Abstract：
OBJECTIVES:Metastatic prostate cancer is a very heterogeneous disease with several treatment options. In some cases of oligometastatic disease, local treatment of the primary tumor complemented by metastasis directed therapy seems to improve oncological results. The objectives of this study are to define and understand oligometastatic prostate cancer, to show the usefulness and rationale of cytoreductive surgery in this scenario and to review all published studies about radical prostatectomy in patients with initially metastatic prostate cancer. METHODS:We performed a Pubmed bibliographic search using the keywords: prostate cancer, metastatic, oligometastatic, local treatment, radical prostatectomy, and cytoreductive surgery. We included all published works on radical prostatectomy in initially metastatic patient. Furthermore, we reviewed published articles about cytoreductive surgery and biology of the oligometastatic disease in journals of different medical specialties. RESULTS:Oligometastatic prostate cancer is recognized as an intermediate clinical stage between local and disseminated disease that seems to benefit from local treatment of the primary tumor plus metastasis directed treatment. In this scenario, different retrospective studies have demonstrated that radical prostatectomy diminishes local complication rate and improves oncological results without increasing morbidity. Currently, there is no consensus definition about the number, location, and imaging techniques to employ to consider a patient oligometastatic. Thus, it is difficult to compare the results of the different studies and identification of a subgroup of patients that could benefit from this local treatment. CONCLUSIONS:In absence of prospective randomized data, radical prostatectomy seems to be useful for local treatment of the primary tumor in a selected group of patients with oligometastatic prostate cancer.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Gaya JM,Huguet J,Breda A,Palou Jsubject
Has Abstractpub_date
2018-03-01 00:00:00pages
288-297issue
3eissn
0004-0614issn
1576-8260journal_volume
71pub_type
杂志文章,评审abstract：OBJECTIVES:We report 5 new cases of primary psoas abscess in this review. We describe the various pathogen agents involved in the development of this disease, as well as the etiopathogenesis, which is explained by several theories, being the most commonly accepted hematogenous dissemination from a septic focus. In the ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-09-01 00:00:00
abstract：:A retrospective review of 186 cases of transitional cell carcinoma of the bladder observed between 1987 and 1990 is described. Squamous metaplasia was present in 37 cases. This histological feature was especially found in association with poorly differentiated and invasive tumors: the presence of extensive areas of sq...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVE:To describe the laparoscopic approach for uretero-ileal anastomosis strictures and to analyse our long term series. METHODS:A retrospective review was performed evaluating our series of patients with benign ureteroileal anastomosis strictures treated laparoscopically from 2011 to 2017. Demographics and perio...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2017-05-01 00:00:00
abstract：:Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVES:To discuss the modern imaging techniques and preoperative management of pheochromocytoma and to report on one additional case. METHODS:A 66-year-old male with an incidentally discovered left adrenal mass is described. The adrenal medulla strongly accumulate 131 I-metaiodobenzylguanidine (MIBG). The patient ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:To report an uncommon case of idiopathic calcinosis of the scrotum. METHODS/RESULTS:A case of idiopathic scrotal calcinosis in a 50-year-old male who presented with multiple hard masses in the scrotum is described. Cytological (fine needle aspiration) and histological (biopsy and resection) analyses of these...
journal_title：Archivos espanoles de urologia
pub_type： 历史文章,杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：:Introduction of retrograde flexible ureteroscopy represented a leap forward in upper urinary tract endourology. Nowadays, areas of the pyelocaliceal system accessible otherwise only by percutaneous or open surgery, can be approached in a retrograde fashion, using the anatomical pathways. The flexible ureteroscopes evo...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVES:Giant hydronephrosis, defined as the presence of a liquid volume over 1000 ml within the urinary collector system, is a rare clinical entity, the diagnosis of which is an excellent exercise because it lacks of a defined clinical presentation. METHODS/RESULTS:We report the case of a 66-year-old male under st...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000100014
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:We present a case of X-Y translocation with male phenotype (46,XX testicular disorder of sex development) and review the literature. METHODS:Disorders of sex development with mismatch of genetic, gonadal and phenotypic sex are quite rare, and some are due to genetic or chromosomal abnormalities. The karyotyp...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVES:The epidermoid cyst of the testis is a rare benign tumor. It accounts for approximately 1% of all testicular tumors. Generally, the testis has a palpable, painless mass with tumor markers (AFP, BHCG, and LDH) within normal ranges. Pathology reveals a cavity consisting of squamous epithelial cells containing ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-07-01 00:00:00
abstract：:The use of laser technology in the field of urologic surgery has experienced great advances over the past 20 years. Since the beginning of this century robotic technology has landed in a determined manner in our specially and every day will be more and more indications on what is going to have a final deployment. The ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142008000900028
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVES:Urodigestive fistulas are secondary complications of inflammatory, traumatic or neoplastic disease and can occasionally be difficult to diagnose, although the typical symptoms of pneumaturia and fecaluria should make the urologist and surgeon suspect the presence of a fistula, determine its etiology and loca...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:Clinical stage I testicular nonseminomatous germ cell tumours (NSGCT) are highly curable. Following orchidectomy a risk-adapted approach using active surveillance (AS), nerve sparing retroperitoneal lymph node dissection (nsRPLND) and primary chemotherapy is recommended by the current guidelines. CS I is defined neg...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVES:This analyzes the usefulness of transvaginal endosonography before and after surgery in patients with stress urinary incontinence. METHODS:We evaluated the bladder contour in 50 patients by transvaginal endosonography and the distance from the bladder neck to the pubis was measured with and without stress. ...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-09-01 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：OBJECTIVE:The aim of the present article is to summarize the results we obtained treating children with urolithiasis over the last 30 years and to perform an analysis on the basis of the these results and relevant details according to national and international experience. METHODS:Retrospective and descriptive statist...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVES:The aim of this review is to evaluate the place of transurethral resection of the prostate (TURP) in patients with elevated and/or rising prostate specific antigen (PSA). The role of TURP in these patients is assessed in symptomatic as well as in asymptomatic patients. METHODS:Current literature (1987-2009)...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVES:In recent years, different studies have mentioned the recurrence of vesicoureteral reflux (VUR) endoscopically resolved, an exceptional event after open surgery. The aim of this study is to describe the evolution of the cases of recurrence identified in our center to assess the importance of this event. MET...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVE:To report two cases of emphysematous cystitis, a rare, potentially serious disease. METHODS:Analysis of two different cases treated in our center and review of the existing literature. RESULTS:One patient underwent emergency surgery (radical cystectomy) due to the advanced stage of the disease. The second p...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2015-09-01 00:00:00
abstract：:The history of urology starts with written documents making express reference to procedures, practices and descriptions of morbid processes related with the male genitourinary tract. Oddly, the most recent prehistoric period, the superior Paleolithic (from approximately 40.000 years to 12.000 years ago; the longest pe...
journal_title：Archivos espanoles de urologia
pub_type： 历史文章,杂志文章
doi：10.4321/s0004-06142007000800002
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:Low grade, low stage superficial bladder tumors have, in general, a good prognosis; however, some of these tumors progress and behave more aggressively, displaying a high incidence of recurrence and rapid transformation into a higher grade of malignancy with deep invasion of the bladder wall. Numerous studies...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVES:We evaluated the form of presentation, clinical features and analytical values and their relationship with survival in renal cell carcinoma patients and analyzed the efficiency of different diagnostic and staging procedures. METHODS:We reviewed the form of presentation, clinical features, staging procedures...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：:We report on a patient with a long history of rheumatoid arthritis who consulted for intense hematuria that was initially ascribed to carcinoma of the bladder. Subsequent patient evaluation, however, disclosed amyloidosis of the urinary bladder. The literature on amyloidosis of the urinary tract is reviewed. A detaile...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Oligometastatic prostate cancer (PCA) has increasingly been detected in the era of modern imaging studies such as choline-specific and prostate-specific membrane antigen (PSMA)-positron emission tomography and X-ray computed tomography (PET/CT). Recent evidence suggests that durable control is attainable with local tr...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To report a case of tubulocystic renal carcinoma diagnosed in an adult, after a work up study for hematuria. METHODS/RESULTS:59-year-old male, CT scan was performed during a study for self-limited hematuria showing a 4.2 cm solid mass with areas suspicious of pseudocystic malignancy. Due to its debut with he...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVES:To evaluate the results of this surgical treatment of hydrocele over the first four years of integration of the Urology Department in the Major Ambulatory Surgery Unit in our Hospital. METHODS:From January 2000 to July 2004 we have performed 167 hydrocelectomies as ambulatory surgery in 152 patients (15 cas...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142005000500003
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVE:To report on a patient who underwent surgery for renal carcinoma at the age of 12 years and who is alive and symptom-free after 22 years. METHODS:A 34-year-old female who underwent surgery for a right renal tumor when she was 12 is described. The histological analysis demonstrated renal adenocarcinoma. To da...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
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：
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1995-12-01 00:00:00
abstract：OBJECTIVE:To analyze if there is a learning curve to get to perform high quality ultrasound guided prostate biopsies that enable to effectively perform the diagnosis of prostate cancer, taking the pathological result of the samples into consideration. METHODS:We retrospectively reviewed data from 790 ultrasound-guided...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2015-07-01 00:00:00
