Papillary urothelial neoplasm of low malignant potential histology


Rezultatele ale rolului elastografiei transrectale în detectarea papiloma humano virus consecuencias neoplazice ale prostatei Results of transrectal elastography in detecting prostate neoplastic lesions Marinela Gluck1, G.

Путь оказался долгим. И через несколько часов, когда коридор, расширившись, привел их в огромный фабричный цех с очень высоким потолком, они были в полном изнеможении.

В центре цеха располагалось двенадцать приплюснутых цилиндров, напоминавших старинные паровые котлы; высота их не превышала четырех-пяти метров, а поперечник составлял около полутора метров.

Gluck1,3, Manuela Chiriță1, B. Spiridonescu1, V. Herlea2, Monica Hortopan2, I. Sinescu1,3 Marinela Gluck1, G.

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Elastografia prostatica transrectala are rolul de papillary urothelial neoplasm of low malignant potential histology detecta si stabili caracterul soft sau hard al acestor leziuni. Scopul acesteia este de a reduce numărului de puncții biopsii prostatice negative. Introduction: Hypoechogenyc lesions of the prostate are specific for prostate cancer.

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Transrectal prostate elastography is designed to detect and determine the nature of these soft or hard lesions. Its purpose is to reduce the number of negative prostate biopsies. Pacienţi şi metodă: Lotul de studiu papillary urothelial neoplasm of low malignant potential histology cuprins un numǎr papillary urothelial neoplasm of low malignant potential histology 35 pacienţi ce au avut cresteri ale valorii PSA total între 5. All patients had received transrectal elastography but only 25 of them had suspicious lesions presenting hard elastography signal.

Toti pacientii au beneficiat de elastografie transrectala dar doar 25 dintre ei au avut leziuni suspecte ce prezentau semnal elastografic hard. Rezultate: Au fost decelate leziuni maligne in cazul a 15 pacienti Gleason 6 — 6 pacienti, Gleason 7 — 4 pacienti, Gleason 8 — 3 pacienti, Gleason 9 — 2 pacientileziuni suspecte HG-PIN si ASAP in cazul a 5 pacienti, leziuni benigne focare de inflamatie, hiperplazie benigna in cazul a 5 pacienti.

Gherghiceanu, M; Popescu, LM, Cardiomyocyte precursors and telocytes in epicardial stem cell niche: electron microscope images. SRI: 2. Gherghiceanu, M; Popescu, LM, Human epicardium: ultrastructural ancestry of mesothelium and mesenchymal cells. Gherghiceanu, M; Popescu, LM, Electron microscope tomography: further demonstration of nanocontacts between caveolae and smooth muscle sarcoplasmic reticulum.

Concluzii: Elastografia s-a dovedit a fi superioara ecografiei transrectale in diagnosticarea zonelor suspecte si diferentierea leziunilor hipoecogene cu caracter inflamator sau chistic. De asemenea, este o metoda de investigatie minim invaziva, repetabila si relativ ieftina. Conclusions: Elastography was found to be superior to transrectal ultrasonography in diagnosis and differentiation of hypoechogenyc lesions inflammatory or cystic lesions.

It is also a method of minimally invasive investigation, repeatable and relatively cheap. Gluck1,4, Ioana Lupescu2, B. Spiridonescu1, Manuela Chiriță1, V. Herlea3, Monica Hortopan3, stud.

Незачем красть у них радость. Взявшись за руки, Николь и Ричард направились в спальню и с испугом обнаружили, что путь им загораживают Арчи и Синий Доктор. - Вы должны сейчас пойти с нами, - проговорил Арчи. - Срочное. - _Прямо сейчас_.

Grecu4, I. Sinescu1,4 G. Scopul fuziunii cognitive este localizarea zonelor suspecte decelate în urma evaluării mRMN permiţând astfel efectuarea PBP ecoghidată transrectal în zonele de elecţie urmată de prelevarea uzuală a celor 12 puncţii randomizate sau utilizând protocolul Scattoni.

Introduction: Image fusion is the process of combining relevant information from two or more images in one image that is more informative than any of its derivates. Cognitive fusion enables targeted biopsies either by using 12 randomized biopsies or Scattoni technique after the mMRI has localized the suspected lesions. Material şi metodă: Imaginea de fuziune poate fi utilizată printr-un soft ce suprapune imaginile în timp real de pe ecografia transrectală pe cele înregistrate la mRMN sau cu suprapunere cognitivă.

Concluzii: Cancerul de prostată poate fi detectat pe mRMN.

papillary urothelial neoplasm of low malignant potential histology human papillomavirus vaccine in saudi arabia

Fuzionarea cu ecografia transrectală permite urologului să treacă de la etapa biopsierii randomizate oarbe la biopsia ţintită a zonelor suspecte. Rezultate preliminare ale fuziunii cognitive mRMN şi ecografia transrectală în diagnosticul cancerului de prostată Material and method: The process can be obtained by using either a soft which overlaps MRI images on transrectal ultrasound images in real time or by cognitive fusion.

From the total of 29 patients investigated using mMRI, 24 patients undergone cognitive fusion ultrasound guided prostate biopsy.

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Conclusions: Prostate cancer can be detected by MRI. Cognitive fusion allows the urologist to perform more than a randomized biopsy; it allows an aimed biopsy of the prostatic tumor lesions. Gluck1,3, M.

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Rădulescu2, Ioana Lupescu3, V. Herlea4, Monica Hortopan4, B.

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Spiridonescu1, Manuela Chiriță1, stud. Grecu5, I. Material şi metoda: Lotul de studiu a cuprins un număr de 10 pacienţi cu vârsta cuprinsă între ani şi valori crescute ale PSA-ului situate între 7. Dintre cei 10 pacienţi, 6 au beneficiat în antecedente de puncţie biopsie prostatică ecoghidată, cu rezultat histopatologic negativ pentru leziuni neoplazice.

Concluzii: RMN-ul multiparametric permite evaluarea cazurilor cu leziuni prostatice suspecte, compensând limitarile ecografiei transrectale. Atunci cand cele două investigaţii sunt asociate, rata detectării cancerelor de prostata este semnificativ imbunataţită. From the total of 10 patients, 6 had undergone prostatic biopsies in the past, with benign findings. Following this procedure, all patients benefited of MRI-ultrasound fusion guided perineal prostatic biopsies under spinal anesthesia.

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Conclusions: Multiparametric MRI is able to evaluate suspicious prostatic lesions, overcoming the lacks of transrectal ultrasound. When the two procedures are combined, cancer detection rate is significantly improved. Herlea3, Monica Hortopan3, I. Sinescu1,4 Marinela Gluck1, G.

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Elastografia transrectala a prostatei are rolui de a masura gradul de elasticitate al tesuturilor si de a depista leziunile suspecte semnal elastografic hard in special cu localizare prostatica centrala. Studiul de fata are rolul de a arata superioritatea asocierii elastografiei si a IRM multiparametric in depistarea cancerului de prostata, reducand astfel numărului de puncţii biopsii prostatice PBP negative.

Introduction: The imagining techniques used in the detection of suspected prostatic lesions have improved; they now allow targeted papillary urothelial neoplasm of low malignant potential histology, which has been proven over the years to be superior to the randomized technique. The transrectal elastography of the prostate has its purpose to determine the grade of elasticity of the tissue and to detect any abnormal lesions elastographyc hard signal.

The current study has its prime goal to proof the superiority of associating elastography and multiparametric IRM in the screening of prostate cancer thus reducing the number of negative prostatic biopsies NPB. Pacienţi şi metodă: Am aplicat un algoritm de indicaţie a PBP pe un numǎr de 19 pacienţi cu suspiciune biochimica de neoplasm prostatic PSA seric cuprins intre 4 si Algoritmul aplicat anamneza, tuşeul rectal, PSA şi creatinină plasmatică, examen de urină, ecografie urologică în cazul pacieţilor ce se încadreazǎ în parametrii menţionaţi anterior a pus indicaţia de investigare imagistica - elastografie prostatica si IRM multiparametric pentru depistarea leziunilor suspecte ale prostatei, anterior punctiei biopsice.

Punctia a fost realizata folosind protocolul Scattoni. Material and Methods: We applied the algorithm for prostate puncture papillary urothelial neoplasm of low malignant potential histology to a number of 19 patients with biochemical suspicion of prostatic neoplasm PSA level in the serum was between 4 and The algorithm applied patient history, DRE, PSA levels, papillary urothelial neoplasm of low malignant potential histology creatine levels, urine exam and urological echography in the case of the patients who fit the required parameters above mentioned and had imagistic indication.

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Din totalul de 19 pacienti punctionati, papillary urothelial neoplasm of low malignant potential histology maligne au fost diagnosticate histopatologic in cazul a 12 pacienti Gleason 6 — 5 pacienti, 7 — 3 pacienti, 8 — 2 pacienti, 9 — 2 pacienti iar leziuni suspecte ATYP sau HG-PIN au fost regasite in papillary urothelial neoplasm of low malignant potential histology a 3 pacienti.

In cazul a 4 pacienti rezultatul a fost benign.

Romanian Journal of Urology

Descrierea elastografica a leziunii a papillary urothelial neoplasm of low malignant potential histology cu rezultatul histopatologic in cazul a 11 pacienti, similar cu descrierea IRM. Out of the total of 19 patients punctured, malignant lesions were diagnosed in case of 12 patients Gleason 6 — 5 patients, Gleason 7 — 3 patients, Gleason 8 — 2 patients, Gleason 9 — 2 patients and atypical lesions were found in case of 3 patients.

Elastography lesion description coincided with histopathological result in the case of 11 patients, similar to the mMRI description. Concluzii: Putem afirma ca rata de detectie a leziunilor neoplazice sau suspecte cu indicatie de rebiopsiere, folosind tehnicile imagistice descrise anterior si protocolul de punctionare Scattori este de Putem astfel emite ipoteza ca evaluarea elastografica permite detectarea leziunilor prostatice suspecte intr-un procent asemanator cu examinarea mIRM, insa cu un grad mai mare de repetabiltate, minim invaziva, cu disconfort minim si la costuri semnificativ mai scazute.

Conclusion: We can attest that the rate of detection of neoplasic lesions using imagistic techniques and the regional Scattoni puncture protocol is We can assume that elastography allows detecting suspicious lesions of the prostate in a percentage similar to mMRI papillary urothelial neoplasm of low malignant potential histology, but with a greater repeatability, minimally invasive with minimal discomfort and significantly lower costs.

Romanian Journal of Urology nr. Scârneciu1, L. Maxim1, L. Sorin1, M. Lazăr1, M. Penciu 2 I. Avand in vedere experienta noastra, complicatiile ca sangerari rectale,uretroragie sau cele infectioase, medii sau severe, pot fi in mare parte evitate efectuand PBPTP.

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Puncţia biopsie prostatică transperineală, ghidată ecografic — o procedură mai sigură? Taking into account our experience, complications, such as rectal bleeding, urethrorrhagia or medium or serious infectious complications, can be largely avoided by performing PBPTP.

Puncţia biopsie prostatică negativă. Ce se întâmplă cu pacienţii?

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Puia¹, S. Gherghinca¹, C. Ciuta3, D. Scripcariu2,4 C. Conduita fata de un pacient neconfirmat cu cancer de prostata dupa o PBP e inca o dilema in lumea urologica. Pe de o parte, unii autori considera ca rebiopsierea nu e frecvent benigna, altii se tem de supradiagnosticarea unor cancere latente.

Am incercat sa prezentam experienta clinicii noastre in aceasta privinta. What should happen with a patient with unconfirmed prostate cancer after a prostate biopsy is still a dilemma in the urologic world. On one hand, some authors consider that re-biopsy is not frequently benign, others fear over diagnosis of latent cancers. We tried to present our clinic experience in this regard. Material și metodă.

Am evaluat retrospectiv fisele pacientilor la care s-a practicat PBP in Clinica Urologica Iasi in perioada ianuarie decembrie Material and Methods. We retrospectively reviewed the medical records of patients that had a prostate biopsy in the Iasi Urological Papillary urothelial neoplasm of low malignant potential histology, between January and December Am evaluat de pacienti la care s-a practicat PBP.

Factorii de prognostic pentru papillary urothelial neoplasm of low malignant potential histology au fost varsta mai mare 69,76 vs.

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We evaluated patients who underwent prostate biopsy. In Prognostic factors for confirmation were older age Pacientii neconfirmati dupa o PBP ar trebui monitorizati pentru a evita efectuarea inutila a unor biopsii si diagnosticarea unor cancere care altfel nu ar pune in pericol viata pacientului.

What happens with the patients? Romanian Journal of Urology Conclusions. Unconfirmed patients should be monitored after a prostate biopsy to avoid carrying unnecessary biopsies and diagnosis of cancers that otherwise are not life threatening.