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Download e-book for kindle: An illustrated pocketbook of prostatic diseases by Roger S. Kirby MD FRCS(Urol) FEBU

By Roger S. Kirby MD FRCS(Urol) FEBU

ISBN-10: 0203324749

ISBN-13: 9780203324745

ISBN-10: 1842142712

ISBN-13: 9781842142714

This can be a condensed model of the author's profitable Atlas of Prostatic Disease. The emphasis is on a succinct description of prostatic affliction in a principally illustrative layout. The e-book covers the explanations, analysis and staging of prostate melanoma, benign prostatic hyperplasia and prostatitis. The sections on remedy were better by way of the addition of algorithms to summarize the decision-making procedure.

Men's well-being is now a big public healthiness factor and prostatic sickness may have an important impression at the caliber of lifetime of many males. This e-book will supply a handy precis for urologists, fundamental care physicians and nurse practitioners

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Extra info for An illustrated pocketbook of prostatic diseases

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Transitional zone enlargement with concomitant increase in overall gland volume), lower urinary tract symptoms, and bladder outflow obstruction Figure 46 Although benign prostatic hyperplasia is the most common cause of lower urinary tract symptoms (LUTS), many other factors play a role AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES 47 Although bladder wall hypertrophy, which develops in response to the increased effort required during voiding, is associated with an increase in size and strength of detrusor smooth muscle bundles, there is also infiltration by collagen (Figure 47) and a relative depletion of parasympathetic nerve endings.

Figure 30 Transverse section of a prostate (5 cm across) showing bilateral hyperplastic nodules which have reduced the urethra to a slit. In contrast, the carcinoma is seen as solid homogeneous tissue posteriorly (on the left extending to the right) 36 AN ILLUSTRATED POCKETBOOK OF PROSTATIC DISEASES Figure 31 Hyperplastic nodules may be due to either predominantly epithelial (a) or stromal (b) overgrowth. Stromal nodules are almost always periurethral and are often situated immediately beneath the urethral epithelium (H & E) Figure 32 Basal cell hyperplasia: the basal cells have produced a stratified layer that has compressed the tall columnar cells into a narrow rim.

There are, however, individual variations, with some patients developing a predominantly stromal version of the disease and others showing mainly epithelial overgrowth (Figure 31). The luminal-to-basal cell relationship is retained in epithelial hyperplasia, which is not considered to be a premalignant condition. Subgroups of epithelial hyperplasia include basal cell (Figure 32) and cribriform hyperplasia. However, their only importance is the occasional difficulty in distinguishing them from cancer.

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An illustrated pocketbook of prostatic diseases by Roger S. Kirby MD FRCS(Urol) FEBU


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