Abstract:
OBJECTIVES:To re-examine clear cell cystic lesions of the kidney and to assess their potential clinicopathologic significance, as the long-forgotten diagnosis of benign adenomatous multicystic kidney tumor (Perlmann's tumor) has not been cited in the literature in more than 35 years. METHODS:We identified 12 patients between 1959 and 1996 who underwent a radical nephrectomy at our institution and were diagnosed with either adenomatous multicystic clear cell kidney tumor (n = 4) or with renal cell carcinoma (RCC) associated with features of adenomatous clear cell multicystic kidney tumors (n = 8). All diagnoses were reviewed histologically by a single pathologist. RESULTS:Nine of 1 2 patients had Stage T2NOMO disease, and 3 patients had Stage T1 NOMO disease. There were 8 men and 4 women. The average age at the time of surgery was 60.5 years (range 25 to 74). Six patients are still alive with a mean follow-up of 4.7 years (range 1.5 to 16.3) and have no evidence of recurrent disease. Of the 6 patients who died, mean survival time was 8.8 years (range 0 to 15.7). One patient died in the perioperative period, and the other 5 patients died of other causes, unrelated to their kidney tumor. CONCLUSIONS:Adenomatous clear cell multicystic kidney disease may represent a histologically distinct benign neoplasm, and its presence in association with RCC may confer a more favorable prognosis. Its distinction from usual solid hemorrhagic or focally necrotic RCC is important.
journal_name
Urologyjournal_title
Urologyauthors
Kirsh EJ,Straus FH 2nd,Goldfischer ER,Steinberg GD,Gerber GSdoi
10.1016/s0090-4295(98)00439-7subject
Has Abstractpub_date
1999-01-01 00:00:00pages
65-70issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(98)00439-7journal_volume
53pub_type
杂志文章相关文献
UROLOGY文献大全abstract::An eighty-eight-year-old Puerto Rican presented with painless enlargment of one testicle which proved histologically to be due to Schistosoma mansoni. Intratesticular ovum deposits were not associated with inflammation, granulomas, or infarction, but marked sclerosing periorchitis was present. The case illustrates a v...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90378-3
更新日期:1978-07-01 00:00:00
abstract::Percutaneous drainage has rapidly become the initial procedure of choice in the treatment of most intra-abdominal abscesses. The retroperitoneal location of the urinary tract facilitates a percutaneous approach and has been found to be highly effective, with surgical intervention required in a minority of cases. Nonin...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90242-5
更新日期:1984-05-01 00:00:00
abstract::Although cystitis glandularis has been considered a premalignant lesion, the instance of cystitis glandularis progression to adenocarcinoma or cystitis glandularis associated with adenocarcinomatous change is rare. This article includes 4 cases of neurogenic bladder with urinary diversion for different periods of time...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90484-7
更新日期:1980-04-01 00:00:00
abstract:OBJECTIVES:To establish whether the short-term risks of prolapse surgery are increased by a concomitant anti-incontinence procedure. METHODS:Using data from the past 4 years of the National Hospital Discharge Survey, we identified women admitted for surgery for pelvic organ prolapse (specifically, suspension of the va...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.10.022
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the outcomes of hand-assisted laparoscopic nephrectomy in patients with significant complicating clinical factors. METHODS:We performed a retrospective review of 322 hand-assisted laparoscopic nephrectomy cases that were completed at a single institution from 1998 to 2004. Patients with a histor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.043
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the oncologic outcomes of hand-assisted retroperitoneoscopic nephroureterectomy (HARNU) for upper urinary tract urothelial carcinoma and compare them with the data from conventional open surgery. METHODS:We collected the data from 25 patients who underwent HARNU at our institution from January 1...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2007.01.088
更新日期:2007-06-01 00:00:00
abstract::An 84-year-old man presented to our department with a recurrence of a primary amyloidosis of the bladder 14 years after the first diagnosis. Follow-up had been stopped 5 years after the first procedure because no cystoscopic anomalies were noted. General evaluation confirmed the diagnosis of primary amyloidosis. The l...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01565-5
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:To investigate the effects of terazosin and melatonin on isolated rabbit bladder strips after partial bladder outlet obstruction and determine responses to agonist-induced contractility and changes in oxidant-antioxidant system. METHODS:We created partial bladder outlet obstruction in 5 groups of rabbits, e...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.02.053
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the body mass index (BMI) and lower urinary tract symptom (LUTS) severity on treatment response to sildenafil in men with erectile dysfunction (ED) and moderate to severe LUTS associated with benign prostatic hyperplasia. METHODS:A post hoc analysis of data from a 12-week, double-blind, placebo-...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2008.04.020
更新日期:2008-09-01 00:00:00
abstract::We report removal of a multicystic dysplastic kidney with a laparoscopic technique that uses only three trocar sites. Additionally, we have found placement of a ureteral catheter and full mechanical and antibacterial bowel cleansing unnecessary. The role of this surgery in the management of multicystic dysplastic kidn...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80107-x
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVES:To assess the efficacy of tramadol and lidocaine in reducing pain using the periprostatic nerve block technique with a spinal needle, guided by transrectal ultrasound (TRUS) before the biopsy application. METHODS:Of the 112 eligible candidates who were asked to participate in the study, 90 agreed and provid...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2011.03.010
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:Delay in treatment of testis cancer (TC) has a proven negative impact on disease stage, treatment outcome, and mortality. Poor public awareness of the disease and lack of testis self-examination (TSE) may account for late presentation. The aim of this study was to examine the knowledge of TC and performance ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.03.022
更新日期:2010-10-01 00:00:00
abstract::The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospital from 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were 5 urethral injuries; 4 we...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80237-h
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVES:To investigate a link between the appearance of photoacoustic imaging (PAI) and microvasculature in prostate cancer and to assess the feasibility of PAI for angiogenesis imaging in prostate cancer. METHODS:We have developed a PAI system equipped with a transrectal ultrasound (TRUS)-type probe. Three patient...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.07.008
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:To evaluate a selected population of 50 consecutive patients with primary T1, G3 bladder transitional cell carcinoma in the absence of carcinoma in situ (Tis) treated with a bladder-sparing approach. METHODS:Between January 1983 and December 1992, all patients were treated by transurethral resection (TUR) p...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(96)00007-6
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES:To provide fertility for men with nonobstructive azoospermia. METHODS:A retrospective review of treatment results at a university infertility center was undertaken. Sixteen couples entered an attempted in vitro fertilization (IVF)-intracytoplasmic sperm injection (ICSI) cycle for treatment of nonobstructive...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00032-0
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:To determine the preoperative and postoperative predictors of a short prostate-specific antigen (PSA) doubling time (PSADT) after radical prostatectomy for patients diagnosed during the PSA era. METHODS:Between 1989 and 2003, 1785 men underwent radical prostatectomy for 2002 American Joint Committee on Canc...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.10.041
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:To perform a prospective, placebo-controlled study to examine the long-term efficacy of alfuzosin compared with placebo and standard therapy in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), because alpha-blockers have been suggested for the treatment of CP/CPPS. METHODS:One hundr...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(03)00466-7
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:To evaluate in more detail the effectiveness of a new designed more efficient ultrasonic propulsion for large stones and specific stone compositions in a tissue phantom model. In the first clinical trial of noninvasive ultrasonic propulsion, urinary stones of unknown compositions and sizes up to 10 mm were su...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.09.013
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To demonstrate a novel supine, single-dock approach for robotic nephrectomy and inferior vena cava (IVC) thrombectomy for a left-sided renal cell carcinoma with level II IVC thrombus. METHODS:We perform robotic nephrectomy and IVC thrombectomy in a 79-year-old man with a 6-cm left renal mass and level II IVC...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.10.018
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To review a single surgeon's experience with the development of postoperative deep venous thrombosis after urologic reconstruction in the myelomeningocele population. This complication is rarely reported in this population, despite the multiple risk factors. We reviewed the risk factors for the development o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.01.052
更新日期:2005-07-01 00:00:00
abstract::Urethral pressure profiles have been a useful adjunct in the study of continence. Caffeine, a known smooth muscle inhibitor and skeletal muscle stimulator, is shown to decrease the urethral pressure profile in anesthetized dogs. This would lead one to believe that the smooth muscle component of urethral tonus is the d...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(77)90159-5
更新日期:1977-10-01 00:00:00
abstract:OBJECTIVES:To assess the results of jejunal conduit urinary diversion, with particular attention to electrolyte imbalance and long-term renal function. METHODS:From 1976 to 1994, 50 patients underwent urinary diversion using a short jejunal loop (10 to 12 cm) placed transperitoneally. Of these patients, 18 received pe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00210-0
更新日期:1997-08-01 00:00:00
abstract::Approximately 33% of patients with renal cell carcinoma will present with metastases. Patients have a reported 35% 5-year survival rate in instances in which nephrectomy and surgical resection of a solitary metastasis have been performed. Laparoscopic partial nephrectomy has become an increasingly viable option in the...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.04.031
更新日期:2004-08-01 00:00:00
abstract::We report a case of repeated testicular infarction in a 39-year-old man with sickle cell disease. The patient presented with a 2-week history of testicular pain and was found clinically and sonographically to have a testicular mass, suspicious for a testicular tumor. The pathologic examination of the orchiectomy speci...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00482-5
更新日期:2003-09-01 00:00:00
abstract::Acute calculus disease of the upper urinary tract was studied retrospectively (1974-1978) in San Francisco Chinese and Caucasians. The Chinese population of San Francisco represents approximately 10 per cent of the total population. Yet the incidence of upper tract calculus among Chinese was found to be about twice th...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90419-2
更新日期:1981-08-01 00:00:00
abstract:OBJECTIVES:To use two population-based samples of prostate cancer-free men to develop and validate a novel multivariable equation for estimating prostate volume (PV). Previous investigators have demonstrated the ability to use serum prostate-specific antigen (PSA) levels to estimate PV in men without prostate cancer; h...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.05.044
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Frequently, statistically significant prognostic factors are reported in published studies with suggestions that disease management should be modified. However, the clinical relevance of such factors is rarely quantified. We evaluated the accuracy of predicting the need for invasive treatment among patients ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.11.049
更新日期:2006-05-01 00:00:00
abstract::Laparoscopic donor nephrectomy (LDN) for both retroaortic and circumaortic veins is described. LDN for left retroaortic vein draining into the common iliac vein (CIV) is not described previously. We report 2 cases of laparoscopic harvesting of left kidney having retroaortic renal vein draining into the left CIV and su...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.11.104
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:To investigate the effectiveness and durability of transurethral needle ablation (TUNA) in the treatment of symptoms of chronic pelvic pain syndrome (CPPS) in a randomized, single-blind, sham-controlled study. METHODS:Thirty-three patients with moderate-to-severe symptoms of CPPS were randomized to either T...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0090-4295(02)01704-1
更新日期:2002-08-01 00:00:00