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Nephron Sparing Surgery in Renal Tumors : A Case Report A 69 yrs old male presented to our OPD with h/o left sided varicocele. A known case of Diabetes, hypertension and bilateral medical renal disease, he underwent MRI abdomen which revealed a large lower pole lesion in left kidney with no renal vein or IVC thrombus. DTPA Scan revealed a 61% function in the affected kidney. Due to his bilateral medical renal disease and poorly functioning contra lateral kidney, he was planned for Nephron Sparing Surgery / partial nephrectomy (L) and DJ Stenting under cold ischaemia. Post op patient initially showed a rise in creatinine levels which gradually settled down to pre operative levels. Before we go into the discussion of partial nephrectomy or nephron sparing surgery (NSS) in RCC, I would like to emphasize on the presenting complaint. Varicocele in the left side is one of the presentation of Left sided kidney mass, which occurs due to the drainage of the gonadal vein into the renal vein on the left side and generally indicates tumor thrombus in the venous system renal/ IVC, however in this case it was because of compression of left gonadal vein by the renal mass. Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy. The rate of RCC has increased by 1.6% per year for last 10 yrs, the reason of which is unknown. Majority of them are renal cell carcinomas and 80% of them are clear cell variety. Smoking and obesity are high risk factors of RCC. Some genetic diseases are also associated with RCC, like Von Hippel Lindau (VHL) disease. At presentation 25% are locally advanced. More often patient presents with metastatic disease (20%) . Only a few patients present with Virchows Triad - the 'too late triad' ( of hematuria, abdominal pain and flank mass). A CT Scan or MRI of the whole abdomen including pelvis clinches the diagnosis. A NEEDLE BIOPSY IS NOT NE

The side effects of MMR vaccine can be limited to a few symptoms, but the side effects of the MMR vaccine can also be very severe. Both adults and children can become victim to the side effects of MMR vaccine.

Tongkat ali side effects vary from insomnia and restlessness to rapid heart beat. Tongkat ali side effects also contain a slightly increased possibility of aggression.

You need to stop using Welchol and instantly contact your physician in case the Welchol side effects pain reaction occurs in your stomach. Or even if one of the side effects of Welchol is serious constipation.

Suicidal tendency is just one of severe side effects of Citalopram. Issue of depression and unmasking of the mania of undiscovered bipolar disorder are some other serious side effects.

There are presently not any negative side effects of Zyflamend. The only side effects of Zyflamend that individuals have frequently experienced is diarrhea.

A few of the serious Lantus Solostar side effects include feeling dizzy, shaky, or nausea. These symptoms could all be Lantus Solostar side effects.

The Beano side effects are really possible for individuals with diabetes and for individuals with galactosemia the people with these diseases should very carefully study the topic together with their physician in order to avoid Beano side effects.

Loratadine side effects isn't responsible for any suggestions, treatment course, diagnosis or another information and facts, solutions for the product you get by this site. Always be proper care of loratadine side effects to your wellbeing.

As with all drugs, side effects are possible with Zantac. Zantac side effects that suggest a hypersensitive reaction can vary from an uncommon allergy and itching to wheezing and difficulty breathing to swelling of the throat and mouth area.

You may be hypersensitive to astaxanthin and show Astaxanthin side effects. Severe astaxanthin side effects that could very seriously affect people's health are really rare.

One of the most severe furosemide side effects is changes in the rate of the heart beat. This side effect may be particularly harmful for those who suffer from heart disease or are applying the drugs as a treatment for hypertension.

The side effects of Fruta Planta include dry mouth, constipation, sleeping problems and sensitive teeth, although the manufacturers deny that skin rash is also a possible side effect.

Drinking too much red wine and resveratrol has side effects. The side effects of resveratrol can be moderate to severe at times.

Possible Varicella vaccine side effects are rather mild. For example light redness and soreness in the zone of the injection.

Convulsions are very dangerous side effects of MMR vaccine in babies, since children under 3 years of age are very susceptible to them.

The results of colloidal silver use depend on age, health condition, weight and metabolism of the patient. At the same time side effects of colloidal silver also depend on the individual person.

In case one of the bacterial meningitis vaccine side effects is a server allergic reaction the symptoms appear in the next several minutes or several hours.

Side effects of papaya enzyme may include skin allergic reactions if the enzyme is used as an ointment, so it is better to keep the product away from the skin.

Nevertheless, as magical, as it sounds there can always be botanical slimming soft gel side effects or no positive effects at all. Some other botanical slimming products also may result in botanical slimming side effects.