首页 > 最新文献

Urological Science最新文献

英文 中文
Retroperitoneal dedifferentiated liposarcoma with a compressed invasion-free kidney: A rare case report 腹膜后去分化脂肪肉瘤伴肾压缩无侵犯:一例罕见病例报告
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-05-01 DOI: 10.4103/UROS.UROS_60_20
Shang-Rong Zhong, Thomas Y. Hsueh, J. Chou
A 68-year-old female patient presented an evident drop in weight within half a year. A heterogeneous huge tumor was found in the left retroperitoneal space through a nonenhanced abdominal computed tomography. The tumor contributed mass effect on adjacent organs and structures, with equivocal left kidney outline. Enhanced kidney magnetic resonance imaging illustrated its hyper-vascular content and clear border. Radical excision was performed through an open approach. The mass was 25 cm in length and weighed about 5 kg. Grossly, it was accompanied by a compressed but invasion-free kidney. The diagnosis of dedifferentiated liposarcoma was made, and a focally involved margin was identified. The average annual incidence of retroperitoneal sarcomas is 2.7 cases/million. Retroperitoneal soft-tissue sarcoma seldom induces symptoms until the tumor makes a mass effect on adjacent organs. The tumor of this patient stands out as the compressed, yet invasion-free left kidney. Surgical resection is regarded as the only potential curative therapy. Due to the large size at presentation and wide extent of the tumor, it often results in limited resectability or positive margin. Important prognostic factors of retroperitoneal sarcoma involve surgical margin, tumor grade, differentiation, and histologic subtype. Dedifferentiated liposarcoma has a worse prognosis and a positive gross margin implies a higher chance of local recurrence as well as a higher mortality rate.
一位68岁的女性患者在半年内体重明显下降。通过非强化腹部计算机断层扫描在左侧腹膜后间隙发现一个异质性巨大肿瘤。肿瘤对邻近器官和结构产生了肿块效应,左肾轮廓模糊不清。增强肾磁共振成像显示其高血管内容物和清晰的边界。根治性切除是通过开放式入路进行的。肿块长25厘米,重约5公斤。大体上,伴有压迫但无侵犯的肾脏。诊断为去分化脂肪肉瘤,并确定了病灶累及的边缘。腹膜后肉瘤的年平均发病率为2.7例/百万。腹膜后软组织肉瘤很少引起症状,直到肿瘤对邻近器官产生大规模影响。这名患者的肿瘤突出表现为压迫但无侵犯的左肾。手术切除被认为是唯一可能的治疗方法。由于肿瘤呈现时体积大,范围广,通常导致可切除性有限或阳性边缘。腹膜后肉瘤的重要预后因素包括手术切缘、肿瘤分级、分化程度和组织学亚型。去分化脂肪肉瘤预后较差,毛缘阳性意味着局部复发的几率更高,死亡率也更高。
{"title":"Retroperitoneal dedifferentiated liposarcoma with a compressed invasion-free kidney: A rare case report","authors":"Shang-Rong Zhong, Thomas Y. Hsueh, J. Chou","doi":"10.4103/UROS.UROS_60_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_60_20","url":null,"abstract":"A 68-year-old female patient presented an evident drop in weight within half a year. A heterogeneous huge tumor was found in the left retroperitoneal space through a nonenhanced abdominal computed tomography. The tumor contributed mass effect on adjacent organs and structures, with equivocal left kidney outline. Enhanced kidney magnetic resonance imaging illustrated its hyper-vascular content and clear border. Radical excision was performed through an open approach. The mass was 25 cm in length and weighed about 5 kg. Grossly, it was accompanied by a compressed but invasion-free kidney. The diagnosis of dedifferentiated liposarcoma was made, and a focally involved margin was identified. The average annual incidence of retroperitoneal sarcomas is 2.7 cases/million. Retroperitoneal soft-tissue sarcoma seldom induces symptoms until the tumor makes a mass effect on adjacent organs. The tumor of this patient stands out as the compressed, yet invasion-free left kidney. Surgical resection is regarded as the only potential curative therapy. Due to the large size at presentation and wide extent of the tumor, it often results in limited resectability or positive margin. Important prognostic factors of retroperitoneal sarcoma involve surgical margin, tumor grade, differentiation, and histologic subtype. Dedifferentiated liposarcoma has a worse prognosis and a positive gross margin implies a higher chance of local recurrence as well as a higher mortality rate.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"137 - 139"},"PeriodicalIF":0.5,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47846778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of starting low-dose pazopanib in patients with metastatic renal cell carcinoma who do not meet eligibility criteria for clinical trials 不符合临床试验资格标准的转移性肾细胞癌患者开始低剂量帕唑帕尼的结果
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-05-01 DOI: 10.4103/UROS.UROS_145_20
J. Akatsuka, G. Kimura, K. Obayashi, Kotaro Tsutsumi, M. Yanagi, Y. Endo, H. Takeda, Tatsuro Hayashi, Y. Toyama, Yasutomo Suzuki, T. Hamasaki, Yoichiro Yamamoto, Y. Kondo
Purpose: Eligibility for clinical trials is very strict and only patients who satisfy various criteria can enter trials. The individual use of pazopanib has not been adequately investigated. An optimal administration regimen for pazopanib in “real-world” patients with metastatic renal cell carcinoma (mRCC) is required. Our purpose was to determine the tolerability and efficacy of first-line pazopanib with a low starting dose in patients with mRCC who were ineligible for clinical trials. Materials and Methods: This study included patients with mRCC who underwent treatment with first-line pazopanib and were previously excluded from clinical trials because they did not meet the inclusion criteria. A 400 mg pazopanib starting dose is used routinely in patients with mRCC; if tolerated, dose escalation up to 800 mg may occur. Results: We identified 18 patients with mRCC who received first-line pazopanib and were previously determined ineligible for clinical trials. Pazopanib dose was escalated in 12 patients (66.6%), to 600 mg/day in 8 patients (44.4%) and to 800 mg/day in 4 patients (22.2%), and was not escalated in 6 patients (33.3%). In 3 patients (16.7%), pazopanib was discontinued owing to intolerability. The most common frequent adverse event was elevated alanine aminotransferase levels in 6 patients (33.3%), followed by a decreased platelet count in 5 patients (27.8%) and anorexia in 5 patients (27.8%). Partial response was seen in 5 patients (27.8%) and stable disease in 10 patients (55.6%); median progression-free survival was 11.9 months (95% confidence interval: 6.3–28.7 months). Conclusion: Our data indicated that a low starting dose of 400 mg pazopanib did not negatively affect treatment tolerability and efficacy in patients with mRCC ineligible for clinical trials. We found that lower starting doses may lead to better results. Additional studies are needed in a larger cohort and longer follow-up to attain authentic outcomes.
目的:临床试验的资格非常严格,只有符合各种标准的患者才能参加试验。帕唑帕尼的个人使用尚未得到充分调查。帕唑帕尼在“现实世界”中的转移性肾细胞癌(mRCC)患者中的最佳给药方案是必需的。我们的目的是确定低起始剂量的一线帕唑帕尼对不符合临床试验条件的mRCC患者的耐受性和疗效。材料和方法:本研究纳入了接受一线帕唑帕尼治疗的mRCC患者,这些患者之前因不符合纳入标准而被排除在临床试验之外。mRCC患者常规使用400 mg帕唑帕尼起始剂量;如果耐受,则可能出现高达800mg的剂量增加。结果:我们确定了18名接受一线帕唑帕尼治疗的mRCC患者,他们之前被确定不符合临床试验条件。12名患者(66.6%)增加了帕唑帕尼的剂量,8名患者(44.4%)增加到600mg/天,4名患者(22.2%)增加到800mg/天,6名患者(33.3%)没有增加。3名患者(16.7%)因不耐受而停药。最常见的不良事件是6例患者丙氨酸氨基转移酶水平升高(33.3%),其次是5例患者血小板计数下降(27.8%)和5例患者厌食症(27.8%;中位无进展生存期为11.9个月(95%置信区间:6.3-28.7个月)。结论:我们的数据表明,400 mg帕唑帕尼的低起始剂量不会对不符合临床试验条件的mRCC患者的治疗耐受性和疗效产生负面影响。我们发现,较低的起始剂量可能会带来更好的结果。需要在更大的队列和更长的随访中进行更多的研究,以获得真实的结果。
{"title":"Outcomes of starting low-dose pazopanib in patients with metastatic renal cell carcinoma who do not meet eligibility criteria for clinical trials","authors":"J. Akatsuka, G. Kimura, K. Obayashi, Kotaro Tsutsumi, M. Yanagi, Y. Endo, H. Takeda, Tatsuro Hayashi, Y. Toyama, Yasutomo Suzuki, T. Hamasaki, Yoichiro Yamamoto, Y. Kondo","doi":"10.4103/UROS.UROS_145_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_145_20","url":null,"abstract":"Purpose: Eligibility for clinical trials is very strict and only patients who satisfy various criteria can enter trials. The individual use of pazopanib has not been adequately investigated. An optimal administration regimen for pazopanib in “real-world” patients with metastatic renal cell carcinoma (mRCC) is required. Our purpose was to determine the tolerability and efficacy of first-line pazopanib with a low starting dose in patients with mRCC who were ineligible for clinical trials. Materials and Methods: This study included patients with mRCC who underwent treatment with first-line pazopanib and were previously excluded from clinical trials because they did not meet the inclusion criteria. A 400 mg pazopanib starting dose is used routinely in patients with mRCC; if tolerated, dose escalation up to 800 mg may occur. Results: We identified 18 patients with mRCC who received first-line pazopanib and were previously determined ineligible for clinical trials. Pazopanib dose was escalated in 12 patients (66.6%), to 600 mg/day in 8 patients (44.4%) and to 800 mg/day in 4 patients (22.2%), and was not escalated in 6 patients (33.3%). In 3 patients (16.7%), pazopanib was discontinued owing to intolerability. The most common frequent adverse event was elevated alanine aminotransferase levels in 6 patients (33.3%), followed by a decreased platelet count in 5 patients (27.8%) and anorexia in 5 patients (27.8%). Partial response was seen in 5 patients (27.8%) and stable disease in 10 patients (55.6%); median progression-free survival was 11.9 months (95% confidence interval: 6.3–28.7 months). Conclusion: Our data indicated that a low starting dose of 400 mg pazopanib did not negatively affect treatment tolerability and efficacy in patients with mRCC ineligible for clinical trials. We found that lower starting doses may lead to better results. Additional studies are needed in a larger cohort and longer follow-up to attain authentic outcomes.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"104 - 110"},"PeriodicalIF":0.5,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46923875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Everted Saphenous Vein Graft (eSVG) urethroplasty in long-segment anterior urethral strictures: Medium-term follow-up results 外翻隐静脉移植尿道成形术治疗长段前尿道狭窄:中期随访结果
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-05-01 DOI: 10.4103/UROS.UROS_70_21
S. Rao, N. Khattar, A. Akhtar, Anuj Varshney, H. Goel
Purpose: An everted saphenous vein graft (eSVG) has been used for urethroplasty in men with long segment anterior urethral stricture and chronic tobacco exposed oral mucosa with good initial results. The present study aimed to assess the medium-term outcomes of eSVG urethroplasty (eSVGU) in such patients. Materials and Methods: Prospectively maintained database of 32 patients with chronic tobacco exposed oral mucosa, who underwent an eSVGU for long segment anterior urethral stricture (≥9 cm), was reviewed. Outcomes were assessed with International Prostate Symptom Score (IPSS), uroflowmetry with postvoid residual urine at 1, 3, and 6 months, and thereafter 6 monthly symptomatic assessments. Retrograde urethrogram was done at 3 months and repeated only if there was a recurrence. Successful urethroplasty was defined as satisfactory voiding (maximum flow rate [Qmax] >15 ml/sec) and no need for any auxiliary procedures in follow-up. Patients who lost to follow-up before 3 years were excluded from the final analysis. Data from the patients were recorded on a spreadsheet and expressed as mean and standard deviation wherever feasible. Results: Mean stricture length was 13.75 cm. Two patients were lost to follow-up after 12 months and were excluded from the final analysis. At a mean follow-up of 58 months, 19 patients (63.33%) were voiding successfully with mean IPSS 8.15 and Qmax 23.54 ml/s respectively, while 11 patients (36.67%) required auxiliary procedures and were considered failed. Conclusion: Medium-term results suggest that an eSVG can be considered as a good alternative graft for urethroplasty in patients with long anterior urethral strictures.
目的:应用外翻大隐静脉移植物(eSVG)对男性长段前尿道狭窄和慢性烟草暴露口腔黏膜进行尿道成形术,取得了良好的初步效果。本研究旨在评估此类患者进行eSVG尿道成形术(eSVGU)的中期结果。材料和方法:前瞻性地保存了32例慢性烟草暴露口腔粘膜患者的数据库,这些患者接受了eSVGU治疗长段前尿道狭窄(≥9cm)。在1个月、3个月和6个月时,用国际前列腺症状评分(IPSS)、尿流量测定法和排尿后残余尿进行结果评估,然后进行6个月的症状评估。逆行尿道造影在3个月时进行,只有在复发时才重复。成功的尿道成形术被定义为令人满意的排尿(最大流速[Qmax]>15 ml/sec),并且在随访中不需要任何辅助程序。3年前随访失败的患者被排除在最终分析之外。患者的数据记录在电子表格上,并在可行的情况下用平均值和标准差表示。结果:平均狭窄长度为13.75cm。两名患者在12个月后失去随访,被排除在最终分析之外。在58个月的平均随访中,19名患者(63.33%)成功排尿,平均IPSS分别为8.15和23.54ml/s,而11名患者(36.67%)需要辅助手术,被认为失败。结论:中期结果表明,eSVG可以被认为是治疗长前尿道狭窄患者尿道成形术的一种良好的替代移植物。
{"title":"Everted Saphenous Vein Graft (eSVG) urethroplasty in long-segment anterior urethral strictures: Medium-term follow-up results","authors":"S. Rao, N. Khattar, A. Akhtar, Anuj Varshney, H. Goel","doi":"10.4103/UROS.UROS_70_21","DOIUrl":"https://doi.org/10.4103/UROS.UROS_70_21","url":null,"abstract":"Purpose: An everted saphenous vein graft (eSVG) has been used for urethroplasty in men with long segment anterior urethral stricture and chronic tobacco exposed oral mucosa with good initial results. The present study aimed to assess the medium-term outcomes of eSVG urethroplasty (eSVGU) in such patients. Materials and Methods: Prospectively maintained database of 32 patients with chronic tobacco exposed oral mucosa, who underwent an eSVGU for long segment anterior urethral stricture (≥9 cm), was reviewed. Outcomes were assessed with International Prostate Symptom Score (IPSS), uroflowmetry with postvoid residual urine at 1, 3, and 6 months, and thereafter 6 monthly symptomatic assessments. Retrograde urethrogram was done at 3 months and repeated only if there was a recurrence. Successful urethroplasty was defined as satisfactory voiding (maximum flow rate [Qmax] >15 ml/sec) and no need for any auxiliary procedures in follow-up. Patients who lost to follow-up before 3 years were excluded from the final analysis. Data from the patients were recorded on a spreadsheet and expressed as mean and standard deviation wherever feasible. Results: Mean stricture length was 13.75 cm. Two patients were lost to follow-up after 12 months and were excluded from the final analysis. At a mean follow-up of 58 months, 19 patients (63.33%) were voiding successfully with mean IPSS 8.15 and Qmax 23.54 ml/s respectively, while 11 patients (36.67%) required auxiliary procedures and were considered failed. Conclusion: Medium-term results suggest that an eSVG can be considered as a good alternative graft for urethroplasty in patients with long anterior urethral strictures.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"117 - 124"},"PeriodicalIF":0.5,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41661333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biphasic change in renal function after radical cystectomy and urinary diversion: Result from tertiary center in Thailand 根治性膀胱切除术和尿分流术后肾功能的双相改变:来自泰国三级中心的结果
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_102_20
Worapat Attawettayanon, Apiwich Anukoolphaiboon, Virote Chalieopanyarwong, C. Pripatnanont
Purpose: Radical cystectomy (RC) with urinary diversion has been established as the gold standard treatment for muscle invasive bladder cancer. This provides excellent local control and increases the survival rate. The postoperative renal function (RF) usually declines, especially with those with risky conditions such as increasing age, hypertension, diabetes, or the presence of preoperative hydronephrosis (HN). However, there are limited data about the potential preoperative factors to predict the postoperative RF following the RC. The current retrospective article aims at reviewing patients treated with RC with urinary diversion presenting demographics data, assessing the RF after performing the operation and identifying the associated factors that reduce the RF. Materials and Methods: Bladder cancer patients who underwent RC with a urinary diversion from January 2001 to December 2017 were reviewed. RF was assessed by using the estimated glomerular filtration rate (eGFR) through the MDRD formula. Multivariate analysis was performed to evaluate the association of the changing of RF. Results: One hundred and fifty-six patients were included in the study. The median age was 65 years (interquartile ranges [IQR] 57, 72), and the median follow-up time was 16.4 months (IQR 7.1, 33.4). Overall, 86 patients (55.12%) had HN at the initial treatment of RC. Baseline mean eGFR was 57.7 mL/min/1.73 m2 (standard deviation [SD] = 23.7). The value of eGFR observed at 1, 12, and 60 months was 67.2 (SD = 29.5), 55.7 (SD = 26.3), and 55.8 (SD = 21.4) mL/min/1.73 m2, respectively. At 1 month, female gender, no HN, and neobladder were independently associated with worse RF outcomes in both univariate and multivariate analysis (P < 0.05). The factors associated with eGFR under 60 mL/min/1.73 m2 at 1 year were age, presence of HN, and adjuvant treatment. Conclusion: RF after cystectomy and urinary diversion improves for 1 month after the procedure, especially in patients with the presence of preoperative HN and then RF gradually decreases. There are no significant differences in preoperative and postoperative RF after a 5-year follow-up.
目的:膀胱根治术(RC)联合尿路转移术已被确定为癌症肌肉浸润性膀胱癌的金标准治疗方法。这提供了极好的局部控制并提高了存活率。术后肾功能(RF)通常会下降,尤其是那些患有危险疾病的患者,如年龄增加、高血压、糖尿病或术前肾积水(HN)。然而,关于预测RC术后RF的潜在术前因素的数据有限。目前的回顾性文章旨在回顾接受尿路改道RC治疗的患者,提供人口统计数据,评估手术后的RF,并确定降低RF的相关因素。材料与方法:对2001年1月至2017年12月间癌症行RC导尿管的患者进行回顾性分析。通过MDRD公式使用估计的肾小球滤过率(eGFR)来评估RF。进行多因素分析以评估RF变化的相关性。结果:156名患者被纳入研究。中位年龄为65岁(四分位间距[IQR]57,72),中位随访时间为16.4个月(IQR 7.1,33.4)。总体而言,86名患者(55.12%)在RC的初始治疗时患有HN。基线平均eGFR为57.7 mL/min/1.73 m2(标准差[SD]=23.7)。在1个月、12个月和60个月时观察到的eGFR值分别为67.2(SD=29.5)、55.7(SD=26.3)和55.8(SD=21.4)mL/min/1.76 m2。在单变量和多变量分析中,1个月时,女性、无HN和新膀胱与较差的RF结果独立相关(P<0.05)。1岁时eGFR低于60mL/min/1.73m2的相关因素是年龄、HN的存在和辅助治疗。结论:膀胱切除术和尿路改道术后1个月RF改善,尤其是术前存在HN的患者,RF逐渐降低。经过5年的随访,术前和术后射频没有显著差异。
{"title":"Biphasic change in renal function after radical cystectomy and urinary diversion: Result from tertiary center in Thailand","authors":"Worapat Attawettayanon, Apiwich Anukoolphaiboon, Virote Chalieopanyarwong, C. Pripatnanont","doi":"10.4103/UROS.UROS_102_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_102_20","url":null,"abstract":"Purpose: Radical cystectomy (RC) with urinary diversion has been established as the gold standard treatment for muscle invasive bladder cancer. This provides excellent local control and increases the survival rate. The postoperative renal function (RF) usually declines, especially with those with risky conditions such as increasing age, hypertension, diabetes, or the presence of preoperative hydronephrosis (HN). However, there are limited data about the potential preoperative factors to predict the postoperative RF following the RC. The current retrospective article aims at reviewing patients treated with RC with urinary diversion presenting demographics data, assessing the RF after performing the operation and identifying the associated factors that reduce the RF. Materials and Methods: Bladder cancer patients who underwent RC with a urinary diversion from January 2001 to December 2017 were reviewed. RF was assessed by using the estimated glomerular filtration rate (eGFR) through the MDRD formula. Multivariate analysis was performed to evaluate the association of the changing of RF. Results: One hundred and fifty-six patients were included in the study. The median age was 65 years (interquartile ranges [IQR] 57, 72), and the median follow-up time was 16.4 months (IQR 7.1, 33.4). Overall, 86 patients (55.12%) had HN at the initial treatment of RC. Baseline mean eGFR was 57.7 mL/min/1.73 m2 (standard deviation [SD] = 23.7). The value of eGFR observed at 1, 12, and 60 months was 67.2 (SD = 29.5), 55.7 (SD = 26.3), and 55.8 (SD = 21.4) mL/min/1.73 m2, respectively. At 1 month, female gender, no HN, and neobladder were independently associated with worse RF outcomes in both univariate and multivariate analysis (P < 0.05). The factors associated with eGFR under 60 mL/min/1.73 m2 at 1 year were age, presence of HN, and adjuvant treatment. Conclusion: RF after cystectomy and urinary diversion improves for 1 month after the procedure, especially in patients with the presence of preoperative HN and then RF gradually decreases. There are no significant differences in preoperative and postoperative RF after a 5-year follow-up.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"59 - 63"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42230451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unusual presentation of mixed epithelial and stromal tumor of ureter posing diagnostic dilemma 输尿管上皮性和间质性混合肿瘤的罕见表现使诊断陷入困境
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_69_20
Gaurvi Piplani, Kishan L. Prasad, K. Sajitha, T. Rajeev, S. Bhat, Suraj P. Hegde
The mixed epithelial and stromal tumor (MEST) family comprises a spectrum of tumors varying from predominantly cystic tumors such as adult cystic nephroma, to variably solid tumors such as MESTs. These rare renal tumors typically affect women in their perimenopausal age. Most of these tumors are benign; however, at some rare occasions, they are associated with malignant transformation. The current article reports a rare case of MEST arising from the proximal ureter in a perimenopausal woman, manifested as a cord-like structure in the ureter, and posing the diagnostic dilemma.
混合上皮和基质肿瘤(MEST)家族包括一系列肿瘤,从主要为囊性的肿瘤(如成人囊性肾瘤)到可变的实体瘤(如MEST)。这些罕见的肾脏肿瘤通常影响围绝经期的女性。这些肿瘤大多是良性的;然而,在一些罕见的情况下,它们与恶性转化有关。本文报道了一例罕见的围绝经期妇女输尿管近端MEST,表现为输尿管中的索状结构,并造成诊断难题。
{"title":"Unusual presentation of mixed epithelial and stromal tumor of ureter posing diagnostic dilemma","authors":"Gaurvi Piplani, Kishan L. Prasad, K. Sajitha, T. Rajeev, S. Bhat, Suraj P. Hegde","doi":"10.4103/UROS.UROS_69_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_69_20","url":null,"abstract":"The mixed epithelial and stromal tumor (MEST) family comprises a spectrum of tumors varying from predominantly cystic tumors such as adult cystic nephroma, to variably solid tumors such as MESTs. These rare renal tumors typically affect women in their perimenopausal age. Most of these tumors are benign; however, at some rare occasions, they are associated with malignant transformation. The current article reports a rare case of MEST arising from the proximal ureter in a perimenopausal woman, manifested as a cord-like structure in the ureter, and posing the diagnostic dilemma.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"89 - 92"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46589328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early penile rehabilitation with a vacuum erectile device in patients undergoing robotic-assisted radical prostatectomy: A randomized trial 机器人辅助前列腺根治术患者早期使用真空勃起装置进行阴茎康复:一项随机试验
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_118_20
S. Rujinithiwat, M. Usawachintachit, K. Panumatrassamee, A. Santingamkun, K. Tantiwongse
Purpose: This aim was to study the efficacy of a vacuum erectile device (VED) in rehabilitating the erectile function of patients undergoing nerve-sparing robotic-assisted radical prostatectomy. Materials and Methods: This prospective randomized study enrolled 35 prostate cancer patients from Thailand who had intact baseline erectile function and underwent nerve-sparing robotic-assisted radical prostatectomy. These patients were randomly assigned into either a study group which applied the VED for 10 min daily for 6 months or a control group which received no additional interventions. A 5-item version of the International Index of Erectile Function (IIEF-5) score, stretched penile length, and midshaft circumference were measured at 1, 3, and 7 months after surgery, respectively. Results: The mean patient age was 65.6 years, and the mean baseline IIEF-5 score was 22.91, which were comparable between the two groups. Three patients in the study group did not follow the VED protocol due to postoperative urinary incontinence. A per-protocol analysis revealed that the mean IIEF-5 score at 7 months was significantly higher in the study group compared to the control group (11.29 ± 7.47 vs. 6.61 ± 5.33, P = 0.047). The mean midshaft circumference was also higher in the study group (9.24 ± 1.43 cm vs. 7.91 ± 0.37 cm, P = 0.002). No statistically significant difference in the mean stretched penile length between the two groups was found. Conclusion: Early VED usage for penile rehabilitation following radical prostatectomy significantly improves IIEF-5 score and better preserves penile circumference but not penile length. A larger-scale multi-institutional study is required to validate these findings.
目的:研究真空勃起装置(VED)在保留神经的机器人辅助前列腺癌根治术患者勃起功能恢复中的疗效。材料和方法:这项前瞻性随机研究纳入了35名来自泰国的前列腺癌症患者,他们具有完整的基线勃起功能,并接受了神经切割机器人辅助前列腺根治术。这些患者被随机分为研究组和对照组,研究组在6个月内每天应用VED 10分钟,对照组不接受额外干预。分别在手术后1、3和7个月测量国际勃起功能指数(IIEF-5)的5项评分、阴茎拉伸长度和中轴周长。结果:患者平均年龄为65.6岁,平均基线IIEF-5评分为22.91,两组之间具有可比性。研究组中有三名患者因术后尿失禁而未遵循VED方案。根据方案分析显示,与对照组相比,研究组在7个月时的平均IIEF-5评分显著更高(11.29±7.47 vs.6.61±5.33,P=0.047)。研究组的平均中轴周长也更高(9.24±1.43 cm vs.7.91±0.37 cm,P=0.002)找到个组。结论:根治性前列腺切除术后早期使用VED进行阴茎康复可显著提高IIEF-5评分,更好地保留阴茎周长,但不能保留阴茎长度。需要进行更大规模的多机构研究来验证这些发现。
{"title":"Early penile rehabilitation with a vacuum erectile device in patients undergoing robotic-assisted radical prostatectomy: A randomized trial","authors":"S. Rujinithiwat, M. Usawachintachit, K. Panumatrassamee, A. Santingamkun, K. Tantiwongse","doi":"10.4103/UROS.UROS_118_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_118_20","url":null,"abstract":"Purpose: This aim was to study the efficacy of a vacuum erectile device (VED) in rehabilitating the erectile function of patients undergoing nerve-sparing robotic-assisted radical prostatectomy. Materials and Methods: This prospective randomized study enrolled 35 prostate cancer patients from Thailand who had intact baseline erectile function and underwent nerve-sparing robotic-assisted radical prostatectomy. These patients were randomly assigned into either a study group which applied the VED for 10 min daily for 6 months or a control group which received no additional interventions. A 5-item version of the International Index of Erectile Function (IIEF-5) score, stretched penile length, and midshaft circumference were measured at 1, 3, and 7 months after surgery, respectively. Results: The mean patient age was 65.6 years, and the mean baseline IIEF-5 score was 22.91, which were comparable between the two groups. Three patients in the study group did not follow the VED protocol due to postoperative urinary incontinence. A per-protocol analysis revealed that the mean IIEF-5 score at 7 months was significantly higher in the study group compared to the control group (11.29 ± 7.47 vs. 6.61 ± 5.33, P = 0.047). The mean midshaft circumference was also higher in the study group (9.24 ± 1.43 cm vs. 7.91 ± 0.37 cm, P = 0.002). No statistically significant difference in the mean stretched penile length between the two groups was found. Conclusion: Early VED usage for penile rehabilitation following radical prostatectomy significantly improves IIEF-5 score and better preserves penile circumference but not penile length. A larger-scale multi-institutional study is required to validate these findings.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"77 - 82"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42995682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circulating miR-210 and miR-23b in bladder Cancer 循环miR-210和miR-23b在膀胱癌中的作用
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_112_20
Normeen Hany, Amal Bahgat, O. Youssef, Amr Fayyad, A. Kotb, Sara Al-Khatib, M. Fathy
Purpose: This study is aimed to assess the serum expression levels of miR-210 and microRNA-23b (miR-23b) in bladder cancer (BC) patients to evaluate their potential as noninvasive biomarkers. Materials and Methods: This study included 93 subjects divided into the following three groups: Group Ia, 31 patients newly diagnosed with BC; Group Ib, Group Ia patients 6 months after medical and/or surgical treatment; and Group II, 31 healthy controls. The gene expressions of miR-210 and miR-23b were determined using quantitative SYBR Green reverse transcription real-time polymerase chain reaction. Results: The expression of miR-210 was significantly higher in BC patients compared to the controls (P = 0.012), while miR-23b did not show any difference. miR-210 expression in BC patients did not differ before and after treatment (P = 0.89). Area under the curve of the receiver operating characteristic analysis for miR-210 in distinguishing BC from controls was 0.686 (95% confidence interval, 0.553–0.818) with 71% sensitivity and 61% specificity. Conclusion: miR-210 can serve as a noninvasive diagnostic marker for BC; however, it cannot be used during treatment follow-up. miR-23b cannot be used as a diagnostic nor prognostic marker for BC.
目的:本研究旨在评估膀胱癌(BC)患者血清中miR-210和microRNA-23b (miR-23b)的表达水平,以评估其作为无创生物标志物的潜力。材料与方法:本研究纳入93例受试者,分为以下3组:Ia组,31例新诊断为BC;Ib组、Ia组患者在内科和/或手术治疗后6个月;第二组为31名健康对照者。采用定量SYBR Green反转录实时聚合酶链反应检测miR-210和miR-23b的基因表达。结果:miR-210在BC患者中的表达明显高于对照组(P = 0.012), miR-23b无显著差异。治疗前后BC患者miR-210表达差异无统计学意义(P = 0.89)。miR-210区分BC与对照组的受试者工作特征分析曲线下面积为0.686(95%可信区间,0.553-0.818),敏感性71%,特异性61%。结论:miR-210可作为BC的无创诊断标志物;但是,在治疗随访期间不能使用。miR-23b不能作为BC的诊断或预后指标。
{"title":"Circulating miR-210 and miR-23b in bladder Cancer","authors":"Normeen Hany, Amal Bahgat, O. Youssef, Amr Fayyad, A. Kotb, Sara Al-Khatib, M. Fathy","doi":"10.4103/UROS.UROS_112_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_112_20","url":null,"abstract":"Purpose: This study is aimed to assess the serum expression levels of miR-210 and microRNA-23b (miR-23b) in bladder cancer (BC) patients to evaluate their potential as noninvasive biomarkers. Materials and Methods: This study included 93 subjects divided into the following three groups: Group Ia, 31 patients newly diagnosed with BC; Group Ib, Group Ia patients 6 months after medical and/or surgical treatment; and Group II, 31 healthy controls. The gene expressions of miR-210 and miR-23b were determined using quantitative SYBR Green reverse transcription real-time polymerase chain reaction. Results: The expression of miR-210 was significantly higher in BC patients compared to the controls (P = 0.012), while miR-23b did not show any difference. miR-210 expression in BC patients did not differ before and after treatment (P = 0.89). Area under the curve of the receiver operating characteristic analysis for miR-210 in distinguishing BC from controls was 0.686 (95% confidence interval, 0.553–0.818) with 71% sensitivity and 61% specificity. Conclusion: miR-210 can serve as a noninvasive diagnostic marker for BC; however, it cannot be used during treatment follow-up. miR-23b cannot be used as a diagnostic nor prognostic marker for BC.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"64 - 70"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45926232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Key steps in performing robotic-assisted radical cystectomy with intracorporeal urinary diversion and the evidence that we have so far 进行机器人辅助根治性膀胱切除术的关键步骤和体内尿路改道以及我们迄今为止的证据
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_108_20
J. Teoh, C. Yee, P. Chiu, V. Chan, E. Chan, C. Ng, E. Chan
Robotic-assisted radical cystectomy with intracorporeal urinary diversion (iRARC) has been proposed as the most minimally invasive surgical approach in performing radical cystectomy for patients with bladder cancer. However, iRARC is a highly technical and complex procedure with a steep learning curve. Without appropriate training and adequate experiences, iRARC may become a lengthy procedure and may lead to significant morbidities with a prolonged hospital stay. Essentially, the robotic approach in performing RARC is to replicate what is being done in the open approach, and the key steps in performing iRARC were described in this article. There were five randomized controlled trials (RCTs) comparing between RARC and open radical cystectomy (ORC). RARC has been shown to have a lower blood transfusion rate and short hospital stay than ORC. When compared to ORC, RARC had a similar positive surgical margin rate and time of recurrence. Given such potential benefits, a decision-analytic model has shown that RARC might be a more cost-effective treatment approach than ORC. On the other hand, previous RCTs focused mainly on RARC with extracorporeal urinary diversion; high-quality studies on the total intracorporeal approach are lacking. The iROC trial is a multicenter study comparing between iRARC and ORC. Preliminary results showed that iRARC is well tolerated by patients. The iROC trial has completed patient recruitment and the final results are eagerly awaited. By then, hopefully, we will be able to understand the true value of iRARC in managing patients with bladder cancer.
机器人辅助膀胱根治性切除术(iRARC)已被认为是癌症患者进行膀胱根治性膀胱切除术的最微创手术方法。然而,iRARC是一个技术性很强、复杂的过程,具有陡峭的学习曲线。如果没有适当的培训和足够的经验,iRARC可能会成为一个漫长的过程,并可能导致长期住院的严重疾病。从本质上讲,执行RARC的机器人方法是复制开放方法中正在做的事情,本文描述了执行iRARC的关键步骤。有五项随机对照试验比较RARC和开放性根治性膀胱切除术(ORC)。RARC已被证明比ORC具有更低的输血率和更短的住院时间。与ORC相比,RARC具有相似的阳性手术切缘率和复发时间。考虑到这些潜在的好处,决策分析模型表明,RARC可能是一种比ORC更具成本效益的治疗方法。另一方面,以前的随机对照试验主要关注体外尿路分流的RARC;缺乏关于整体内部方法的高质量研究。iROC试验是一项比较iRARC和ORC的多中心研究。初步结果表明,iRARC对患者具有良好的耐受性。iROC试验已经完成了患者招募,人们热切期待最终结果。到那时,我们有望了解iRARC在管理癌症患者方面的真正价值。
{"title":"Key steps in performing robotic-assisted radical cystectomy with intracorporeal urinary diversion and the evidence that we have so far","authors":"J. Teoh, C. Yee, P. Chiu, V. Chan, E. Chan, C. Ng, E. Chan","doi":"10.4103/UROS.UROS_108_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_108_20","url":null,"abstract":"Robotic-assisted radical cystectomy with intracorporeal urinary diversion (iRARC) has been proposed as the most minimally invasive surgical approach in performing radical cystectomy for patients with bladder cancer. However, iRARC is a highly technical and complex procedure with a steep learning curve. Without appropriate training and adequate experiences, iRARC may become a lengthy procedure and may lead to significant morbidities with a prolonged hospital stay. Essentially, the robotic approach in performing RARC is to replicate what is being done in the open approach, and the key steps in performing iRARC were described in this article. There were five randomized controlled trials (RCTs) comparing between RARC and open radical cystectomy (ORC). RARC has been shown to have a lower blood transfusion rate and short hospital stay than ORC. When compared to ORC, RARC had a similar positive surgical margin rate and time of recurrence. Given such potential benefits, a decision-analytic model has shown that RARC might be a more cost-effective treatment approach than ORC. On the other hand, previous RCTs focused mainly on RARC with extracorporeal urinary diversion; high-quality studies on the total intracorporeal approach are lacking. The iROC trial is a multicenter study comparing between iRARC and ORC. Preliminary results showed that iRARC is well tolerated by patients. The iROC trial has completed patient recruitment and the final results are eagerly awaited. By then, hopefully, we will be able to understand the true value of iRARC in managing patients with bladder cancer.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"46 - 51"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46991459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
On the way of internationalization 论国际化之路
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_74_21
Y. Chuang
{"title":"On the way of internationalization","authors":"Y. Chuang","doi":"10.4103/UROS.UROS_74_21","DOIUrl":"https://doi.org/10.4103/UROS.UROS_74_21","url":null,"abstract":"","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"45 - 45"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47094830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conservative management of vesicoureteral reflux: A literature review 膀胱输尿管反流的保守治疗:文献综述
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2021-03-01 DOI: 10.4103/UROS.UROS_132_20
Safendra Siregar, A. Kurniawan, A. Mustafa
Vesicoureteral reflux (VUR) is defined as the retrograde flow of urine from the bladder to the upper urinary tract (the ureters and kidneys), caused by ureterovesical junction dysfunction. VUR is the most common congenital urinary tract abnormality; nevertheless, the conservative treatment for VUR remains controversial. In addition, the limited data availability made it difficult to establish a widely accepted treatment protocol. This study aimed to review available treatment modalities and recommendations with regard to the conservative management for VUR. An online literature search was performed on PubMed, PubMed Central, and Google Scholar. Studies were compared with several available guidelines. Based on literature search, the conservative management of VUR involves a multimodality approach, including the bladder-bowel dysfunction management through bladder training, anticholinergics and alpha-blockers, continuous antibiotic prophylaxis, and circumcision in male patients. Operative and other invasive treatment modalities may be considered in treatment failure or breakthrough urinary tract infection and should not be used as a first-line treatment.
膀胱输尿管反流(VUR)定义为尿液从膀胱逆行流至上尿路(输尿管和肾脏),由输尿管-膀胱连接处功能障碍引起。VUR是最常见的先天性尿路异常;然而,VUR的保守治疗仍存在争议。此外,有限的可用数据使得难以建立广泛接受的治疗方案。本研究旨在回顾关于VUR保守治疗的现有治疗方式和建议。在PubMed、PubMed Central和b谷歌Scholar上进行了在线文献检索。研究与几个可用的指南进行了比较。根据文献检索,VUR的保守治疗涉及多模式的方法,包括通过膀胱训练、抗胆碱能药物和α -受体阻滞剂、持续抗生素预防和男性患者的包皮环切来治疗膀胱-肠功能障碍。治疗失败或突破性尿路感染时可考虑手术或其他侵入性治疗方式,不应作为一线治疗。
{"title":"Conservative management of vesicoureteral reflux: A literature review","authors":"Safendra Siregar, A. Kurniawan, A. Mustafa","doi":"10.4103/UROS.UROS_132_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_132_20","url":null,"abstract":"Vesicoureteral reflux (VUR) is defined as the retrograde flow of urine from the bladder to the upper urinary tract (the ureters and kidneys), caused by ureterovesical junction dysfunction. VUR is the most common congenital urinary tract abnormality; nevertheless, the conservative treatment for VUR remains controversial. In addition, the limited data availability made it difficult to establish a widely accepted treatment protocol. This study aimed to review available treatment modalities and recommendations with regard to the conservative management for VUR. An online literature search was performed on PubMed, PubMed Central, and Google Scholar. Studies were compared with several available guidelines. Based on literature search, the conservative management of VUR involves a multimodality approach, including the bladder-bowel dysfunction management through bladder training, anticholinergics and alpha-blockers, continuous antibiotic prophylaxis, and circumcision in male patients. Operative and other invasive treatment modalities may be considered in treatment failure or breakthrough urinary tract infection and should not be used as a first-line treatment.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"52 - 58"},"PeriodicalIF":0.5,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42330635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Urological Science
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1