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1.
Cytogenet Genome Res ; 142(2): 95-100, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24280638

RESUMEN

The cytogenetic analysis of a phenotypically normal bull from the Marchigiana breed revealed the presence of an abnormal karyotype due to the presence of a very long chromosome. This finding, identified in all the metaphases observed, was associated with the 2n = 60, XY karyotype, suggesting the presence of a reciprocal translocation. RBG- banding analyses identified a de novo reciprocal translocation involving BTA5 and BTA6, t(5;6)(q13;q34), while FISH analyses using cattle-specific BACs as probes enabled the confirmation and narrowed down the breakpoint regions. Array-CGH analysis also established that neither deletions nor duplications were present in the regions including the breakpoints, nor were they present elsewhere in the genome, confirming the balanced state of the translocation.


Asunto(s)
Bovinos/genética , Rotura Cromosómica , Cromosomas de los Mamíferos/genética , Translocación Genética/genética , Animales , Bandeo Cromosómico/veterinaria , Hibridación Fluorescente in Situ/veterinaria , Cariotipo , Masculino , Análisis de Secuencia por Matrices de Oligonucleótidos/veterinaria
2.
Cytogenet Genome Res ; 139(2): 97-101, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23328281

RESUMEN

Reciprocal translocations represent one of the most common structural chromosomal rearrangements observed in both humans and domestic animals. In these translocations, the balanced forms are most frequent but may remain undetected because the carriers show a normal phenotype. For this reason, routine cytogenetic analysis of domestic animals should necessarily rely on banded karyotypes. In fact, during a screening analysis, carried out on phenotypically normal young sheep (Ovis aries, OAR, 2n = 54) from Laticauda-Comisana hybrids, a new structural rearrangement was detected. Two abnormal acrocentric chromosomes (the smallest and the largest one) were found in all metaphases of this carrier animal, suggesting the presence of a reciprocal translocation (rcp). CBA and RBA banding were performed in order to characterize the translocation, and FISH with chromosome-specific BAC probes and telomere probes was applied to confirm the cytogenetic data. The translocation was classified as rcp(4q;12q)(q13;q25).


Asunto(s)
Cromosomas de los Mamíferos/genética , Análisis Citogenético/métodos , Oveja Doméstica/genética , Translocación Genética , Animales , Bandeo Cromosómico/métodos , Sondas de ADN/genética , Femenino , Hibridación Genética , Hibridación Fluorescente in Situ/métodos , Cariotipo , Cariotipificación/métodos , Masculino , Fenotipo , Reproducibilidad de los Resultados
3.
Cytogenet Genome Res ; 140(1): 29-35, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23652984

RESUMEN

The recent advances in sequencing technology and bioinformatics have revolutionized genomic research, making the decoding of the genome an easier task. Genome sequences are currently available for many species, including cattle, sheep and river buffalo. The available reference genomes are very accurate, and they represent the best possible order of loci at this time. In cattle, despite the great accuracy achieved, a part of the genome has been sequenced but not yet assembled: these genome fragments are called unmapped fragments. In the present study, 20 unmapped fragments belonging to the Btau_4.0 reference genome have been mapped by FISH in cattle (Bos taurus, 2n = 60), sheep (Ovis aries, 2n = 54) and river buffalo (Bubalus bubalis, 2n = 50). Our results confirm the accuracy of the available reference genome, though there are some discrepancies between the expected localization and the observed localization. Moreover, the available data in the literature regarding genomic homologies between cattle, sheep and river buffalo are confirmed. Finally, the results presented here suggest that FISH was, and still is, a useful technology to validate the data produced by genome sequencing programs.


Asunto(s)
Búfalos/genética , Bovinos/genética , Cromosomas de los Mamíferos/genética , Mapeo Físico de Cromosoma/métodos , Ovinos/genética , Animales , Secuencia de Bases , Cromosomas Artificiales Bacterianos/genética , Bases de Datos Genéticas , Sitios Genéticos , Genoma , Hibridación Fluorescente in Situ , Subunidad alfa2 del Receptor de Interleucina-13/genética , Reproducibilidad de los Resultados , Homología de Secuencia de Ácido Nucleico , Especificidad de la Especie
4.
J Anim Breed Genet ; 129(5): 409-16, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22963362

RESUMEN

Chromosomal anomalies, like Robertsonian and reciprocal translocations, represent a big problem in cattle breeding as their presence induces, in the carrier subjects, a well-documented fertility reduction. In cattle, reciprocal translocations (RCPs, a chromosome abnormality caused by an exchange of material between non-homologous chromosomes) are considered rare as to date only 19 reciprocal translocations have been described. In cattle, it is common knowledge that the Robertsonian translocations represent the most common cytogenetic anomalies, and this is probably due to the existence of the endemic 1;29 Robertsonian translocation. However, these considerations are based on data obtained using techniques that are unable to identify all reciprocal translocations, and thus, their frequency is clearly underestimated. The purpose of this work is to provide a first realistic estimate of the impact of RCPs in the cattle population studied, trying to eliminate the factors that have caused an underestimation of their frequency so far. We performed this work using a mathematical as well as a simulation approach and, as biological data, we considered the cytogenetic results obtained in the last 15 years. The results obtained show that only 16% of reciprocal translocations can be detected using simple Giemsa techniques, and consequently, they could be present in no <0.14% of cattle subjects, a frequency five times higher than that shown by de novo Robertsonian translocations. This data is useful to open a debate about the need to introduce a more efficient method to identify RCP in cattle.


Asunto(s)
Bovinos/genética , Translocación Genética , Animales , Simulación por Computador , Análisis Citogenético , Incidencia , Modelos Genéticos
5.
Cytogenet Genome Res ; 134(2): 96-100, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21389692

RESUMEN

A new and unusual reciprocal translocation was detected in a heifer of the Agerolese cattle breed during a routine cytogenetic screening carried out on 13 animals (2 males and 11 females) kept at the ConSDABI Conservation Center in Benevento (Southern Italy). The 13 animals investigated had a normal karyotype except for a 1-year-old female, which carried one autosome smaller than the smallest normal bovine autosomes. This small autosome showed very little C-banding in comparison to the other autosomes, while another medium-sized autosome showed 2 distinct and prominent C-bands. RBA-banding and karyotype analysis revealed that these 2 chromosomes were the result of a reciprocal translocation between chromosomes 11 and 25. FISH analysis with BAC142G06 mapping to the proximal (subcentromeric) region of both BTA25 and der11, BAC513H08 (ELN) mapping to BTA25q22dist and der25, and BAC533C11 mapping to the proximal region of BTA11 and der11 confirmed the localization of the breakpoints on band q11 (centromere) of chromosome 11 and q14-21 of chromosome 25. Ag-NOR and sequential RBA/Ag-NOR techniques detected the presence of NORs on both BTA11 and BTA25 and both der11 and der25. To our knowledge, this is the first report of a reciprocal translocation event in cattle with the breakpoint located in the centromeric region.


Asunto(s)
Bovinos/genética , Cromosomas de los Mamíferos , Translocación Genética , Animales , Células Cultivadas , Centrómero/genética , Femenino , Masculino
6.
Cytogenet Genome Res ; 129(4): 298-304, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20606398

RESUMEN

Cytogenetic analysis of a phenotypically normal young bull from the Marchigiana breed revealed the presence of an abnormal chromosome. The finding of one oversize chromosome in all metaphases, associated with a 2n = 60, XY karyotype, suggested that a reciprocal translocation had occurred. RBG-banding and FISH analyses, using specific bovine BAC probes, identified a de novo reciprocal translocation t(4;7)(q14;q28). The presence of rcp(4;7) was confirmed by FISH experiments using BTA4 and BTA7 whole chromosome probes. An array-CGH analysis (Agilent 244A) using a bovine custom design was performed to investigate if the translocation was associated with loss or gain of genetic material. The absence of a concomitant deletion or duplication at the break points allowed the balanced state of the translocation to establish. The analysis also revealed the presence of several CNVs throughout the genome. To our knowledge this is the first time the balanced condition of a cattle RCP has been ascertained using the array-CGH approach.


Asunto(s)
Bovinos/genética , Cromosomas de los Mamíferos , Translocación Genética , Animales , Células Cultivadas , Hibridación Fluorescente in Situ , Masculino
7.
Equine Vet J ; 42(5): 469-70, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20636786

RESUMEN

This report concerns the cytogenetic analysis, using both C-banding and fluorescence in situ hybridisation techniques, of a sterile mare. Results obtained revealed a 2n = 65, XXX condition with no sign of mosaicism. The work supports the suggestion that X trisomy, rare in horse, causes infertility in mares and is not associated to other clearly visible phenotypic features.


Asunto(s)
Caballos/genética , Infertilidad Femenina/veterinaria , Trisomía/fisiopatología , Cromosoma X/genética , Animales , Femenino , Hibridación Fluorescente in Situ , Infertilidad Femenina/genética , Cariotipificación
8.
Reprod Domest Anim ; 45(4): 743-5, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19210664

RESUMEN

A case of intersexuality in a Pug that was bought as a male in a pet shop is described. The dog was presented at the Veterinary Teaching Hospital, University of Turin, for a reddish mass protruding from the prepuce. The mass had the aspect of an enlarged clitoris, with a caudoventral direction and a dorsal urethral ostium. A gonad was palpable in the left inguinal region. Laparotomy confirmed ultrasound detection of an abdominal uterine structure together with the right gonad. The histology of both gonads was similar, showing an exclusively masculine character, with seminiferous tubules lined only by Sertoli cells; the uterus showed a normal histological structure. Karyological analysis revealed a female karyotype (78,XX), and polymerase chain reaction showed the absence of Sry. The diagnosis was an XX male. The pathogenesis of the XX sex reversal syndrome in dogs is not completely understood, as Sry, the master gene regulating testis differentiation, is not present; to date, no genetic cause has been identified for this phenotypic condition in dogs. This case is unusual because the dog showed an inguinal testis, implying a partial activity of the mechanisms leading to abdominal testis translocation along a gubernaculum and transinguinal migration.


Asunto(s)
Criptorquidismo/veterinaria , Trastornos del Desarrollo Sexual/veterinaria , Enfermedades de los Perros/patología , Genes sry/genética , Trastornos de los Cromosomas Sexuales/veterinaria , Animales , Criptorquidismo/genética , Criptorquidismo/patología , Trastornos del Desarrollo Sexual/genética , Trastornos del Desarrollo Sexual/patología , Enfermedades de los Perros/genética , Perros , Femenino , Síndrome de Klinefelter/genética , Síndrome de Klinefelter/patología , Síndrome de Klinefelter/veterinaria , Masculino , Trastornos de los Cromosomas Sexuales/diagnóstico , Trastornos de los Cromosomas Sexuales/patología , Testículo/anatomía & histología , Útero/anatomía & histología
9.
Cytogenet Genome Res ; 126(1-2): 110-31, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-20016161

RESUMEN

The association of abnormal chromosome constitutions and disorders of sex development in domestic animals has been recorded since the beginnings of conventional cytogenetic analysis. Deviated karyotypes consisting of abnormal sex chromosome sets (e.g. aneuploidy) and/or the coexistence of cells with different sex chromosome constitutions (e.g. mosaicism or chimerism) in an individual seem to be the main causes of anomalies of sex determination and sex differentiation. Molecular cytogenetics and genetics have increased our understanding of these pathologies, where human and mouse models have provided a substantial amount of knowledge, leading to the discovery of a number of genes implicated in mammalian sex determination and differentiation. Additionally, other genes, which appeared to be involved in ovary differentiation, have been found by investigations in domestic species such as the goat. In this paper, we present an overview of the biology of mammalian sex development as a scientific background for better understanding the body of knowledge of the clinical cytogenetics of disorders of sex development in domestic animals. An attempt to summarize of what has been described in that particular subject of veterinary medicine for each of the main mammalian domestic species is presented here.


Asunto(s)
Animales Domésticos/genética , Análisis Citogenético , Maduración Sexual/fisiología , Animales , Animales Domésticos/fisiología , Hibridación Fluorescente in Situ
10.
Cytogenet Genome Res ; 120(1-2): 144-6, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18467839

RESUMEN

Robertsonian translocations, also called centric fusions, represent the most frequent chromosome anomalies in cattle, and rob(1;29) is the most widespread. However, centric fusions involving other chromosomes have been discovered in different cattle breeds. Here we report the appearance of a new case of rob(14;17) in an Italian cattle breed more than ten years after the first and only case had been observed, and we demonstrate the independent origin of this anomaly from the previous case.


Asunto(s)
Bovinos/genética , Translocación Genética , Animales , Bandeo Cromosómico/veterinaria , Cromosomas Artificiales Bacterianos/genética , Femenino , Hibridación Fluorescente in Situ/veterinaria , Masculino , Linaje
11.
Cytogenet Genome Res ; 120(1-2): 140-3, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18467838

RESUMEN

The aim of this study was to estimate prognostic factors in a Dalmatian dog with bilateral cryptorchidism and hypospadias. Cytogenetic and molecular analyses revealed a normal karyotype (2n = 78,XY) and the presence of SRY, INSL3 and RXFP2 genes with a normal DNA sequence for SRY and RXFP2, while the INSL3 sequence differed slightly from the normal one due to a heterozygous nucleotide change involving amino acid 22 of the INSL3 dog precursor protein. Levels of plasmatic testosterone were only 0.01 ng/ml, while FSH and LH serum levels were not detectable. After the human chorionic gonadotropin (hCG) test, the serum testosterone level was 0.01 ng/ml. Therefore, the phenotypic aetiology of this subject can not be well-defined because cryptorchidism and hypospadias were frequent clinical features with high genetic heterogeneity.


Asunto(s)
Criptorquidismo/veterinaria , Enfermedades de los Perros/genética , Hipospadias/veterinaria , Secuencia de Aminoácidos , Sustitución de Aminoácidos , Animales , Secuencia de Bases , Criptorquidismo/genética , Criptorquidismo/patología , Cartilla de ADN/genética , Enfermedades de los Perros/patología , Perros , Genes sry , Hipospadias/genética , Hipospadias/patología , Insulina/genética , Cariotipificación/veterinaria , Masculino , Datos de Secuencia Molecular , Fenotipo , Mutación Puntual , Pronóstico , Proteínas/genética , Receptores Acoplados a Proteínas G/genética , Homología de Secuencia de Aminoácido , Especificidad de la Especie
12.
Cytogenet Genome Res ; 119(3-4): 231-4, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-18253034

RESUMEN

Cytogenetic analysis of a phenotypically normal young bull from Marchigiana breed revealed the presence of an abnormal karyotype. The observation of longer and smaller chromosomes than BTA1 and BTA29, respectively in all metaphases suggested the presence of a reciprocal translocation. RBG-banding confirmed this hypothesis revealing the involvement of BTA9 and BTA11. FISH analyses using cattle-specific BAC clones (474A12 and 293G09 for BTA9; 035D03 for BTA11) identified rcp(9;11)(q27;q11) in the two regions affected. Moreover analyses performed on both parents established the 'de novo' origin of the anomaly. Comparison with human homologue sequences (HSA6q24.3-->q25.3 for BTA9q27 and HSA2q11.1-->q12.1 for BTA11q11) revealed that both breakpoint regions are gene rich as up to date at least 200 genes have been localized in these regions. Thus, further analyses are required to identify the sequences disrupted by the breakpoints and to verify their consequences on rcp carrier phenotype.


Asunto(s)
Bovinos/genética , Cromosomas de los Mamíferos/genética , Translocación Genética , Animales , Células Cultivadas , Bandeo Cromosómico , Cromosomas Artificiales Bacterianos , Células Clonales , Genoma , Heterocigoto , Humanos , Hibridación Fluorescente in Situ , Masculino , Metafase , Fenotipo
13.
G Ital Nefrol ; 22 Suppl 31: S23-5, 2005.
Artículo en Italiano | MEDLINE | ID: mdl-15786396

RESUMEN

Erectile dysfunction occurs more frequently in the diabetic population than in the general population. This article analyzes a review of this pathology, its prevalence and incidence in the diabetic population, its multifactor origin, and how these causes interact with each other and the therapy required.


Asunto(s)
Angiopatías Diabéticas/complicaciones , Disfunción Eréctil/etiología , Humanos , Masculino
14.
Mol Cell Endocrinol ; 135(1): 49-58, 1997 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-9453240

RESUMEN

The identification of XY females carrying a duplication of a region of the X chromosome (Xp21) led to the hypothesis that a double dose of a gene in the duplicated region causes sex reversal (DSS; dosage sensitive sex reversal). A gene isolated from this region, named DAX-1 (DSS-AHC critical region on the X), encodes a new member of the nuclear hormone receptor family. Here, we describe the isolation of porcine Dax-1 and the analysis of its pattern of expression both during foetal development and in several adult tissues. Dax-1 is expressed in the adrenals, the pituitary gland and the gonads at various stages of differentiation. In gonads, Dax-1 expression starts between 21 and 23 days post coitum in both XX and XY urogenital ridges then continues to be expressed until adult age. The expression in these tissues indicates the involvement of DAX-1 in the development and the function of the reproductive system at multiple levels.


Asunto(s)
Proteínas de Unión al ADN/genética , ADN/aislamiento & purificación , Expresión Génica , Gónadas/crecimiento & desarrollo , Gónadas/metabolismo , Receptores de Ácido Retinoico/genética , Proteínas Represoras , Factores de Transcripción/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Northern Blotting , Southern Blotting , Receptor Nuclear Huérfano DAX-1 , ADN/química , Proteínas de Unión al ADN/química , Femenino , Edad Gestacional , Gónadas/embriología , Masculino , Datos de Secuencia Molecular , Sistemas de Lectura Abierta , Reacción en Cadena de la Polimerasa , ARN Mensajero/análisis , Receptores de Ácido Retinoico/química , Porcinos , Factores de Transcripción/química , Cromosoma X
15.
Int J Oncol ; 14(3): 585-91, 1999 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10024695

RESUMEN

The design of more effective therapies for metastatic disease involves development of new compounds able to specifically block the malignant process. We demonstrated previously that a new synthetic nitrogenated compound 3'-1-chloroethyl-2,3-dihydro-1H-imidazo-(2, 1-i)-purine-4-ium-7-yl-3'-deoxy-1',5', 6'-tri-O-(methylsulfonyl)-muco-inositol chloride (DIC) had an anti-proliferative activity on tumor cells in vitro. In the present work we demonstrate that DIC induces apoptosis on the LM3 murine mammary adenocarcinoma cell line in vitro and has anti-angiogenic activity in vivo. We also evaluated toxicity, biodistribution and anti-neoplastic properties of DIC in vivo. Toxicity studies allowed us to establish the LD50 (750 mg/kg body weight). Administration of 250 mg/kg/day (LD10) for 6 days did not cause overt toxic effects. Biodistribution assays revealed that DIC was rapidly eliminated (60% at t=10 min), although it accumulated in tumor tissue at higher concentrations than in other tissues. Daily s.c. treatment with DIC (LD10) for 24 days significantly reduced the number of spontaneous lung metastases. These results suggest that DIC has the ability of impairing the metastatic development by inhibiting angiogenesis and inducing apoptosis on tumor cells.


Asunto(s)
Antineoplásicos/farmacología , Inositol/análogos & derivados , Purinas/farmacología , Adenocarcinoma/patología , Animales , Antineoplásicos/síntesis química , Antineoplásicos/uso terapéutico , Antineoplásicos/toxicidad , División Celular/efectos de los fármacos , Ensayos de Selección de Medicamentos Antitumorales , Femenino , Inositol/síntesis química , Inositol/farmacología , Inositol/toxicidad , Radioisótopos de Yodo , Neoplasias Mamarias Experimentales/patología , Ratones , Ratones Endogámicos BALB C , Metástasis de la Neoplasia/prevención & control , Neovascularización Patológica/prevención & control , Purinas/síntesis química , Purinas/toxicidad , Distribución Tisular , Células Tumorales Cultivadas
16.
Arch Ital Urol Androl ; 71(5): 313-5, 1999 Dec.
Artículo en Italiano | MEDLINE | ID: mdl-10673796

RESUMEN

The epidemiological assessment of intestitial cystitis (IC) is not definitive as no diagnostic criteria, such as endoscopy or biochemical and anatomopathological examination, exist. The diagnosis is solely based on symptoms like urgency, frequency and pelvic pain. The first studies on the population date back from 20 years ago and show a percentage of 10 cases every 100 thousand inhabitants. There is weak link between genetic factors, immunological diseases, previous cystitis or eating habits and intestitial cystitis. Epidemiological studies have highlight the frequency of this disease, and stressed the importance of stricted behavioural rules for the first stages of intestitial cystitis.


Asunto(s)
Cistitis Intersticial/etiología , Cistitis Intersticial/diagnóstico , Humanos
17.
Arch Ital Urol Androl ; 71(5): 327-32, 1999 Dec.
Artículo en Italiano | MEDLINE | ID: mdl-10673799

RESUMEN

Surgical therapy of interstitial cystitis must never be considered a first option but must be reserved for cases, less than 10%, in which conservative therapy has proven ineffectual. Surgical therapy includes a variety that started at the turn of the century. Neurosurgical denervation and perivesical denervation like cysto-cystoplasty and cystolysis, manipulate the innervation to reduce the bladder's hypersensitivity. This surgical approach may be considered in patients in whom bladder capacity is normal. The results are uncertain and the complications like neurogenic bladder relevant. Enterocystoplasty is much more widespread because interstitial cystitis is a benign disease that rarely required radical surgery. Augmentation cystoplasty and substitution cystoplasty are two variants but only the later has a rationale as it involves the resection of the detrusor which is the source of the pain. Detubularization drastically reduced urinary incontinence. The resection of the detrusor can be supratrigonal, subtrigonal or at the proximal urethra like in the orthotopic neobladder. If urinary diversion is chosen, the bladder must be removed. Before recommending surgical therapy each patient should undergo tests for the localization of the pain; moreover psychological and gynaecological evaluations should be made. If the bladder capacity exceeds 400 cc surgical operation is not advisable. If, on the other hand, the bladder capacity is lower than 400 cc substitution cystoplasty is first choice. If the patient suffers from trigonal cystitis or urethral hypersensitivity, urinary diversion is a better therapy. According to the questionnaires send to the Urologic Departments in Lombardy in 1998, the most widespread type of operation seems to be supratrigonal cystectomy + enterocystoplasty and augmentation cystoplasty. Subtrigonal cystectomy or urinary diversion are only occasionally chosen; continent pouch is the least frequent therapy at all.


Asunto(s)
Cistitis Intersticial/cirugía , Procedimientos Quirúrgicos Urológicos/métodos , Adulto , Algoritmos , Desnervación Autonómica , Femenino , Humanos , Masculino , Derivación Urinaria
20.
Eur J Surg Oncol ; 39(7): 792-8, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23562571

RESUMEN

INTRODUCTION: Standardized methods of reporting complications after radical cystectomy (RC) and urinary diversions (UD) are necessary to evaluate the morbidity associated with this operation to evaluate the modified Clavien classification system (CCS) in grading perioperative complications of RC and UD in a real life cohort of patients with bladder cancer. MATERIALS AND METHODS: A consecutive series of patients treated with RC and UD from April 2011 to March 2012 at 19 centers in Italy was evaluated. Complications were recorded according to the modified CCS. Results were presented as complication rates per grade. Univariate and binary logistic regression analysis were used for statistical analysis. RESULTS AND LIMITATIONS: 467 patients were enrolled. Median age was 70 years (range 35-89). UD consisted in orthotopic neobladder in 112 patients, ileal conduit in 217 patients and cutaneous ureterostomy in 138 patients. 415 complications were observed in 302 patients and were classified as Clavien type I (109 patients) or II (220 patients); Clavien type IIIa (45 patients), IIIb (22 patients); IV (11 patients) and V (8 patients). Patients with cutaneous ureterostomy presented a lower rate (8%) of CCS type ≥IIIa (p = 0.03). A longer operative time was an independent risk factor of CCS ≥III (OR: 1.005; CI: 1.002-1.007 per minute; p = 0.0001). CONCLUSIONS: In our study, RC is associated with a significant morbidity (65%) and a reduced mortality (1.7%) when compared to previous experiences. The modified CCS represents an easily applicable tool to classify the complications of RC and UD in a more objective and detailed way.


Asunto(s)
Carcinoma de Células Transicionales/mortalidad , Carcinoma de Células Transicionales/cirugía , Cistectomía/efectos adversos , Complicaciones Posoperatorias/clasificación , Neoplasias de la Vejiga Urinaria/cirugía , Derivación Urinaria/efectos adversos , Adulto , Anciano de 80 o más Años , Carcinoma de Células Transicionales/patología , Estudios de Cohortes , Cistectomía/métodos , Cistectomía/mortalidad , Cistoscopía/métodos , Supervivencia sin Enfermedad , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Invasividad Neoplásica/patología , Estadificación de Neoplasias , Complicaciones Posoperatorias/mortalidad , Complicaciones Posoperatorias/patología , Pronóstico , Medición de Riesgo , Tasa de Supervivencia , Resultado del Tratamiento , Ureterostomía/efectos adversos , Ureterostomía/métodos , Neoplasias de la Vejiga Urinaria/mortalidad , Neoplasias de la Vejiga Urinaria/patología , Derivación Urinaria/métodos , Reservorios Urinarios Continentes/efectos adversos
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