Fig. 19.1 Cumulative incidence of second neoplasms after initial cancer diagnosis (Friedman et al. [3]) Unique associations with specific therapeutic exposures have resulted in the classification of SMNs into two…
Evaluation Growth Height, bone age, somatomedin C, IGFBP-3 TBI and/or cranial irradiation: refer to endocrinologist for GH provocative testing; growth hormone may be indicated Thyroid Physical assessment, free T4, T3,…
Late effects Causative treatment Signs and symptoms Screening and diagnostic tests Management and intervention Chemotherapy Radiation Surgery Overt hypothyroidism (elevated TSH, decreased T4) >20 Gy to the neck, cervical spine…
Fig. 7.1 Depiction of anatomy in the midsagittal plane along with two approaches for RPP. BL bladder, P prostate, RH rhabdosphincter, RU rectourethralis; puboprostatic complex consists of puboprostatic ligaments (PPL—red);…
Fig. 4.1 An 18-French Foley catheter is placed transurethrally, and an extraperitoneal incision is made in the lower midline, approximately 8 cm in length. Reprinted with permission, Cleveland Clinic Center…
Fig. 6.1 Port position The patient is then placed in extreme trendelenburg position. The robot is brought in and docked between the patient’s legs (Fig. 6.2). The assistant works from…
Factor Comments Freeze rate Rapid freeze > Slow Freeze Cancer cells adapt to slow freeze Temperature monitor Strongly advises for monitor Nadir temperature Traditionally −40 °C was used Recommend −20 °C Thaw…
Fig. 8.1 Cleveland Clinic institutional outcomes by NCCN risk category between 1996–2014. Part (a) is low-risk, part (b) intermediate-risk and part (c) high risk. The number at-risk at 5 and…
Fig. 10.1 Perineal template with inserted cryoprobes to treat right side distal lesion Fig. 10.2 Inserted cryoprobe needles as seen on ultrasound image Fig. 10.3 Iceball—transverse view Fig. 10.4 Iceball—sagittal…
