RESUMO
Our study aims to discern the immediate and intermediate-term oncological outcomes of the patients with small renal mass and who were surgically unfit or were having a bilateral tumor and underwent radiofrequency ablation (RFA) of the mass. We retrospectively and prospectively analyzed the status of the patients who were diagnosed to have small renal masses and were biopsy-proven renal cell carcinoma (RCC) cases, who underwent RFA at our institute from the year 2013 to 2022. Patients were followed-up for 3 years. Data regarding complications were analyzed for all patients who underwent renal RFA along with the 3-year recurrence-free survival (RFS) rate. A total of 28 patients were eligible for the study based on our inclusion and exclusion criteria. Their renal function was recorded. They underwent RFA and were followed-up for a period of 3 years for RFS. Four patients out of the total had immediate complications, out of which two developed a hematoma. Three-year-follow-ups showed six recurrences, overall having 78.6% RFS. Post-procedural renal function was stable as documented by Estimated glomerular filtration rate. Oncological results of RFA in patients with small renal masses who are surgically unfit are associated with a low risk of immediate and intermediate-term deterioration of renal function.
RESUMO
Extensive prostatic calculi in a young man should always elicit the suspicion of alkaptonuria. Although prostatic calculi are seen in chronic prostatitis, chronic pelvic pain syndrome and benign prostate hyperplasia, none of these have prostatic calculi or calcification as extensive as in alkaptonuria. A 36 years young man who had severed obstructive lower urinary tract symptoms with extensive prostatic calculi was found to be alkaptonuric on further evaluation.
RESUMO
Left subclavian artery aneurysm with an aneurysm of the aberrant right subclavian artery is a rare condition with a reported incidence of 0.13% to 1%. We report the successful surgical correction of both conditions in a 34-year-old man.
Assuntos
Aneurisma/cirurgia , Implante de Prótese Vascular , Divertículo/cirurgia , Artéria Subclávia/cirurgia , Adulto , Aneurisma/diagnóstico por imagem , Divertículo/diagnóstico por imagem , Humanos , Masculino , Artéria Subclávia/anormalidades , Artéria Subclávia/diagnóstico por imagem , Toracotomia , Tomografia Computadorizada por Raios X , Resultado do TratamentoAssuntos
Falso Aneurisma/complicações , Aneurisma Aórtico/complicações , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/epidemiologia , Falso Aneurisma/cirurgia , Aneurisma Aórtico/diagnóstico por imagem , Aneurisma Aórtico/epidemiologia , Aneurisma Aórtico/cirurgia , Implante de Prótese Vascular , Comorbidade , Ponte de Artéria Coronária , Estenose Coronária/epidemiologia , Estenose Coronária/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
Coarctation of the aorta is commonly associated with congenital and acquired cardiac pathology that may require surgical intervention. Adult patients with recurrent coarctation of the aorta, with or without associated intracardiac disease pose a surgical challenge. We report a 32-year-old man who presented with ascending aortic aneurysm with severe aortic regurgitation who underwent three previous surgeries for recurrent coarctation.