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Neri B, Cipriani G, Fulignati C, Turrini M, Ponchietti R, Bartoletti R, Della Melina A, Di Cello V, Dominici A, Maleci D, Raugei A, Villari D, Nicita G. Weekly paclitaxel and epirubicin in the treatment of symptomatic hormone-refractory advanced prostate carcinoma: report of a phase II trial. Anticancer Drugs 2005; 16:63-6. [PMID: 15613906 DOI: 10.1097/00001813-200501000-00009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The efficacy of weekly paclitaxel in androgen-independent prostate cancer and its addictive cytotoxicity with anthracycline derivatives led us to determine the safety and efficacy of a weekly schedule of paclitaxel and epirubicin. Between October 2000 and November 2002, 32 patients were enrolled in this study. Patients characteristics included a median age of 72 years (range 68-77), adequate hepatic, cardiac, renal and bone marrow functions, ECOG performance status of 1-2, and no prior chemotherapy. All patients had received hormonal manipulation and seven patients (22%) had received prior palliative radiation therapy. The regimen consisted of paclitaxel 70 mg/m2 i.v. infusion for 2 h and epirubicin 30 mg/m2 in bolus every week. Treatment was continued for 3 months or until disease progression or unacceptable toxicity were observed. During the study, prostate-specific antigen (PSA) was monitored and response was defined as a 50% reduction in PSA levels, to be confirmed 4 weeks later. Thirty-one patients were evaluable for toxicity and 21 for objective response. Seventeen patients (57%) had a decline above 50% in PSA level that lasted more than 4 weeks with a median time to PSA progression and a median duration of PSA response of approximately 5.5 months. Ten of the 21 patients with measurable disease (47%) had a confirmed objective response (one complete response and 20 partial responses). Thirteen of 25 symptomatic patients (56 %) had improvement in pain. The median time to disease progression was 7.6 months and the median survival was 12.9. The most prominent grade 3 toxicities were reversible myelosuppression and fatigue. Nausea, vomiting, diarrhea and peripheral edema were minimal. No evidence of cardiac toxicity was recorded. Alopecia was frequent, but reversible, in all patients. We conclude that despite the small sample size, this study demonstrates that the combination of weekly paclitaxel and epirubicin is a well-tolerated regimen for androgen-independent prostate cancer. The results imply that a combination of these agents in a weekly schedule may have clinical potential in prostate cancer treatment.
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Affiliation(s)
- B Neri
- Department of Internal Medicine-Experimental and Clinical Oncology Center, University of Florence, Florence, Italy.
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2
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Neri B, Doni L, Gemelli MT, Fulignati C, Turrini M, Di Cello V, Dominici A, Maleci M, Mottola A, Ponchietti R, Raugei A, Valsuani G, Cini G. Phase II trial of weekly intravenous gemcitabine administration with interferon and interleukin-2 immunotherapy for metastatic renal cell cancer. J Urol 2002; 168:956-8. [PMID: 12187198 DOI: 10.1016/s0022-5347(05)64550-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE Since metastatic renal cell carcinoma has a poor prognosis and treatment strategies, including hormone therapy, chemotherapy and immunotherapy, have little impact on the quality of life and global survival statistics, new interest has recently focused on the combination of immuno-chemotherapy using pyrimidine analogues, such as gemcitabine. MATERIALS AND METHODS In a phase II study 16 patients with metastatic renal cell carcinoma were treated with 1,000 mg./m. gemcitabine intravenously on days 1, 8, 15 and 28 for 6 months, 3 MU (1 MU = 1 x 10(6) IU) interferon (IFN)-alpha intramuscularly 3 times a week and 4.5 million IU interleukin (IL)-2 subcutaneously daily for 5 days a week for 2 consecutive weeks every month for 6 months. Responding and nonprogressing cases were maintained on immunotherapy consisting of IFN-alpha and IL-2 for further 6 months. RESULTS In 15 evaluable patients overall response rate (1 complete response plus 3 partial response) was 28% while stable disease was achieved in 7 (47%). Median survival duration was 20 months (range, 9 to 26+) and median time to tumor progression was 14 months (6 to 26+). The complete response lasted 24+ months and partial response lasted 16 months. The regimen was well tolerated with only 1 case of neutropenia (WHO grade 3), while anorexia, fatigue and flu-like symptoms were the most common toxicity problems but were never greater than grade 2. CONCLUSIONS Despite the small sample size, this study demonstrates that gemcitabine combined with standard doses of IFN-alpha and low doses of IL-2 is effective treatment for metastatic renal cell carcinoma. This biotherapy was well tolerated and resulted in an optimum objective response and relatively long-term survival.
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Affiliation(s)
- B Neri
- Department of Internal Medicine, Oncological Day Hospital, University of Florence, Florence, Italy
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3
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Neri B, Doni L, Gemelli MT, Fulignati C, Turrini M, Di Cello V, Dominici A, Maleci M, Mottola A, Ponchietti R, Raugei A, Valsuani G, Cini G. Phase II trial of weekly intravenous gemcitabine administration with interferon and interleukin-2 immunotherapy for metastatic renal cell cancer. J Urol 2002; 168:956-8. [PMID: 12187198 DOI: 10.1097/01.ju.0000024680.77882.8b] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE Since metastatic renal cell carcinoma has a poor prognosis and treatment strategies, including hormone therapy, chemotherapy and immunotherapy, have little impact on the quality of life and global survival statistics, new interest has recently focused on the combination of immuno-chemotherapy using pyrimidine analogues, such as gemcitabine. MATERIALS AND METHODS In a phase II study 16 patients with metastatic renal cell carcinoma were treated with 1,000 mg./m. gemcitabine intravenously on days 1, 8, 15 and 28 for 6 months, 3 MU (1 MU = 1 x 10(6) IU) interferon (IFN)-alpha intramuscularly 3 times a week and 4.5 million IU interleukin (IL)-2 subcutaneously daily for 5 days a week for 2 consecutive weeks every month for 6 months. Responding and nonprogressing cases were maintained on immunotherapy consisting of IFN-alpha and IL-2 for further 6 months. RESULTS In 15 evaluable patients overall response rate (1 complete response plus 3 partial response) was 28% while stable disease was achieved in 7 (47%). Median survival duration was 20 months (range, 9 to 26+) and median time to tumor progression was 14 months (6 to 26+). The complete response lasted 24+ months and partial response lasted 16 months. The regimen was well tolerated with only 1 case of neutropenia (WHO grade 3), while anorexia, fatigue and flu-like symptoms were the most common toxicity problems but were never greater than grade 2. CONCLUSIONS Despite the small sample size, this study demonstrates that gemcitabine combined with standard doses of IFN-alpha and low doses of IL-2 is effective treatment for metastatic renal cell carcinoma. This biotherapy was well tolerated and resulted in an optimum objective response and relatively long-term survival.
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Affiliation(s)
- B Neri
- Department of Internal Medicine, Oncological Day Hospital, University of Florence, Florence, Italy
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4
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Neri B, Doni L, Fulignati C, Gemelli MT, Turrini M, Di Cello V, Dominici A, Mottola A, Raugei A, Ponchietti R, Cini G. Gemcitabine plus Epi-doxorubicin as first-line chemotherapy for bladder cancer in advanced or metastatic stage: a phase II. Anticancer Res 2002; 22:2981-4. [PMID: 12530029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
Combination chemotherapy with newer, more active drugs in patients with advanced and/or metastatic bladder cancer might show improved response rate and survival. Gemcitabine (GEM) and Epidoxorubicin (EPI) have demonstrated activity in this disease. In addition, experimental studies in vitro have shown that the two agents have additive-synergistic effects when used in combination. Our prior phase I dose-finding study in previously untreated patients with advanced or metastatic bladder cancer defined recommended doses for further trials of GEM 1000 mg/m2 and EPI 25 mg/m2 on days 1, 8 and 15 every 28 days. A phase II trial at this dose level was initiated in previously untreated patients to assess efficacy and toxicity. Eligible patients had measurable disease; Karnofsky performance status (PS) of > 40; no prior chemotherapy; and adequate bone marrow reserve, cardiac, hepatic and renal function. Thirty- one patients (22 males, 9 females) with median age of 64 (range 44-75) and median PS of 80 were accrued, and all were eligible. Twelve patients had T4N1-2 M0, 8 had lymph node only metastases, while 11 had visceral metastases (liver, bone, lung). A total of 181 cycles was administered (range 3-7 per patient). Major toxicities (WHO grade > or = 3) were: neutropenia in 5 patients, thrombocytopenia in 2 patients, and anemia in 2 patients. Three patients had febrile neutropenic episodes and only 3 patients required dose reduction. Grade 1-2 non-hematological toxicities included nausea/vomiting, stomatitis and alopecia. No cardiac toxicity was observed. Of the 30 response evaluable patients, 17 (57%) demonstrated a major response (3 complete and 14 partial) (95% CI: 39%-75%), 7 had stable disease (23%) and 6 progressed (20%). These preliminary results confirm the phase I observation that the combination of GEM--EPI is highly active in the treatment of advanced and metastatic bladder cancer with a favourable toxicity profile.
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Affiliation(s)
- B Neri
- Department of Internal Medicine, Oncological Day Hospital, Viale Pieraccini 18, 50139 Florence, Italy.
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5
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Abstract
Primary sarcomas of the kidney are rare, accounting for 1-3% of all renal malignancies. We describe an unusual case of renal leiomyosarcoma in a 41-year-old white woman who presented with a large smooth mass, which was mobile to the overlying structures and which occupied the right hypochondria and flank. Radical nephrectomy was carried out and the patient is well, without symptoms of relapse, 1 year after surgery. Leiomyosarcomas of the kidney have an aggressive and rapidly progressive natural history, with 5-year survival rates of 29-36%. Size <5 cm, low histological grade, absence of lymph node metastases and radical surgical treatment are all associated with a better prognosis. Irradiation and chemotherapy do not appear to alter the clinical course.
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Affiliation(s)
- A Dominici
- Department of Urology, University of Florence, Italy
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Dominici A, Castigli M, Mondaini N, Sarti E, Nesi G, Di Cello V. [Intestinal metaplasia of the bladder]. Arch Ital Urol Androl 1999; 71:233-5. [PMID: 10592537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
Intestinal metaplasia is a rare condition characterized by the presence of colonic epithelium and mucin-containing goblet cells in the bladder. According to its extension we can distinguish localized from widespread intestinal metaplasia. We describe a case of glandular cystitis intestinal-type in a 58-year-old man whose clinical history and diagnostic work-up are consistent with this proliferative abnormality. We also discuss the pathogenesis and the propensity of intestinal metaplasia to undergo neoplastic transformation.
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Affiliation(s)
- A Dominici
- Clinica Urologica I, Università di Firenze, Italia
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7
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Dominici A, Mondaini N, Agostini S, Castigli M, Maleci M, Sarti E, Di Cello V. [Cavernous adrenal hemangioma. Observation of a case and the problem of differential diagnosis]. MINERVA UROL NEFROL 1999; 51:167-9. [PMID: 10638182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Cavernous hemangiomas of adrenal gland are rare. A case of adrenal hemangioma discovered by chance and removed surgically is reported. A review of the literature is also made.
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Affiliation(s)
- A Dominici
- Clinica Urologica I, Università degli Studi, Firenze
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8
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Bartoletti R, Costanzi A, Messerini L, Palomba A, Dominici A, Di Cello V. Early stage inflammatory scrotal pseudotumor. J Urol 1997; 157:1844. [PMID: 9112542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- R Bartoletti
- Department of Urology, University of Florence, Italy
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9
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Affiliation(s)
- R. Bartoletti
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
| | - A. Costanzi
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
| | - L. Messerini
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
| | - A. Palomba
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
| | - A. Dominici
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
| | - V. Di Cello
- From the Department of Urology and Institute of Pathologic Anatomy, University of Florence, Florence, Italy
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10
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Di Cello V, Saltutti C, Dominici A, Costanzi A, Raugei A, Abd-Ali A. [Urethral parameatal cysts. Report of two cases and review of the literature]. MINERVA UROL NEFROL 1995; 47:137-9. [PMID: 8815551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Two cases of parameatal urethral cysts in the male are reported. These round cysts don't interfere with sexual function but can determinate an alteration of the urinary flow (biforcation of the flow). The aetiology of these cysts is not completely understood, while the treatment is univoque and simple: complete excision but no aspiration or marsupialization.
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Affiliation(s)
- V Di Cello
- Università degli Studi Firenze, I Clinica Urologica
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11
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Abstract
A rare case of ureterouterine fistula caused by a complication of cesarean section after a normal pregnancy is reported. The patient presented with a urinous seeping into the vagina, and the fistula was diagnosed preoperatively on urography and computerized tomography. Treatment consisted of a 2-stage surgical approach, including percutaneous nephrostomy and subsequent ureteral reimplantation.
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Affiliation(s)
- C Saltutti
- Department of Urology, University of Florence, Italy
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12
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Mincione GP, Messerini L, Saltutti C, Di Cello V, Dominici A, Giannelli E, Baroni G, Calzolari A. HPV and p53 in urinary bladder carcinoma. Pathologica 1994; 86:244-6. [PMID: 7808793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
We report a study on human papilloma virus (HPV) and p53 protein in 18 cases of urothelial carcinoma grade 1, 2 and 3. The presence of HPV has been correlated to the p53 protein expression, as this virus, once integrated in the cell nuclei, seems to cause the alteration of some genes expression, involved in the cell-cycle regulation, like p53. One case of urothelial papillary carcinoma grade 2, infiltrating the lamina propria, resulted to be positive for HPV type 31/33/51 and for p53 protein. Our data suggest that HPV type 31/33/51 may have played a role in the pathogenesis of this neoplasia causing an alteration of p53 gene.
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Affiliation(s)
- G P Mincione
- Instituto di Anatomia e Isologia Patologica, Università di Firenze
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13
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Mottola A, Di Cello V, Saltutti C, Natali A, Fiorelli C, Barbagli G. [Oncocytoma in a horseshoe kidney]. MINERVA UROL NEFROL 1992; 44:253-5. [PMID: 1299005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Oncocytoma is a neoplasm that constitutes 4-5% of tumors located in the renal parenchyma. It was studied for the first time by Zippel in 1942 and since than nearly 150 cases have been described. The association between neoplasm and horseshoe kidney is extremely rare. The horseshoe kidney is a malformation which often becomes complicated by infection, hydronephrosis and calculosis, but very rarely by a neoplasm (only 113 cases). The Authors report a case of oncocytoma in the horseshoe kidney and discuss the diagnostic, clinical and therapeutical aspects.
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Affiliation(s)
- A Mottola
- I Clinica Urologica, Università degli Studi di Firenze
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14
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Mottola A, Di Cello V, Saltutti C, Fiorelli C. I Diverticoli Vescicali Complicati: A Proposito Di 50 Casi. Urologia 1991. [DOI: 10.1177/039156039105800303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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15
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Saltutti C, Trippitelli A, Di Cello V, Ponchietti R, Mottola A, Grechi G. [Posttraumatic functional exclusion of the kidney of nonvascular origin. Description of a case and review of the literature]. MINERVA UROL NEFROL 1991; 43:41-4. [PMID: 2057865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
A review of published series about 56 cases with unilateral nonvisualization on excretory urography after external trauma have been described: the renal injury causing the nonvisualization was contusion in 8 patients, laceration in 13, rupture in 12 and renal pedicle in 19. The acquisition of the most important methods has allowed a total view as about minimal lesions (contusion, laceration), as rupture or fragmentation of the kidney and renal pedicle. We have evaluated 32 cases of renal traumatic injuries and we have studied one case with unilateral nonvisualization stressing the diagnostic, etiopathogenetic and therapeutic problems.
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Affiliation(s)
- C Saltutti
- Clinica Urologica I, Università degli Studi di Firenze
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16
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Mottola A, Di Cello V, Lunghi F, Saltutti C, Natali A, Bianchi S. [Diagnostic, clinical and therapeutic aspects of primary transitional cell carcinoma of the prostate]. MINERVA UROL NEFROL 1991; 43:37-9. [PMID: 2057864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Transitional cell carcinoma is a rare neoplasm with an reported incidence of 2%. It is biologically different from adenocarcinoma in that it is not hormonally responsive and it is not associated with an elevated serum acid phosphatase. It is marked by local invasiveness and distant metastases. Transitional cell carcinoma has its origin at the level of the periurethral ducts in the area of the junction of the cylindrical and transitional epithelium. Transitional cell carcinoma can be distinguished from adenocarcinoma and carcinoma endometriode exclusively for its histological aspect. Various therapies have been used to treat transitional cell carcinoma but with poor results. Surgical treatment is still today the most efficient with a surviving average of 2 years. The Authors report 3 new cases, discussing diagnostic, clinical and therapeutical aspects of this rare neoplasm.
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Affiliation(s)
- A Mottola
- I Clinica Urologica, Università degli Studi di Firenze
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17
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Saltutti C, Di Cello V, Mottola A, Fiorelli C, Menghetti I. Trattamento Della Stenosi Della Giunzione Pielo-Ureterale Nel Rene Ectopico. Urologia 1990. [DOI: 10.1177/039156039005700504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- C. Saltutti
- (Clinica Urologica I, Università degli Studi di Firenze)
| | - V. Di Cello
- (Clinica Urologica I, Università degli Studi di Firenze)
| | - A. Mottola
- (Clinica Urologica I, Università degli Studi di Firenze)
| | - C. Fiorelli
- (Clinica Urologica I, Università degli Studi di Firenze)
| | - I. Menghetti
- (Clinica Urologica I, Università degli Studi di Firenze)
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18
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Mottola A, Di Cello V, Saltutti C, Natali A, Bianchi S, Fiorelli C. I Tumori Primitivi Multipli Dell'Apparato Uro-Genitale: Presentazione di 4 casi di associazione infrequente di patologia tumorale. Urologia 1990. [DOI: 10.1177/039156039005700403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- A. Mottola
- (Università degli Studi di Firenze, 1a Clinica Urologica, e Istituto di Anatomia Patologica)
| | - V. Di Cello
- (Università degli Studi di Firenze, 1a Clinica Urologica, e Istituto di Anatomia Patologica)
| | - C. Saltutti
- (Università degli Studi di Firenze, 1a Clinica Urologica, e Istituto di Anatomia Patologica)
| | - A. Natali
- (Università degli Studi di Firenze, 1a Clinica Urologica, e Istituto di Anatomia Patologica)
| | | | - C. Fiorelli
- (Università degli Studi di Firenze, 1a Clinica Urologica, e Istituto di Anatomia Patologica)
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19
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Mottola A, Di Cello V, Saltutti C, Natali A. [Paraneoplastic syndromes associated with bladder carcinoma. Apropos of 2 cases of hypercalcemia]. MINERVA UROL NEFROL 1990; 42:99-101. [PMID: 2203168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Apart from presenting a specific symptomatology, cancer of the bladder in some rare cases may present with a set of symptoms that at first sight seem unrelated to the tumour and that constitute the paraneoplastic syndromes. The importance of these paraneoplastic symptoms is represented by the fact that they may constitute the first sign of malignity, or may be the expression of a recurrence. Two rare cases of paraneoplastic hypercalcemia are reported, the literature is reviewed and the aspects of this rare pathology are analysed.
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Affiliation(s)
- A Mottola
- Clinica Urologica, Università degli Studi di Firenze
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20
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Abstract
A case of sacrococcygeal chordoma is presented. We review the literature and we discuss the problems related to the etiology, the symptoms, the diagnosis and the treatment of this rare neoplasm. We present and discuss here the importance and the different possibilities of new diagnostic techniques, such as the CT and the MRI in the diagnosis and management of sacrococcygeal chordoma.
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Affiliation(s)
- C Saltutti
- Urological Clinic, University of Florence, Italy
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21
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Tosto A, Dattolo E, Brigadini R, Pironti M, Di Cello V, Rizzo M. [Early antibiotic therapy following urodynamic examination. Results of a randomized, controlled study]. MINERVA UROL NEFROL 1989; 41:271-3. [PMID: 2698515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Forty-three young men from the Italian army underwent urodynamic tests following the diagnosis of enuresis. Of these, 37 were included in an assessment trial to define the rationale for early anti-bacterial therapy following the test. The subjects were subdivided into two groups: one group received 500 mg Cinoxacin b.i.d. for 5 days, and the other group was not treated. The comparison of results revealed a high incidence of irritative disorders in both groups (78.9% of treated subjects and 88.9% of untreated subjects) but the most significant complications were observed in the untreated group (feveret in 27.7% and one case of septic fever). Early anti-bacterial therapy following standard urodynamic tests therefore seems to be a ration tool in urological practice.
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22
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Mondaini F, Marzocco M, Barbagli G, Gavazzi M, Di Cello V, Saltutti C. Modificazioni Indotte Dall'Introduzione Della Litotrissia Extracorporea Nella Terapia Della Calcolosi Reno-Ureterale Nell'Area Pratese. Urologia 1989. [DOI: 10.1177/039156038905600404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- F. Mondaini
- U.S.L. n. 9, Area Pratese, Prato, Firenze, Unità Operativa di Urologia - Primario: prof. B. Torchiano
| | - M. Marzocco
- U.S.L. n. 9, Area Pratese, Prato, Firenze, Unità Operativa di Urologia - Primario: prof. B. Torchiano
| | - G. Barbagli
- Clinica Urologica dell'Università di Firenze
| | - M. Gavazzi
- U.S.L. n. 9, Area Pratese, Prato, Firenze, Unità Operativa di Urologia - Primario: prof. B. Torchiano
| | - V. Di Cello
- Clinica Urologica dell'Università di Firenze
| | - C. Saltutti
- Clinica Urologica dell'Università di Firenze
- U.S.L. n. 9, Area Pratese, Prato, Firenze, Unità Operativa di Urologia - Primario: prof. B. Torchiano
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23
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Saltutti C, Stefanucci S, Di Cello V, Bartoletti R, Bracci G. [Ectopic ureter. Description of a clinical case with appearance of stress urinary incontinence]. MINERVA UROL NEFROL 1989; 41:17-22. [PMID: 2762963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A case of ectopic ureter in a 45 year old woman arising after the onset of stress incontinence is reported. The patient presented complete pyeloureteral duplication with an ectopic ureter whose orifice drained into the proximal urethra. The embryology, diagnostic and therapeutic problems of the case are discussed with emphasis on the tardive appearance of the symptoms.
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24
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Mottola A, Di Cello V, Villari D, Saltutti C, Grechi G. [Neoplasms in horseshoe kidneys. Apropos of 2 cases of adenocarcinoma]. MINERVA UROL NEFROL 1988; 40:167-70. [PMID: 3070792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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25
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Salerno R, Moneti G, Forti G, Magini A, Natali A, Saltutti C, Di Cello V, Costantini A, Serio M. Simultaneous determination of testosterone, dihydrotestosterone and 5 alpha-androstan-3 alpha,-17 beta-diol by isotopic dilution mass spectrometry in plasma and prostatic tissue of patients affected by benign prostatic hyperplasia. Effects of 3-month treatment with a GnRH analog. J Androl 1988; 9:234-40. [PMID: 2460425 DOI: 10.1002/j.1939-4640.1988.tb01043.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
This article reports an isotope dilution mass spectrometric method for the simultaneous measurement of testosterone (T), dihydrotestosterone (DHT), and 5 alpha-androstan-3 alpha, 17 beta-diol (3 alpha-diol) in human plasma and prostatic tissue. After addition of tri-deuterated steroids as internal standards to prostatic tissue homogenates or plasma samples, extraction was performed with diethylether. The extracts were purified by two chromatographic steps (Sep-Pak C 18 cartridge and Sephadex LH-20) and injected into a gas chromatograph coupled with a mass spectrometer after derivatization with heptafluorobutyric acid. This method was highly specific and showed good precision, accuracy, reproducibility and sensitivity. T, DHT, and 3 alpha-diol were measured in human plasma and in prostatic tissue of seven patients with benign prostatic hyperplasia (BPH) treated for 3 months with a long acting GnRH analog before surgery. Plasma levels of T, DHT, and 3 alpha-diol were reduced by GnRH analog treatment to castrate levels. The tissue concentrations of the same steroids, compared with those obtained from 19 untreated patients, showed a mean reduction of about 90% for DHT and 3 alpha-diol, and about 75% for T. These results suggest that about 90% of prostatic DHT and 3 alpha-diol depend on testicular activity because they are dramatically reduced after pharmacologic castration.
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Affiliation(s)
- R Salerno
- Department of Clinical Physiopathology, University of Florence, Italy
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26
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Abstract
Two rare cases of paraurethral leiomyoma in women are presented. Physical examination and cystourethrography with previous cytourethroscopy revealed the seat of the masses. Surgical approach by means of incision of the anterior vaginal wall allowed for the complete enucleation of the tumors.
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Affiliation(s)
- V Di Cello
- Department of Urology, University of Florence, Italy
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27
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Fiorelli C, Menghetti I, Di Cello V, Trippitelli A, Bracci G, Durval A, Stefanucci S. Avulsion of the pyelo-ureteral junction in close trauma. Rays 1987; 12:33-8. [PMID: 3628860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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28
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Trippitelli A, Marzocco M, Di Cello V, Barbagli G, Ponchietti R, Menghetti I, Saltutti C. Fistole Reno-Coliche: Aspetti Clinici E Terapeutici. Urologia 1986. [DOI: 10.1177/039156038605300631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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29
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Saltutti C, Di Cello V, Fiorelli C, Durval A, Menghetti I, Trippitelli A, Bracci G. Leiomiosarcoma Della Prostata. Urologia 1986. [DOI: 10.1177/039156038605300526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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30
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Fiorelli C, Stefanucci S, Bracci G, Marzocco M, Saltutti C, Di Cello V, Trippitelli A. Le Fistole Vescico-Uterine. Urologia 1986. [DOI: 10.1177/039156038605300424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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31
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Mincione GP, Urso C, Santucci M, Durval A, Di Cello V, Saltutti C. [Cystic nephroma. Histological and ultrastructural study of a case observed in an adult]. Pathologica 1986; 78:407-13. [PMID: 3039444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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32
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Selli C, Fiorelli C, Carini M, Di Cello V. Esperienza Preliminare Sulla Litotrissia Extracorporea Ad Onde D'Urto. Urologia 1986. [DOI: 10.1177/039156038605300123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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33
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Affiliation(s)
- G. Bracci
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
| | - C. Fiorelli
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
| | - V. Di Cello
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
| | - C. Saltutti
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
| | - I. Menghetti
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
| | - S. Stefanucci
- (Clinica Urologica dell'Università degli Studi di Firenze - Direttore: prof. A. Costantini)
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Abstract
A rare case of papillary urothelial grade 2 carcinoma of the prostate and urethra in a patient with a previous papillary neoplasm of the bladder is reported. The tumor caused hematuria and prostatic enlargement suspicious for cancer. Urinary cytology was diagnostic.
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35
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Fiorelli C, Menghetti I, Trippitelli A, Grechi G, Di Cello V, Villari D. Renal pseudotumors caused by retained pararenal surgical sponges. Rays 1985; 10:49-52. [PMID: 3843635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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36
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Saltutti C, Di Cello V, Fiorelli C, Trippitelli A, Durval A. Addome Acuto Da Ematoma Sottocapsulare in Rene Policistico: Descrizione di due casi trattati con chirurgia conservativa. Urologia 1984. [DOI: 10.1177/039156038405100628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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37
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Durval A, Repetti F, Trippitelli A, Di Cello V, Fiorelli C. La Nefropessi a Cestello. Urologia 1983. [DOI: 10.1177/039156038305000424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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38
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Fiorelli C, Menghetti I, Durval A, Di Cello V, Pampanini A. Il Laser Nd-Yag Nel Trattamento Locale Delle Lesioni Neoplastiche Del Pene. Urologia 1983. [DOI: 10.1177/039156038305000416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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39
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Trippitelli A, Bartolozzi C, Ponchietti R, Durval A, Di Cello V, Rosi P. Rilievi Clinici Ed Ecografici Della Calcolosi Liquida Renale. Urologia 1983. [DOI: 10.1177/039156038305000319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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40
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Masini GC, Trippitelu A, Capaccioli L, Di Cello V, Fiorelli C, Durval A. Le Indagini Radiologiche Dinamiche E La Iperdiuresi Associata a Urografia Nella Diagnostica Della Patologia Da Alterato Deflusso Piflo-Ureterale. Urologia 1983. [DOI: 10.1177/039156038305039s18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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41
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Fiorelli C, Tenti S, Mazzoni M, Durval A, Di Cello V, Taddei GL, Colafranceschi M, Menghetti I. Uso Sperimentale Del Laser a Neodimio-Yag Sulla Vescica. Urologia 1982. [DOI: 10.1177/039156038204900622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- C. Fiorelli
- Clinica Urologica dell'Università degli Studi di Firenze
| | - S. Tenti
- Clinica Urologica dell'Università degli Studi di Firenze
| | - M. Mazzoni
- Consiglio Nazionale delle Ricerche - Laboratorio di Elettronica Quantistica, Firenze
| | - A. Durval
- Clinica Urologica dell'Università degli Studi di Firenze
| | - V. Di Cello
- Clinica Urologica dell'Università degli Studi di Firenze
| | - G. L. Taddei
- Istituto di Anatomia Patologica dell'Università di Firenze
| | | | - I. Menghetti
- Clinica Urologica dell'Università degli Studi di Firenze
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42
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43
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Barbagli G, Lenzi R, Stomaci N, Durval A, Di Cello V, Ceruso M. Two-Stage Bladder Rupture: Unusual Complication of the Bony Pelvis Fracture. Urologia 1982. [DOI: 10.1177/039156038204900528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- G. Barbagli
- Department of Urology, University of Florence, Florence
| | - R. Lenzi
- Department of Urology, University of Florence, Florence
| | - N. Stomaci
- Department of Urology, University of Florence, Florence
| | - A. Durval
- Department of Urology, University of Florence, Florence
| | - V. Di Cello
- Department of Urology, University of Florence, Florence
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44
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Affiliation(s)
- C. Fiorelli
- Clinica Urologica dell'Università degli Studi di Firenze
| | - S. Tenti
- Clinica Urologica dell'Università degli Studi di Firenze
| | - A. Durval
- Clinica Urologica dell'Università degli Studi di Firenze
| | - M. Mazzoni
- C.N.R. - Laboratorio di Elettronica Quantistica di Firenze
| | - V. Di Cello
- Clinica Urologica dell'Università degli Studi di Firenze
| | - M. Carini
- Clinica Urologica dell'Università degli Studi di Firenze
| | - G. L. Taddei
- Istituto di Anatomia Patologica dell'Università degli Studi di Firenze
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45
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46
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47
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Lenzi R, Barbagli G, Ponchietiti R, Di Cello V, Stomaci N, Durval A. Impiego Della Protesi Di Small-Carrion Nella Induratio Penis Plastica. Urologia 1981. [DOI: 10.1177/039156038104800106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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48
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Lenzi R, Barbagli G, Ponchietti R, Stomaci N, Di Cello V. Correzione Chirurgica Degli Incurvamenti Del Pene Da Asimmetria Primitiva Dei Corpi Cavernosi. Urologia 1981. [DOI: 10.1177/039156038104800107] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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49
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Luciani L, Muraro GB, Pecori M, Di Cello V, Menichelli E. [Simultaneous bilateral cancer of the kidney. Case contribution and review of the literature. Diagnostic and therapeutic considerations]. Minerva Urol 1977; 29:289-300. [PMID: 349345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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