97 results on '"Jiménez Cruz F"'
Search Results
2. Risk estimation of multiple recurrence and progression of non-muscle invasive bladder carcinoma using new mathematical models
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Luján, S., Santamaría, C., Pontones, J.L., Ruiz-Cerdá, J.L., Trassierra, M., Vera-Donoso, C.D., Solsona, E., and Jiménez-Cruz, F.
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- 2014
- Full Text
- View/download PDF
3. Should ureteral catheterization be systematically used in kidney transplants?
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Luján, S., García-Fadrique, G., Budía, A., Broseta, E., and Jiménez-Cruz, F.
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- 2011
- Full Text
- View/download PDF
4. Prospective validation of a nomogram predictive of a positive initial prostate biopsy
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Ramírez-Backhaus, M., Bahilo, P., Arlandis, S., Santamaría Navarro, C., Pontones Moreno, J.L., and Jiménez-Cruz, F.
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- 2010
- Full Text
- View/download PDF
5. Mycobacterial infection in a series of 1261 renal transplant recipients
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Queipo, J. A., Broseta, E., Santos, M., Sánchez-Plumed, J., Budía, A., and Jiménez-Cruz, F.
- Published
- 2003
6. Original Articles
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Escudero A, Roncero Cr, Santiago Isorna, Arocena F, González Martín M, J.A. Portillo, Martínez-Piñeiro Ja, Jiménez Cruz F, and Nicolas Flores
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Cisplatin ,Oncology ,medicine.medical_specialty ,Urinary bladder ,business.industry ,Urology ,medicine.medical_treatment ,Perioperative ,medicine.disease ,Primary tumor ,Cystectomy ,Transitional cell carcinoma ,medicine.anatomical_structure ,Internal medicine ,Carcinoma ,medicine ,business ,Survival rate ,medicine.drug - Abstract
From November 1984 to April 1989,122 patients with clinical T2-4a Nx-2 MO transitional cell carcinoma of the bladder were entered in a prospective randomized trial to compare survival between a control group of 60 patients treated only with radical cystectomy (arm A) and a group of 62 patients treated with 3 cycles of 100 mg./rn.' neoadjuvant cisplatin before radical cystectomy (arm B). Secondary objectives of the trial were comparison of the disease-free interval and time to death, significance of response of the primary tumor to cisplatin, pattern of relapse and toxicity. As of April 1993 after a median followup of 78.2 months (range 48 to 101) no difference in survival between the control patients and those who received neoadjuvant cisplatin has been observed. The overall direct survival is 37.3% for arm A and 35.5% for arm B. The survival rate of the 109 patients who complied with the protocol is 38.2% for 55 patients of the control group and 40.7% for 54 patients of the cisplatin group. Survival rates of patients theoretically rendered free of disease by radical cystectomy (complete response pTO-4a, pNO-2, MO) is 43.7% for 40 control patients and 47.8% for 41 cisplatin treated patients. The time to relapse in complete response patients was significantly longer (p = 0.0298) for those who received cisplatin (arm A 13.1 months versus arm B 30.3 months). The time to death (cause specific) did not differ significantly between both groups overall (p = 0.1349) but it was significantly different between controls and responders (p = 0.0501). Preoperative cisplatin downstaged the primary tumor in 19 patients (33.9%), of whom 11 (19.6%) had no tumor in the cystectomy specimen (pTO) and 8 (14.3%) had superficial tumor (pl'is pTa pT1). In 6 patients (9.7%) disease progressed during chemotherapy. The survival of the responders was significantly better than that of nonresponders (p = 0.0142), with specific death rate of 26.3% and 62.5%, respectively, and a median time to death of 43 months for responders and 30.5 months for nonresponders. Patients without nodal involvement (pNO) or with only 1 micrometastasis (pN1) fared significantly better (p = 0.0001) than those with major node invasion (pN2-4), irrespective of the treatment received. The survival rate is 48.6% for patients with pNO disease, 37.5% for pN1 and 5% for pN2-4. Toxicity of cisplatin was minimal and there were no differences in perioperative morbidity between the arms. In conclusion, 3 cycles of neoadjuvant cisplatin did not improve the overall survival of patients undergoing cystectomy for muscle infiltrating transitional cell bladder cancer, although they did prolong significantly the disease-free interval (p = 0.0298). Moreover a subgroup of patients whose primary tumor was downstaged by cisplatin showed a significant survival advantage over nonresponders (p = 0.0142). More than 50% of patients with invasive but nonmetastatic urothelial carcinoma of the bladder do not survive for 5 years after radical cystectomy and die of distant metastases despite good local control of the disease.' Combination therapy with preoperative radiation has not added any benefit to overall patient survival.2 Since most of the failures Seem to be caused by subclinical unrecognized disseminated disease at the time of local treatment, some clinicians have argued that systemic chemotherapy might be required to eradicate micrometastases and thereby improve survival."
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- 1995
7. Metástasis peneana de carcinoma epidermoide de esófago
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Morán Pascual, E., Capua Sacoto, C. Di, Soto Poveda, A.M., Bonillo García, M.A., Bahílo Mateu, P., and Jiménez Cruz, F.
- Published
- 2010
8. Cálculo del riesgo biológico de multirrecidiva y progresión del carcinoma urotelial no músculo-invasivo mediante nuevos modelos matemáticos
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Luján, S., primary, Santamaría, C., additional, Pontones, J.L., additional, Ruiz-Cerdá, J.L., additional, Trassierra, M., additional, Vera-Donoso, C.D., additional, Solsona, E., additional, and Jiménez-Cruz, F., additional
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- 2014
- Full Text
- View/download PDF
9. Trascendencia de células hiperplásicas residuales a la prostatectomía radical: Revisión de la Literatura
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Ramírez-Backhaus, M., Trassierra, M., Pontones, J.L., Luján, S., DiCapua, C., Rabenalt, R., Stolzenburg, J.U., and Jiménez Cruz, F.
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Cáncer de próstata ,Prostate cancer ,Prostatectomía radical ,Células prostáticas hiperplásicas ,Radical prostatectomy ,Hyperplastic cells - Abstract
Introducción: La Prostatectomía radical es el tratamiento estándar para el cáncer de próstata organoconfinado. Clásicamente se presta atención a los márgenes positivos para células tumorales, pero no a la presencia de células hiperplásicas residuales a la cirugía capaces de generar antígeno prostático específico (PSA) y dificultar el seguimiento de los pacientes intervenidos. Esta situación nos lleva a plantear una revisión de la literatura, donde evaluemos la frecuencia de esta presencia, las posibles causas que lo justifiquen y la influencia de estas células en la evolución bioquímica de la enfermedad. Material y Método: Realizamos una búsqueda bibliográfica a través de la base de datos "Pubmed" utilizando los términos "Mesh" "Prostatectomy" y "Prostatic Neoplasms" y "Prostate-Specific Antigen" a los que añadimos los términos "biochemical failure" y/o "hyperplasic cells" y/o "benign cells" . Asímismo, seleccionamos los trabajos en lengua inglesa, española y alemana, revisamos los artículos que dichos trabajos referencian e incluimos las series con más de 50 pacientes, cartas al editor, editoriales y revisiones de conjunto. Conclusiones: La presencia de células hiperplásicas microscópicas residuales a la cirugía prostática radical, es un hecho frecuente que probablemente esté infra-evaluado. Los márgenes positivos para células benignas procederán del ápex o del cuello vesical donde la cápsula prostática no está bien definida, en ningún caso de la zona dorsolateral de la próstata, lo que traduciría un defecto de la técnica quirúrgica. La capacidad de estas células para generar PSA en cantidad suficiente para interferir en el seguimiento de los pacientes operados es controvertida. Recomendamos la inspección macroscópica de la pieza por el cirujano, tras la prostatectomía, para evaluar la integridad del ápex, zona craneal y cápsula dorsolateral. Introduction: Radical prostatectomy represents a standard surgical treatment for clinically localized prostate cancer. Classically pathologist and urologist worried about positive surgical margin, but not to the presence of surgery residual hyperplastic cells able to generate prostate specific antigen (PSA) and difficult the follow up of the patients that underwent surgery. We reviewed the literature looking for the incidence, the potential etiology and the influence of these hyperplastic cells in the biochemical evolution of the disease. Material and Method: The information for this review was compiled by searching the Pubmed database. We used "Mesh", Prostatectomy" and "Prostatic Neoplasms" and "Prostate-Specific Antigen" terms, and we added "biochemical failure" and/or "hyperplasic cells" and/or "benign cells". Furthermore, we select the work in English, Spanish and German, review articles that referenced this work and include the series with more than 50 patients, letters to the editor, editorials and overall reviews. Conclusions: Benign hyperplasic cells left behind after radical prostatectomy are frequent and probably under-rated. The influence of those cells in the biochemical outcome is a controversial issue. Positive margins for benign cells can come from apex or neck of the bladder, where the prostatic capsule is not well defined, but no from dorso-lateral area,this would imply a technical mistake. We recommend the inspection of the specimen by the surgeon, after prostatectomy in order to detect apex integrity, cranial and dorso-lateral capsule.
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- 2008
10. Arteritis de la temporal como forma de presentación del carcinoma de células renales
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Trassierra Villa, M., Bonillo García, M.A., Cervera Miguel, J.I., Ramírez Backhaus, M., Palmero Marti, J.L., and Jiménez Cruz, F.
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Temporal Arteriti ,Arteritis Temporal ,Síndrome paraneoplásico ,Paraneoplastic syndrome ,Carcinoma células renales ,Renal cell carcinoma - Abstract
La vasculitis como síndrome paraneoplásico del carcinoma de células renales (CCR) ha sido raramente descrito. Presentamos el caso de una paciente que debutó con un cuadro Arteritis de la Temporal, diagnosticándose posteriormente de un CCR asintomático. La vasculitis resolvió tras el tratamiento quirúrgico del tumor. Vasculitis as paraneoplastic syndrome of renal cell carcinoma has been rarely report. We report a patient who initially was studied for temporal arteritis, and was later diagnosed of a renal cell carcinoma. The vasculitis resolves after surgery treatment of the tumour.
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- 2007
11. Cáncer renal incidental en pacientes menores de 40 años: hallazgos clínicos e histopatológicos
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Gómez Pérez, L., Budía Alba, A., Delgado Oliva, F.J., Ruiz Cerdá, J.L., Trassiera Villa, M., and Jiménez Cruz, F.
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Renal cancer ,Age ,DNA ploidy ,Análisis ADN ,Edad ,Cáncer renal - Abstract
Objetivo: Evaluar las características clínicas y patológicas del cáncer renal (CR) en nuestra serie de tumores, analizando su impacto en el grupo de edad de menores de 40 años. Material y método: Se estudiaron 294 pacientes con CR. En 252 se realizó un estudio del ADN tumoral mediante citometría de flujo e histopatológico de las piezas quirúrgicas. Los pacientes fueron divididos en dos grupos en función de la edad, mayores y menores de 40 años. Las características clínicas e histopatológicas fueron comparadas entre ambos grupos. Resultados: De los 294 pacientes, 26 (8,94%) se incluyeron en el grupo de edad menor o igual a 40 años. No hallamos diferencias significativas entre los grupos al comparar estadio, tamaño tumoral o tratamiento realizado, aunque encontramos un mayor número de tumores indiferenciados en los pacientes de menor edad (p=0,018). El análisis del ADN no evidenció diferencias en el porcentaje de aneuplodías al comparar ambos grupos. Tampoco encontramos diferencias al comparar la probabilidad de supervivencia actuarial cáncer específica en función de la edad. Conclusiones: El comportamiento biológico del CR en pacientes menores de 40 años (jóvenes) no parece diferente al del grupo de mayor edad. Por ello pensamos que los esquemas de tratamiento y seguimiento no deben diferir en función de la variable edad. Objective: to evaluate the clinical and pathological renal cancer (CR) characteristics in our series of tumours, analyzing its impact in the group of age less than 40 years. Material and methods: We studied 294 patients with CR. The pathologic characteristics were analyzed and DNA ploidy pattern of the surgical pieces were done in 252 patients. The patients were divided in two groups based on age, greater or less to 40 years, well then clinical and pathologic characteristics were compared between. Results: Of all patients, 26 of 294 patients (8,94%) were included in the young age group (less to 40 years). We did not found differences between both groups comparing stage, tumoral volume, treatment realized or DNA ploidy pattern, but in nuclear grade with more aggressive tumours in young people (p=0,0018), without differences in recurrence-free survival or actuarial disease specific survival rate. Conclusions: The findings in our study indicate that the natural history and outcome of the RC is similar in both older and younger patients. Therefore, in our opinion, the management of CR in young people should be established with independence of the age.
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- 2007
12. Prostatectomía radical extraperitoneal laparoscópica: evolución en el tiempo y resultados actualizados
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Stolzenburg, J.U., Rabenalt, R., Do, M., Jiménez Cruz, F., and Liatsikos, E.N.
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Laparoscopia ,Cáncer de próstata ,Prostate cancer ,Técnica ,Technique ,Laparoscopy ,Prostatectomía radical extraperitoneal ,Extraperitoneal radical prostatectomy - Abstract
La prostatectomía radical laparoscópica ha sido establecida y adoptada por centros urológicos especializados de todo el mundo como el método fundamental de tratamiento quirúrgico del cáncer de próstata localizado. Los urólogos mantienen una búsqueda constante de desarrollo de modificaciones y refinamientos técnicos, para reducir la morbilidad y mejorar el resultado clínico y de calidad de vida. En 2002, comunicamos inicialmente nuestra técnica y experiencia con la prostatectomía radical endoscópica totalmente extraperitoneal (PRETE). En este artículo de revisión presentamos la evolución de la técnica y los últimos resultados. Laparoscopic radical prostatectomy has been established and adopted by specialized urologic centers around the world as the primary approach to the surgical management of localized prostate cancer. Urologists are on a continuous search for development of technical modifications and refinements, to reduce morbidity and ameliorate clinical and quality of life outcome. In 2002 we have initially reported our technique and experience with the totally extraperitoneal endoscopic radical prostatectomy (EERPE). In the present review paper we present the evolution of the technique and the latest results.
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- 2006
13. Evaluación del estudio pT3a de la actual clasificación TNM del cáncer renal
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Gómez Pérez, L., Budía Alba, A., Pontones Moreno, J.L., Delgado Oliva, F.J., Ruíz Cerdá, J.L., and Jiménez Cruz, F.
- Subjects
Renal cancer ,Cáncer renal - Abstract
Objetivo: Considerando los tumores renales en estadio pT3a por infiltración grasa, hemos evaluado dicho estadio en función del tamaño tumoral en nuestra serie. Material y método: Hemos realizado un estudio retrospectivo de 300 pacientes con diagnóstico de adenocarcinoma renal (CCR) entre los años 1992 a 2001, con un seguimiento medio de 60 meses. Incluimos en nuestro estudio a 92 pacientes (91,08%) de todos los tumores pT3a por infiltración grasa, independientemente de la afectación ganglionar (Ncualquiera) y con ausencia de metástasis. Se obtuvieron curvas ROC en función del tamaño tumoral y el estado (vivo/muerto), seleccionando el mejor valor de corte (mejor sensibilidad y especificidad). Dicho punto de corte correspondió al valor 5,5 cm, permitiendo dicotomizar y definir dos grupos con diferencias significativas respecto a la supervivencia actuarial. Tras diferenciar estos dos grupos, comparamos los tumores menores de 5,5 cm y estadio pT3aNxM0, con el resto de subgrupos de la clasificación TNM. Resultados: No encontramos diferencias significativas al comparar la supervivencia actuarial de los tumores pT3a seleccionados y tamaño inferior a 5,5 cm con el resto de tumores en estadios pT1 y pT2. Tras reclasificar los tumores pT3a menores de 5,5 cm como pT1, se realizó un análisis multivariante mediante regresión logística para evaluar los factores pronósticos respecto a la progresión tumoral, previo y posterior a la reclasificación de los tumores, conservando el TNM su valor pronóstico independiente tras la reclasificación. Conclusiones: Los tumores de células renales pT3a por infiltración grasa sin metástasis de tamaño inferior a 5,5cm, se comportan como tumores organoconfinados respecto a la supervivencia y su reclasificación no modifica el valor pronóstico independiente del TNM como predictor de progresión tumoral. Objective: We assessed the prognostic value of a stage pT3a diagnosis based on perirrenal fat infiltration. Material and methods: A series of 300 patients diagnosed of renal cell carcinoma (CCR) between 1992 and 2001 were retrospectively analyzed. Focusing on pT3a tumors as defined by perirrenal fat infiltration, a group of 92 patients (91,08%) regardless lymph node involvement (Nall) were included. Patients with distant metastases were excluded. In patients with pT3a Nall M0 tumors, tumour size was a significant parameter predicting survival. The most significant cut-off value for tumor size based on ROC curve was 5,5 cm. Therefore two groups were defined (up to 5,5 cm or greater than 5,5 cm) and actuarial survival were compared between both groups. Results: No significant differences were found comparing actuarial survival of selected pT3a and tumour size less than 5,5 cm with pT1 and pT2 tumors. After classifying selected pT3a less than 5,5 cm as pT1, multivariate analysis showed no differences regarding to prognostic variables before and after classification. Subsequently multivariate analysis showed that modified T stage was an independent significant predictor of cancer specific actuarial survival. Conclusions: Perirrenal fat infiltration in renal cell carcinoma should not be used to assign T category. In our series grading tumors pT3a lesser than 5,5 cm as pT1/pT2 TNM stage does not affect their prognostic value.
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- 2006
14. Penile metastasis of esophageal scamous cell carcinoma
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Morán Pascual, E., Di Capua Sacoto, C., Soto Poveda, A.M., Bonillo García, M.A., Bahílo Mateu, P., and Jiménez Cruz, F.
- Published
- 2010
- Full Text
- View/download PDF
15. Exploración de raíces sacras: indicaciones, técnica y resultados
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Arlandis Guzmán, S., Alapont Alacreu, J.M., Bonillo García, M.Á., Ruiz Cerdá, J.L., Martínez Agulló, E., and Jiménez Cruz, F.
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Exploración de raíces sacras ,Sacral neuromodulation ,Neuromodulación sacra ,Peripheral nerve evaluation ,Disfunción miccional ,Voiding dysfunction - Abstract
INTRODUCCIÓN: La neuromodulación mediante estimulación electrica de las raíces sacras constituye una alternativa terapéutica novedosa en el tratamiento de la disfunción miccional crónica (DMC). Pretende regular y devolver el equilibrio miccional alterado mediante impulsos eléctricos aplicados sobre las raíces sacras. La exploración de raíces sacras (ERS) es fundamental para considerar a un paciente candidato al implante definitivo del estimulador de la raíz sacra, comprobándose la integridad del arco reflejo sacro, la localización anatómica de la raíz y la respuesta sensitiva y motora del paciente. PACIENTES Y MÉTODO: Entre enero de 2000 y noviembre de 2001 hemos efectuado un total de 43 ERS en 28 pacientes (13 hombres y 15 mujeres), con edades entre 22 y 76 años (edad media 56,3). Todos los pacientes habían sido diagnosticados de DMC con los siguientes síndromes clínicos: 13 Incontinencia Urinaria de Urgencia (IUU), 5 Síndrome de Frecuencia-Urgencia (SFU), 7 Disfunción de Vaciado (DV) y 3 cuadros mixtos (1 paciente SFU+DV y dos pacientes IUU+DV). RESULTADOS: En las 43 ERS se obtuvo respuesta sensitivo y motora adecuada durante la fase aguda. En 8 ERS (18,6%) se produjo una movilización precoz del electrodo que impidió la evaluación de la estimulación temporal. Las 35 ERS restantes (81,4%) se evaluaron tras un periodo medio de estimulación de 6,7 días (3-15). No se produjeron complicaciones significativas y la exploración fue bien tolerada por todos los pacientes. Los resultados fueron satisfactorios (>50% de mejoría) en 7 pacientes (53,8%) con IUU, 2 pacientes (40%) con SFU, 1 (14,2%) con DV y 1 (33,3%) con síndrome mixto (IUU+DV). Así, del total de 28 pacientes con DMC sometidos a ERS, 11 han sido candidatos al implante del estimulador definitivo, lo que supone el 39,2% de los candidatos a esta terapia. CONCLUSIONES: Actualmente la ERS se considera una prueba previa imprescindible para la implantación de un marcapasos urinario definitivo. Con ella seleccionamos a los pacientes en los que presuntamente este tratamiento ofrecerá buenos resultados. Es una técnica sencilla, bien tolerada y que se puede efectuar ambulatoriamente en cualquier centro. INTRODUCTION: Sacral nerve neuromodulation is a new treatment modality for patients with chronic voiding dysfunction (CVD). The aim of this treatment is to restore the disbalanced micturition reflexes by electrical stimulation ot the sacral roots. Peripheral Nerve Evaluation (PNE) is the first step needed to determine wether sacral nerve stimulation for the control of lower urinary tract dysfunction is appropiate for a given patient, yielding accurate information about the location, integrity and function of sacral nerves, and motor and sensorial responses to electrical stimulation. PATIENTS AND METHOD: 43 PNE in 28 patients (13 man and 15 women) were performed between january 2000 and november 2001 (mean age 56.3 years old, 22-76). Every patient have been diagnosed of CVD: 13 Urinary Urge Incontinence (UUI), 5 Urgency- Frequency Syndrome (UFS), 7 Dysfunctional Voiding (DV) and 3 Mixed Syndromes (1 patient UFS+DV and two patients with UUI+DV). RESULTS: Every acute stimulation showed positive sensory and motor responses. There was premature lead migration in 8 PNE (18.6%), preventing an appropiate evaluation of the temporal stimulation. 35 PNE were evaluated after a 6.5 days period (3-15) of electrical stimulation. There were no significative complications, and PNE was well tolerated. Good clinical results (>50% reduction in symptoms) were observed in 7/13 patients with UUI (53.8%), 2/5 patients with UFS (40%), 1/7 patients with DV (14.2%) and 1/3 patients with mixed syndromes (UUI+DV) (33.3%). 11 of 28 patients with CVD (39.2%) have been selected as candidates for permanent implantation. CONCLUSION: Actually, PNE is the first step needed to determine wether sacral nerve stimulation for the control of lower urinary tract dysfunction is appropiate for a given patient. With PNE we can select properly adequate candidates for permanent implantation. It is an easy and well tolerated technique, and can be performed in any medical center in an outpatient basis.
- Published
- 2003
16. ¿Debe emplearse de manera sistemática el cateterismo ureteral en los implantes renales?
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Luján, S., primary, García-Fadrique, G., additional, Budía, A., additional, Broseta, E., additional, and Jiménez-Cruz, F., additional
- Published
- 2011
- Full Text
- View/download PDF
17. 532 BIOLOGICAL SIGNIFICANCE OF DISTANCE BETWEEN TUMOR AND RESECTION MARGIN IN PATIENTS WITH NEGATIVE MARGINS AFTER RADICAL PROSTATECTOMY
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Soto, A.M., primary, García-Fadrique, G., additional, Morán, E., additional, Ruiz-Cerdá, J.L., additional, Pontones, J.L., additional, Jiménez-Cruz, F., additional, and Trassierra, M., additional
- Published
- 2011
- Full Text
- View/download PDF
18. Metástasis peneana de carcinoma epidermoide de esófago
- Author
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Morán Pascual, E., primary, Capua Sacoto, C. Di, additional, Soto Poveda, A.M., additional, Bonillo García, M.A., additional, Bahílo Mateu, P., additional, and Jiménez Cruz, F., additional
- Published
- 2010
- Full Text
- View/download PDF
19. Validación prospectiva de un nomograma predictivo de la presencia de cáncer de próstata en pacientes que se someten a biopsia transrectal ecodirigida de 10 cilindros
- Author
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Ramírez-Backhaus, M., primary, Bahilo, P., additional, Arlandis, S., additional, Santamaría Navarro, C., additional, Pontones Moreno, J.L., additional, and Jiménez-Cruz, F., additional
- Published
- 2010
- Full Text
- View/download PDF
20. Trascendencia de células hiperplásicas residuales a la prostatectomía radical: Revisión de la Literatura
- Author
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Ramírez-Backhaus, M., primary, Trassierra, M., additional, Pontones, J.L., additional, Luján, S., additional, DiCapua, C., additional, Rabenalt, R., additional, Stolzenburg, J.U., additional, and Jiménez Cruz, F., additional
- Published
- 2008
- Full Text
- View/download PDF
21. Arteritis de la temporal como forma de presentación del carcinoma de células renales
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Trassierra Villa, M., primary, Bonillo García, M.A., additional, Cervera Miguel, J.I., additional, Ramírez Backhaus, M., additional, Palmero Marti, J.L., additional, and Jiménez Cruz, F., additional
- Published
- 2007
- Full Text
- View/download PDF
22. Cáncer renal incidental en pacientes menores de 40 años: hallazgos clínicos e histopatológicos
- Author
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Gómez Pérez, L., primary, Budía Alba, A., additional, Delgado Oliva, F.J., additional, Ruiz Cerdá, J.L., additional, Trassiera Villa, M., additional, and Jiménez Cruz, F., additional
- Published
- 2007
- Full Text
- View/download PDF
23. 992 SINGLE-CENTER EXPERIENCE OF 5549 URETEROSCOPIES. COMPARATIVE ANALYSIS OF SAFETY AND EFFICACY OF TWO LARGE SERIES OF CANDELA AND HOLMIUM LASER LITHOTRIPSY
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Budia, A., primary, Broseta, E., additional, Boronat, F., additional, Oliver, F., additional, Pontones, J.L., additional, and Jiménez-Cruz, F., additional
- Published
- 2007
- Full Text
- View/download PDF
24. 32 FLOW CYTOMETRIC DNA CONTENT OF FRESH RENAL TUMOR SPECIMENS USING KERATIN-ANTIBODY AS SECOND STAIN FOR TWO-PARAMETER ANALYSIS
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Budí, A., primary, Ruiz-Cerdá, J.L., additional, Gómez, L., additional, Sempere, A., additional, Vera-Pontones, J.L., additional, Donoso, C., additional, and Jiménez-Cruz, F., additional
- Published
- 2007
- Full Text
- View/download PDF
25. Prostatectomía radical extraperitoneal laparoscópica: evolución en el tiempo y resultados actualizados
- Author
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Stolzenburg, J.U., primary, Rabenalt, R., additional, Do, M., additional, Jiménez Cruz, F., additional, and Liatsikos, E.N., additional
- Published
- 2006
- Full Text
- View/download PDF
26. Evaluación del estudio pT3a de la actual clasificación TNM del cáncer renal
- Author
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Gómez Pérez, L., primary, Budía Alba, A., additional, Pontones Moreno, J.L., additional, Delgado Oliva, F.J., additional, Ruíz Cerdá, J.L., additional, and Jiménez Cruz, F., additional
- Published
- 2006
- Full Text
- View/download PDF
27. Exploración de raíces sacras: indicaciones, técnica y resultados
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Arlandis Guzmán, S., primary, Alapont Alacreu, J.M., additional, Bonillo García, M.Á., additional, Ruiz Cerdá, J.L., additional, Martínez Agulló, E., additional, and Jiménez Cruz, F., additional
- Published
- 2003
- Full Text
- View/download PDF
28. Value of pressure flow study in predicting outcome of surgery in patients with obstructive symptoms refractory to medical therapy and without absolute indication
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Ruiz-Cerdá, J., primary, González-Chamorro, F., additional, Arlandis, S., additional, Martinez-Agulló, E., additional, Llorente, C., additional, and Jiménez-Cruz, F., additional
- Published
- 2003
- Full Text
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29. Synthesis of 1-Aryl-1,3-Diketones Containing the Dimethyl Malonate Moiety
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Jiménez-Cruz, F., primary, Maldonado, L. A., additional, Cetina, R., additional, and Ríos-Olivares, H., additional
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- 2000
- Full Text
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30. Intratumoral heterogeneity of DNA content in renal cell carcinoma and its prognostic significance.
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Ruiz-Cerdá, José L., Hernández, Miguel, Sempere, Amparo, O'Connor, J. Enrique, Kimler, Bruce F., Jiménez-Cruz, Fernando, Ruiz-Cerdá, J L, Hernández, M, Sempere, A, O'Connor, J E, Kimler, B F, and Jiménez-Cruz, F
- Published
- 1999
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31. Stamey-meares test in chronic prostatitis diagnosis is still a valid procedure?
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Palmero, J., Budia, A., Benedicto, A., Queipo, J., Broseta, E., and Jimenez Cruz, F.
- Published
- 2003
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32. Processing and Recovery of Heavy Crude Oil Using an HPA-Ni Catalyst and Natural Gas.
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Schacht-Hernández P, Miranda-Olvera AD, Jiménez-Cruz F, Morelos-Santos O, García-Gutiérrez JL, and Quintana-Solórzano R
- Abstract
To maintain economic profitability and stabilize fuel prices, refineries actively explore alternatives for efficiently processing (extra) heavy crude oils. These oils are challenging to process due to their complex composition, which includes significant quantities of asphaltenes, resins, and sulfur and nitrogen heteroatoms. A critical initial step in upgrading these oils is the hydrogenation of polyaromatic compounds, requiring substantial hydrogen sources. Methane from natural gas streams is known to act as an effective hydrogen donor. This study investigates the use of a heteropolyacid (HPA) catalyst modified with nickel and methane to enhance the quality of heavy crude oil with an initial 8.0°API (at 15.5 °C) and 2200 cSt viscosity (at 37.5 °C). After treatment in a batch reactor at 380 °C and 4.4 MPa for 2 h, the oil properties markedly improved: API gravity increased from 8.0 to 16.0 (at 15.5 °C), and kinematic viscosity reduced from 2200 to 125 cSt (at 37.5 °C). Additionally, there was a significant decrease in asphaltenes (from 38.7 to 16.4% by weight), sulfur (from 5.9 to 4.0% by weight), and nitrogen (from 971 to 695 ppm). This was accompanied by an increase in the volume of light distillates from 1.3 to 4.9%, and middle distillates from 8.8 to 21.0%. These results suggest that nickel-modified HPA catalysts, combined with methane as a hydrogen donor, are a promising option for upgrading heavy crude oils., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)
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- 2024
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33. [Multilocular cystic nephroma].
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Bahílo Mateu MP, Budía Alba A, Boronat Tormo F, and Jiménez-Cruz FJ
- Subjects
- Female, Humans, Middle Aged, Carcinoma, Renal Cell diagnosis, Carcinoma, Renal Cell surgery, Kidney Neoplasms diagnosis, Kidney Neoplasms surgery
- Published
- 2010
34. Evaluation of a severity score to predict the prognosis of Fournier's gangrene.
- Author
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Luján Marco S, Budía A, Di Capua C, Broseta E, and Jiménez Cruz F
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Epidemiologic Methods, Female, Fournier Gangrene mortality, Humans, Male, Middle Aged, Prognosis, Young Adult, Fournier Gangrene pathology
- Abstract
Objective: To determine the validity of a Fournier's gangrene severity index (FGSI), developed to assign a numerical score describing the severity of FG, and evaluate factors in the survival of patients with FG., Patients and Methods: We retrospectively reviewed 51 patients diagnosed with FG between 1994 and 2006. Data were collected on their medical history, which included vital signs (temperature, heart and respiratory rates) and metabolic variables (sodium, potassium, creatinine, bicarbonate levels, haematocrit, and white blood cell count). We computed a score relating to the severity of the disease at the time, and compared it to other features according to whether the patient survived or died. The different prognostic factors were assessed by univariate analysis with the Mann-Whitney U and Kendall A-B tests., Results: Of the evaluated 51 inpatients, eight died (16%) and 43 survived (84%). The median (range) age was 63 (17-85) years and the median time from the onset of the symptoms until the admission to the emergency room was 7.8 (1-60) days. The mean hospital stay was 33 (2-90) days and 17 patients were admitted to the intensive-care unit for a mean of 4.5 days. There was no statistically significant difference between the groups. Body surfaces involved were the scrotum in five patients (10%), the penis and scrotum in 11 (22%), the scrotum and perineum in 30 (59%) and the abdominal wall in five (10%). There was no statistically significant difference in the distribution in those who survived or died (P = 0.131). The median age of 60 (17-81) years in the survivors was significantly lower than that of 73.5 (50-85) years in those who died (P = 0.02). There was no significant difference (P = 0.06) between the number of repeated debridements in the survivors (3.23) and those who died (5.25). The mean (range) FGSI score for survivors was 6.7 (0-14), vs 8.7 (6-13) for those who died (P = 0.12). The only laboratory variables associated with death were serum bicarbonate (P = 0.04) and serum sodium (P = 0.02) levels., Conclusions: FG is an unpredictable disease process with wide variability in its presentation. In our experience, the FGSI gives no indication of the likelihood of survival, but the risk factors for predicting the severity of FG seem to be greater in older patients and those with high sodium and low bicarbonate levels.
- Published
- 2010
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35. [Surgical treatment for renal cancer metastases].
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Ruiz-Cerdá JL and Jiménez Cruz F
- Subjects
- Bone Neoplasms secondary, Bone Neoplasms surgery, Brain Neoplasms secondary, Brain Neoplasms surgery, Humans, Liver Neoplasms secondary, Liver Neoplasms surgery, Lung Neoplasms secondary, Lung Neoplasms surgery, Neoplasm Metastasis, Kidney Neoplasms pathology, Kidney Neoplasms surgery
- Abstract
Complete removal of metastatic lesions can contribute to improve clinical prognosis of renal cancer. Nowadays, it is accepted that surgical extirpation of solitary metastases for patients with renal cancer is the only potential for long-term survival. Provided that the metastases could be technical and functionally resected. This review addresses the current evidence about resecable renal cancer metastases at lung, liver, bone, kidney and other organs. The criteria to consider a patient as candidate for resection of metastases are: control of primary tumor, surgical extirpation feasibility and lack of systemic disease. In patients with synchronous metastases, the surgical extirpation should be performed at the same time than nephrectomy. The clinical prognosis is worse when metastases are asynchronous. After the introduction of novel anti-angiogenic agents, surgery is also justified in patients with good responses. Although, this approach remains in the field of investigation.
- Published
- 2009
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36. Value of frozen section biopsies during radical prostatectomy: significance of the histological results.
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Ramírez-Backhaus M, Rabenalt R, Jain S, Do M, Liatsikos E, Ganzer R, Horn LC, Burchardt M, Jiménez-Cruz F, and Stolzenburg JU
- Subjects
- Biopsy, Humans, Male, Frozen Sections, Prostatectomy, Prostatic Hyperplasia pathology, Prostatic Hyperplasia surgery, Prostatic Neoplasms pathology, Prostatic Neoplasms surgery
- Abstract
Purpose: To review the evidence about frozen sections during radical prostatectomy (RP) and its ability to decrease the incidence of positive margins, the impact on PSA postoperatively and the significance of residual benign prostatic cells after prostatectomy., Methods: The information for this review was compiled by searching the Pubmed database. We used Mesh Terms "Prostatectomy" and "Prostatic Neoplasms" and we added "frozen sections" and/or "hyperplasic cells" and/or "benign cells" and/or "positive margins". Furthermore, we review the articles referenced in those studies and editorials letters., Results: Several groups have studied the performance of frozen section during RP to try and assess the risk of positive margins intraoperatively. The controversial sites where they should be performed are the apex, the dorsolateral zones and the bladder neck. They have been performed routinely or when the surgeon decides it, depending on the preoperative or intraoperative findings., Conclusions: At the present time there is no standardisation in the number, the site and the type of patient where this procedure should be done. The improvement in functional outcomes and biochemical control is not proven.
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- 2009
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37. [Primary bladder adenocarcinoma in unreconstructed exstrophic bladder].
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Bango García V, Luján Marco S, Bosquet Sanz M, Gimeno Argente V, Arlandis Guzmán S, Alonso Gorrea M, and Jiménez Cruz F
- Subjects
- Humans, Male, Middle Aged, Adenocarcinoma complications, Bladder Exstrophy complications, Urinary Bladder Neoplasms complications
- Abstract
We report a 60-years-old patient with a not repaired exstrophic bladder, who develops an adenocarcinoma on his bladder and review of the literature.
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- 2009
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- View/download PDF
38. [Significance of residual hyperplastic cells after radical prostatectomy. A literature review].
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Ramírez-Backhaus M, Trassierra M, Pontones JL, Luján S, DiCapua C, Rabenalt R, Stolzenburg JU, and Jiménez Cruz F
- Subjects
- Humans, Hyperplasia pathology, Male, Prostate pathology, Prostatic Neoplasms pathology, Prostatic Neoplasms surgery
- Abstract
Introduction: Radical prostatectomy represents a standard surgical treatment for clinically localized prostate cancer. Classically pathologist and urologist worried about positive surgical margin, but not to the presence of surgery residual hyperplastic cells able to generate prostate specific antigen (PSA) and difficult the follow up of the patients that underwent surgery. We reviewed the literature looking for the incidence, the potential etiology and the influence of these hyperplastic cells in the biochemical evolution of the disease., Material and Method: The information for this review was compiled by searching the Pubmed database. We used "Mesh", Prostatectomy" and "Prostatic Neoplasms" and "Prostate-Specific Antigen" terms, and we added "biochemical failure" and/or "hyperplasic cells" and/or "benign cells". Furthermore, we select the work in English, Spanish and German, review articles that referenced this work and include the series with more than 50 patients, letters to the editor, editorials and overall reviews., Conclusions: Benign hyperplasic cells left behind after radical prostatectomy are frequent and probably under-rated. The influence of those cells in the biochemical outcome is a controversial issue. Positive margins for benign cells can come from apex or neck of the bladder, where the prostatic capsule is not well defined, but no from dorso-lateral area, this would imply a technical mistake. We recommend the inspection of the specimen by the surgeon, after prostatectomy in order to detect apex integrity, cranial and dorso-lateral capsule.
- Published
- 2008
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39. [Temporal arteritis as initial manifestation of renal cell carcinoma].
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Trassierra Villa M, Bonillo García MA, Cervera Miguel JI, Ramírez Backhaus M, Palmero Marti JL, and Jiménez Cruz F
- Subjects
- Aged, Carcinoma, Renal Cell diagnosis, Female, Humans, Kidney Neoplasms diagnosis, Carcinoma, Renal Cell complications, Giant Cell Arteritis etiology, Kidney Neoplasms complications, Paraneoplastic Syndromes etiology
- Abstract
Vasculitis as paraneoplastic syndrome of renal cell carcinoma has been rarely report. We report a patient who initially was studied for temporal arteritis, and was later diagnosed of a renal cell carcinoma. The vasculitis resolves after surgery treatment of the tumour.
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- 2007
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- View/download PDF
40. [Incidental renal cancer in young adults: clinical and histopathological findings].
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Gómez Pérez L, Budía Alba A, Delgado Oliva FJ, Ruiz Cerda JL, Trassiera Villa M, and Jiménez Cruz F
- Subjects
- Adult, Age Factors, Aged, Aged, 80 and over, Humans, Incidental Findings, Middle Aged, Retrospective Studies, Kidney Neoplasms diagnosis
- Abstract
Objective: to evaluate the clinical and pathological renal cancer (CR) characteristics in our series of tumours, analyzing its impact in the group of age less than 40 years., Material and Methods: We studied 294 patients with CR. The pathologic characteristics were analyzed and DNA ploidy pattern of the surgical pieces were done in 252 patients. The patients were divided in two groups based on age, greater or less to 40 years, well then clinical and pathologic characteristics were compared between., Results: Of all patients, 26 of 294 patients (8,94%) were included in the young age group (less to 40 years). We did not found differences between both groups comparing stage, tumoral volume, treatment realized or DNA ploidy pattern, but in nuclear grade with more aggressive tumours in young people (p=0,0018), without differences in recurrence-free survival or actuarial disease specific survival rate., Conclusions: The findings in our study indicate that the natural history and outcome of the RC is similar in both older and younger patients. Therefore, in our opinion, the management of CR in young people should be established with independence of the age.
- Published
- 2007
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41. [Laparoscopic extraperitoneal radical prostatectomy: changes in time and updated results].
- Author
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Stolzenburg JU, Rabenalt R, Do M, Jiménez Cruz F, and Liatsikos EN
- Subjects
- Adult, Aged, Humans, Male, Middle Aged, Time Factors, Laparoscopy, Prostatectomy methods, Prostatic Neoplasms surgery
- Abstract
Laparoscopic radical prostatectomy has been established and adopted by specialized urologic centers around the world as the primary approach to the surgical management of localized prostate cancer. Urologists are on a continuous search for development of technical modifications and refinements, to reduce morbidity and ameliorate clinical and quality of life outcome. In 2002 we have initially reported our technique and experience with the totally extraperitoneal endoscopic radical prostatectomy (EERPE). In the present review paper we present the evolution of the technique and the latest results.
- Published
- 2006
- Full Text
- View/download PDF
42. [Evaluation of pT3a stage in the current classification for renal cancer].
- Author
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Gómez Pérez L, Budía Alba A, Pontones Moreno JL, Delgado Oliva FJ, Ruíz Cerdá JL, and Jiménez Cruz F
- Subjects
- Adult, Aged, Female, Humans, Kidney Neoplasms mortality, Male, Middle Aged, Multivariate Analysis, Neoplasm Staging, Prognosis, Retrospective Studies, Survival Rate, Kidney Neoplasms classification, Kidney Neoplasms pathology
- Abstract
Objective: We assessed the prognostic value of a stage pT3a diagnosis based on perirrenal fat infiltration., Material and Methods: A series of 300 patients diagnosed of renal cell carcinoma (CCR) between 1992 and 2001 were retrospectively analyzed. Focusing on pT3a tumors as defined by perirrenal fat infiltration, a group of 92 patients (91,08%) regardless lymph node involvement (Nall) were included. Patients with distant metastases were excluded. In patients with pT3a Nall M0 tumors, tumour size was a significant parameter predicting survival. The most significant cut-off value for tumor size based on ROC curve was 5,5 cm. Therefore two groups were defined (up to 5,5 cm or greater than 5,5 cm) and actuarial survival were compared between both groups., Results: No significant differences were found comparing actuarial survival of selected pT3a and tumour size less than 5,5 cm with pT1 and pT2 tumors. After classifying selected pT3a less than 5,5 cm as pT1, multivariate analysis showed no differences regarding to prognostic variables before and after classification. Subsequently multivariate analysis showed that modified T stage was an independent significant predictor of cancer specific actuarial survival., Conclusions: Perirrenal fat infiltration in renal cell carcinoma should not be used to assign T category. In our series grading tumors pT3a lesser than 5,5 cm as pT1/pT2 TNM stage does not affect their prognostic value.
- Published
- 2006
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43. [Gangrene of Fournier with urethral involvement: urethral reepitelization with conservative treatment].
- Author
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Gómez Pérez L, Delgado Oliva FJ, Gimeno Argente V, Arlandis Guzmán S, Arce Casado B, and Jiménez Cruz FJ
- Subjects
- Fournier Gangrene surgery, Humans, Male, Middle Aged, Urethral Diseases surgery, Urologic Surgical Procedures methods, Fournier Gangrene complications, Urethral Diseases etiology
- Published
- 2006
- Full Text
- View/download PDF
44. Electronic substituent effects in the electron impact mass spectrometry of 2-(arylazo)-4-phenylphenols.
- Author
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Pérez-Caballero G, Jiménez-Cruz F, Matamoros PH, García JG, Cortés-Guzmán F, and Miranda R
- Abstract
A mass spectrometric study of a set of six novel 2-(arylazo)-4-phenylphenols 1-6 was performed. The electron impact spectra were acquired and analyzed for five of the compounds in order to establish a fragmentation pattern. The suggested pathways were investigated and confirmed by means of tandem mass spectrometry (MS/MS) experiments together with high-resolution accurate mass data. However, the sixth molecule, a sodium sulfonate salt, was studied using fast atom bombardment (FAB) ionization in positive and negative modes. In addition, some electronic substituent effects were investigated by analyzing Hammett-McLafferty linear free energy correlations for some peaks derived from the corresponding molecular ions. Also, the role of the O-H...N hydrogen bond present in the target compounds was analyzed. The roles of these H-bonds were consistent with the corresponding acidity constant values obtained experimentally as well as by theoretical quantum chemistry calculations using HF/6-31 + G(d,p) and B3LYP/6-31G(d,p). Some spectrometric data were correlated with topological properties derived from the atoms-in-molecules (AIM) theory., (Copyright (c) 2005 John Wiley & Sons, Ltd.)
- Published
- 2005
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- View/download PDF
45. [Peripheral nerve evaluation:indications, technique and results].
- Author
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Arlandis Guzmán S, Alapont Alacreu JM, Bonillo García MA, Ruiz Cerdá JL, Martínez Agulló E, and Jiménez Cruz F
- Subjects
- Adult, Aged, Humans, Male, Middle Aged, Retrospective Studies, Treatment Outcome, Urination Disorders therapy, Electric Stimulation Therapy methods, Lumbosacral Plexus physiopathology, Spinal Nerve Roots physiology, Urination Disorders physiopathology
- Abstract
Introduction: Sacral nerve neuromodulation is a new treatment modality for patients with chronic voiding dysfunction (CVD). The aim of this treatment is to restore the disbalanced micturition reflexes by electrical stimulation ot the sacral roots. Peripheral Nerve Evaluation (PNE) is the first step needed to determine wether sacral nerve stimulation for the control of lower urinary tract dysfunction is appropriate for a given patient, yielding accurate information about the location, integrity and function of sacral nerves, and motor and sensorial responses to electrical stimulation., Patients and Method: 43 PNE in 28 patients (13 man and 15 women) were performed between january 2000 and november 2001 (mean age 56.3 years old, 22-76). Every patient have been diagnosed of CVD: 13 Urinary Urge Incontinence (UUI). 5 Urgency-Frequency Syndrome (UFS), 7 Dysfunctional Voiding (DV) and 3 Mixed Syndromes (1 patient UFS + DV and two patients with UUI + DV)., Results: Every acute stimulation showed positive sensory and motor responses. There was premature lead migration in 8 PNE (18.6%), preventing an appropriate evaluation of the temporal stimulation. 35 PNE were evaluated after a 6.5 days period (3-15) of electrical stimulation. There were no significative complications, and PNE was well tolerated. Good clinical results (> 50% reduction in symptoms) were observed in 7/13 patients with UUI (53.8%), 2/5 patients with UFS (40%), 1/7 patients with DV (14.2%) and 1/3 patients with mixed syndromes (UUI + DV) (33.3%). 11 of 28 patients with CVD (39.2%) have been selected as candidates for permanent implantation., Conclusion: Actually, PNE is the first step needed to determine wether sacral nerve stimulation for the control of lower urinary tract dysfunction is appropriate for a given patient. With PNE we can select properly adequate candidates for permanent implantation. It is an easy and well tolerated technique, and can be performed in any medical center in an outpatient basis.
- Published
- 2003
- Full Text
- View/download PDF
46. [Renal transplantation in patients with enterocystoplasty].
- Author
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Alapont Alacreu JM, Pacheco Bru JJ, Pontones Moreno JL, Alonso Gorrea M, Sánchez Plumed J, and Jiménez Cruz FJ
- Subjects
- Adult, Cecum surgery, Female, Graft Survival, Humans, Ileum surgery, Kidney Failure, Chronic complications, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Transplantation, Homologous, Treatment Outcome, Urinary Incontinence complications, Urinary Incontinence surgery, Kidney Transplantation, Urinary Diversion
- Abstract
Objectives: To asses the impact of augmentation enterocystoplasty on the success of cadaveric renal transplantation in patients with dysfunctional bladders., Patients and Methods: Between 1980 and 2001, 3 men and a woman with severe dysfunctional lower urinary tract underwent a total of 4 cadaveric renal transplantations. The etiologies of the bladder dysfunction were bladder contraction secondary to urinary tuberculosis in all cases. In 3 patients were performed an enterocystoplasty with ileocecal segment and one with ileon., Results: The overall allograft survival was 58.7 months. Two patients have functioning grafts 27 and 74 months after transplant, 1 has died due to an intestinal disease and other had chronic rejection after follow-up of 98 months. Technical complications occurred in 3 patients. All patients remain continent without catheterization after the transplantation., Conclusions: Enterocystoplasty is a safe and effective method of restoring lower urinary tract function in the patient with end stage renal disease and a small non compliant bladder.
- Published
- 2003
- Full Text
- View/download PDF
47. Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care--the Triumph project.
- Author
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Verhamme KM, Dieleman JP, Bleumink GS, van der Lei J, Sturkenboom MC, Artibani W, Begaud B, Berges R, Borkowski A, Chappel CR, Costello A, Dobronski P, Farmer RD, Jiménez Cruz F, Jonas U, MacRae K, Pientka L, Rutten FF, van Schayck CP, Speakman MJ, Sturkenboom MC, Tiellac P, Tubaro A, Vallencien G, and Vela Navarrete R
- Subjects
- Age Distribution, Aged, Aged, 80 and over, Cohort Studies, Databases as Topic, Humans, Incidence, Male, Middle Aged, Netherlands, Prevalence, Prostatic Hyperplasia diagnosis, Prostatic Hyperplasia therapy, Retrospective Studies, Primary Health Care, Prostatic Hyperplasia epidemiology
- Abstract
Objective: Benign prostatic hyperplasia (BPH) is one of the most common conditions associated with ageing in men. BPH often presents as lower urinary tract symptoms (LUTS) due to difficulties in voiding and irritability of the bladder. We conducted a retrospective cohort study within the Integrated Primary Care Information (IPCI) database, a general practitioners database in The Netherlands, to assess the incidence of LUTS suggestive of BPH (LUTS/BPH) in the general population., Materials: Our study population comprised all males, 45 years or older who were registered for at least 6 months prior to start of follow-up. The study period lasted from 1 January 1995 to 31 December 2000. Cases of LUTS/BPH were defined as persons with a diagnosis of BPH, treatment or surgery for BPH, or urinary symptoms suggestive of BPH that could not be explained by other co-morbidity., Results: The study cohort comprised 80,774 males who contributed 141,035 person-years of follow-up. We identified 2181 incident and 5605 prevalent LUTS/BPH cases. The overall incidence rate of LUTS/BPH was 15 per 1000 man-years (95% CI: 14.8-16.1). The incidence increased linearly (r(2) = 0.99) with age from three cases per 1000 man-years at the age of 45-49 years (95% CI: 2.4-3.6) to a maximum of 38 cases per 1000 man-years at the age of 75-79 years (95% CI: 34.1-42.9). After the age of 80 years, the incidence rate remained constant. For a symptom-free man of 46 years, the risk to develop LUTS/BPH over the coming 30 years, if he survives, is 45%. The overall prevalence of LUTS/BPH was 10.3% (95% CI: 10.2-10.5). The prevalence rate was lowest among males 45-49 years of age (2.7%) and increased with age until a maximum at the age of 80 years (24%)., Conclusions: The incidence rate of LUTS/BPH increases linearly with age and reaches its maximum at the age of 79 years., (Copyright 2002 Elsevier Science B.V.)
- Published
- 2002
- Full Text
- View/download PDF
48. Prognostic value of DNA ploidy and nuclear morphometry in prostate cancer treated with androgen deprivation.
- Author
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Martínez-Jabaloyas JM, Ruiz-Cerdá JL, Hernández M, Jiménez A, and Jiménez-Cruz F
- Subjects
- Aged, Biopsy, Needle, Flow Cytometry, Humans, Male, Middle Aged, Multivariate Analysis, Prognosis, Prostatic Neoplasms mortality, Prostatic Neoplasms surgery, Retrospective Studies, Cell Nucleus pathology, Ploidies, Prostate pathology, Prostatic Neoplasms pathology
- Abstract
Objectives: To assess the prognostic value of flow cytometry and nuclear morphometry in prostate cancer after androgen deprivation treatment., Methods: A total of 127 patients with a prostate cancer diagnosis who had undergone androgen suppression were retrospectively studied. The DNA content by flow cytometry and nuclear morphometry was studied from biopsy specimens. In the patients with Stage M0, two multivariate analyses by the Cox proportional regression model were performed to determine whether the experimental variables (DNA content and nuclear area) added independent information to the classic prognostic factors (Gleason score and stage). Using the statistical analysis results, risk groups were created., Results: T and M categories, Gleason score, DNA ploidy, and mean nuclear area proved to have prognostic value in the univariate analysis. For the group of patients free of metastasis (M0), it was possible to create low, intermediate, and high-risk groups using stage and Gleason score with statistically significant differences in survival. Multivariate analysis, combining the classic and experimental variables, selected Gleason score and DNA content as prognostic independent factors. Also, risk groups with statistically significant differences in survival were created. However, the net result of combining both kinds of factors was at least as valuable as the combination of stage and Gleason score in predicting survival., Conclusions: The determination of DNA ploidy and mean nuclear area do not add enough independent information to improve the predictive value to justify their use in this group of patients treated with hormonal therapy.
- Published
- 2002
- Full Text
- View/download PDF
49. 2,9-bis(3-nitrophenyl)-1-azaadamantan-4-one.
- Author
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Jiménez-Cruz F, Cetina-Rosado R, Hernández-Ortega S, Toscano RA, and Ríos-Olivares H
- Abstract
The title compound, 2,9-bis(3-nitrophenyl)-1-azatricyclo[3.3.1.1(3,7)]decan-4-one, C21H19N3O5, has a tricyclic structure. The torsion angles may be used to describe the relationship of the carbonyl group to the adjacent faces, whereby it is seen that the angles on the face of the arylpiperidinone side [122.0 (3) and -122.0 (3) degrees ] are greater than those on the cyclohexanone side [-119.8 (4) and 119.9 (4) degrees ]. Although these differences may explain a facial selectivity during nucleophilic addition to the carbonyl group, the presence of the aryl rings is probably also important.
- Published
- 2001
- Full Text
- View/download PDF
50. 4-Ethoxycarbonyl-3-hydroxy-3-phenylcyclohexanone.
- Author
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Hernández-Ortega S, Jiménez-Cruz F, Ríos-Olivares H, and Rubio-Arroyo M
- Abstract
The title compound, ethyl 2-hydroxy-4-oxo-2-phenylcyclohexanecarboxylate, C(15)H(18)O(4), was obtained by a Michael-Aldol condensation and has the cyclohexanone in a chair conformation. The attached hydroxy, ethoxycarbonyl and phenyl groups are disposed in beta-axial, beta-equatorial and alpha-equatorial configurations, respectively. An intermolecular hydrogen bond, with an O.O distance of 2.874 (2) A, links the OH group and the ring carbonyl. Weak intermolecular C-H.O=C (ester and ketone), O-H.O=C (ketone) and C-H.OH hydrogen bonds exist.
- Published
- 2001
- Full Text
- View/download PDF
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