Publications by authors named "R L Grubb"

Introduction: We report the first scoping review of the clinical urologic literature for photodynamic therapy (PDT) among multiple urologic malignancies.

Materials And Methods: A scoping review using Medline and Embase was performed for treatment of urologic malignancies with PDT.

Results: There were 84 papers included with the majority involving bladder and prostate cancer.

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Article Synopsis
  • - Bronchoperitoneal (BP) fistulas are rare and complex medical conditions, with few existing studies on their treatment options, which can be either conservative or surgical.
  • - A search for BP fistulas related to bladder cancer yielded no relevant studies, indicating a gap in the literature for this specific case.
  • - The presented case is the first documented instance of a BP fistula caused by metastatic bladder cancer and the second instance of successfully using an endobronchial valve for its treatment, which improved the patient's quality of life.
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Testicular mesothelioma lacks the characteristic presentation of testicular malignancy and often has normal biomarkers at the time of diagnosis causing this malignancy to be overlooked and diagnosed intraoperatively during elective scrotal surgery. We present two cases of testicular mesothelioma that were diagnosed incidentally during hydrocelectomy. These cases emphasize the importance of considering testicular mesothelioma during hydrocele and scrotal mass workup and demonstrate the need for standardized guidelines for the management of testicular mesothelioma.

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"Replace Cysto" is a multisite randomized phase 2 trial including 240 participants with low-grade intermediate-risk non-muscle-invasive bladder cancer, in which participants will be randomized 1:1:1 to one of two urine marker-based approaches alternating a urine marker test (Xpert Bladder Cancer Monitor or Bladder EpiCheck) with cystoscopy or to frequent scheduled cystoscopy. The primary objective is to determine whether urinary quality of life after surveillance is significantly improved in the urine marker arms. The primary outcome will be the patient-reported urinary quality of life domain score of the validated QLQ-NMIBC24 instrument, measured 1-3 d after surveillance.

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Dermatofibrosarcoma protuberans (DFSP) is a rare spindle cell soft tissue sarcoma of the dermis and subcutaneous tissue. We present the fourth case of scrotal DFSP in the literature, identified in a 32-year-old male with schizophrenia. Wide surgical excision and radical orchiectomy were performed revealing an uninvolved testicle and DFSP of the scrotum.

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