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Original Research

The Comparison of Men Circumcised in Adulthood and Circumcised in Childhood in Terms of Self- Esteem, Mood and Sexual Functions


1 Nevşehir State Hospital, Department of Urology, Nevşehir, Turkey
2 Helath and Science University, Sultan Abdulhamid Han Training and Research Hospital, Department of Urology, Istanbul, Turkey 
3 Osmaniye Düziçi State Hospital, Department of Urology, Osmaniye, Turkey
 


DOI : 10.33719/yud.735899
New J Urol. 2021; 16-(1): 20-24

Abstract

Objective: Primitive neuroectodermal tu-mors (PNET) of the kidney are very rare tu-mors with aggressive behavior. They usually are associated with poor prognosis.

Case: A 26-year old male patient presented to our clinic with right flank pain, microscopic hematuria and moderate-heavy nausea com-plaints. CT imaging studies showed a tumor with 17x13x18 cm dimensions. A mass excision was not possible caused by tumor spread to liv-er surface and duodenum and the tumor could not be separated from these surfaces. The op-eration was finished with an excisional biopsy.

The patient received 7 cycles of alternating IE/VAC chemotherapy sessions. At 5th month of follow-up, PET-CT scans showed that the tumor was regressed to 8x6x7 cm dimensions. Following this outcome, radical nephrectomy was performed without risking any other or-gans.

Conclusion: Neoadjuvant chemotherapy can be employed prior to radical nephrectomy in such cases in order to radically/efficiently/drastically reduce the tumor mass

Key Words: neuroectodermal tumor, kid-ney, neoadjuvant chemotherapy


Abstract

Objective: Primitive neuroectodermal tu-mors (PNET) of the kidney are very rare tu-mors with aggressive behavior. They usually are associated with poor prognosis.

Case: A 26-year old male patient presented to our clinic with right flank pain, microscopic hematuria and moderate-heavy nausea com-plaints. CT imaging studies showed a tumor with 17x13x18 cm dimensions. A mass excision was not possible caused by tumor spread to liv-er surface and duodenum and the tumor could not be separated from these surfaces. The op-eration was finished with an excisional biopsy.

The patient received 7 cycles of alternating IE/VAC chemotherapy sessions. At 5th month of follow-up, PET-CT scans showed that the tumor was regressed to 8x6x7 cm dimensions. Following this outcome, radical nephrectomy was performed without risking any other or-gans.

Conclusion: Neoadjuvant chemotherapy can be employed prior to radical nephrectomy in such cases in order to radically/efficiently/drastically reduce the tumor mass

Key Words: neuroectodermal tumor, kid-ney, neoadjuvant chemotherapy