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primericacanada.ca

primerica canada helps families become properly protected, debt free and financially independent.

primericaonline.com

primerica online is a website used by primerica representatives to help grow their businesses, be informed about primerica promotions, and download useful information and documents for their businesses.

polscientific.com

Background: Ureteral tumors are rare and present unique diagnostic and therapeutic challenges. Objective: This study aimed to evaluate the efficacy and safety of transurethral resection (TUR) in treating ureteral tumors located in the intramural segment of the bladder wall. Methods: This retrospective study analyzed the clinical data of 24 patients who underwent TUR for intramural ureteral tumors at Changhai Hospital, Shanghai, China, from May 2020 to September 2023. All patients were treated using an “outer wedge, inner rotation” technique, with ureteral stent placed during the procedure. Results: All surgeries were successfully completed, with a median operative time of 45 min (range: 25–75 min), median intraoperative blood loss of 5 mL (range: 1–30 mL), median post-operative hospitalization of 4 days (range: 3–10 days), mean ureteral stent placement duration of 34.1 ± 10.1 days, and a mean tumor resection diameter of 1.9 ± 0.7 cm. There were no intraoperative complications, while post-operative hydronephrosis occurred in 12.5% of patients. Pathological examination revealed that all tumors were urothelial carcinoma, with five cases of Ta stage, one case of pT1 low-grade, 14 cases of pT1 high-grade, and four cases of pT2a high-grade. The median follow-up period lasted for 28 months (range: 11–38 months), with a tumor recurrence rate of 20.8%. Conclusion: TUR of ureteral tumors in the intramural segment is a minimally invasive procedure associated with low blood loss, reduced post-operative complications, and efficacious tumor control while preserving renal function. However, the possibility of local tumor recurrence remains, necessitating close post-operative surveillance.

saskpolytech.ca

saskatchewan polytechnic serves students through applied learning opportunities at campuses in moose jaw, prince albert, regina and saskatoon, and through extensive distance education opportunities.

nhsbsa.nhs.uk

the nhs business services authority (nhsbsa) is a special health authority and an arm's length body of the department of health and social care (dhsc).

pa.edu.tr

emniyet teşkilatına insan hak ve özgürlüklerine saygılı, toplumun huzur ve güvenliğini sağlamada yeterli donanıma sahip, yüksek verimlilik seviyesinde çalışan ve çalıştırabilen amir ve memur yetiştirmek