1
|
Quintana RM, Scarparo RK, Münchow EA, Pinheiro LS, Tavares CO, Kopper PMP. Does aPDT reduce bacterial load in endodontic infected teeth? A systematic review and meta-analysis. Lasers Med Sci 2023; 38:268. [PMID: 37981598 DOI: 10.1007/s10103-023-03938-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/14/2023] [Indexed: 11/21/2023]
Abstract
This systematic review investigated whether antimicrobial photodynamic therapy (aPDT) after chemomechanical root canal disinfection (CD) yields a greater microbial load reduction than only CD. An electronic literature search was conducted on four databases up to November 2022, with no language or publication date restrictions. Randomized and non-randomized clinical trials were included if participants had a primary endodontic infection in permanent teeth, and if microbial loads before and after using aPDT were compared. Two researchers independently screened titles and abstracts to determine study eligibility. Assessments included risk of bias and methodological quality. This review was registered in PROSPERO (CRD42020181783). Eight studies were included in the qualitative analysis, and six were eligible for meta-analysis. In the random effects model, aPDT significantly improved the results of root canal disinfection when compared with standard protocols for cleaning and shaping (p = 0.04, 95% CI -1.72, -0.05). Subgroup analysis suggested that aPDT has a better effect on reducing the load of anaerobic microorganisms (p = 0.003, 95% CI -3.36, -0.69). The use of aPDT as an adjunct to chemomechanical disinfection promotes additional reduction of the microbial load and, therefore, seems to improve the results of root canal treatments in permanent teeth with a primary endodontic infection. However, certainty of evidence should be improved.
Collapse
Affiliation(s)
- Ramiro Martins Quintana
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil
| | - Roberta Kochenborger Scarparo
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil
| | - Eliseu Aldrighi Münchow
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil
| | - Lucas Siqueira Pinheiro
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil
| | - Cauana Oliva Tavares
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil
| | - Patricia Maria Poli Kopper
- Graduate Program in Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcellos, 2492. Santa Cecícila, Porto Alegre, RS, Brazil.
| |
Collapse
|
2
|
Matoso FB, Montagner F, Jardine AP, Quintana RM, Grecca FS, Kopper PMP. Effect of different disinfection protocols in bacterial viability of an intraradicular biofilm formed in situ. Braz Dent J 2023; 34:42-49. [PMID: 37466524 PMCID: PMC10355264 DOI: 10.1590/0103-6440202305244] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 04/18/2023] [Indexed: 07/20/2023] Open
Abstract
The present study aimed to evaluate bacterial viability after the use of different disinfection protocols in root canals infected with a multispecies biofilm (MB) formed in situ. Palatal roots with a single canal were obtained from extracted maxillary molars and sterilized before being inserted into the mouth. The roots were contaminated with a MB in an intraoral appliance worn by ten volunteers. All volunteers wore six roots simultaneously in two intraoral devices for 21 days. One root from each volunteer was assigned to each group (n=10): PUI - passive ultrasonic irrigation; EC - Easy Clean; XPF - XP-endo Finisher; aPDT - antimicrobial photodynamic therapy; CI - conventional irrigation; and NC - negative control. The samples were evaluated under confocal laser scanning microscopy. The percentage of viable cells (VC) was calculated over the total percentage of MB biovolume. Data were statistically analyzed (α=5%). The cell viability in the entire root canal or for each third was compared between groups (Kruskal-Wallis test, Dunn post-hoc test) and for the same group (Friedman test, Dunn post-hoc test). Disinfection protocols were not significantly different from each other (P>.05). Samples in EC, PUI, and aPDT had lower cell viability than in NC (P<.05). In the coronal third of samples in the EC, XPF, PUI and aPDT, the percentage of VC biovolume was lower than in the NC (P<.05). The percentage of VC in EC samples was lower in the coronal and middle thirds than in the apical third (P<.05). EC, PUI and aPDT had significant effects on cell viability in intraradicular multispecies biofilm formed in situ when compared with untreated samples.
Collapse
Affiliation(s)
- Felipe Barros Matoso
- Graduate Program in Dentistry, Federal University of Rio Grande
do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Francisco Montagner
- Graduate Program in Dentistry, Federal University of Rio Grande
do Sul (UFRGS), Porto Alegre, RS, Brazil
| | | | - Ramiro Martins Quintana
- Graduate Program in Dentistry, Federal University of Rio Grande
do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Fabiana Soares Grecca
- Graduate Program in Dentistry, Federal University of Rio Grande
do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Patricia Maria Poli Kopper
- Graduate Program in Dentistry, Federal University of Rio Grande
do Sul (UFRGS), Porto Alegre, RS, Brazil
| |
Collapse
|
3
|
Matoso FB, Quintana RM, Jardine AP, Delai D, Fontanella VRC, Grazziotin-Soares R, Kopper PMP. XP Endo Finisher-R and PUI as supplementary methods to remove root filling materials from curved canals. Braz Oral Res 2022; 36:e053. [DOI: 10.1590/1807-3107bor-2022.vol36.0053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Accepted: 01/17/2022] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | | | - Debora Delai
- Universidade Federal do Rio Grande do Sul, Brazil
| | | | | | | |
Collapse
|
4
|
Jardine AP, Rosa KFV, Matoso FB, Quintana RM, Grazziotin-Soares R, Kopper PMP. Marginal gaps and internal voids after root-end filling using three calcium silicate-based materials: A Micro-CT analysis. Braz Dent J 2021; 32:1-7. [PMID: 34787245 DOI: 10.1590/0103-6440202104096] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 05/24/2021] [Indexed: 11/22/2022] Open
Abstract
This study evaluated the 3D quality of root-end filling, assessing the presence (volume and percentage) of marginal gaps and internal voids formed after retro-filling with three calcium silicate-based materials: MTA Angelus (Angelus Soluçoes Odontologicas, Londrina, PR, Brazil), Biodentine (Septodont Ltd., Saint Maur-des-Faussés, France) and Neo MTA Plus (Avalon Biomed Inc., Bradenton, Florida, US). Thirty human, extracted, single rooted teeth were used. Orthograde root canal treatment, root resection (3mm shorter than the apex) and retrograde cavity preparation with ultrasonic tips were performed. Teeth were divided into 3 groups (n =10 each) following a stratified randomization according to the initial volume of the root-end cavity. After retrofilling, samples were stored for 7 days. Then, two rounds of micro-CT scans were performed: soon after root-end preparation (with the cavity still empty) and 7 days after root-end filling. Marginal gaps, internal voids volume (mm3 and %), as well as, the overall defects (sum of gaps and voids) were evaluated. Statistics compared the three groups in relation to those defects. There was not statistical difference between groups regarding the marginal gaps (P≥ 0.05), the internal voids (P≥ 0.05), and the overall defects (P≥ 0.05). Median (mm3) and % of overall air-entrapment defects (gaps and/or voids) was: 0.004mm3 and 1.749% for MTA Angelus, 0.018mm3 and 6.660% for Biodentine, and 0.012mm3 and 4.079% for Neo MTA Plus. All materials had gaps and/or voids. No differences were found between MTA Angelus, Biodentine and Neo MTA Plus.
Collapse
Affiliation(s)
- Alexander Pompermayer Jardine
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Ketsia Fernanda Váz Rosa
- Department of Conservative Dentistry/Endodontics, School of Dentistry, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Felipe Barros Matoso
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | - Ramiro Martins Quintana
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| | | | - Patricia Maria Poli Kopper
- Graduate Program of School of Dentistry/Endodontics, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil.,Department of Conservative Dentistry/Endodontics, School of Dentistry, Federal University of Rio Grande do Sul(UFRGS), Porto Alegre, RS, Brazil
| |
Collapse
|
5
|
Pinheiro LS, Kopper PMP, Quintana RM, Scarparo RK, Grecca FS. Does MTA provide a more favourable histological response than other materials in the repair of furcal perforations? A systematic review. Int Endod J 2021; 54:2195-2218. [PMID: 34418122 DOI: 10.1111/iej.13617] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 08/20/2021] [Indexed: 12/09/2022]
Abstract
BACKGROUND There is no consensus on which furcal perforation repair material induces a more favourable histological response. This systematic review of laboratory studies provides an overview of the studies comparing repair materials in animal models. OBJECTIVES To evaluate whether mineral trioxide aggregate (MTA) yields a more favourable histological response than other materials when used to repair furcal perforations in animal experimental models. METHODS This review followed the PRISMA checklist. The studies included various materials used to repair furcal perforations and compared the histological responses with MTA. An electronic search was conducted in EMBASE, PubMed, Scopus and Web of Science up to 2 September 2020, with no language or publication date restrictions. Studies whose full text was unavailable were excluded. The ARRIVE and SYRCLE tools were used to assess the methodological quality and risk of bias (RoB) of the studies. RESULTS The studies included in the qualitative synthesis were conducted in rat (n = 3) and dog (n = 17) models. They were classified as having a low quality, high methodological heterogeneity and high RoB. MTA and Biodentine, the materials most often compared, reduced the inflammatory reaction to mild over time. In addition, a mineralized tissue was formed in all studies. The response yielded by MTA was better than or equivalent to that of the other tested materials. DISCUSSION This review confirmed that MTA is the reference standard material for furcal perforation repair. However, research using animal models has inherent limitations, and the substantial methodological heterogeneity across the studies included should be considered. Therefore, the knowledge generated by this systematic review should be translated into clinical practice cautiously. CONCLUSIONS Features described in the report and quality assessment guidelines, such as PRIASE, ARRIVE and SYRCLE, should guide researchers. Despite the high RoB and the low methodological quality of the studies included, findings indicated that MTA yields a more favourable histological response than other materials in the repair of furcal perforations. REGISTRATION PROSPERO (CRD42020181297).
Collapse
Affiliation(s)
- Lucas Siqueira Pinheiro
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Patricia Maria Poli Kopper
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Ramiro Martins Quintana
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Fabiana Soares Grecca
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| |
Collapse
|
6
|
Zaccara IM, Jardine AP, Mestieri LB, Quintana RM, Jesus L, Moreira MS, Grecca FS, Martins MD, Kopper PMP. Influence of photobiomodulation therapy on root development of rat molars with open apex and pulp necrosis. Braz Oral Res 2019; 33:e084. [PMID: 31460610 DOI: 10.1590/1807-3107bor-2019.vol33.0084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 06/25/2019] [Indexed: 02/21/2023] Open
Abstract
This study aimed to evaluate the role of photobiomodulation (PBM) in apexification and apexogenesis of necrotic rat molars with an open apex. Rat molars were exposed to the oral environment for 3 weeks. Canals were rinsed with 2.5% NaOCl and 17% EDTA, filled with antibiotic paste and sealed. After 7 days, canals were rinsed and divided into six groups (n=6): mineral trioxide aggregate (MTA); blood clot (BC); human dental pulp stem cells (hDPSC); MTA+PBM; BC+PBM; and hDPSC+PBM. In hDPSC groups, a 1% agarose gel scaffold was used. Two groups were not exposed: healthy tooth+PBM (n = 6), healthy tooth (n = 3); and one was exposed throughout the experiment: necrotic tooth (n = 3). In PBM groups, irradiation was performed with aluminum gallium indium phosphide (InGaAlP) diode laser for 30 days within 24-h intervals. After that, the specimens were processed for histological and immunohistochemical analyses. Necrotic tooth showed greater neutrophil infiltrate (p < 0.05). Necrotic tooth, healthy tooth, and healthy tooth+PBM groups showed absence of a thin layer of fibrous condensation in the periapical area. All the other groups stimulated the formation of a thicker layer of fibers (p < 0.05). All groups formed more mineralized tissue than necrotic tooth (p < 0.05). PBM associated with MTA, BC, or hDPSC formed more mineralized tissue (p < 0.05). MTA+PBM induced apexification (p < 0.05). Rabbit polyclonal anti-bone sialoprotein (BSP) antibody confirmed the histological findings of mineralized tissue formation, and hDPSC groups exhibited higher percentage of BSP-positive cells. It can be concluded that PBM improved apexification and favored apexogenesis in necrotic rat molars with an open apex.
Collapse
Affiliation(s)
- Ivana Maria Zaccara
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | | | - Letícia Boldrin Mestieri
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | - Ramiro Martins Quintana
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | - Luciano Jesus
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | | | - Fabiana Soares Grecca
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | - Manoela Domingues Martins
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| | - Patrícia Maria Poli Kopper
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Graduate program, Porto Alegre, RS, Brazil
| |
Collapse
|
7
|
Quintana RM, Jardine AP, Grechi TR, Grazziotin-Soares R, Ardenghi DM, Scarparo RK, Grecca FS, Kopper PMP. Bone tissue reaction, setting time, solubility, and pH of root repair materials. Clin Oral Investig 2018; 23:1359-1366. [PMID: 30022271 DOI: 10.1007/s00784-018-2564-1] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 07/09/2018] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This study aims to compare the bone tissue reaction, setting time, solubility, and pH of NeoMTA Plus, Biodentine (BD), and MTA Angelus (MTA-A). MATERIALS AND METHODS Initial and final setting times (n = 7) and solubility up to 7 days (n = 11) were evaluated in accordance with ASTM C266-15 and ANSI/ADA Specification No. 57, respectively. pH (n = 10) was measured up to 28 days. Bone tissue reactions in 48 rats' femur were histologically analyzed after 7, 30, and 90 days. ANOVA and Tukey's tests compared setting time, solubility, and pH data; bone reactions data were compared by Kruskal-Wallis and Dunn's tests. RESULTS NeoMTA Plus had longer initial and final setting times than MTA-A and BD (P < 0.05). At 7 days, BD showed the highest solubility, similar to NeoMTA Plus (P > 0.05) and different from MTA-A (P < 0.05). NeoMTA Plus had a progressive mass loss over time; at 7 days, it was significantly different from the initial mass (P < 0.05). BD showed higher pH in the periods assessed when compared to the other materials (P < 0.05). Bone tissue repair had no differences between groups in each experimental period (P > 0.05). All groups presented no difference from 30 to 90 days (P > 0.05) and had better bone repair at 90 days than at 7 days (P < 0.05). CONCLUSIONS NeoMTA Plus, BD, and MTA-A showed satisfactory setting time, high mass loss, alkaline pH, and allowed bone repair. CLINICAL RELEVANCE Calcium silicate-based cements are indicated for multiple clinical situations. NeoMTA Plus and BD showed satisfactory physical-chemical and biological properties, being considered as alternatives to MTA-A, as root repair materials for clinical use.
Collapse
Affiliation(s)
- Ramiro Martins Quintana
- Dentistry Graduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | - Tuane Regina Grechi
- Dentistry Graduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | | | | | - Fabiana Soares Grecca
- Dentistry Graduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Patrícia Maria Poli Kopper
- Dentistry Graduate Program, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
| |
Collapse
|
8
|
Quintana RM, Jardine AP, Montagner F, Fatturi Parolo CC, Morgental RD, Poli Kopper PM. Effect of human, dentin, albumin and lipopolysaccharide on the antibacteerial activity of endodontic activity of endodontic irrigants. J Conserv Dent 2017; 20:341-345. [PMID: 29386783 PMCID: PMC5767830 DOI: 10.4103/jcd.jcd_129_16] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Context Human dentin powder (HD), bovine serum albumin (BSA) and endotoxin (LPS) may affect the antimicrobial activity of irrigating solutions. Aim To evaluate the inhibitory effect of HD powder, BSA, and LPS on the antibacterial activity of 0.5%, 1%, 2.5%, and 5% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX) gel, BioPure mixture of tetracycline, citric acid, and detergent (MTAD), and QMix. Methods The direct contact test against Enterococcus faecalis (ATCC 29212) for 2-min, 30-min and 6-h was used. Sterile pyrogen-free water was the negative control. After experimental periods, a neutralizing agent was used. Colony-forming units were determined by 10-fold serial dilutions and culture on agar plates. Data were analyzed by Kruskal-Wallis and Dunn's test (α = 5%). Results In the absence of inhibitors, all irrigants eliminated E. faecalis. In contact with HD, all solutions eliminated E. faecalis within 2-min, with the exception of MTAD. In the presence of BSA, only 5% NaOCl killed E. faecalis within 2-min. LPS did not affect the antibacterial effect of any irrigant. At 30-min and at 6-h, all substances eliminated E. faecalis. Conclusions In the presence of albumin, irrigants needed >2-min to eliminate E. faecalis, except for 5% NaOCl. The same was observed in the presence of dentin when E. faecalis was exposed to MTAD.
Collapse
Affiliation(s)
- Ramiro Martins Quintana
- Graduate program in dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, RS, Brazil
| | - Alexander Pompermayer Jardine
- Graduate program in dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, RS, Brazil
| | - Francisco Montagner
- Graduate program in dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, RS, Brazil
| | | | | | - Patrícia Maria Poli Kopper
- Graduate program in dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, RS, Brazil
| |
Collapse
|
9
|
Lioy Lupis MT, Quintana RM, Monsalve J, Iotti RM. [Testicular malacoplakia]. ARCH ESP UROL 1993; 46:822-4. [PMID: 8304800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
A rare case of testicular malacoplakia is described herein. To our knowledge only 32 cases have been reported up to 1989. The microscopic features are described and the literature is briefly reviewed.
Collapse
Affiliation(s)
- M T Lioy Lupis
- Servicio de Urología, Hospital General de Agudos Cosme Argerich, Buenos Aires, Argentina
| | | | | | | |
Collapse
|
10
|
Lioy Lupis MT, Quintana RM, Solano FM, Moro G, Romero CF. [Combination of malignant tumors of the genitourinary system in the same patient: testicular seminoma, renal adenocarcinoma and adenocarcinoma of the prostate]. ARCH ESP UROL 1991; 44:73-5. [PMID: 2064426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
A rare case of neoplastic association is reported in a 74-year-old patient who successively presented with right testicular seminoma, left renal clear cell adenocarcinoma, and adenocarcinoma of the prostate. This uncommon association of primary tumors in the same patient and the course of the disease are described and the cases previously reported in the literature are briefly reviewed.
Collapse
Affiliation(s)
- M T Lioy Lupis
- Servicio de Urología, Hospital General de Agudos, Cosme Argerich, Buenos Aires, Argentina
| | | | | | | | | |
Collapse
|