Pub Date : 2026-01-08DOI: 10.1016/j.eucr.2026.103340
Harpreet Kaur , Talal Alkayali , Nathan Williams , Sarah A. Schmalzle
While undergoing evaluation for loss of consciousness and traumatic injuries after a single-vehicle collision, a 55-year-old Zimbabwean man residing in Maryland was incidentally noted to have circumferential bladder wall calcification and thickening on CT imaging. Cystoscopy revealed extensive ‘sandy patches’, confirmed by histopathology to represent calcified eggs of Schistosoma haematobium. Genitourinary symptoms were absent, ova were not identified on urine microscopy, and serum eosinophil level was normal, consistent with the primary infection having occurred at least 20 years prior. While structural and functional genitourinary abnormalities were absent, significant complications can occur even after years of asymptomatic disease.
{"title":"Case report: Radiographic and cystoscopic manifestations of chronic urogenital Schistosomiasis in an asymptomatic Zimbabwean man with HIV","authors":"Harpreet Kaur , Talal Alkayali , Nathan Williams , Sarah A. Schmalzle","doi":"10.1016/j.eucr.2026.103340","DOIUrl":"10.1016/j.eucr.2026.103340","url":null,"abstract":"<div><div>While undergoing evaluation for loss of consciousness and traumatic injuries after a single-vehicle collision, a 55-year-old Zimbabwean man residing in Maryland was incidentally noted to have circumferential bladder wall calcification and thickening on CT imaging. Cystoscopy revealed extensive ‘sandy patches’, confirmed by histopathology to represent calcified eggs of <em>Schistosoma haematobium</em>. Genitourinary symptoms were absent, ova were not identified on urine microscopy, and serum eosinophil level was normal, consistent with the primary infection having occurred at least 20 years prior. While structural and functional genitourinary abnormalities were absent, significant complications can occur even after years of asymptomatic disease.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103340"},"PeriodicalIF":0.4,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980329","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}
Pub Date : 2026-01-08DOI: 10.1016/j.eucr.2026.103339
Rifqi Yanda Muhammad , Joko Pitoyo
Evaluation of 46,XX Disorders of Sex Development (DSD) with severe virilization often yields inconclusive results. We report a case where alternative diagnostics resolved a significant phenotype-karyotype discordance. A 2-year-old with a 46,XX karyotype and penoscrotal hypospadias was evaluated. Diagnostic urethroscopy revealed definitive prostatic tissue and a verumontanum. These findings provided anatomical evidence of Wolffian differentiation, distinct from Müllerian persistence, and incompatible with Congenital Adrenal Hyperplasia (CAH). Identifying the prostate established the diagnosis of 46,XX Testicular DSD, shifting management from gonadectomy to hypospadias repair. Urethroscopy is indispensable for resolving diagnostic discrepancies missed by standard protocols.
{"title":"Prostatic development and verumontanum in a 46,XX karyotype : An embryological paradox redefining diagnostic algorithm for testicular DSD","authors":"Rifqi Yanda Muhammad , Joko Pitoyo","doi":"10.1016/j.eucr.2026.103339","DOIUrl":"10.1016/j.eucr.2026.103339","url":null,"abstract":"<div><div>Evaluation of 46,XX Disorders of Sex Development (DSD) with severe virilization often yields inconclusive results. We report a case where alternative diagnostics resolved a significant phenotype-karyotype discordance. A 2-year-old with a 46,XX karyotype and penoscrotal hypospadias was evaluated. Diagnostic urethroscopy revealed definitive prostatic tissue and a verumontanum. These findings provided anatomical evidence of Wolffian differentiation, distinct from Müllerian persistence, and incompatible with Congenital Adrenal Hyperplasia (CAH). Identifying the prostate established the diagnosis of 46,XX Testicular DSD, shifting management from gonadectomy to hypospadias repair. Urethroscopy is indispensable for resolving diagnostic discrepancies missed by standard protocols.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103339"},"PeriodicalIF":0.4,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929222","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}
Pub Date : 2026-01-07DOI: 10.1016/j.eucr.2026.103338
Victoria Schulte , Alexandra Carolan , Irina Stanasel , Bruce Schlomer
{"title":"Corrigendum to: Phentolamine rescue for glanular ischemia in the setting of inadvertent administration of high-dose 1:1,000 epinephrine to glans in distal hypospadias surgery [Urol Case Rep, (59), March 2025, 102941. PMID: 39925745]","authors":"Victoria Schulte , Alexandra Carolan , Irina Stanasel , Bruce Schlomer","doi":"10.1016/j.eucr.2026.103338","DOIUrl":"10.1016/j.eucr.2026.103338","url":null,"abstract":"","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103338"},"PeriodicalIF":0.4,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929221","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}
Pub Date : 2026-01-02DOI: 10.1016/j.eucr.2025.103335
Luowu Wang, Ke Yang, Chaojin Liang, Jun xing, Yao Bai
Primary retroperitoneal seminoma is an extremely rare extragonadal germ cell tumor. A 61-year-old male was referred following the discovery of a retroperitoneal mass on routine physical examination. Computed tomography and PET-CT revealed a soft-tissue nodule near the left renal hilum, suggestive of a neoplasm. The patient underwent surgical resection, and histopathology confirmed seminoma. Scrotal ultrasound showed no testicular abnormalities, thereby excluding a metastatic origin and confirming the diagnosis of primary retroperitoneal seminoma. This case underscores the importance of considering this rare entity in the differential diagnosis of retroperitoneal masses.
{"title":"A rare entity in the retroperitoneum: Case report of a primary seminoma","authors":"Luowu Wang, Ke Yang, Chaojin Liang, Jun xing, Yao Bai","doi":"10.1016/j.eucr.2025.103335","DOIUrl":"10.1016/j.eucr.2025.103335","url":null,"abstract":"<div><div>Primary retroperitoneal seminoma is an extremely rare extragonadal germ cell tumor. A 61-year-old male was referred following the discovery of a retroperitoneal mass on routine physical examination. Computed tomography and PET-CT revealed a soft-tissue nodule near the left renal hilum, suggestive of a neoplasm. The patient underwent surgical resection, and histopathology confirmed seminoma. Scrotal ultrasound showed no testicular abnormalities, thereby excluding a metastatic origin and confirming the diagnosis of primary retroperitoneal seminoma. This case underscores the importance of considering this rare entity in the differential diagnosis of retroperitoneal masses.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103335"},"PeriodicalIF":0.4,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898023","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}
Pub Date : 2026-01-01DOI: 10.1016/j.eucr.2025.103320
Karthik Rayapureddi , Michael Glover , Haiwei Henry Guo , Emily Chan , Sumit A. Shah
Urothelial carcinoma is the most common bladder cancer; although pulmonary spread occurs, cannonball metastases are rare and classically linked to germ cell and renal cell tumors. Bladder cancer typically presents with painless hematuria, so respiratory-only presentations can delay diagnosis. We report a 42-year-old man with progressive dyspnea and innumerable bilateral cannonball lesions as the initial manifestation of muscle-invasive urothelial carcinoma, without hematuria. To our knowledge, this is the first such initial presentation reported. This case underscore including urothelial carcinoma in the differential for pulmonary cannonball lesions and pursuing early biopsy and cystoscopic evaluation even in the absence of urinary symptoms.
{"title":"Cannonball metastases as an initial presentation of urothelial bladder carcinoma: a case report and literature review","authors":"Karthik Rayapureddi , Michael Glover , Haiwei Henry Guo , Emily Chan , Sumit A. Shah","doi":"10.1016/j.eucr.2025.103320","DOIUrl":"10.1016/j.eucr.2025.103320","url":null,"abstract":"<div><div>Urothelial carcinoma is the most common bladder cancer; although pulmonary spread occurs, cannonball metastases are rare and classically linked to germ cell and renal cell tumors. Bladder cancer typically presents with painless hematuria, so respiratory-only presentations can delay diagnosis. We report a 42-year-old man with progressive dyspnea and innumerable bilateral cannonball lesions as the initial manifestation of muscle-invasive urothelial carcinoma, without hematuria. To our knowledge, this is the first such initial presentation reported. This case underscore including urothelial carcinoma in the differential for pulmonary cannonball lesions and pursuing early biopsy and cystoscopic evaluation even in the absence of urinary symptoms.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103320"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924405","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}
Primary renal neuroendocrine tumor (NET) is extremely rare, with no established treatment for advanced cases. We report high-grade (G3) renal NET effectively treated with peptide receptor radionuclide therapy (PRRT). A 30-year-old man was diagnosed with primary renal NET G3 with liver metastases. After everolimus failure, he received 177Lu-DOTATATE (Lutathera®). Although the tumor continued growing after the first cycle, disease stabilized from the second cycle onwards. Stable disease was maintained for 12 months without severe adverse events, preserving quality of life. 177Lu-PRRT is a promising therapeutic option for high-grade, somatostatin receptor-positive renal NET when other treatments fail.
{"title":"A case of renal primary neuroendocrine tumor (G3) in which 177Lu-PRRT was effective for disease control","authors":"Saki Inaba , Toshiki Kijima , Mina Takaoka , Toshitaka Uematsu , Kohei Takei , Masahiro Yashi , Kazuyuki Ishida , Taku Aoki , Takao Kamai","doi":"10.1016/j.eucr.2025.103337","DOIUrl":"10.1016/j.eucr.2025.103337","url":null,"abstract":"<div><div>Primary renal neuroendocrine tumor (NET) is extremely rare, with no established treatment for advanced cases. We report high-grade (G3) renal NET effectively treated with peptide receptor radionuclide therapy (PRRT). A 30-year-old man was diagnosed with primary renal NET G3 with liver metastases. After everolimus failure, he received 177Lu-DOTATATE (Lutathera®). Although the tumor continued growing after the first cycle, disease stabilized from the second cycle onwards. Stable disease was maintained for 12 months without severe adverse events, preserving quality of life. 177Lu-PRRT is a promising therapeutic option for high-grade, somatostatin receptor-positive renal NET when other treatments fail.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103337"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898022","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}
Pub Date : 2026-01-01DOI: 10.1016/j.eucr.2025.103322
Manzoor Ahmad , Hazique Jameel , Mohd Rafey , Ahmad Sadiq , Gyan Sachin Rao
Pediatric RCC often presents late and with non-specific symptoms posing diagnostic and surgical challenges especially when associated with vascular anomalies.
Case summary
A 15-year-old boy presented with a progressively enlarging right lumbar lump, intermittent painless hematuria, and early-onset hypertension. Examination showed a firm, ballotable right lumbar mass, with microscopic hematuria and elevated plasma renin. CECT revealed an 8.5 × 7 cm enhancing lower-pole right renal mass with dual arterial supply. Open radical nephrectomy was performed. Histopathology confirmed RCC-NOS, Fuhrman grade II, without lymphovascular invasion. Postoperatively, blood pressure normalized and the patient remains disease-free at 12-month follow-up.
{"title":"Renal cell carcinoma with anomalous vascular anatomy in a 15-year-old male: Case report with review of literature","authors":"Manzoor Ahmad , Hazique Jameel , Mohd Rafey , Ahmad Sadiq , Gyan Sachin Rao","doi":"10.1016/j.eucr.2025.103322","DOIUrl":"10.1016/j.eucr.2025.103322","url":null,"abstract":"<div><div>Pediatric RCC often presents late and with non-specific symptoms posing diagnostic and surgical challenges especially when associated with vascular anomalies.</div></div><div><h3>Case summary</h3><div>A 15-year-old boy presented with a progressively enlarging right lumbar lump, intermittent painless hematuria, and early-onset hypertension. Examination showed a firm, ballotable right lumbar mass, with microscopic hematuria and elevated plasma renin. CECT revealed an 8.5 × 7 cm enhancing lower-pole right renal mass with dual arterial supply. Open radical nephrectomy was performed. Histopathology confirmed RCC-NOS, Fuhrman grade II, without lymphovascular invasion. Postoperatively, blood pressure normalized and the patient remains disease-free at 12-month follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103322"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924406","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}
Pub Date : 2025-12-31DOI: 10.1016/j.eucr.2025.103324
Faisl Alslimah , Maher Moazin , Abdulrahman Alshehri , Yasser Alharbi , Ali Howaidi , Saif Alqahtani , Salman Almalki
Sclerosing epithelioid fibrosarcoma (SEF) is a rare variant of fibrosarcoma that primarily arises in the deep soft tissue of the extremities and trunk. Primary SEF in the visceral organs is rare, and only a few cases have been reported. A 20-year-old man was diagnosed with primary renal SEF metastatic to the lymph nodes and bone, which was managed with open right radical nephrectomy and ongoing chemotherapy. Immunohistochemical staining for MUC-4, vimentin, BCL-2, and EMA was positive in tumor cells. Next-generation sequencing revealed the presence of EWSR–CREB3L1 gene fusions and SMARCB1 rearrangement in exon 6.
{"title":"Primary renal sclerosing epithelioid fibrosarcoma: A case report","authors":"Faisl Alslimah , Maher Moazin , Abdulrahman Alshehri , Yasser Alharbi , Ali Howaidi , Saif Alqahtani , Salman Almalki","doi":"10.1016/j.eucr.2025.103324","DOIUrl":"10.1016/j.eucr.2025.103324","url":null,"abstract":"<div><div>Sclerosing epithelioid fibrosarcoma (SEF) is a rare variant of fibrosarcoma that primarily arises in the deep soft tissue of the extremities and trunk. Primary SEF in the visceral organs is rare, and only a few cases have been reported. A 20-year-old man was diagnosed with primary renal SEF metastatic to the lymph nodes and bone, which was managed with open right radical nephrectomy and ongoing chemotherapy. Immunohistochemical staining for MUC-4, vimentin, BCL-2, and EMA was positive in tumor cells. Next-generation sequencing revealed the presence of EWSR–CREB3L1 gene fusions and SMARCB1 rearrangement in exon 6.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103324"},"PeriodicalIF":0.4,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898021","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}
Pub Date : 2025-12-30DOI: 10.1016/j.eucr.2025.103332
Kinh Luan Thai , Duy Dien Nguyen , Do La Quach , Nho Tinh Le , Le Quy Van Dinh , Minh Dinh Nguyen , Ryan Dobbs , Ho Trong Tan Truong , Tuan Thanh Nguyen , Xuan Thai Ngo
Zinner Syndrome (ZS) is a rare congenital anomaly defined by the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a 55-year-old male presenting with chronic perineal pain and LUTS. Imaging confirmed ZS (right renal agenesis, 3.3 × 3.8 cm seminal vesicle cyst). The patient underwent surgical excision, converting from laparoscopic to open due to dense adhesions. He achieved complete symptom resolution and remained stable at two-year follow-up. ZS should be considered in older males with non-specific LUTS. Surgery is effective, and advanced imaging is crucial for diagnosis.
{"title":"Zinner syndrome: Late-Diagnosis in a 55-year-old male and favorable outcome after surgical excision - A case report and review of the literature","authors":"Kinh Luan Thai , Duy Dien Nguyen , Do La Quach , Nho Tinh Le , Le Quy Van Dinh , Minh Dinh Nguyen , Ryan Dobbs , Ho Trong Tan Truong , Tuan Thanh Nguyen , Xuan Thai Ngo","doi":"10.1016/j.eucr.2025.103332","DOIUrl":"10.1016/j.eucr.2025.103332","url":null,"abstract":"<div><div>Zinner Syndrome (ZS) is a rare congenital anomaly defined by the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a 55-year-old male presenting with chronic perineal pain and LUTS. Imaging confirmed ZS (right renal agenesis, 3.3 × 3.8 cm seminal vesicle cyst). The patient underwent surgical excision, converting from laparoscopic to open due to dense adhesions. He achieved complete symptom resolution and remained stable at two-year follow-up. ZS should be considered in older males with non-specific LUTS. Surgery is effective, and advanced imaging is crucial for diagnosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103332"},"PeriodicalIF":0.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898041","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}
Pub Date : 2025-12-30DOI: 10.1016/j.eucr.2025.103334
Nicola Schiavone , Marco Finati , Anna Ricapito , Antonio Fanelli , Gaetano Valerio Palella , Ugo Giovanni Falagario , Luigi Cormio , Carlo Bettocchi , Gian Maria Busetto , Giuseppe Carrieri
Solitary adrenal metastasis from bladder urothelial carcinoma is extremely uncommon. We report a 52-year-old man with high-grade pT3bN0R0 urothelial carcinoma of the bladder, who developed a solitary right adrenal metastasis (59 × 31 mm) 20 months after neoadjuvant chemotherapy and cystectomy (visible at the November 2024 CT, absent in March 2024). Surgical adrenalectomy was aborted due to adhesions and muscular invasion. After systemic therapy, the disease progressed with bilateral adrenal involvement. Adrenal metastases occur in 14 % of bladder cancer cases, isolated adrenal involvement is rare and aggressive; guidelines emphasise individualized multimodal management and suggest that earlier PET/CT may improve outcomes.
{"title":"Solitary adrenal gland metastasis detected at 24-month follow-up for muscle-invasive bladder cancer","authors":"Nicola Schiavone , Marco Finati , Anna Ricapito , Antonio Fanelli , Gaetano Valerio Palella , Ugo Giovanni Falagario , Luigi Cormio , Carlo Bettocchi , Gian Maria Busetto , Giuseppe Carrieri","doi":"10.1016/j.eucr.2025.103334","DOIUrl":"10.1016/j.eucr.2025.103334","url":null,"abstract":"<div><div>Solitary adrenal metastasis from bladder urothelial carcinoma is extremely uncommon. We report a 52-year-old man with high-grade pT3bN0R0 urothelial carcinoma of the bladder, who developed a <strong>solitary</strong> right adrenal metastasis (59 × 31 mm) 20 months after neoadjuvant chemotherapy and cystectomy (visible at the November 2024 CT, absent in March 2024). Surgical adrenalectomy was aborted due to adhesions and muscular invasion. After systemic therapy, the disease progressed with bilateral adrenal involvement. Adrenal metastases occur in 14 % of bladder cancer cases, isolated adrenal involvement is rare and aggressive; guidelines emphasise individualized multimodal management and suggest that earlier PET/CT may improve outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103334"},"PeriodicalIF":0.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897994","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}