[Renal cell carcinoma: prognostic factors and staging].

Abstract:

OBJECTIVES:To evaluate the prognostic significance of the 2002 TNM tumor classification for renal cell carcinoma, as well as other factors intervening in its survival. METHODS:Retrospective chart review of 316 renal carcinomas operated between 1970 and 2003. Twenty-five prognostic variables were analyzed. RESULTS:The histological type was renal cell carcinoma in 90.5% of the patients. Most tumors were T1b or T2, with a Fuhrman nuclear grade I or II. Mean tumor size was 7.17 +/- 3.4 cm. Most cases had a solitary tumor. 8.2% of the patients had lymph node involvement at the time of diagnosis, and 8.6% metastases. The most frequent clinical presentations were hematuria and/or pain. Mean follow-up was 57.8 months. 24.1% of the cases had recurrence, more than 50% of them during the first year. Advanced tumors (T3, T4) had the tendency to have a nuclear grade III-IV, bigger size, necrosis, vascular involvement, lymph node involvement, and metastases. At the end of follow-up, most patients were alive and disease free. The number of months free of disease, the presence of metastatic lymph nodes, the treatment of the first recurrence and the presence of anemia were independent factors for cancer specific mortality. CONCLUSIONS:The modification of the current classification of renal tumors pT3 and pT4 would help to a better decision-making in the therapy of tumors with vascular, perirenal fat or adrenal involvement. Anemia and treatment of the first recurrence are important factors for cancer specific survival.

journal_name

Arch Esp Urol

authors

Jalón Monzón A,Alvarez Múgica M,Fernández Gómez JM,Martín Benito JL,Martínez Gómez F,García Rodríguez J,González Alvarez RC,Regadera Sejas FJ

doi

10.4321/s0004-06142007000200004

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

125-36

issue

2

eissn

0004-0614

issn

1576-8260

journal_volume

60

pub_type

杂志文章
  • [Granulomatous prostatitis as a complication of BCG intravesical instillation. Report of a case].

    abstract:OBJECTIVES:Herein we describe a case of granulomatous prostatitis following intravesical instillation of bacillus Calmette-Guerin (BCG) for superficial bladder cancer. METHODS:Patient evaluation included DRE, urine culture, urinary cytology, cystoscopy, PSA determination and transrectal US-guided needle biopsy. RESUL...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Luján Galán M,Sánchez Sánchez E,Páez Borda A,Berenguer Sánchez A

    更新日期:1996-11-01 00:00:00

  • Evaluation of cervico-urethral obstruction with ambulatory pressure/flow studies: an alternative to conventional pressure/flow studies?

    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:

    authors: Perachino M,Puppo P

    更新日期:1994-11-01 00:00:00

  • [Precocious puberty in a 6-year-old boy with bilateral cryptorchidism].

    abstract:OBJECTIVES:To report one case of precocious puberty in a 6-year-old boy with bilateral cryptorchidism. METHODS:History and physical examination, blood tests, nuclear chromatin and cariotype, bone age, pneumopelvis, hormonal tests, laparotomy and hysterectomy were performed. RESULTS:The absence of testicles within the...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Alonso Domínguez FJ,Osorio Acosta VA

    更新日期:2004-10-01 00:00:00

  • Penile cancer: are there currently indications for radiotherapy?.

    abstract::Penile cancer is a radiocurable disease. The different types of radiotherapy (RT)-brachytherapy, plesiotherapy, external beam radiation therapy-have proven valid in the treatment of the primary tumor allowing preservation of the penis and sexual function. RT is even an option in candidates for surgery who reject surge...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: González Domingo M,González San Segundo C

    更新日期:2011-05-01 00:00:00

  • [The endoscopic section of ureterosigmoid stenosis].

    abstract:OBJECTIVES:Herein we describe the technique of endoscopic incision in the treatment of ureterointestinal stricture. METHODS:A teflon sheathed stent is placed in the stenotic ureterointestinal segment utilizing a combined approach (percutaneous antegrade endoscopic transrectal) and a balloon is passed over the stent re...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Lovaco Castellano F,Fernández González I,García Cuerpo E,Escudero Barrilero A,Gómez Zancajo V,Meroño García E

    更新日期:1995-05-01 00:00:00

  • [Transurethral thermotherapy with microwaves in patients with benign prostatic hypertrophy and urinary retention: comparative study between high energy (25) and standard energy (2.0)].

    abstract:OBJECTIVES:During a 36-month period, 63 patients with benign prostatic hypertrophy (BPH) who presented urinary retention, were treated on an outpatient basis by transurethral microwave thermotherapy (TUMT) with the Prostatron device using analgosedation. METHODS:Treatment consisted of a single one hour session with Pr...

    journal_title:Archivos espanoles de urologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Mompó Sanchís JA,Paya Navarro JJ,Prosper Rovira F

    更新日期:1996-05-01 00:00:00

  • [Distal urethral obstruction in girls: a diagnosis to keep in mind].

    abstract::Although obstruction of the distal urethra is uncommon in the female, it should not be discarded if the patient is a young girl who consults for symptoms as diverse as enuresis, frequency and urgency, urinary infections, etc. Such a case is reported herein. The patient underwent internal urethrotomy which resolved the...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Ramírez Fernández JC,Bravo de Rueda C,Salinas Casado J,Prieto Chaparro L,Rapariz González M,Begara Morillas F,Espinosa Fernández-Gutierrez B,Resel Estévez L

    更新日期:1993-01-01 00:00:00

  • Quality of life in prostate cancer patients and controls: psychometric validation of the FACTP-4 in Spanish, and relation to urinary symptoms.

    abstract:OBJECTIVES:To assess the feasibility and a validity of the Spanish version of the FACT-P and its relation to urinary symptoms. METHODS:The Spanish version of the FACT-P was self-administered to 60 Prostate Cancer patients (pts) waiting to undergo radical treatment and 20 age-matched controls (con) with a negative biop...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Batista-Miranda JE,Sevilla-Cecilia C,Torrubia R,Musquera M,Huguet-Pérez J,Ponce de León X,Rosales Bordes A,Salvador Bayarri J,Villavicencio Mavrich H

    更新日期:2003-05-01 00:00:00

  • [Fistula between ileal conduit and small intestine after cutaneous ureteroileostomy].

    abstract::We report on a case of ileal conduit-enteric fistula which appeared early after ureteroileostomy using the Bricker technique. The appearance of gastrointestinal content through the stoma was the only sign. An ileogram permitted making the diagnosis. Conservative treatment was instituted and the fistula resolved sponta...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Albisu Tristán A,Acha Pérez M,Zabala Egurrola JA,Llarena Ibarguren R,Pertusa Peña C

    更新日期:1992-04-01 00:00:00

  • [Preparation of the scrotal skin for urethroplasty: depilation technique].

    abstract:OBJECTIVE:To describe a simple method of depilation of scrotal skin and the advantages of utilizing scrotal skin flaps for urethroplasty in the postpubertal male. METHODS:Depilation of the scrotal flap is achieved by electrocoagulating the dermal papillae with a needle specifically designed for scrotal hair. The frequ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Gil-Vernet Sedó A,Arango Toro O,Gil-Vernet Sedó JM,Borau Durán A

    更新日期:1997-05-01 00:00:00

  • [Critical vision in the treatment of invasive vesical cancer with ionizing radiation].

    abstract:OBJECTIVE:To review the treatment of invasive bladder cancer with ionizing radiation. METHODS:Patient selection criteria, prognostic factors, treatment of different tumor types with radiation using different strategies alone or in combination with chemotherapy are analyzed in the literature. RESULTS/CONCLUSIONS:The r...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Pedraza V,Cueto J,Castillo I,Gonzalo C,Romero MJ,Zuluaga A

    更新日期:1999-07-01 00:00:00

  • Laparoscopic partial nephrectomy: current status.

    abstract:OBJECTIVE:Increasingly nephro-sparing partial nephrectomy has became widely accepted as a preferred treatment option for the select patient when the adenocarcinoma involves a solitary kidney or poorly functioning contralateral kidney, and in patients with synchronous bilateral tumors. While open partial nephrectomy is ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Bernardo NO,Gill IS

    更新日期:2002-09-01 00:00:00

  • [Incomplete sagittal septum of the bladder].

    abstract:OBJECTIVE:To describe an additional case of incomplete sagittal septum of the bladder. METHODS:A case of incomplete sagittal septum of the bladder in a young, asymptomatic patient with paralysis of both lower limbs is presented and literature is briefly reviewed. RESULTS:The diagnosis was made by intravenous urograph...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Bret-Zurita M,Cuesta E,Morales R,Márquez MI,Calle F

    更新日期:2000-09-01 00:00:00

  • [Seminal changes in unilateral cryptorchism: course after orchidopexy. Experimental study].

    abstract::The present study was conducted to determine the reversibility of the seminal alterations following experimental unilateral cryptorchidism in relation to the time orchiopexy is performed. Two groups of 45 Wistar rats were subjected to mechanical unilateral cryptorchidism followed by prepubertal, early and late orchiop...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Martínez Bengoechea JJ,Gracía Romero J,Morandeira García-Lacruz JR,Rioja Sanz LA

    更新日期:1994-04-01 00:00:00

  • [The webbed penis. A report of a new case].

    abstract:OBJECTIVE:To report an additional case of webbed penis or penis palmatus, an uncommon malformation caused by alterations that occur during the embryonic development of the external genitalia. METHODS:A 15-year-old by consulted for penile curvature. He was diagnosed as having webbed penis and phimosis, and was submitte...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Medina López RA,Campoy Martínez P,Jiménez del Valle U,Hernández Soto R,Ramírez Mendoza A,Soltero González A

    更新日期:1999-01-01 00:00:00

  • [Peritonitis following transrectal biopsy of the prostate].

    abstract:OBJECTIVE:An uncommon complication of prostatic transrectal biopsy is described. METHODS/RESULTS:A case of peritonitis arising from a recto-peritoneal fistula after transrectal biopsy of the prostate is reported. The patient presented symptoms of peritonitis 15 days after undergoing ambulatory transrectal prostatic bi...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: da Silva E,Pereiro Alvarez B,Garimaldi Pérez S,Sonzini C,Meijiderico F,Posqueira Santiago D,Pereiro M,Zungri Telo E

    更新日期:1999-03-01 00:00:00

  • Study of spontaneous crystalluria on a series of patients in the Tadla Azilal Moroccan area.

    abstract:OBJECTIVES:There are few studies on crystalluria in the developing countries. The aim of the present study was carrying out a first study in Morocco on the frequency and the chemical nature of the crystalluria according to the sex and the age of human individuals living in the Tadla Azilal moroccan area. METHOD:200 sa...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:10.4321/s0004-06142006000600018

    authors: Mbarki M,Oussama A,Elbouadili A,Semmoud A,Berkani M,Touhami M,Jabrane AJ

    更新日期:2006-07-01 00:00:00

  • [Wilms' tumor in Cantabria. Review of our cases (1974-1990)].

    abstract::We reviewed the records of patients with genitourinary tumors that had been diagnosed and treated at the Section of Pediatric Surgery of Marqués de Valdecilla Hospital from 1974 to 1990. There were 14 such tumors. Of these, 12 (85.7%) were Wilm's tumor. This tumor type is the subject of the present study. Regarding it...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Asensio Lahoz LA,Sandoval González F,Abaitua Bilbao J,Palazuelos CM,del Valle Schaan JI,García Montesinos M,de La Torriente Oria JI,García de Tuñon A,Lanzas Prieto JM

    更新日期:1991-10-01 00:00:00

  • [Wilms tumor treated with partial surgery. 31-year survival].

    abstract:OBJECTIVE:To report on a patient with Wilms' tumor treated by partial nephrectomy with 31 years survival. METHODS:Herein we describe a 33-year-old patient who had undergone surgery for a right renal tumor at age 2 years and 10 months. A partial nephrectomy was performed because the patient had left ureterohydronephros...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Morales Concepción J,Fraga Valdés R,Morales Aranegui A

    更新日期:1997-09-01 00:00:00

  • Vaginal Gartner cysts: clinical report of four cases and a bibliographic review.

    abstract:OBJECTIVES:To present a series of four cases of Gartner cysts and their clinical presentation. A bibliographic review was performed. METHODS:The series consisted of 4 women, mean age 39, who complained of a bulge at the anterior vaginal wall, associated with a variety of urinary symptoms. RESULTS:Surgical removal was...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Molina Escudero R,Navas Martinez MC,Castillo OA

    更新日期:2014-03-01 00:00:00

  • [Mixed-nucleus renal calculi].

    abstract::We made a crystallographic analysis of 87 mixed-nucleus stones and found 4 groups of stones of this kind, which are as follow: urico-oxalic, oxalico-uric, phosphato-oxalic and oxalic-phosphatic. We did not find any mixed-nucleus, urico-phosphatic or phosphatico-uric stones and we explain this fact according to the kno...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Torres Ramírez C,Aguilar Ruiz J,Zuluaga Gómez A,Espuela Orgaz R,del Río Samper S,Martínez Torres JL

    更新日期:1980-11-01 00:00:00

  • [De-escalation urology measures. COVID-19 pandemia stepwise recommendations.]

    abstract::El nuevo coronavirus tipo 2 (SARS-CoV-2)del síndrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1). En Marzo de 2020, la dispersión mundialde este nuevo patógeno, condujo a la declaració...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: López-Fando L

    更新日期:2020-06-01 00:00:00

  • [Biochemical effects of potassium citrate in the treatment of calcium oxalate lithiasis].

    abstract::The serum and urinary biochemical changes observed one month and six months after oral potassium citrate therapy (600 mEq/day) in 119 patients with calcium oxalate calculi were compared with those of 16 untreated cases with lithiasis. The patients that received treatment were previously divided into two groups: group ...

    journal_title:Archivos espanoles de urologia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Conte Visús A,Ibarz Servio L,Arrabal Martín M,Ibarz Navarro JM,Ruiz Marcellán FJ

    更新日期:1994-03-01 00:00:00

  • [Primary bladder neck obstruction in males].

    abstract:OBJECTIVES:To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS:Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic feat...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:10.4321/s0004-06142006000300006

    authors: Navalón Verdejo P,Pallás Costa Y,Juan Escudero J,Ordoño Domínguez F,Sánchez Ballester F,de la Torre Abril L,Monllor Peidro E,Fabuel Deltoro M,Cánovas Ivorra JA

    更新日期:2006-04-01 00:00:00

  • The role of laser in percutaneous surgery. Is this the best option for this approach?

    abstract::Holmium laser has been established asthe gold-standard for the ureteroscopic management of urinary stone disease. However the role of laser inpercutaneous nephrolithotomy (PCNL) varies, as multiple energy sources and lithotripters are available. Currently, lasers are becoming more relevant with the development of seve...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Wright HC,Sherman Z,Monga M,De S

    更新日期:2020-10-01 00:00:00

  • [A decade of laparoscopic varicocelectomy: costs and learning stages].

    abstract:OBJECTIVE:To present the results of a retrospective study on laparoscopic varicocelectomy, with special reference to the changes in the operating time observed throughout the training period. METHODS:We have reviewed the laparoscopic varicocelectomy procedures performed from 1987 to 1997. The operating times were grap...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Jiménez Garrido A,García de la Torre MV,Sánchez de Badajoz E

    更新日期:1999-04-01 00:00:00

  • [The role of inguinal lymphadenectomy in epidermoid carcinoma of the penis. Use of Ligasure and analysis of the results].

    abstract:OBJECTIVE:To compare the morbidity of conventional inguinal lymphadenectomy for epidermoid carcinoma of the penis using ligation versus ultrasonic sealing of the lymph nodes with Ligasure. METHODS:29 cases of carcinoma of the penis are analyzed; 8 underwent superficial and deep inguinal lymphadenectomy using the conve...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Gallo Rolania FJ,Beneitez Alvarez ME,Izquierdo García FM

    更新日期:2002-06-01 00:00:00

  • [Tubercular ureteral stenosis. Endourologic treatment of 4 cases].

    abstract::Tuberculosis stricture of the ureter is a process that may lead to loss of renal function if undiagnosed and untreated at the right time. Currently, tuberculostatic agents combined with steroids, and the possibility of recurring to endourological treatment, achieve a high success rate. Our experience with 4 cases is d...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Chantada Abal V,Gómez Veiga F,García Freire C,González Martín M

    更新日期:1993-05-01 00:00:00

  • Prediction of extracapsular disease with multiparametric magnetic resonance imaging in high risk localized prostate cancer patient.

    abstract:OBJECTIVES:To assess the usefulness of multiparametric magnetic resonance imaging (MRI) in the staging of patients with localized prostate cancer (PC) and high risk of extracapsular disease (ECD). METHODS:Retrospective study including 30 patients with localized PC and high risk of ECD. Pathologist and radiologist esta...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Hernández-Sánchez JE,Castillo E,Barbero JM,Lista F,Gonzalez J

    更新日期:2013-12-01 00:00:00

  • [Testicular microlithiasis and testicular cancer].

    abstract:OBJECTIVE:To check the possible relationship between testicular microlithiasis and testicular carcinoma in a patient in the one which previously we discovered a sonographic image of this condition. The etiopathogenesis, incidence and attitude are discussed. METHODS:A 23-year-old male with a psychomotor retardation sec...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Ortiz Gorraiz MA,Buitrago Sivianes S,Rodríguez Herrera F,Rosales Leal JL,Martínez Morcillo A,Vicente Prados FJ,Cózar Olmo JM,Espejo Maldonado E,Tallada Buñuel M,Zilbermann S,Medina A

    更新日期:2003-06-01 00:00:00