Larger tumors may require flank, transabdominal, or thoracoabdominal approaches, but they also have been removed successfully with laparoscopic approaches. (medscape.com)
The posterior approach typically is used for small tumors and in the past was recommended for bilateral exploration in bilateral hyperaldosteronism. (medscape.com)
These tumors corresponds to renal cell carcinoma (RCC) stage T1a. (e-urol-sci.com)
Although renal tumors are primarily detected on various imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), or ultrasound, they do not offer a definitive diagnosis. (e-urol-sci.com)
Ablation3
Today, with the advancements in localization, Cushing disease is treated with bilateral adrenalectomy only when ablation of the pituitary through radiation or surgery has failed or when medical therapy does not control secretion. (medscape.com)
These range from conventional radical approaches such as radical nephrectomy, partial nephrectomy, to more conservative approaches such as active surveillance, and some novel emerging management strategies such as various thermal ablation techniques. (e-urol-sci.com)
The American Society of Clinical Oncology (ASCO) guidelines recommends considering a biopsy for every SRM identified and it is deemed necessary for patients undergoing ablation therapies before treatment. (e-urol-sci.com)
Urology1
In 1961, Schlegel et al first reported the usefulness of sonography in urology, for the detection of renal calculi . (medscape.com)
Therapies1
Dr. Spiess' research interests include novel therapies for advanced renal, bladder and penile cancer. (moffitt.org)
Patients1
Bilateral adrenalectomy was the suggested treatment for patients with micronodular or macronodular hyperplasia, incurable pituitary Cushing syndrome, or an unknown source of ACTH. (medscape.com)
Management3
BACKGROUND: Endoscopic management of upper tract urothelial cancer (UTUC) is an important treatment option for low risk UTUC. (bvsalud.org)
METHODS: This study retrospectively reviewed the treatment outcomes of endoscopic management for clinically localized UTUC. (bvsalud.org)
The management of bilateral adrenal hyperplasia is centered on medical therapy. (medscape.com)
Diagnosis4
Surgery of neuroblastoma is an important element in diagnosis, staging, and treatment of children with neuroblastoma. (medscape.com)
When an employee faces a serious health problem or is told he or she needs surgery, seeking a 2nd opinion from another physician can, in some cases, have a significant impact on their diagnosis, treatment plan or prognosis. (surgerysecondopinion.com)
Not seeking a 2nd opinion in the case of a serious, complex, or rare diagnosis or recommendation for elective surgery is a missed opportunity to lower the risk of misdiagnosis and inappropriate or ineffective treatment. (surgerysecondopinion.com)
It's not common that treatment for most health problems, including most cancers, needs to start immediately after diagnosis. (surgerysecondopinion.com)
Small2
Small renal masses (SRM) are defined as contrast-enhancing solid masses detected on diagnostic imaging, with a size of less than or equal to 4cm, corresponding to renal cell carcinoma stage T1a. (e-urol-sci.com)
Small renal masses (SRM) are defined as contrast-enhancing solid masses detected on abdominopelvic imaging, with a size of ≤4 cm. (e-urol-sci.com)
Standard2
The laparoscopic approach is now considered the criterion standard for most adrenal surgery. (medscape.com)
Some treatments are fairly standard, straight forward procedures - but with cancers that are more rare or unusual, different doctors may disagree on treatment methods. (surgerysecondopinion.com)
Option1
Get a 2nd opinion and see if there might be a treatment option available after all. (surgerysecondopinion.com)
Medical3
Medical 2nd opinion for medical or surgical diagnoses are exceedingly common, and even when they don't lead to another treatment plan, they're a worthwhile exercise. (surgerysecondopinion.com)
A medical second opinion provides provides you a cross-check, helping you compare how your current treatment advise matches up to another doctors advice. (surgerysecondopinion.com)
Specially Cancer treatment is a matter that greatly affects your personal health, your financial well-being, and your quality of life.It is your right toget a medical second opinion , no matter what. (surgerysecondopinion.com)
Cancer3
Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
If your cancer is unusual, getting a 2nd opinion is the best way to ensure you receive the best treatment possible. (surgerysecondopinion.com)