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10.1080/10790268.2016.1139291

http://scihub22266oqcxt.onion/10.1080/10790268.2016.1139291
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suck abstract from ncbi


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pmid26864427
      J+Spinal+Cord+Med 2016 ; 39 (2 ): 240-2
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  • Keratinizing desquamative squamous metaplasia in the kidney of a patient with complex spinal cord injury #MMPMID26864427
  • Coode-Bate J ; Davies MC ; Cook I
  • J Spinal Cord Med 2016[]; 39 (2 ): 240-2 PMID26864427 show ga
  • CONTEXT: Keratinizing desquamative squamous metaplasia (KDSM) of the upper urinary tract was previously thought, but never proven, to represent a premalignant condition. However, no clear guidelines exist regarding the long-term management and follow up once this rare diagnosis has been made. FINDINGS: Patients with spinal cord injury often develop a range of risk factors for malignancy of the urinary tract. We present the first reported case of KDSM in the kidney of a 44-year-old man with spinal cord injury whose complex urological history includes previous augmentation cystoplasty, recurrent calculi, infections and indwelling catheters. CLINICAL RELEVANCE: Recent literature has suggested a move away from the previous mainstay of treatment with radical surgery towards nephron-sparing endoscopic and radiological surveillance. This case highlights the complexity of preserving renal function in a spinal cord injured patient with KDSM of the kidney.
  • |Abnormalities, Multiple/*diagnosis [MESH]
  • |Adult [MESH]
  • |Growth Disorders/complications/*diagnosis [MESH]
  • |Humans [MESH]
  • |Kidney/*pathology [MESH]
  • |Male [MESH]
  • |Metaplasia [MESH]
  • |Skin Abnormalities/complications/*diagnosis [MESH]
  • |Spinal Cord Injuries/*complications/diagnosis [MESH]


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