Abstract:
OBJECTIVES:Peripheral primitive neuroectodermal tumor (PNET) is a highly aggressive neoplasm belonging to the Ewing family of tumors. It is characterized by the expression of MIC2 and neural markers (eg, neuron-specific enolase, synaptophysin, S-100, vimentin, Leu-7), and the presence of the EWS-FLI1 translocation. METHODS:We performed a MEDLINE search for PNET in urologic malignancies. Additionally, we report on 2 cases of renal and 1 case of bladder PNET. The data obtained by reviewing patients with renal PNET were analyzed using Kaplan-Meier analysis. RESULTS:Renal PNET is diagnosed in young adults (median age 24 years). In contrast, the incidence of bladder PNET seems to be dependent on a defective immune mechanism. Patients often present with pain (84%), palpable tumor (60%), and hematuria (38%). The radiologic findings are uncharacteristic; therefore, the diagnosis should be based on the histologic and immunohistochemistry findings. Renal and bladder PNET are both often diagnosed at an advanced stage and, therefore, the prognosis is poor, despite aggressive multimodal treatment (surgery, polychemotherapy, radiotherapy). We identified palpable tumor masses (log-rank test, P = 0.0027) and synaptophysin expression (log-rank test, P = 0.0422) as prognostic unfavorable markers for renal PNET. CONCLUSIONS:Renal PNET should be considered in young patients who present with the classic triad of renal cancer, hematuria, and pain and palpable tumor. Once PNET is diagnosed, multimodal treatment (radical surgery, multidrug chemotherapy, radiotherapy) must be initiated. Despite this, the prognosis is poor if distant metastases are present. Furthermore, palpable tumor masses and synaptophysin expression are associated with a shorter cancer-specific survival.
journal_name
Urologyjournal_title
Urologyauthors
Ellinger J,Bastian PJ,Hauser S,Biermann K,Müller SCdoi
10.1016/j.urology.2006.02.037subject
Has Abstractpub_date
2006-08-01 00:00:00pages
257-62issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(06)00272-Xjournal_volume
68pub_type
杂志文章,评审相关文献
UROLOGY文献大全abstract::In this study, the cytologic diagnosis obtained by transrectal fine needle prostatic aspiration was compared to the histologic diagnosis obtained by prostatic needle biopsy or transurethral prostatic resection. Confirmation of all diagnoses occurred 91 per cent of the time: 96 per cent with benign prostatic hyperplasi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(82)90044-9
更新日期:1982-01-01 00:00:00
abstract::Two cases of Kaposi sarcoma are presented. In each case the lesion had a bluish discoloration and was painless. Excision of lesions with wider margins was adequate therapy. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90055-x
更新日期:1985-08-01 00:00:00
abstract:OBJECTIVES:To evaluate prospectively the success of scrotal incision orchiopexy (Bianchi technique) with or without inguinal hernia in patients with an undescended testis within the inguinal canal or beyond the external inguinal ring. METHODS:A total of 72 orchiopexies were performed in 56 patients with a primary unde...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.06.069
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVES:To assess, in a retrospective study, the outcome of different treatment modalities in newborns with undescended testes secondary to large abdominal wall or diaphragmatic defects. Large abdominal and diaphragmatic defects are known to be associated with cryptorchidism, yet the reported incidence varies widely...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.01.091
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the association between fruit/vegetable consumption and erectile dysfunction (ED) among Canadian men with diabetes. METHODS:Data from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes Component were analyzed using Statistical Analysis System Enterprise Guide (SAS EG). Responden...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.07.061
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To identify the cost components of laparoscopic nephrectomy (LN) that could be targeted to reduce the cost of the procedure. LN is typically more costly than open nephrectomy (ON) because of longer operative times and the use of disposable equipment. METHODS:We compared the overall cost and individual cost ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01611-4
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To study the expression of cannabinoid receptor 1 (CB1) in human urinary bladder hypersensitivity and overactivity disorders, and correlate changes with symptoms. Cannabinoid receptor agonists have been shown to modulate urinary bladder contractility and reduce pain after bladder inflammation; their clinical ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.12.051
更新日期:2010-06-01 00:00:00
abstract::A retrospective study was made of 200 patients undergoing transurethral prostatectomy. Half of these patients received bilateral vasectomies. The vasectomized patients had a 5-percent incidence of epididymitis as compared with a 2-percent incidence in the nonvasectomized patients. Vasectomy failed to provide adequate ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90281-4
更新日期:1979-02-01 00:00:00
abstract:OBJECTIVES:To report experience with 100 robot-assisted partial nephrectomy (RAPN) operations performed at our institution. Nephron-sparing surgery is an established treatment for patients with small renal masses. The laparoscopic approach has emerged as an alternative to open nephron-sparing surgery, but it is recogni...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.10.040
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To assess the perioperative complications and functional midterm outcomes after pyeloplasty for poorly functioning kidneys due to ureteropelvic junction obstruction. PATIENTS AND METHODS:We retrospectively analyzed patients who underwent pyeloplasty for primary ureteropelvic junction obstruction in very poor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.02.045
更新日期:2016-06-01 00:00:00
abstract::We report a case of a man with a testicular mixed germ cell tumor in whom the first symptom was severe anemia secondary to upper gastrointestinal bleeding from a metastatic pure choriocarcinoma. He underwent ileal enterectomy, radical orchiectomy, and several cycles of chemotherapy (cisplatin, etoposide, and bleomycin...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.06.102
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:To compare the outcome of patients with T3a and T3c adenocarcinoma of the prostate and determine the utility of these substages as defined in the current American Joint Committee on Cancer and the International Union Against Cancer (AJCC/UICC) staging system. METHODS:An analysis was performed of patients wi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)80020-x
更新日期:1995-03-01 00:00:00
abstract::Although the radiologic characteristics and endoscopic appearance of aberrant renal papillae have been described, a tissue diagnosis is the only way to exclude a low-grade urothelial malignancy. We report on three caliceal filling defects managed percutaneously in which biopsy findings confirmed aberrant papillae. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80280-7
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVES:To investigate the expression of endothelin-1 (ET-1) and adrenomedullin (ADM) in the renal pelvis, stenotic ureteropelvic junction, and ureter of 20 male Wistar rats with congenital unilateral ureteropelvic junction obstruction; the normal contralateral kidneys served as controls. The molecular pathophysiolo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.07.019
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:To assess short-term response rate and local tissue destructive capabilities of cryosurgical ablation of the prostate (CSAP) in patients with clinical Stage C adenocarcinoma of the prostate. METHODS:A retrospective chart review of 62 patients (mean age, 66 years; range, 49 to 79 years) treated on an institu...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80122-3
更新日期:1994-08-01 00:00:00
abstract::A case of Torulopsis glabrata fungemia with persistent funguria and pyelonephritis secondary to colonization of renal calculus is presented. The importance of secondary colonization of renal calculi in persistent infection and septicemia is discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90300-x
更新日期:1978-10-01 00:00:00
abstract:OBJECTIVES:To evaluate the differences, if any, in outcomes with transperitoneal (TP) versus extraperitoneal (EP) approaches during robotic-assisted radical prostatectomy (RARP). METHODS:We reviewed the data from 40 consecutive patients who underwent EP-RARP at our institution by the same surgical team. The outcomes w...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.07.008
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:To investigate the long-term durability of retropubic suburethral sling procedure for female stress urinary incontinence (SUI) and to identify urodynamic factors that might predict long-term successful outcomes. MATERIALS AND METHODS:In total, 286 women who underwent a retropubic suburethral sling for SUI we...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.05.015
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:Ischemia is a potential contributor to decline of function after partial nephrectomy (PN), although loss of parenchymal mass related to excision and reconstruction appears to be a more significant factor. However, loss of parenchymal mass could also be due to global effects of ischemia leading to parenchymal ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.02.040
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To utilize Time-Driven Activity-Based Costing to quantify costs of managing recurrent urinary tract infections (RUTI) in women. METHODS:RUTI was defined as ≥2 UTIs in 6 months or ≥3 UTIs in 12 months. A care-delivery value chain outlined RUTI management (visits, urine studies, and imaging) for acute UTI foll...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.01.031
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To compare pressure, dilation, and histology in a porcine model after stenting with a pigtail suture stent (PSS)-where the ureteral and bladder component consists of a suture and a double J (DJ) stent. METHODS:Twelve pigs were studied with a PSS (4.8F/MiniJFil®) and DJ stent (4.8F/RocaJJ Soft) inserted in bo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.031
更新日期:2020-11-27 00:00:00
abstract:OBJECTIVE:To analyze adrenal injuries using the National Trauma Data Bank. Adrenal trauma is rare and current literature is lacking in data from large case series. METHODS:A retrospective analysis of the National Trauma Data Bank from the years 2007-2011 was performed. Patient demographics, Injury Severity Score (ISS)...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.03.022
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:To validate the use in Spain of a linguistically harmonized Spanish version of the International Prostate Symptom Score (IPSS Sp), and to compare it with the original American scale (IPSS Am). METHODS:Validity and reliability were studied in 59 patients with benign prostatic hyperplasia (BPH) (age >50 years...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00204-0
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVES:Establishing realistic health-related quality-of-life (HRQOL) expectations before the choice of cancer treatment is made is an important goal of patient counseling. We prospectively studied the pretreatment expectations of prostate cancer-specific HRQOL with an adapted Expanded Prostate Cancer Index Composit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.08.1092
更新日期:2006-12-01 00:00:00
abstract::Kidney disease due to Aspergillus fumigatus is a rare finding in hyper-IgE syndrome. We report a patient with autosomal dominant hyper-IgE syndrome, recurrent pneumonia, and acute necrosuppurative pyelonephritis caused by Aspergillus fumigatus with a fatal outcome. We emphasize the severity and the difficulties in the...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.10.035
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the association of male lower urinary tract symptoms (LUTS) with metabolic syndrome (MetS) and androgenetic alopecia in a Latin American population. METHODS:We enrolled 907 patients for prospective evaluation at a single institution. LUTS were evaluated with the International Prostate Symptom Sco...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.03.001
更新日期:2013-07-01 00:00:00
abstract::A rare developmental disorder, cystic dysplasia of the testis, encountered in a newborn infant, is described. The relationship to renal dysplasia and the recent literature are reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90597-8
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:To describe the establishment and characterization of a human cell line, SEM-1, from a patient diagnosed with a mediastinal seminoma. METHODS:A small percentage of germ cell tumors develop as primary lesions in extragonadal sites, and the etiology of these tumors is poorly understood. Currently, only 2 cell ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.09.029
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To explore the roles of pain and urgency in the nocturia of patients with interstitial cystitis/painful bladder syndrome (IC/PBS). METHODS:In a longitudinal study of incident IC/PBS cases, we assessed the associations of the presence and severity of nocturia with the presence and severity of pain and urgenc...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.02.012
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:The presence of metastatic lesions is the only acceptable fact to confirm malignant pheochromocytoma. Patients with malignant pheochromocytomas, however, have a very poor survival rate. The aim of our study was to postulate predictive values for malignant pheochromocytomas. METHODS:We evaluated symptoms, di...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00612-8
更新日期:1999-04-01 00:00:00