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Eight-year follow-up of locally advanced lymphoepithelioma-like carcinoma at upper urinary tract: A case report

World Journal of Clinical Cases 2020年第19期8卷 4505-4511页

作者： Che H Yang Wei C Weng Yi S Lin Li H Huang Chin H Lu Chao Y Hsu Yen C Ou Min C Tung Department of Surgery Division of UrologyTungs'Taichung MetroHarbor HospitalTaichung City 435403Taiwan

BACKGROUND Urinary tract lymphoepithelioma-like carcinoma is rarely *** it is termed after lymphoepithelioma at the nasopharynx,it behaves more like high grade urothelial carcinoma by immunohistochemical *** published literatures focused on its rarity but few discussed results of long-term *** no available guidelines are applicable,we postulated that principles should be similar to that of urothelial carcinoma at urinary *** of now,this work features the longest follow-up of this cancer at the upper urinary *** SUMMARY A 63-year-old female had a chief complaint of intermittent left flank pain for 2 mo,along with accompanying symptoms including vomiting and body weight loss,about 7 kg over 2 *** data showed normocytic anemia,mildly poor renal function,and *** analysis showed mild *** tomography showed a 4.2-cm-width irregular mass over left renal pelvic and enlarged lymph node at the left renal ***-body bone scan was negative of active bone *** from ureteroscopy showed urothelial *** from laparoscopic nephroureterectomy with bladder cuff resection showed lymphoepithelioma-like carcinoma with muscular invasion(pT3).She took adjuvant chemotherapies of 2 cycles and full courses of radiation *** recurrence was observed with designed investigative *** Locally advanced urinary tract lymphoepithelioma-like carcinoma could benefit from nephroureterectomy and bladder cuff excision in terms of recurrence-free survival.

关键词： Urologic neoplasms pathology kidney pelvis Tomography X-ray computed Carcinoma mortality kidney neoplasms mortality Case report

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Retroperitoneal laparoscopic nondismembered pyeloplasty for uretero-pelvic junction obstruction due to crossing vessels: A matched-paired analysis and review of literature

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Asian Journal of Urology 2018年第3期5卷 172-181页

作者： Jens Rassweiler Jan Klein Ali Serdar Goezen Department of Urology and Pediatric Urology SLK Kliniken HeilbronnUniversity of HeidelbergHeibronnGermany Department of Urology Medical School UlmUniversity of UlmUlmGermany

Objective:To compare laparoscopic Anderson-Hynes pyeloplasty(LAHP)and retroperitoneal laparoscopic YV-pyeloplasty(LRYVP)in ureteropelvic junction obstruction(UPJ)in presence of a crossing vessels(CV).Methods:Our database showed 380 UPJO-cases,who underwent laparoscopic retroperitoneal surgery during the last 2 decades including 206 non-dismembered LRYVP,157 dismembered pyeloplasties LAHP,and 17 cases of laparoscopic *** them 198 cases were suitable for a matched-pair(2:1)analysis comparing laparoscopic retroperitoneal non-dismembered LRYVP(Group 1,n Z 131)and dismembered LAHP(Group 2,n Z 67)in presence of a crossing *** were matched according to age,gender,kidney functions,and obstruction *** were graded according to modified ***:Comparative data were similar between both groups(LRYVP ***)including mean operating time(112 min vs.114 min),complication rates(4.2%vs.7.3%)mainly Grade 1e2 according to Clavien classification,and success rates(90%vs.89%).These results reflected in the reviewed literature indicate that LRYVP provides the advantage of minimal dissection in case of CV with similar ***,redundant pelvis and anteriorly crossing vessels still require a dismembered pyeloplasty ***:LRYVP has achieved similar results compared with the previous golden standard of open surgery,especially in case of crossing vessels apart from presence of a redundant pelvis or anteriorly crossing *** can be further improved when using the small access retroperitoneoscopic technique respectively mini-laparoscopy.

关键词： kidney pelvis Laparoscopy Ureteropelvic junction obstruction Mini-laparoscopy Crossing vessel

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Preservation of the kidney with delayed diagnosis of traumatic pelvi-ureteric junction disruption secondary to blunt abdominal trauma in children

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Chinese Medical Journal 2011年第15期124卷 2290-2296页

作者： LI Ming-lei SUN Ning ZHANG Wei-ping HUANG Cheng-ru BAI Ji-wu LIANG Ruo-xin TIAN Jun XIE Xiang-hui SONG Hong-cheng LI Ning Department of Surgery Beijing Children＇s Hospital Affiliated to Capital Medical University Beijing 100045 China

Background The delayed diagnosis of pelvi-ureteric junction （PUJ） disruption in children following blunt abdominal trauma can result in loss of function of the involved kidney. We examined the potential for kidney preservation and the limits of diagnostic delays. Methods A retrospective review of 17 cases of PUJ disruption at Beijing Children＇s Hospital from 1993 to 2009 was done with respect to diagnosis, treatment and follow-up. Results The interval from trauma to diagnosis of PUJ disruption was （52＋52） days. If one case with nephrectomy was excluded, the interval from trauma to diagnosis was （40＋_20） days. The average time between injury and first treatment was （49＋_25） days. Pelvi-ureteric reanastomosis and caliceal ureterostomy were performed separately in 11 and 4 patients, respectively. Ileal replacement for ureter injuries was finally performed in one patient. Hydronephrosis of the injured kidney was reduced and the function improved in 15 out of 17 patients （88%）. Only one patient received nephrectomy and the nephrectomy rate was 5.9%. Conclusion Differential renal function at the PUJ disruption side can be saved and the rate of nephrectomy reduced by appropriate surqen/if the time to diaqnosis and first treatment is limited to within two months.

关键词： wounds and injuries hydronephrosis ureter kidney pelvis kidney calices children

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Ipsilateral synchronous renal pelvic transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma

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Chinese Medical Journal 2004年第10期117卷 1590-1591页

作者：韩平魏强石明杨宇如 Department of Urology West China Hospital Sichuan University Chengdu 610041 China

Reports of multiple synchronous primary renal neoplasms in the literature are rare. Although primary renal tumors of 2 distinctively dissimilar origins have been sporadically described, to our knowledge there have been no reported cases of triple primary renal neoplasms in the same kidney. Here we report a very rare case of ipsilateral synchronous renal pelvic transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma with marked hydronephrosis and multiple stones in the same kidney.

关键词： Adenocarcinoma Carcinoma, Squamous Cell Carcinoma, Transitional Cell Female Humans kidney Neoplasms kidney pelvis Middle Aged Neoplasms, Multiple Primary

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