Abstract:
:Of 293 patients with transitional cell carcinoma of the bladder seen at our institution between April 1977 and December 1987, 9 patients were found to have brain metastasis. Seven of 9 patients were found to have a solitary brain lesion, and in 4 of these, no other site of metastatic disease was identified. Five patients received palliative whole brain irradiation, 3,000 cGy in 10 fractions, due to the presence of multiple lesions of the central nervous system (CNS) or metastases to other sites. The average survival for this group was seven weeks. One patient with a solitary brain metastasis and no other documented metastatic site was hospitalized at another institution, and was managed expectantly receiving only parenteral steroid therapy and survived four weeks. Three patients with solitary lesions and no evidence of other metastatic sites were treated with a combined surgical and radiotherapeutic approach receiving 4,000-5,000 cGy to the lesion site postoperatively. The average survival of that group was twenty-nine months, with one five-year survivor and 1 patient with no evidence of disease fourteen months after treatment. It appears that survival is longer in those patients with solitary lesions, perhaps due, at least in part, to a more aggressive therapeutic approach.
journal_name
Urologyjournal_title
Urologyauthors
Anderson RS,el-Mahdi AM,Kuban DA,Higgins EMdoi
10.1016/0090-4295(92)90034-tsubject
Has Abstractpub_date
1992-01-01 00:00:00pages
17-20issue
1eissn
0090-4295issn
1527-9995pii
0090-4295(92)90034-Tjournal_volume
39pub_type
杂志文章,评审相关文献
UROLOGY文献大全abstract::Two patients presented with synchronous Hodgkin's disease and testicular germ cell neoplasms. Both patients are in complete remission following treatment with multidrug chemotherapy and radiation therapy. Despite epidemiologic similarities between Hodgkin's disease and testicular cancer, only 13 cases of their associa...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(91)80208-o
更新日期:1991-02-01 00:00:00
abstract:OBJECTIVE:To explore the margin, ischemia, and complications (MIC) system achievement rate within a population of patients who were treated with robotic partial nephrectomy (RAPN), at 3 different tertiary care centers, and to determine the factors predicting MIC achievement. METHODS:The study population consisted of 3...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2014.09.068
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:To define the safety and efficacy of a pneumatically driven, mechanical lithotriptor using nitinol probes through semirigid and actively deflectable, flexible fiberoptic endoscopes. METHODS:The Browne Pneumatic Impactor (BPI) uses standard compressed air to drive a nitinol wire along its long axis onto a ca...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80190-8
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:To evaluate dry hot air effect as a reliable method of disinfection of urological endoscopes. METHODS:Two groups of urological endoscopic instruments (2 cystoscopic sheaths, 2 bridges, and 2 working elements of resectoscope and urethrotome for each group), after being sterilized by full immersion in 2% glut...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.05.017
更新日期:2009-09-01 00:00:00
abstract::Lack of tumescence of the glans penis during normal penile erection may represent a handicap to sexual intercourse. The pharmacodynamic spongiosography for the evaluation of venous drainage of the corpus spongiosum is described, demonstrating a pathologic venous outflow. The patient was successfully treated by resecti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80151-c
更新日期:1990-04-01 00:00:00
abstract::Twenty-four patients with suspected renal injury were evaluated using high-dose intravenous pyelography, technetium-99m glucoheptonate radionuclide studies (RNS), and selective renal arteriography. Critical examination of these three diagnostic modalities reveal that RNS are extremely accurate in renal trauma evaluati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90422-7
更新日期:1980-02-01 00:00:00
abstract:OBJECTIVES:To identify differentially expressed genes in tumor cells of patients with prostate cancer by means of tissue microdissection and targeted differential display. METHODS:RNA was recovered from pure populations of microdissected normal epithelium and invasive tumor from frozen tissue sections of a radical pro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(97)00194-5
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVES:To review our experience with patients with upper urinary tract tumors of nonurothelial origin. Upper urinary tract tumors of nonurothelial origin are uncommon entities. To our knowledge, no series of patients with these neoplasms has been published in the past decade. METHODS:We reviewed the records at the...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.09.010
更新日期:2006-03-01 00:00:00
abstract::We report on a peculiar congenital duplication anomaly of the kidney and collecting system. A bifid left renal pelvis receives the ureter draining the lower moiety of a fully duplicated right system. To our knowledge, such an anomaly has not been previously described. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.09.059
更新日期:2010-10-01 00:00:00
abstract::Five hundred girls with recurrent urinary tract infections and documented reflux were seen in our private practice during the last twenty years. All patients received medical treatment for three to forty-eight months (an average of fifteen months) after which the 250 who were not cured were submitted to corrective sur...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90329-5
更新日期:1980-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness and side effects of prophylactic low-dose bacille Calmette-Guérin (BCG) Tokyo 172 strain. METHODS:We conducted a historical cohort study to compare the clinical usefulness of standard-dose versus low-dose BCG Tokyo 172 strain. A total of 156 patients with superficial bladder ca...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.11.080
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To assess the association between Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) score, the Decipher score, and histologic grade of carcinoma in biopsy tissue among low- to intermediate-risk prostate cancer patients. METHODS:MRI-ultrasound targeted biopsy of regions of interest and concurre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2018.12.001
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To assess objective and subjective outcomes of retrograde intrarenal surgery (RIRS) and extracorporeal shock wave lithotripsy (SWL) for the treatment of intermediate size (1-2 cm) inferior calyceal (IC) stones in a prospective randomized fashion. METHODS:Between March 2011 and January 2013, 70 symptomatic ad...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2013.12.026
更新日期:2014-05-01 00:00:00
abstract::A case of prostatic adenocarcinoma associated with extensive cutaneous metastases and malignant acanthosis nigricans is reported. Pertinent literature is reviewed. The pathogenesis of the possible mechanism of the development of cutaneous metastases in this as well as other related cases is discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90244-3
更新日期:1978-04-01 00:00:00
abstract:OBJECTIVE:To describe total and component radical prostatectomy (RP) episode costs across a diverse set of hospitals in Michigan, and examine drivers of variation in such payments. METHODS:We identified Medicare and private payer patients undergoing RP from 2012 to 2014 from the claims-based registry maintained by the...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.071
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVES:To investigate the role of protein kinase C-alpha (PKCalpha) in the recurrence of superficial bladder carcinoma. METHODS:Expression of PKCalpha was measured by Western blot analysis in 56 samples. A human RT-4 bladder cancer cell line stably expressing green fluorescent protein-PKCalpha (RT-4/PKCalpha) was ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.01.007
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVES:The pediatric application of ureteroscopy was initially hindered by the size of the instruments and the fear of damaging the urethra and ureterovesical junction during endoscopic maneuvers. This review of our experience is focused on the usefulness of thin and ultrathin ureteroscopes such as the 7 F Gautier ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(99)80358-6
更新日期:1995-12-01 00:00:00
abstract::Minimally invasive laparoscopic techniques have been applied to the staging and treatment of testicular cancer during the performance of retroperitoneal lymph node dissection. The da Vinci Surgical System potentially improves the safety and accuracy of this approach. We present what we believe to be the first publishe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.022
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To explore the mechanism for the differing nuclear morphometric results between needle biopsy and surgical specimens of the prostate. METHODS:In experiment 1, a comparison of mean nuclear area (MNA), volume-weighted mean nuclear volume (MNV), and form factor (FF) for prostatic epithelial cells was performed...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00583-5
更新日期:2000-08-01 00:00:00
abstract::Urinary incontinence in pediatric and adolescent patients has been successfully managed with the artificial urinary sphincter for several decades. Placement of the sphincter can be difficult in the preadolescent girl due to poorly developed vaginal tissue that can result in difficulty establishing the surgical plane b...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00277-0
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:To offer recommendations on identification of disease progression, treatment management strategies, and suggestions on timing of initiating and discontinuing specific castration-resistant prostate cancer (CRPC) treatments. MATERIALS AND METHODS:The Prostate Cancer Radiographic Assessments for Detection of Ad...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2016.12.033
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:To analyze the relationships among socioeconomic status (SES), race, and the clinical parameters of patients undergoing radical prostatectomy (RP) in an equal access health care system. METHODS:The Department of Defense Center for Prostate Disease Research longitudinal prostate cancer database from multiple...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/s0090-4295(00)00808-6
更新日期:2000-12-20 00:00:00
abstract:OBJECTIVES:To investigate the effects of morphine on reperfusion injury due to testicular torsion-detorsion (T/D). METHODS:We divided 36 adult male Sprague-Dawley rats into six groups. Testicular ischemia was achieved by twisting the right testis 720 degrees counterclockwise for 1 hour, and reperfusion was allowed for...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.06.101
更新日期:2005-12-01 00:00:00
abstract::With recent advances in ultrasound technology, concomitant improvement in sonographic techniques have been required. Sonographic scanning in coronal orientation, both in transverse but especially in longitudinal direction, has demonstrated a number of advantages over the routine transverse and sagittal scans. Closer c...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90025-x
更新日期:1981-01-01 00:00:00
abstract::The efficacy of Sacks solution for hypothermic preservation of dog kidneys was determined. Complete ischemia was produced in one kidney for thirty minutes by clamping the renal pedicle in situ, followed by excision and immediate washout with the cold preservation fluid. Kidneys were stored in Sacks solution at 2 degre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90502-6
更新日期:1975-11-01 00:00:00
abstract:OBJECTIVES:To investigate the clinical efficacy of a caudal block compared with periprostatic local anesthesia for transrectal ultrasound-guided multicore prostate needle biopsy. METHODS:A total of 100 patients who had undergone initial prostate biopsy using a systematic five-region biopsy by a single operator were in...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2006.02.025
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:Nephrolithiasis is a recurrent condition with significant associated morbidity and economic impact. Although urologic intervention addresses symptomatic stone episodes, prevention of recurrences with proven medical therapy is indicated. METHODS:This retrospective study examined 97 patients who presented in ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00822-0
更新日期:2000-12-20 00:00:00
abstract:OBJECTIVE:To correlate sperm mitochondrial respiratory efficiency with variations in sperm motility and with sperm morphologic anomalies. METHODS:Sperm mitochondrial respiratory activity was evaluated with a polarographic assay of oxygen consumption carried out in hypotonically-treated sperm cells. A possible relation...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.12.042
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:Xanthogranulomatous pyelonephritis (XGP) is an atypical form of chronic renal infection. The treatment of choice is open nephrectomy, which is challenging, given the extent of the disease and the not uncommon involvement of the renal hilum and contiguous structures. We compared our experience with laparoscop...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00261-7
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:To describe the epidemiology of urinary tract infections caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli. METHODS:We performed three studies: a trend study (1999 to 2004) to assess the evolution and origin of ESBL-producing E. coli isolates from urine samples; a comparison of th...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.08.1075
更新日期:2006-12-01 00:00:00