EAP,natural de Birigui,SP 49 anos, casado. Transplantado renal há 22 a

Apresentação em tema: "EAP,natural de Birigui,SP 49 anos, casado. Transplantado renal há 22 a"— Transcrição da apresentação:

1 EAP,natural de Birigui,SP 49 anos, casado. Transplantado renal há 22 a
EAP,natural de Birigui,SP 49 anos, casado. Transplantado renal há 22 a. Cr-2,4 Ur-109 Clearance -17,7 proteinúria-238(20 a 150)

2 REMA: RIM TRANSPLANTADO NA FID
REMA: RIM TRANSPLANTADO NA FID . IMAGEM HIPOINTENSA EM T2, ISOINTENSA EM T1 , DE 2,2 CM DE DIAM, MESORENAL, SUGERINDO NEOPLASIA.

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12 The ultrasound probe is used to monitor the tumor and iceball during the double freeze-thaw process, ensuring destruction of the entire tumor as well as the desired margin of surrounding tissue. the researchers suggest the risk for kidney cancer could be partly due to exposure to immune-suppressive medications, which may have direct carcinogenic effects.  They observed a twofold overall increased risk of cancer among all U.S. transplant recipients, which is similar to results from past studies. The researchers also noted elevated risk for 32 different types of cancer, some known to be related to infectious agents (e.g., anal cancer, Kaposi sarcoma) and others unrelated to infections (e.g., melanoma, thyroid cancer). EA Engels et al. Spectrum of Cancer Risk among U.S. Solid Organ Transplant Recipients: The Transplant Cancer Match Study.  JAMA, Nov. 2, 2011.

13 The tumoricidal temperature required for cell destruction has been shown to be −40C.
However, temperatures within a cryolesion are not uniform, but are variable with respect to the cryoprobe tip. Core temperatures at the probe tip fall between −140C and −190C with temperatures at the visible edge of the ice ball being In addition, a double freeze-thaw cycle significantly increased cell death compared to a single cycle  Gill IS, Novik AC. Renal cryosurgery. Urology. 1999;54:215–9.