ABSTRACT
The first case of a primary, cystic sarcoma of the kidney, containing fibrohistiocytic, osteoid, and cartilaginous elements (malignant mesenchymoma) is reported. The neoplasm occurred in a 29-year-old white woman, who had a right upper quadrant mass at least four years prior to presentation. Light and electron microscopy findings are presented. A 14-month follow-up revealed an extensive tumor recurrence in the right perirenal area with no apparent metastastic disease.
Subject(s)
Kidney Diseases, Cystic/pathology , Mesenchymoma/pathology , Sarcoma/pathology , Adult , Female , Follow-Up Studies , Humans , Kidney Diseases, Cystic/surgery , Kidney Diseases, Cystic/ultrastructure , Neoplasm Recurrence, Local , NephrectomyABSTRACT
Nineteen self-retaining ureteral stents were used to manage postoperative ureteral obstruction and fistulas in 12 renal transplant recipients. In 3 patients with ureteral obstruction and 2 with a fistula placement of the self-retaining stents for 4 to 6 weeks allowed the complication to resolve. In 3 patients with ureteral obstruction placement of the self-retaining stents allowed for stabilization of the condition and reduction of immunosuppression therapy before an open surgical repair. In 6 patients self-retaining ureteral stents were used to protect the high risk anastomosis done at an open surgical repair of a complication. Placement of a self-retaining ureteral stent may be the best choice in the early management of ureteral obstruction and fistulas in transplant recipients.
Subject(s)
Kidney Transplantation , Postoperative Complications/therapy , Ureteral Obstruction/etiology , Humans , Intubation , Transplantation, Homologous , Ureteral Diseases/etiology , Ureteral Diseases/therapy , Ureteral Obstruction/therapy , Urinary Fistula/etiology , Urinary Fistula/therapyABSTRACT
Transurethral prostatectomy and herniorrhaphy were performed as a combined procedure for 63 patients during the period 1974 to 1978. The intraoperative and postoperative courses are compared with those of a control group of 82 patients who underwent herniorrhapies as an isolated procedure during the same period. The simultaneous performance of transurethral prostatectomy and herniorrhaphy in this group of patients was safe as well as cost-effective.
