UROLOGY

Extended Surgery for Advanced Ovarian Cancer

Mar 18, 2017 by in UROLOGY Comments Off on Extended Surgery for Advanced Ovarian Cancer

Fig. 40.1 Eight potential spaces of the pelvis: retropubic space of Retzius, paravesicle spaces (2), vesicovaginal space, pararectal spaces (2), rectovaginal space, and presacral space (Reprinted with permission from: Bristow…

read more

Pathology of Gynecologic Cancers

Mar 18, 2017 by in UROLOGY Comments Off on Pathology of Gynecologic Cancers

  HGSC CCC EC MC LGSC Genetic risk factors BRCA1/2 Lynch syndrome Lynch syndrome None known None known Precursor lesions Serous tubal intraepithelial carcinoma Endometriosis Endometriosis Not known Serous borderline…

read more

Radical Hysterectomy in Cervical Cancer

Mar 18, 2017 by in UROLOGY Comments Off on Radical Hysterectomy in Cervical Cancer

Fig. 33.1 Different types of tumor growth in the cervix (exophytic, endocervical, deep stromal) Early Stages Patients with micro invasive carcinoma stage FIGO IA (stromal invasion ≤5 mm; horizontal extension…

read more

Selective Non-operative Treatment in Rectal Cancer After Neoadjuvant Chemoradiation: Lessons Learned from the “Watch-and-Wait” Approach

Mar 18, 2017 by in UROLOGY Comments Off on Selective Non-operative Treatment in Rectal Cancer After Neoadjuvant Chemoradiation: Lessons Learned from the “Watch-and-Wait” Approach

Fig. 56.1 Endoscopic view of a complete clinical response   2. A subtle loss of pliability of the rectal wall harboring the scar; usually observed during manual insufflations at proctoscopy…

read more

Endoscopic Approaches to Rectal Neoplasia

Mar 18, 2017 by in UROLOGY Comments Off on Endoscopic Approaches to Rectal Neoplasia

Fig. 48.1 Example of retroflexion view of anal brim. (a) Anal Intraepithelial Neoplasia (AIN) 0-IIa grade 2 with immunohistochemical stain for p16 positive favoring an HPV-related pathogenesis. (b) AIN lesion…

read more

Pre-sacral Tumors

Mar 18, 2017 by in UROLOGY Comments Off on Pre-sacral Tumors

Congenital Osseuos Benign Benign Developmental cysts Giant cell tumor Rectal duplication Osteoblastoma Anterior sacral meningocele Aneurysmal bone cyst Adrenal rest tumor Malignant Malignant Osteogenic sarcoma Chordoma Ewing sarcoma Teratocarcinoma Myeloma…

read more

Dealing with Complications of Rectal Surgery

Mar 18, 2017 by in UROLOGY Comments Off on Dealing with Complications of Rectal Surgery

Patient risk factors  Tobacco use  Alcohol use  Obesity  Age >65  ASA > 3  Malnutrition <3.0  Weight >10 % TBW Disease factors  Emergent surgery  Steroid or immunomodulator use  Malignancy  Level of…

read more

Fertility Preservation in Early Cervical Cancer

Mar 18, 2017 by in UROLOGY Comments Off on Fertility Preservation in Early Cervical Cancer

Fig. 32.1 Sagittal MRI indentifying tumour and length of endocervical canal, with distance from isthmus Fig. 32.2 Endovaginal coil MRI scan identifying tumour 32.4 Staging The traditional method of staging…

read more

(Laterally) Extended Endopelvic Resection for the Treatment of Locally Advanced and Recurrent Cervical Cancer

Mar 18, 2017 by in UROLOGY Comments Off on (Laterally) Extended Endopelvic Resection for the Treatment of Locally Advanced and Recurrent Cervical Cancer

Mature metacompartment Building blocks Primitive metacompartment Developmental domains with fixed topological relations to each other Mature ontogenetic compartments Endopelvis Endoderm Cloaca and allantois Primitive bladder Bladder Splanchnopleuric mesoderm Internal UGS…

read more

Anatomy of the Pelvis

Mar 18, 2017 by in UROLOGY Comments Off on Anatomy of the Pelvis

Fig. 7.1 Sympathetic and parasympathetic nervous fibers of the pelvis (Copyright © 2007; Jens-Uwe Stolzenburg and Moonsoft) Fig. 7.2 Nerves of the pelvis (Copyright: Moonsoft and Stolzenburg (2007)) The Neurovascular…

read more
Get Clinical Tree app for offline access