leiomyoma
hemangioma
fibroepithelial polyp
lymphangioma
D. lymphangioma
upper ureter
middle ureter
lower ureter
comparable
transitional cell carcinoma
squamous cell carcinoma
adenocarcinoma
small cell carcinoma
2%
5%
70%
90%
leiomyoma
hemangioma
fibroepithelial polyp
lymphangioma
multifocality
high tumor grade and advanced stage
presence of CIS
all of the above
high specificity
high sensitivity
high reliability
strong validity
sensitivity to chemotherapy and age at presentation
anatomic location and extent of the tumor
histologic type of the tumor and sensitivity to radiotherapy
tumors stage and grade
there will be no target tumor tissue to work on
post-op. hematuria interacts unfavorably with BCG composition
of the risk of systemic absorption and sepsis
of the high risk of BCG reflux to kidneys while bladder irrigation
ascending urethrography
voiding cystourethrography
MRI
IVU
infiltrative proximal penile urethral carcinomas
infiltrative distal penile urethral carcinomas
recurrent proximal penile urethral carcinoma after laser resection
T3/N2/M0 at bulbar urethra
patients with carcinoma in situ
patients with completely resected solitary tumor
patients with preserved kidney and liver functions after 2 courses of BCG
patients with leiomyosarcoma
the lesion is solitary and no associated CIS
physically, a surgical margin of 2-cm can be obtained
the resected area should be far enough from ureteral orifices and the bladder neck
all of the following
RB
cyclin A
HRAS
CD-44
urine cytology
CT urography
cystoscopy
renal function tests
obstructive uropathy
painless hematuria
pain radiating to the groin
locally advanced tumor
immediately before operation
immediately before incision and post-operative for 1 day
immediately before incision and post-operative for 15 days
immediately before incision and post-operative for 30 days
mid prostate to the verumontanum at the 5 and 7 oclock positions
lateral margins of the prostate at the 10 and 2 oclock positions
entire area distal to the urethral crest
area between ejaculatory duct openings and prostatic utricle
bladder perforation
obturator nerve reflex
vesico-ureteral reflux
terrible bleeding
undergo cystectomy
try mitomycin c
take a second course of BCG
take a second course of BCG + quinolones
often of high-grade sarcomas
often associated with muscularis propria invasion
due to vesical polyps occluding ureteric orifices
should be resected but not diathermized
continue the procedure as perforations at this site do no harm
abort the procedure and leave a urethral catheter
convert tumor removal to open method and repair the defect
perform abdominal exploration and manage accordingly
adenocarcinoma
transitional cell carcinoma
squamous cell carcinoma
basal cell carcinoma
epirubicin
mitomycin c
BCG
none of the above
30%
40%
50%
60%
en bloc resection involving total penectomy, cystoprostatectomy, resection of the pubic rami and urogenital diaphragm, with pelvic lymphadenectomy. In addition, creating a urinary diversion.
total penectomy involving removal of the penis, urethra, and penile root
partial penectomy involving excision of the malignant lesion with 2-cm margins
transurethral resection or fulguration
the anterior urethra drains into the inguinal and pelvic nodes
the posterior urethra drains into the pelvic nodes
the proximal two-thirds drain into the external and internal iliac nodes
the distal one-third drains into the obturator nodes
increase the irrigation fluid and pursue the procedure
abort the procedure and leave a urethral catheter
perform cystogram and manage accordingly
perform abdominal exploration and manage accordingly
never
unlikely
likely
always
0.6 - 2%
2 - 6%
6 - 10%
12 - 16%
adenocarcinoma
transitional cell carcinoma
squamous cell carcinoma
basal cell carcinoma