Pub Date : 2025-12-01DOI: 10.1016/j.eucr.2025.103297
Abdullahi Hassan Elmi , Fahmo Hussein Ibrahim , Ahmed Omar Abdi
In many African communities, including Somalia, traditional male circumcision remains a deeply rooted cultural practice. However, when performed by untrained individuals in resource-limited settings, it can result in severe complications. We report the case of a one-year-old Somali boy who suffered complete penile glans amputation after circumcision by a traditional practitioner using non-sterile instruments. The child developed urinary obstruction and swelling, with delayed access to medical care. At a tertiary hospital, reconstructive surgery was unavailable, and referral abroad was required. This case emphasizes the dangers of unsafe circumcision and the urgent need for safer, medically supervised practices.
{"title":"Penile glans amputation following untrained male circumcision in rural Somalia: A case report of a rare but serious complication in a resource-limited setting Somalia","authors":"Abdullahi Hassan Elmi , Fahmo Hussein Ibrahim , Ahmed Omar Abdi","doi":"10.1016/j.eucr.2025.103297","DOIUrl":"10.1016/j.eucr.2025.103297","url":null,"abstract":"<div><div>In many African communities, including Somalia, traditional male circumcision remains a deeply rooted cultural practice. However, when performed by untrained individuals in resource-limited settings, it can result in severe complications. We report the case of a one-year-old Somali boy who suffered complete penile glans amputation after circumcision by a traditional practitioner using non-sterile instruments. The child developed urinary obstruction and swelling, with delayed access to medical care. At a tertiary hospital, reconstructive surgery was unavailable, and referral abroad was required. This case emphasizes the dangers of unsafe circumcision and the urgent need for safer, medically supervised practices.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103297"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691033","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 : 2025-12-01DOI: 10.1016/j.eucr.2025.103300
Mandana Gholami, Jimmy Lam
We report the first documented case of peri-ureteric, low-grade urothelial carcinoma presenting over two decades after initial non–muscle-invasive bladder cancer (NMIBC). A 75-year-old male, treated with intravesical BCG, remained recurrence-free for ten years before developing a low-grade bladder recurrence after ten years. Surveillance imaging revealed left hydronephrosis and peri-ureteric thickening despite normal ureteroscopy and negative cytology. CT-guided biopsy confirmed low-grade papillary urothelial carcinoma external to the ureter. Robot-assisted nephroureterectomy showed a non-invasive tumour encasing, but not invading, the ureter, suggesting origin from ectopic urothelial nests. This rare presentation highlights a surveillance blind spot for extraluminal urothelial carcinoma.
{"title":"First reported case of peri-ureteric urothelial carcinoma","authors":"Mandana Gholami, Jimmy Lam","doi":"10.1016/j.eucr.2025.103300","DOIUrl":"10.1016/j.eucr.2025.103300","url":null,"abstract":"<div><div>We report the first documented case of peri-ureteric, low-grade urothelial carcinoma presenting over two decades after initial non–muscle-invasive bladder cancer (NMIBC). A 75-year-old male, treated with intravesical BCG, remained recurrence-free for ten years before developing a low-grade bladder recurrence after ten years. Surveillance imaging revealed left hydronephrosis and peri-ureteric thickening despite normal ureteroscopy and negative cytology. CT-guided biopsy confirmed low-grade papillary urothelial carcinoma external to the ureter. Robot-assisted nephroureterectomy showed a non-invasive tumour encasing, but not invading, the ureter, suggesting origin from ectopic urothelial nests. This rare presentation highlights a surveillance blind spot for extraluminal urothelial carcinoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103300"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691036","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 : 2025-12-01DOI: 10.1016/j.eucr.2025.103298
Riona Asai , Tomonori Sato , Yuto Yamazaki , Yuta Tezuka , Yoshikiyo Ono , Hiromichi Katayama , Yohei Satake , Takuma Sato , Yoshihide Kawasaki , Naoki Kawamorita , Hideki Katagiri , Akihiro Ito
123I-metaiodobenzylguanidine (MIBG) scintigraphy is highly accurate for diagnosing pheochromocytoma and paraganglioma (PPGL), and positive uptake in non-PPGL adrenal lesions is rare. We report a 56-year-old woman with an adrenal endothelial cyst (vascular type) showing localized 123I-MIBG uptake, initially suspected to be pheochromocytoma. After mild growth during observation, robot-assisted adrenalectomy was performed. Histopathology confirmed an endothelial cyst positive for CD31 and D2-40. Among 601 adrenalectomies, eight adrenal endothelial cysts (1.3 %) were identified, three showing MIBG uptake. Adrenal endothelial cysts may rarely show MIBG uptake, complicating preoperative differentiation from PPGL.
{"title":"A case of adrenal endothelial cyst (vascular type) with positive 123I-MIBG uptake","authors":"Riona Asai , Tomonori Sato , Yuto Yamazaki , Yuta Tezuka , Yoshikiyo Ono , Hiromichi Katayama , Yohei Satake , Takuma Sato , Yoshihide Kawasaki , Naoki Kawamorita , Hideki Katagiri , Akihiro Ito","doi":"10.1016/j.eucr.2025.103298","DOIUrl":"10.1016/j.eucr.2025.103298","url":null,"abstract":"<div><div><sup>123</sup>I-metaiodobenzylguanidine (MIBG) scintigraphy is highly accurate for diagnosing pheochromocytoma and paraganglioma (PPGL), and positive uptake in non-PPGL adrenal lesions is rare. We report a 56-year-old woman with an adrenal endothelial cyst (vascular type) showing localized <sup>123</sup>I-MIBG uptake, initially suspected to be pheochromocytoma. After mild growth during observation, robot-assisted adrenalectomy was performed. Histopathology confirmed an endothelial cyst positive for CD31 and D2-40. Among 601 adrenalectomies, eight adrenal endothelial cysts (1.3 %) were identified, three showing MIBG uptake. Adrenal endothelial cysts may rarely show MIBG uptake, complicating preoperative differentiation from PPGL.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103298"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691029","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 : 2025-12-01DOI: 10.1016/j.eucr.2025.103299
Majd Oweidat , Saad Halabi , Raed A.H. Alhashash , Ahmad Hijazi , Haya Taha , Fawaz Halabi , Afnan A. Radaydeh
A 1-year-old boy with a known left undescended testis presented with 7 days of fever, irritability, and progressive lower-abdominal distension. He was febrile and tachycardic with a firm lower-abdominal mass and an empty left hemiscrotum; white blood cells 17 × 109/L, C-reactive protein 200 mg/L, platelets 680 × 109/L, hemoglobin 6.8 g/dL. Ultrasound showed a heterogeneous avascular intra-abdominal mass; computed tomography showed a large cystic lesion containing fat and calcifications with a left pedicle “whirlpool sign”. Urgent laparotomy with detorsion and excision revealed prepubertal-type testicular teratoma. This case highlights torsion's abdominal presentation in cryptorchidism and the value of prompt surgery and timely orchiopexy.
{"title":"Intra-abdominal testicular teratoma complicated by torsion: A case report","authors":"Majd Oweidat , Saad Halabi , Raed A.H. Alhashash , Ahmad Hijazi , Haya Taha , Fawaz Halabi , Afnan A. Radaydeh","doi":"10.1016/j.eucr.2025.103299","DOIUrl":"10.1016/j.eucr.2025.103299","url":null,"abstract":"<div><div>A 1-year-old boy with a known left undescended testis presented with 7 days of fever, irritability, and progressive lower-abdominal distension. He was febrile and tachycardic with a firm lower-abdominal mass and an empty left hemiscrotum; white blood cells 17 × 10<sup>9</sup>/L, C-reactive protein 200 mg/L, platelets 680 × 10<sup>9</sup>/L, hemoglobin 6.8 g/dL. Ultrasound showed a heterogeneous avascular intra-abdominal mass; computed tomography showed a large cystic lesion containing fat and calcifications with a left pedicle “whirlpool sign”. Urgent laparotomy with detorsion and excision revealed prepubertal-type testicular teratoma. This case highlights torsion's abdominal presentation in cryptorchidism and the value of prompt surgery and timely orchiopexy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103299"},"PeriodicalIF":0.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691032","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 : 2025-11-26DOI: 10.1016/j.eucr.2025.103296
Joshua David Bruinsma , Matthew Chau , Hugo C. Temperley , Nicole Swarbrick , Mikhail Lozinskiy
Polyorchidism is a rare anomaly, often associated with cryptorchidism and risk of malignancy. Vanishing testis syndrome results from antenatal torsion with resorption. A 38-year-old male with prior orchiectomy for atrophic testis presented with abdominal pain. Imaging revealed a 12 cm pelvic mass. Resection confirmed pure seminoma with epididymis and rete testis but no viable parenchyma. Review of prior histology showed features of testicular regression. This case demonstrates malignant transformation in a supernumerary intra-abdominal testis with ipsilateral regression, highlighting the importance of histological review and long-term vigilance.
{"title":"Intra-abdominal seminoma in polyorchidism with ipsilateral vanishing testis syndrome: A rare case report","authors":"Joshua David Bruinsma , Matthew Chau , Hugo C. Temperley , Nicole Swarbrick , Mikhail Lozinskiy","doi":"10.1016/j.eucr.2025.103296","DOIUrl":"10.1016/j.eucr.2025.103296","url":null,"abstract":"<div><div>Polyorchidism is a rare anomaly, often associated with cryptorchidism and risk of malignancy. Vanishing testis syndrome results from antenatal torsion with resorption. A 38-year-old male with prior orchiectomy for atrophic testis presented with abdominal pain. Imaging revealed a 12 cm pelvic mass. Resection confirmed pure seminoma with epididymis and rete testis but no viable parenchyma. Review of prior histology showed features of testicular regression. This case demonstrates malignant transformation in a supernumerary intra-abdominal testis with ipsilateral regression, highlighting the importance of histological review and long-term vigilance.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103296"},"PeriodicalIF":0.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624559","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 : 2025-11-26DOI: 10.1016/j.eucr.2025.103294
Miguel Gil, José Cabrita Carneiro, Ana Meireles, Luís Campos Pinheiro
Penile melanoma is a rare neoplasm with aggressive biological behaviour and a dismal prognosis. We report the case of a 65-year-old male with a pigmented nodular lesion on the glans. Histopathology confirmed the diagnosis of penile melanoma with adverse prognostic features. Lymph node involvement was already present at diagnosis. He underwent partial penectomy and robotic-assisted laparoscopic bilateral inguinal and pelvic lymph node dissection, following confirmation of lymphatic spread by fine needle aspiration cytology. Thereafter, he received adjuvant radiotherapy and was started on nivolumab. This case highlights the importance of multimodal treatment, with no recurrence after 15 months of follow-up.
{"title":"Not all penile tumours are alike: A rare case of penile melanoma","authors":"Miguel Gil, José Cabrita Carneiro, Ana Meireles, Luís Campos Pinheiro","doi":"10.1016/j.eucr.2025.103294","DOIUrl":"10.1016/j.eucr.2025.103294","url":null,"abstract":"<div><div>Penile melanoma is a rare neoplasm with aggressive biological behaviour and a dismal prognosis. We report the case of a 65-year-old male with a pigmented nodular lesion on the glans. Histopathology confirmed the diagnosis of penile melanoma with adverse prognostic features. Lymph node involvement was already present at diagnosis. He underwent partial penectomy and robotic-assisted laparoscopic bilateral inguinal and pelvic lymph node dissection, following confirmation of lymphatic spread by fine needle aspiration cytology. Thereafter, he received adjuvant radiotherapy and was started on nivolumab. This case highlights the importance of multimodal treatment, with no recurrence after 15 months of follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103294"},"PeriodicalIF":0.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691037","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 : 2025-11-26DOI: 10.1016/j.eucr.2025.103295
Yuli Zheng , Xiaoxuan Wang , Shanfang Tang
Xanthogranulomatous prostatitis (XGP) is extremely rare, and its clinical symptoms or imaging findings are difficult to distinguish from those of prostate cancer. This patient presented clinically with severe urinary tract infection and urinary tract obstruction, firstly he was initially treated with antibiotics. Through conservative treatments such as anti-inflammatory and symptomatic therapies, the patient's symptoms and indicators were controlled, and the PSA value decreased to 3.4ng/ml. For patients with significant clinical inflammatory indicators, elevated PSA levels, and high MRI PI-RADS scores, the possibility of XGP should be first excluded to avoid misdiagnosis and overtreatment.
{"title":"A rare case of successful treatmeat of xanthogranulomatous prostatitis and literature reviews","authors":"Yuli Zheng , Xiaoxuan Wang , Shanfang Tang","doi":"10.1016/j.eucr.2025.103295","DOIUrl":"10.1016/j.eucr.2025.103295","url":null,"abstract":"<div><div>Xanthogranulomatous prostatitis (XGP) is extremely rare, and its clinical symptoms or imaging findings are difficult to distinguish from those of prostate cancer. This patient presented clinically with severe urinary tract infection and urinary tract obstruction, firstly he was initially treated with antibiotics. Through conservative treatments such as anti-inflammatory and symptomatic therapies, the patient's symptoms and indicators were controlled, and the PSA value decreased to 3.4ng/ml. For patients with significant clinical inflammatory indicators, elevated PSA levels, and high MRI PI-RADS scores, the possibility of XGP should be first excluded to avoid misdiagnosis and overtreatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103295"},"PeriodicalIF":0.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691034","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}
Ureteral stenting is widely used to relieve obstruction, but rare complications such as migration may occur. We report a 60-year-old woman with recurrent nephrolithiasis who presented with pyelonephritis due to a left ureteral stone. After antibiotic therapy and double-J stent placement, she underwent three ESWL sessions. Follow-up CT showed remaining fragments and absence of the upper coil of the stent, suggesting extrarenal migration. Extrarenal displacement was confirmed on the day of ureteroscopy by fluoroscopy. The stent was removed and replaced safely; recovery was uneventful. This case highlights the importance of fluoroscopic control and follow-up imaging to reveal uncommon stent-related complications.
{"title":"Complete extrarenal migration of a double-J ureteral stent following ureteral stone management: A case report","authors":"Maachi Youssef, Elafari Amine, Bentaleb Youssef, Slaoui Amine, Karmouni Tariq, Koutani Abdellatif, Elkhader Khalid","doi":"10.1016/j.eucr.2025.103292","DOIUrl":"10.1016/j.eucr.2025.103292","url":null,"abstract":"<div><div>Ureteral stenting is widely used to relieve obstruction, but rare complications such as migration may occur. We report a 60-year-old woman with recurrent nephrolithiasis who presented with pyelonephritis due to a left ureteral stone. After antibiotic therapy and double-J stent placement, she underwent three ESWL sessions. Follow-up CT showed remaining fragments and absence of the upper coil of the stent, suggesting extrarenal migration. Extrarenal displacement was confirmed on the day of ureteroscopy by fluoroscopy. The stent was removed and replaced safely; recovery was uneventful. This case highlights the importance of fluoroscopic control and follow-up imaging to reveal uncommon stent-related complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103292"},"PeriodicalIF":0.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624561","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 : 2025-11-24DOI: 10.1016/j.eucr.2025.103291
Michael Lesgart , Steven Leonard , Francesca Montanaro , Emma Helstrom , Kenneth Richer , Abigail Keller , Nicholas Mackrides , Alexander Kutikov
Inflammatory myofibroblastic tumors (IMT) are exceedingly rare, particularly when originating in the bladder. Complete surgical resection is the gold standard treatment for IMTs. We describe a case of IMT of the urinary bladder that achieved complete radiographic and endoscopic resolution after systemic treatment with ipilimumab and nivolumab directed towards metastatic melanoma. This case is noteworthy due to the tumor's serendipitous and remarkable response to immunotherapy.
{"title":"Unexpected complete resolution of intravesical inflammatory myofibroblastic tumor after immunotherapy for melanoma: A case report","authors":"Michael Lesgart , Steven Leonard , Francesca Montanaro , Emma Helstrom , Kenneth Richer , Abigail Keller , Nicholas Mackrides , Alexander Kutikov","doi":"10.1016/j.eucr.2025.103291","DOIUrl":"10.1016/j.eucr.2025.103291","url":null,"abstract":"<div><div>Inflammatory myofibroblastic tumors (IMT) are exceedingly rare, particularly when originating in the bladder. Complete surgical resection is the gold standard treatment for IMTs. We describe a case of IMT of the urinary bladder that achieved complete radiographic and endoscopic resolution after systemic treatment with ipilimumab and nivolumab directed towards metastatic melanoma. This case is noteworthy due to the tumor's serendipitous and remarkable response to immunotherapy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103291"},"PeriodicalIF":0.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624557","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 : 2025-11-24DOI: 10.1016/j.eucr.2025.103290
Aamir Bashir Raina , Sajad Ahmad Para , Ghulam Mustafa , Abdul Rouf Khawaja , Gokul Kannan , Arif Hamid Bhat
Varicocele is the most common non-ductal surgically correctable pathology affecting the male reproductive potential. It is more common on left side. Solitary right side varicocele is infrequent and if identified, pathologies like renal tumor should be considered. We report a rare case of right gonadal vessel paraganglioma presenting as a long standing isolated right-sided varicocele.
{"title":"Scary varicocele secondary to gonadal vessel paraganglioma - A rare case report","authors":"Aamir Bashir Raina , Sajad Ahmad Para , Ghulam Mustafa , Abdul Rouf Khawaja , Gokul Kannan , Arif Hamid Bhat","doi":"10.1016/j.eucr.2025.103290","DOIUrl":"10.1016/j.eucr.2025.103290","url":null,"abstract":"<div><div>Varicocele is the most common non-ductal surgically correctable pathology affecting the male reproductive potential. It is more common on left side. Solitary right side varicocele is infrequent and if identified, pathologies like renal tumor should be considered. We report a rare case of right gonadal vessel paraganglioma presenting as a long standing isolated right-sided varicocele.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"64 ","pages":"Article 103290"},"PeriodicalIF":0.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624558","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}
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