHODS/RESULTS:A 29-year-old patient presented with a tumor in the tail of the right epididymis that was initially diagnosed as scrotal hematoma or complex cyst in the tail of...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2001-10-01 00:00:00
abstract：OBJECTIVES:To report the series of our Urology Department in the treatment of urinary stone disease with extracorporeal lithotripsy as well as the effectiveness of the Dornier lithotripter MFL-5000. METHODS:6.602 patients were treated by extracorporeal lithotripsy during 12 years with a total of 17.120 sessions. We ex...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVES:The ovarian metastasis by a gastrointestinal cancer is called Krukenberg tumor. We report a case of metastasis to the testis and epididymis by gastric cancer that can be the analogue in male. METHODS:A patient, submitted to total gastrectomy for a poorly differentiated gastric adenocarcinoma (TNM stage: pT3...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142005000900019
更新日期：2005-11-01 00:00:00
abstract：OBJECTIVES:To review renal graft obstruction post-transplantation and its surgical management. METHODS/RESULTS:Our experience and those of other Spanish centers are analyzed and the literature reviewed. The different causes of obstruction following transplantation are briefly analyzed and the advantages and disadvanta...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1996-12-01 00:00:00
abstract：OBJECTIVE OF THE REVIEW:Robot assisted Radical prostatectomy (RARP) has generated a new trend in the binomial teaching/learning, grouping these techniques in training modules such as theoretical learning, practice, personalized counseling, and modern tools like simulation and practice in virtual models. This review sum...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
abstract：:The authors study the greater incidence of testicle neoplasias in cryptorchidic patients and the convenience of hormone or surgical treatment before puberty. These follows a discussion of the therapy to be applied depending upon whether the cryptorchidia is unilateral or bilateral. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：:We report a case of renal cell carcinoma that had manifested as massive retroperitoneal hemorrhage in the second trimester of pregnancy. The diagnosis was made on the basis of the clinical and ultrasound findings. The patient was submitted to unilateral nephrectomy at 27 wk of gestation and she delivered by cesarean s...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：OBJECTIVES:Erectile dysfunction is one of the sequelae after radical prostatectomy most concerning for the patient, its appearance being influenced by factors such as surgical technique, or patient's age. Thus, around 40% of the patients younger than 70 years and over 90% of the patients older than 70 present with erec...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the results of Thermochemotherapy in adjuvant treatment of primary high risk non-muscle invasive bladder cancer in our center. METHODS:The study included 26 patients with an age of 51-78 years (mean: 62.4 years). All patients had transurethral tumor resection (TURB) after being diagnosed with a p...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:We report one case of metastatic dissemination of a rectal adenocarcinoma to the prepuce. METHODS:61-year-old patient with the diagnosis of rectal adenocarcinoma treated 18 months before by surgery and chemotherapy. He presents with a painful enlargement of the penis associated with outgrowing erythematous l...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000700011
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:To report a case of prostate lymphoma and a brief review of the literature. METHODS/RESULTS:A 70 year-old mele patient was referred to the Urology departament with a clinical picture of prostatism, with acute urinary retention (AUR). Surgery with retropubic prostatectomy was performed, and pathology revealed...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142006000500015
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To present our experience with free graft buccal mucosa substitution urethroplasties. METHODS:Between June, 1992 and December, 1997, we performed 18 urethroplasties with buccal mucosa in 17 patients (double urethroplasty in the same stage in one): 8 for the repair of urethral strictures, 9 for the repair of ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
abstract：:We present our experience in 61 patients with partial or complete staghorn stone who underwent combined treatment with PCN and ESWL. We excluded the cases with an additional factor complicating staghorn stone, such as horseshoe kidney, severe ectopic, mal-rotated or high, with pyeloureteral junction stricture, etc. Th...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:In a context where there is evidence that not every patient with low risk prostate cancer needs to be treated from the start, active treatments are expensive and public health care systems need to save money, studies on cost-effectiveness are a priority. To elaborate this article, we reviewed the publications on cost ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:To describe a new technique for external continent urinary diversion based on the Vesica Ileale Padovana technique (VIP) with a continent hydraulic valve, which obviates the need for external permanent collecting urinary systems. METHODS:An ileal neobladder was created following the VIP technique to which w...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1996-10-01 00:00:00
abstract：:A total of 84 patients with superficial transitional cell carcinoma underwent transurethral resection of bladder tumor. All patients had stage pTa or pT1 transitional cell carcinoma or carcinoma in situ without other concurrent malignancies. The patients were assigned to three treatment groups: I. Control group-transu...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1991-10-01 00:00:00
abstract：OBJECTIVE:We report one case of gonadal stromal testicular tumor and perform a bibliographic review. METHODS/RESULTS:We present the case of a 42 year-old male patient consulting for a painless right testicular mass. Orchiectomy was performed and the patient underwent follow-up. CONCLUSIONS:Nonspecific sexual cord tum...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142008000700011
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:To analyze the therapeutic approach in epidermoid or squamous cell carcinoma of the scrotum, a rare tumor that is of interest for clinical and historical reasons. METHODS/RESULTS:A case of epidermoid carcinoma of the scrotum is described. The patient had undergone urethroplasty in 1972, using preputial free ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：:The accelerated expansion of the knowledge of genetic and molecular basics of cancer, together with the recent development of molecular biology techniques, have had a significant impact in the field of oncology, among other medical disciplines. So, over the last few years, we are crossing from an empiricism-based mode...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2013-06-01 00:00:00
