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[PMID]:29314802
[Au] Autor:Prelevic R; Milev B; Milovic N; Ignjatovic M; Spasic A; Petrovic N
[Ti] Título:Gigantic spermatocytic seminoma: A rare tumor of germ cell origin.
[So] Source:Vojnosanit Pregl;73(7):679-81, 2016 Jul.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Spermatocytic seminoma represents a rare hystologic type of malignant testicular germ cell tumor with slow course and low malignant potential. Case report: We presented a 69-year-old patient with atypical clinical presentation of spermatocytic seminoma initially diagnosed as gigantic hydrocoellae which compromised walking. After long term evolution clincal picture presented with signs and symptoms of acute scrotum. Preoperative echosonography was performed and the diagnosis of testicular infiltrative tumor was established. After that left scrotal orchiectomy was performed. Patohistological examination revealed spermatocytic seminoma Conclusion: Inspite good prognosis there is a low probability of development of high grade malignancy sinchronous sarcoma within the testis with a high potential for lymphogenic and hematogenic dissemination. Individual approach is necessary in accordance with the pathohistological diagnosis.
[Mh] Termos MeSH primário: Seminoma/patologia
Neoplasias Testiculares/patologia
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Seres Humanos
Masculino
Orquiectomia/métodos
Seminoma/cirurgia
Hidrocele Testicular/diagnóstico
Neoplasias Testiculares/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150527081P


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[PMID]:27739317
[Au] Autor:Mrinakova B; Kajo K; Ondrusova M; Simo J; Ondrus D
[Ti] Título:Malignant Mesothelioma of the Tunica Vaginalis Testis. A Clinicopathologic Analysis of Two Cases with a Review of the Literature.
[Ti] Título:Malígny mezotelióm tunica vaginalis testis. Klinicko-patologická analýza dvoch prípadov s prehladom literatúry..
[So] Source:Klin Onkol;29(5):369-374, 2016.
[Is] ISSN:0862-495X
[Cp] País de publicação:Czech Republic
[La] Idioma:eng
[Ab] Resumo:Paratesticular malignant mesothelioma is an extremely rare type of mesothelioma with only a limited number of reported cases. Its clinical differentiation is challenging, and its diagnosis is almost exclusively accidental. The major risk factor is exposure to asbestos, typically with a long latency between exposure and diagnosis. The current study presents the clinical data of two patients diagnosed with paratesticular malignant mesothelioma. We evaluated a large spectrum of risk factors in the patients histories. The histomorphological and immunohistochemical characteristics were analysed and put into the perspective of a broad differential diagnosis. Both cases of malignant epithelial mesothelioma of the tunica vaginalis testis clinically presented as unilateral hydroceles. Patients underwent surgery with the perioperative finding of a tumour. Radical inguinal orchiectomy was the treatment of choice for both patients. After comprehensive staging, the second patient underwent a second step of inguinal and pelvic lymph node dis- section. Follow-up visits revealed recurrence of the disease in the first patient. Resection of the tumour was performed. The histology confirmed the relapse of a tumour with identical features to those of the first tumour. Chemotherapy and radiotherapy were not indicated. Both patients are currently in complete remission. In conclusion, surgical treatment had a determinative role in the prognosis of these patients. Radical orchiectomy is the treatment of choice for localized disease. Lymph node dissection can be considered in the case of lymph node enlargement. There is a lack of evidence-based data for adjuvant chemotherapy and radiotherapy. Patients should be referred to experienced multidisciplinary cancer centres for a second opinion on histology, treatment, and a follow-up plan.Key words: mesothelioma - tunica vaginalis testis - hydrocele - asbestos exposure.
[Mh] Termos MeSH primário: Neoplasias Pulmonares/patologia
Mesotelioma/patologia
Hidrocele Testicular/patologia
Neoplasias Testiculares/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso de 80 Anos ou mais
Seres Humanos
Neoplasias Pulmonares/cirurgia
Masculino
Mesotelioma/cirurgia
Prognóstico
Hidrocele Testicular/cirurgia
Neoplasias Testiculares/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171205
[Lr] Data última revisão:
171205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE


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[PMID]:28708825
[Au] Autor:Mwingira U; Chikawe M; Mandara WL; Mableson HE; Uisso C; Mremi I; Malishee A; Malecela M; Mackenzie CD; Kelly-Hope LA; Stanton MC
[Ad] Endereço:Neglected Tropical Diseases Control Programme, Ministry of Health and Social Welfare, Dar es Salaam, Tanzania.
[Ti] Título:Lymphatic filariasis patient identification in a large urban area of Tanzania: An application of a community-led mHealth system.
[So] Source:PLoS Negl Trop Dis;11(7):e0005748, 2017 Jul.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lymphatic filariasis (LF) is best known for the disabling and disfiguring clinical conditions that infected patients can develop; providing care for these individuals is a major goal of the Global Programme to Eliminate LF. Methods of locating these patients, knowing their true number and thus providing care for them, remains a challenge for national medical systems, particularly when the endemic zone is a large urban area. METHODOLOGY/PRINCIPLE FINDINGS: A health community-led door-to-door survey approach using the SMS reporting tool MeasureSMS-Morbidity was used to rapidly collate and monitor data on LF patients in real-time (location, sex, age, clinical condition) in Dar es Salaam, Tanzania. Each stage of the phased study carried out in the three urban districts of city consisted of a training period, a patient identification and reporting period, and a data verification period, with refinements to the system being made after each phase. A total of 6889 patients were reported (133.6 per 100,000 population), of which 4169 were reported to have hydrocoele (80.9 per 100,000), 2251 lymphoedema-elephantiasis (LE) (43.7 per 100,000) and 469 with both conditions (9.1 per 100,000). Kinondoni had the highest number of reported patients in absolute terms (2846, 138.9 per 100,000), followed by Temeke (2550, 157.3 per 100,000) and Ilala (1493, 100.5 per 100,000). The number of hydrocoele patients was almost twice that of LE in all three districts. Severe LE patients accounted for approximately a quarter (26.9%) of those reported, with the number of acute attacks increasing with reported LE severity (1.34 in mild cases, 1.78 in moderate cases, 2.52 in severe). Verification checks supported these findings. CONCLUSIONS/SIGNIFICANCE: This system of identifying, recording and mapping patients affected by LF greatly assists in planning, locating and prioritising, as well as initiating, appropriate morbidity management and disability prevention (MMDP) activities. The approach is a feasible framework that could be used in other large urban environments in the LF endemic areas.
[Mh] Termos MeSH primário: Filariose Linfática/epidemiologia
Pessoal de Saúde/educação
Telemedicina/métodos
Hidrocele Testicular/epidemiologia
Mensagem de Texto/utilização
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Idoso
Criança
Pré-Escolar
Filariose Linfática/complicações
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Morbidade
Índice de Gravidade de Doença
Inquéritos e Questionários
Tanzânia/epidemiologia
Hidrocele Testicular/complicações
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005748


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[PMID]:28383626
[Au] Autor:Spaziani E; Di Filippo A; Francioni P; Fiorini F; Di Costanzo R; Ciaschi V; Spaziani M; De Cesare A; Picchio M
[Ad] Endereço:Dipartimento di Scienze Medico-Chirurgiche e Biotecnologie, 'Sapienza' Università di Roma, Polo Pontino, Terracina, Latina, Italia.
[Ti] Título:Bilateral hydrocele. Uncommon clinical presentation of primary testicular lymphoma in the elderly.
[So] Source:Clin Ter;168(2):e136-e139, 2017 Mar-Apr.
[Is] ISSN:1972-6007
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Primary testicular lymphoma (PLT) represents 5% of testis tumors, the incidence increases in patients older than 60 years of age. Bilateral hydrocele is an unusual clinical presentation. Relapse in the central nervous system and in the contralateral testis is often observed. The US shows hypoechoic nodular lesions with a complete structural involvement of didymus and hypervascularization at Color Doppler. Orchiectomy should be performed in all cases as it is indispensable for the histopathological diagnosis and to characterize the immunophenotypic features. The most common histotype is diffuse large-B cell lymphoma. Combined biological approach and chemotherapy with rituximab and doxorubicin has radically changed the prognosis of disease. The authors report two patients of 81 and 82 years-old who referred for evaluation of massive bilateral hydrocele causing severe limitation of deambulation. Negative cytological findings for neoplastic cells in the scrotal effusion made difficult the differential diagnosis between inflammatory and malignant disease. Histopathologic findings made a diagnosis of high grade diffuse large B-cell NHL, respectively stage IV-E and stage III-E. The 82 years old patient was treated with 6 chemotherapy cycles of rituximab, cyclophosphamide, vincristine, prednisone. The exitus was dued to the umbilical hernia complications. In the 81 years old patient, cognitive deficit and severe impairment of general conditions constituted an absolute contraindication to polychemotherapy treatment. Rapid tumor progression led the patient to exitus 2 months after diagnosis. In both patients the delayed diagnosis of PLT was probably due to the reduction of welfare protection in the elderly with adverse social conditions.
[Mh] Termos MeSH primário: Linfoma Difuso de Grandes Células B/diagnóstico
Hidrocele Testicular/diagnóstico
Neoplasias Testiculares/diagnóstico
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Ciclofosfamida/administração & dosagem
Doxorrubicina/administração & dosagem
Seres Humanos
Linfoma Difuso de Grandes Células B/tratamento farmacológico
Masculino
Recidiva Local de Neoplasia
Prednisona/administração & dosagem
Prognóstico
Rituximab/administração & dosagem
Vincristina/administração & dosagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
4F4X42SYQ6 (Rituximab); 5J49Q6B70F (Vincristine); 80168379AG (Doxorubicin); 8N3DW7272P (Cyclophosphamide); VB0R961HZT (Prednisone)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.7417/CT.2017.1995


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[PMID]:28331169
[Au] Autor:Nitta S; Sakka S; Endo T; Komine M; Sakata A; Tsutsumi M; Kawai K; Nishiyama H
[Ad] Endereço:The Department of Urology, Hitachi General Hospital.
[Ti] Título:[Metachronous Bilateral Testicular Tumors with Frequently Recurrent Hydrocele : A Case Report].
[So] Source:Hinyokika Kiyo;63(3):115-118, 2017 Mar.
[Is] ISSN:0018-1994
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:We report a case of metachronous bilateral testicular tumors combined with hydrocele. A 46-year-old male presented with frequently recurrent left hydrocele. His medical history included a stage IIA right testicular tumor,which had been treated with right high orchiectomy and retroperitoneal lymph node dissection 22 years ago. Magnetic resonance imaging (MRI) showed hydrocele and a low intensity area in the left testis,and the patient underwent left high orchiectomy. After cytological examination of the hydrocele it was categorized as class V,and after a pathological study it was diagnosed as seminoma and embryonal carcinoma. Since postoperative computed tomography showed lung metastasis,treatment with bleomycin,etoposide,and cisplatin (BEP) was indicated. Three courses of BEP produced a complete response. No recurrent testicular tumor was seen at 3 months after the BEP therapy. A metachronous testicular tumor should be considered in patients with a history of testicular tumors who frequently develop recurrent hydrocele.
[Mh] Termos MeSH primário: Hidrocele Testicular/cirurgia
Neoplasias Testiculares/diagnóstico por imagem
[Mh] Termos MeSH secundário: Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Quimioterapia Adjuvante
Seres Humanos
Neoplasias Pulmonares/secundário
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Orquiectomia
Recidiva
Hidrocele Testicular/complicações
Neoplasias Testiculares/complicações
Neoplasias Testiculares/tratamento farmacológico
Neoplasias Testiculares/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.14989/ActaUrolJap_63_3_115


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[PMID]:28324030
[Au] Autor:Sathyanarayana S; Butts S; Wang C; Barrett E; Nguyen R; Schwartz SM; Haaland W; Swan SH; TIDES Team
[Ad] Endereço:Department of Pediatrics, University of Washington, Seattle, Washington 98121.
[Ti] Título:Early Prenatal Phthalate Exposure, Sex Steroid Hormones, and Birth Outcomes.
[So] Source:J Clin Endocrinol Metab;102(6):1870-1878, 2017 Jun 01.
[Is] ISSN:1945-7197
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Context: Adequate sex steroid hormone concentrations are essential for normal fetal genital development in early pregnancy. Our previous study demonstrated an inverse relationship between third-trimester di-2-ethyl hexyl phthalate exposure and total testosterone (TT) concentrations. Here, we examine early-pregnancy phthalates, sex steroid hormone concentrations, and newborn reproductive outcomes. Design: We examined associations between urinary phthalate metabolite concentrations in early pregnancy and serum free testosterone (FT), TT, estrone (E1), and estradiol (E2) in 591 woman/infant dyads in The Infant Development and Environment Study; we also examined relationships between hormones and newborn genital outcomes using multiple regression models with covariate adjustment. Results: E1 and E2 concentrations were 15% to 30% higher in relation to 1-unit increases in log monoisobutyl phthalate (MiBP), mono-2-ethyl hexyl phthalate, and mono-2-ethyl-5-oxy-hexyl phthalate concentrations, and E2 was 15% higher in relation to increased log monobenzyl phthalate (MBzP). FT concentrations were 12% lower in relation to 1-unit increases in log mono(carboxynonyl) phthalate (MCNP) and mono-2-ethyl-5-carboxypentyl phthalate concentrations. Higher maternal FT was associated with a 25% lower prevalence of having a male genital abnormality at birth. Conclusions: The positive relationships between MiBP, MBzP, and DEHP metabolites and E1/E2 are unique and suggest a positive estrogenic effect in early pregnancy. The inverse relationship between MCNP and DEHP metabolites and serum FT supports previous work examining phthalate/testosterone relationships later in pregnancy. Higher FT in relation to a 25% lower prevalence of male genital abnormalities confirms the importance of testosterone in early fetal development.
[Mh] Termos MeSH primário: Estradiol/sangue
Estrona/sangue
Ácidos Ftálicos/urina
Efeitos Tardios da Exposição Pré-Natal/epidemiologia
Testosterona/sangue
Anormalidades Urogenitais/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Cromatografia Líquida
Criptorquidismo/epidemiologia
Transtornos do Desenvolvimento Sexual/epidemiologia
Feminino
Seres Humanos
Hipospadia/epidemiologia
Recém-Nascido
Modelos Lineares
Masculino
Gravidez
Primeiro Trimestre da Gravidez
Efeitos Tardios da Exposição Pré-Natal/sangue
Espectrometria de Massas em Tandem
Hidrocele Testicular/epidemiologia
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Phthalic Acids); 2DI9HA706A (Estrone); 3XMK78S47O (Testosterone); 4TI98Z838E (Estradiol)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1210/jc.2016-3837


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[PMID]:28235529
[Au] Autor:Raof RA; El Metainy SA; Alia DA; Wahab MA
[Ad] Endereço:Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Egypt.
[Ti] Título:Dexmedetomidine decreases the required amount of bupivacaine for ultrasound-guided transversus abdominis plane block in pediatrics patients: a randomized study.
[So] Source:J Clin Anesth;37:55-60, 2017 Feb.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The effect of dexmedetomidine on the potency of bupivacaine for transversus abdominis plane (TAP) block in pediatric patients has not been investigated. STUDY OBJECTIVE: The primary objective of this study was to assess the effectiveness of dexmedetomidine to decrease the concentration of bupivacaine needed for analgesia for ultrasound-guided TAP block in a pediatric patient undergoing hernia repair or hydrocelectomy. DESIGN: This is a randomized, double-blind, up-down, dose-finding study. SETTING: Operating room. PATIENTS: Sixty American Society of Anesthesiologists I and II patients aged 1-4 years scheduled for elective unilateral herniorrhaphy or hydrocelectomy. INTERVENTIONS: Patients were randomly assigned to 1 of the 2 groups: group B (0.125% bupivacaine, 1mL/kg) TAP block or group BD (0.125% bupivacaine plus 2µg/kg dexmedetomidine, 1mL/kg) TAP block. MEASUREMENTS: The response of each child was observed for 60 seconds after skin incision and evaluated as 'unsuccessful' when skin incision caused a change in hemodynamic parameters (heart rate and mean blood pressure) 20% more than the preincision values. If the response was determined to be unsuccessful, the concentration of bupivacaine administrated to the next patient was increased by 0.02%. If it was successful, the concentration of bupivacaine administrated to the next patient was decreased by 0.02%. RESULTS: The minimum local anesthetic concentration of bupivacaine was 0.0839% (0.0137) in the B group and 0.0550% (0.0169) in the BD group. The difference was statistically significant (t=7.165, P=.0001). The total postoperative analgesic dosage of morphine was significantly higher in the B group (0.17±0.04 mg/kg) than the BD group (0.11±0.02 mg/kg, P=.001). CONCLUSIONS: The addition of 2µg/kg of dexmedetomidine reduced the minimum local anesthetic concentration of bupivacaine used for a TAP block and improved postoperative analgesia in children undergoing surgery for inguinal hernia repair or hydrocelectomy.
[Mh] Termos MeSH primário: Agonistas de Receptores Adrenérgicos alfa 2/uso terapêutico
Anestésicos Locais/administração & dosagem
Bupivacaína/farmacologia
Dexmedetomidina/uso terapêutico
Hipnóticos e Sedativos/uso terapêutico
Bloqueio Nervoso/métodos
Dor Pós-Operatória/prevenção & controle
[Mh] Termos MeSH secundário: Músculos Abdominais
Agonistas de Receptores Adrenérgicos alfa 2/administração & dosagem
Pressão Sanguínea
Bupivacaína/administração & dosagem
Bupivacaína/uso terapêutico
Pré-Escolar
Dexmedetomidina/administração & dosagem
Relação Dose-Resposta a Droga
Método Duplo-Cego
Frequência Cardíaca
Hérnia Inguinal/cirurgia
Herniorrafia/efeitos adversos
Seres Humanos
Hipnóticos e Sedativos/administração & dosagem
Lactente
Masculino
Medição da Dor
Estudos Prospectivos
Distribuição Aleatória
Hidrocele Testicular/cirurgia
Resultado do Tratamento
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:CLINICAL TRIAL; COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenergic alpha-2 Receptor Agonists); 0 (Anesthetics, Local); 0 (Hypnotics and Sedatives); 67VB76HONO (Dexmedetomidine); Y8335394RO (Bupivacaine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE


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[PMID]:27978613
[Au] Autor:Viglizzo G; Manunza F; Bleidl D; DI Rocco M; Occella C
[Ad] Endereço:Department of Dermatology, IRCCS "Giannina Gaslini" Children's Hospital, Genoa, Italy.
[Ti] Título:Pediatric genital lymphedema with recurrent hydrocele and late-onset secondary skin changes.
[So] Source:G Ital Dermatol Venereol;152(1):84-86, 2017 02.
[Is] ISSN:1827-1820
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças dos Genitais Masculinos/diagnóstico
Linfedema/diagnóstico
Pele/patologia
Hidrocele Testicular/diagnóstico
[Mh] Termos MeSH secundário: Pré-Escolar
Doenças dos Genitais Masculinos/patologia
Seres Humanos
Linfedema/patologia
Masculino
Recidiva
Hidrocele Testicular/patologia
Fatores de Tempo
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.23736/S0392-0488.16.05176-2


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[PMID]:27832304
[Au] Autor:Sameshima YT; Yamanari MG; Silva MA; Neto MJ; Funari MB
[Ad] Endereço:Diagnostic Imaging Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, 05651-901, São Paulo, SP, Brazil. kymjr@uol.com.br.
[Ti] Título:The challenging sonographic inguinal canal evaluation in neonates and children: an update of differential diagnoses.
[So] Source:Pediatr Radiol;47(4):461-472, 2017 Apr.
[Is] ISSN:1432-1998
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Bulging of the inguinal region is a frequent complaint in the pediatric population and sonographic findings can be challenging for radiologists. In this review we update the sonographic findings of the most common disorders that affect the inguinal canal in neonates and children, with a focus on the processus vaginalis abnormalities such as congenital hydroceles, indirect inguinal hernias and cryptorchidism, illustrated with cases collected at a quaternary hospital during a 7-year period. We emphasize the importance of correctly classifying different types of congenital hydrocele and inguinal hernia to allow for early surgical intervention when necessary. We have systematically organized and illustrated all types of congenital hydrocele and inguinal hernias based on embryological, anatomical and pathophysiological findings to assist readers in the diagnosis of even complex cases of inguinal canal ultrasound evaluation in neonates and children. We also present rare diagnoses such as the abdominoscrotal hydrocele and the herniation of uterus and ovaries into the canal of Nuck.
[Mh] Termos MeSH primário: Criptorquidismo/diagnóstico por imagem
Hérnia Inguinal/diagnóstico por imagem
Canal Inguinal/diagnóstico por imagem
Hidrocele Testicular/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Diagnóstico Diferencial
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE
[do] DOI:10.1007/s00247-016-3706-8


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[PMID]:27678469
[Au] Autor:Guo LQ; Zhang XL; Liu YQ; Sun WD; Zhao ST; Yuan MZ
[Ad] Endereço:Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.
[Ti] Título:The application of laparoscopic Doppler ultrasound during laparoscopic varicocelectomy in infertile men.
[So] Source:Asian J Androl;19(2):214-218, 2017 Mar-Apr.
[Is] ISSN:1745-7262
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:The aim of this study is to evaluate the benefits of laparoscopic Doppler ultrasound (LDU) application during laparoscopic varicocelectomy (LV), and to compare the surgical outcomes and complications between LDU-assisted LV (LDU-LV) and conventional LV for infertile patients with varicoceles; 147 infertile patients were randomly divided into two groups. Operative and postoperative parameters, semen parameters, and the pregnancy rate were compared. There were no differences in baseline demographics. The operative time was significantly longer in LDU-LV group than LV group. The incidence of postoperative hydrocele was 1.4% (1/72) in LDU-LV group versus 10.7% (8/75) in LV group, which showed a significant difference (P < 0.05). However, other surgical outcomes, such as postoperative hospital stay, postoperative recurrence, and testicular atrophy, were similar between the two groups. Sperm concentration and sperm motility were significantly increased in both groups at 3, 6, and 12 months after surgery (P < 0.01), and they were higher in LDU-LV than LV group in 12 months after surgery (34.21 ± 6.36 vs 29.99 ± 6.04 for concentration, P < 0.05; 40.72 ± 8.12 vs 37.31 ± 6.12 for motility, P < 0.05). Sperm morphology was comparable between the two groups. The pregnancy rate showed no significant difference (44.4% of the LDU-LV vs 37.3% of the LV, P > 0.05). In conclusion, compared with LV, LDU-LV could safely and effectively ligate all spermatic veins and preserve spermatic arteries without leading to high varicocele recurrence and postoperative hydrocele. Given the benefits that sperm counts as well as sperm motility favoring LDU-LV, we recommend that LDU should be routinely used as an effective tool to improve outcomes and safety of laparoscopic varicocelectomy.
[Mh] Termos MeSH primário: Infertilidade Masculina/cirurgia
Cordão Espermático/cirurgia
Cirurgia Assistida por Computador/métodos
Ultrassonografia Doppler/métodos
Procedimentos Cirúrgicos Urológicos Masculinos/métodos
Varicocele/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Infertilidade Masculina/etiologia
Cuidados Intraoperatórios/métodos
Laparoscopia/métodos
Masculino
Microcirurgia
Duração da Cirurgia
Complicações Pós-Operatórias/epidemiologia
Gravidez
Taxa de Gravidez
Análise do Sêmen
Contagem de Espermatozoides
Motilidade Espermática
Cordão Espermático/diagnóstico por imagem
Hidrocele Testicular/epidemiologia
Varicocele/complicações
Varicocele/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160929
[St] Status:MEDLINE
[do] DOI:10.4103/1008-682X.189622



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