Publications by authors named "N R Yerram"
Primary clear cell adenocarcinoma (CCA) of the urinary bladder is a rare and aggressive malignancy. Few reports in the literature describe this presentation, as associated with malignant transformation of endometriosis. This case highlights the complex etiology of this variant of CCA, initially diagnosed using comprehensive imaging and genetic analysis, and subsequently confirmed through extensive surgical intervention and chemotherapy.
View Article and Find Full Text PDFIntroduction: In estimated glomerular filtration rate equations (eGFR), the race multiplier (RM) yields greater eGFR values and may assign less severe chronic kidney disease (CKD) stages to black individuals. When deciding on appropriateness for partial nephrectomy (PN), patients with CKD are often considered a relative or absolute indication. We hypothesize that the eGFR RM may have ramifications for patients being counseled for radical nephrectomy (RN) versus PN to manage their renal tumor.
View Article and Find Full Text PDFArticle Synopsis
- Caval thrombus with intracardiac involvement is a rare condition linked to renal cell carcinoma, but there are few reports of it associated with metastatic melanoma.
- Metastatic melanoma typically affects the adrenal gland, but it is very uncommon for it to extend into the renal vein and inferior vena cava.
- The case report highlights a treatment involving radical nephrectomy and adrenalectomy for a patient with metastatic melanoma.
Background: The RENAL nephrometry score (RNS) is widely used to describe renal mass complexity and inform patient counseling for partial nephrectomy (PN). However, in cases with multiple tumors, it is unknown which features drive perioperative outcomes.
Objective: To employ a novel scoring equation (multiplex score [MS]) derived from RNS to assess outcomes of multiplex PN at our institution.