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  • Operly. Generic viagra online More information. Cancer. 2006 aug 15;107(4):712-20. Urachal carcinoma: clinicopathologic features and long-term outcomes of an aggressive malignancy. Ashley ra, inman ba, sebo tj, leibovich bc, blute ml, kwon ed, zincke h. Source department of urology, mayo clinic college of medicine, rochester, minnesota 55905, usa. Abstract background: urachal carcinoma (urc) is a rare malignancy, and patients with this disease have a poor prognosis. In this article, the authors report 50 years of experience with this tumor at the mayo clinic. Methods: a urachal mass was described in cardinal patients, and 66 of those masses were malignant. The authors identified multivariate predictors of malignancy in clinically diagnosed urachal masses and predictors of urc-specific survival. This report presents a novel 4-category staging system for urc along with the treatment history of this tumor and the results of salvage therapy. Results: twenty women and 46 men were identified with urc. The strongest predictors of malignancy in a urachal mass were hematuria and age older than 55 years. The 5-year cancer-specific survival rate was 49%. Order viagra online australia The new mayo staging system was less complicated than the sheldon system, although both systems predicted cancer-specific mortality equally well. Positive surgical margins (hazard ratio [hr], 4. 7), high tumor grade (hr, 3. 6), positive local lymph nodes (hr, 5. 1), metastases at diagnosis (hr, 3. 3), advanced tumor stage (hr, 4. 8), failure to perform umbilectomy (hr, 3. Best price viagra australia 0), and primary radiation therapy (hr, 2. 9) were all univariately associated with death (p <. 05). Only grade and margins were significant in the multivariate analysis. No survival benefit was noted for lymphadenectomy or adjuvant therapy. Salvage surgery resulted in a long-term cure for 50% of patients who had local recurrences. No effective treatment was identified for patients with metastatic urc. Conclusions: early and complete extended partial cystectomy, including umbilectomy, is critical to the survival of patients with urc. The authors recommend using the mayo staging system in future studies because of its simplicity. The current results indicated that the most important predictors of prognosis were tumor grade and surgical margin status. Pmid: 16826585 [pubmed - indexed for medline] free full text publication types, mesh terms publication types comparative study mesh terms cohort studies cystectomy female humans male middle aged neoplasm staging prognosis salvage therapy survival rate time factors treatment outcome urachus* urologic neoplasms/pathology* urologic neoplasms/surgery linkout - more resources full text sources john wiley & sons, inc. Ebsco ohiolink electronic journal center other literature sources cos scholar universe miscellaneous swets information services supplemental content save items add to favorites loading related citations in pubmed urachal carcinoma: contemporary surgical outcomes. [j urol. 2007] urachal carcinoma: contemporary surgical outcomes. Herr hw, bochner bh, sharp d, dalbagni g, reuter ve. J urol. 2007 jul; 178(1):74-8; discussion 78. Epub 2007 may 11. Review overview of resistance to systemic therapy in patients with breast cancer. [adv exp med biol. 2007] review overview of resistance to systemic therapy in patients with breast cancer. Gonzalez-angulo am, morales-vasquez f, hortobagyi gn. buy viagra online japanese Adv exp med biol. 2007; 608:1-22. Predictors of survival from urachal cancer: a mayo clinic study of 49 cases. [cancer. 2007] predictors of survival from urachal cancer: a mayo clinic study of 49 cases. Molina jr, quevedo jf, furth af, richardson rl, zincke h, burch pa. Cancer. 2007 dec 1; 110(11):2434-40. buy viagra online japanese [urachal mass in adults: clinical analysis of 33 cases]. [zhonghua yi xue za zhi. 2008] [urachal mass in adults: clinical analysis of 33 cases]. Tian j, ma jh, li cl, xiao zd. Buy viagra dublin Zhonghua yi xue za zhi. 2008 mar 25; 88(12):820-2. Review the effectiveness and cost-effectiveness of carmustine implants and temozolomide for the treatment of newly diagnosed high-grade glioma: a systematic review and economic evaluation. [health technol assess. 2007] review the effectiveness and cost-effectiveness of carmustine implants and temozolomide for the treatment of newly diagnosed high-grade glioma: a systematic review and economic evaluation. Garside r, pitt m, anderson r, rogers g, dyer m, mealing s, somerville m, price a, stein k. Health technol assess. 2007 nov; 11(45):iii-iv, ix-221. Internet viagra sales See reviews... See all... buy viagra online japanese Cited by 7 pubmed central articles synchronous urothelial carcinoma of the bladder and urachal adenoma with subsequent malignant transformation. [korean j urol. 2012] synchronous urothelial carcinoma of the bladder and urachal adenoma with subsequent malignant transformation. Pan d, tay yk, donnellan s. Korean j urol. 2012 jun; 53(6):438-40. Epub 2012 jun 19. Brain metastasis from urachal carcinoma: the importance of locally aggressive treatment. [rare tumors. 2012] brain metastasis from urachal carcinoma: the importance of locally aggressive treatment. Taussky. Generic viagra walmart 1,014 Total Members
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