Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie, 1999
Renocolic fistulas are rare lesions, generally involving the ascending and descending colon. The ... more Renocolic fistulas are rare lesions, generally involving the ascending and descending colon. The authors report a case of reno-sigmoid fistula occurring in a tuberculous pelvic ectopic kidney. Nephrectomy with segmental sigmoid resection was completed by antituberculous treatment for 9 months. The patient presents a good general condition with normal renal function and normal intestinal transit with a follow-up of 19 months.
The growing teratoma syndrome (GTS) is defined as a detection of an enlarged mass during or after... more The growing teratoma syndrome (GTS) is defined as a detection of an enlarged mass during or after chemotherapy treatment for germ cell tumor. We report a case of an 18-year-old girl treated for growing teratoma syndrome after chemotherapy for malignant germ cell tumor of the ovary associated with peritoneal gliomatosis. Chemotherapy induced normalisation of alpha-fetoprotein rate whereas there was an enlargement of the mass. Subsequent complete resection was performed, and the patient remained in good control for 60 months. This clinical picture suggested the diagnosis of “GTS”. This syndrome can lead to confusion with progression or relapse of a germ cell tumour because of increase in tumour volume during chemotherapy, so it is important to recognize it.
L'exentération pelvienne, malgré la lourdeur de son geste chirurgical, voit ses indications ... more L'exentération pelvienne, malgré la lourdeur de son geste chirurgical, voit ses indications s'étendre de plus en plus. Un bilan préthérapeutique doit viser à sélec- tionner des patients dont le risque opératoire est faible. L'exentération pelvienne doit avoir une prétention curative, l'exentération palliative a des indications bien codifiées. Les progrès des techniques chirurgicales et des moyens de réanimation ont contribué énormément à l'amélio- ration des taux de mortalité et de survie à 5 ans. Pour augmenter l'acceptation de ce type de chirurgie, plusieurs techniques visent à conserver le schéma cor- p o rel du patient c'est le cas des dérivations urinaire s continentes, la colostomie périnéale continente et enfin la reconstruction vaginale.
Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie, 1999
Renocolic fistulas are rare lesions, generally involving the ascending and descending colon. The ... more Renocolic fistulas are rare lesions, generally involving the ascending and descending colon. The authors report a case of reno-sigmoid fistula occurring in a tuberculous pelvic ectopic kidney. Nephrectomy with segmental sigmoid resection was completed by antituberculous treatment for 9 months. The patient presents a good general condition with normal renal function and normal intestinal transit with a follow-up of 19 months.
The growing teratoma syndrome (GTS) is defined as a detection of an enlarged mass during or after... more The growing teratoma syndrome (GTS) is defined as a detection of an enlarged mass during or after chemotherapy treatment for germ cell tumor. We report a case of an 18-year-old girl treated for growing teratoma syndrome after chemotherapy for malignant germ cell tumor of the ovary associated with peritoneal gliomatosis. Chemotherapy induced normalisation of alpha-fetoprotein rate whereas there was an enlargement of the mass. Subsequent complete resection was performed, and the patient remained in good control for 60 months. This clinical picture suggested the diagnosis of “GTS”. This syndrome can lead to confusion with progression or relapse of a germ cell tumour because of increase in tumour volume during chemotherapy, so it is important to recognize it.
L'exentération pelvienne, malgré la lourdeur de son geste chirurgical, voit ses indications ... more L'exentération pelvienne, malgré la lourdeur de son geste chirurgical, voit ses indications s'étendre de plus en plus. Un bilan préthérapeutique doit viser à sélec- tionner des patients dont le risque opératoire est faible. L'exentération pelvienne doit avoir une prétention curative, l'exentération palliative a des indications bien codifiées. Les progrès des techniques chirurgicales et des moyens de réanimation ont contribué énormément à l'amélio- ration des taux de mortalité et de survie à 5 ans. Pour augmenter l'acceptation de ce type de chirurgie, plusieurs techniques visent à conserver le schéma cor- p o rel du patient c'est le cas des dérivations urinaire s continentes, la colostomie périnéale continente et enfin la reconstruction vaginale.
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