在马的双边甲和上道过渡性细胞癌
Jacob M Gaines1, Eric J Macdonald1, Arun Rai1
1The Smith Institute for Urology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY, USA.
Current urology
|September 2, 2024
概括
淋巴管切除术是高级上路泌尿道癌 (UTUC) 的标准. 一个罕见的病例显示微创性,脏节省手术是选择复杂脏解剖的UTUC患者的安全替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 淋巴管切除术是高级上路泌尿道癌 (UTUC) 的标准治疗方法.
- 对于特定的患者特征,疾病状况和逆侧功能存在例外.
- 马和双边病在UTUC管理中提出了独特的挑战.
研究的目的:
- 呈现一种罕见的高度UTUC病例,该病例发生在患有马和双边结石病的患者身上.
- 在复杂的解剖学场景中评估UTUC的微侵袭性,节省性方法的安全性和有效性.
- 讨论当前指南在管理独特的工会联合会案件方面的局限性.
主要方法:
- 通过皮肤进行的微创手术,用于UTUC切除.
- 脏节约手术技术. 这是一种节约脏的手术技术.
- 凝心素和多塞塔克塞尔的集体内系统灌注.
主要成果:
- 在子片中成功切除高等级的UTUC.
- 在这个精选的患者中,微创手术方法是安全和有效的.
- 已经证明了结合手术管理的静脉内化疗的可行性.
结论:
- 在某些特定情况下,高度UTUC的最小侵入性皮肤切除可以是安全有效的选择.
- 目前对UTUC治疗的指导方针可能需要适应复杂的患者解剖学和并发症.
- 针对性治疗策略和专门中心的管理对于罕见和复杂的UTUC病例至关重要.
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