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  1. Article: Fine-Needle Aspiration Cytology of Salivary Gland Lesions: A Revised Classification Based on "Milan System"-4years Experience of Tertiary Care Cancer Center of South India.

    Mukundapai, Malathi / Sharma, Neelam / Patil, Akkamahadevi / Gopal, Champaka

    Journal of cytology

    2019  Volume 37, Issue 1, Page(s) 12–17

    Abstract: ... a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports ... as per Milan system provides a standardized reporting and better communication to clinician. ...

    Abstract Background: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports for patient's management.
    Methods: Study included 4 years (2011-2015) retrospective data retrieval from cytology department of our Institute, which is a tertiary care cancer center of South India. Histopathology correlation was done wherever possible.
    Result: Total 253 cases were studied. Histopathological follow-up was available in 115 cases. Cases were categorized as nondiagnostic (1.58%), nonneoplastic (13.43%), benign (30%), atypia (0.8%), and suspicious for malignancy and malignant cytology (51.8%). The risk for malignancy was high for suspicious for malignancy and malignant cytological categories ranged from 96-100%. The sensitivity, specificity, and accuracy for diagnosing malignancy varied from 86.76%, 93.75%, and 89%, respectively.
    Conclusion: Risk stratification approach in classifying salivary gland cytology aspirate as per Milan system provides a standardized reporting and better communication to clinician.
    Language English
    Publishing date 2019-12-23
    Publishing country India
    Document type Journal Article
    ZDB-ID 645018-0
    ISSN 0970-9371
    ISSN 0970-9371
    DOI 10.4103/JOC.JOC_68_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Re: a BURST-BAUS consensus document: FIX-IT study.

    Gopal, Milan

    BJU international

    2023  Volume 131, Issue 4, Page(s) 513

    MeSH term(s) Humans ; Consensus ; Urology
    Language English
    Publishing date 2023-02-03
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15977
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: ESICM LIVES 2016: part one: Milan, Italy. 1-5 October 2016

    Bos, L. / Schouten, L. / van Vught, L. / Wiewel, M. / Ong, D. / Cremer, O. / Artigas, A. / Martin-Loeches, I. / Hoogendijk, A. / van der Poll, T. / Horn, J. / Juffermans, N. / Schultz, M. / de Prost, N. / Pham, T. / Carteaux, G. / Dessap, A. Mekontso / Brun-Buisson, C. / Fan, E. /
    Bellani, G. / Laffey, J. / Mercat, A. / Brochard, L. / Maitre, B. / Howells, P. A. / Thickett, D. R. / Knox, C. / Park, D. P. / Gao, F. / Tucker, O. / Whitehouse, T. / McAuley, D. F. / Perkins, G. D. / Pisani, L. / Roozeman, J. P. / Simonis, F. D. / Giangregorio, A. / Schouten, L. R. / Van der Hoeven, S. M. / Neto, A. Serpa / Festic, E. / Dondorp, A. M. / Grasso, S. / Bos, L. D. / Schultz, M. J. / Koster-Brouwer, M. / Verboom, D. / Scicluna, B. / van de Groep, K. / Frencken, J. / Bonten, M. / Ko, J. I. / Kim, K. S. / Suh, G. J. / Kwon, W. Y. / Kim, K. / Shin, J. H. / Ranzani, O. T. / Prina, E. / Menendez, R. / Ceccato, A. / Mendez, R. / Cilloniz, C. / Gabarrus, A. / Ferrer, M. / Torres, A. / Urbano, A. / Zhang, L. A. / Swigon, D. / Pike, F. / Parker, R. S. / Clermont, G. / Scheer, C. / Kuhn, S. O. / Modler, A. / Vollmer, M. / Fuchs, C. / Hahnenkamp, K. / Rehberg, S. / Gründling, M. / Taggu, A. / Darang, N. / Öveges, N. / László, I. / Tánczos, K. / Németh, M. / Lebák, G. / Tudor, B. / Érces, D. / Kaszaki, J. / Huber, W. / Trásy, D. / Molnár, Z. / Ferrara, G. / Edul, V. S. Kanoore / Canales, H. S. / Martins, E. / Canullán, C. / Murias, G. / Pozo, M. O. / Eguillor, J. F. Caminos / Buscetti, M. G. / Ince, C. / Dubin, A. / Aya, H. D. / Rhodes, A. / Fletcher, N. / Grounds, R. M. / Cecconi, M. / Jacquet-Lagrèze, M. / Riche, M. / Schweizer, R. / Portran, P. / Fornier, W. / Lilot, M. / Neidecker, J. / Fellahi, J. L. / Escoresca-Ortega, A. / Gutiérrez-Pizarraya, A. / Charris-Castro, L. / Corcia-Palomo, Y. / Fernandez-Delgado, E. / Garnacho-Montero, J. / Roger, C. / Muller, L. / Elotmani, L. / Lipman, J. / Lefrant, J. Y. / Roberts, J. A. / Muñoz-Bermúdez, R. / Samper, M. / Climent, C. / Vasco, F. / Sara, V. / Luque, S. / Campillo, N. / Cerrato, S. Grau / Masclans, J. R. / Alvarez-Lerma, F. / Brugger, S. Carvalho / Jimenez, G. Jimenez / Torner, M. Miralbés / Cabello, J. Trujillano / Garrido, B. Balsera / Casals, X. Nuvials / Gaite, F. Barcenilla / Vidal, M. Vallverdú / Martínez, M. Palomar / Gusarov, V. / Shilkin, D. / Dementienko, M. / Nesterova, E. / Lashenkova, N. / Kuzovlev, A. / Zamyatin, M. / Demoule, A. / Carreira, S. / Lavault, S. / Palancca, O. / Morawiec, E. / Mayaux, J. / Arnulf, I. / Similowski, T. / Rasmussen, B. S. / Maltesen, R. G. / Hanifa, M. / Pedersen, S. / Kristensen, S. R. / Wimmer, R. / Panigada, M. / Bassi, G. Li / Kolobow, T. / Zanella, A. / Cressoni, M. / Berra, L. / Parrini, V. / Kandil, H. / Salati, G. / Livigni, S. / Amatu, A. / Andreotti, A. / Tagliaferri, F. / Moise, G. / Mercurio, G. / Costa, A. / Vezzani, A. / Lindau, S. / Babel, J. / Cavana, M. / Consonni, D. / Pesenti, A. / Gattinoni, L. / Mansouri, P. / Zand, F. / Zahed, L. / Dehghanrad, F. / Bahrani, M. / Ghorbani, M. / Cambiaghi, B. / Moerer, O. / Mauri, T. / Kunze-Szikszay, N. / Ritter, C. / Quintel, M. / Vilander, L. M. / Kaunisto, M. A. / Vaara, S. T. / Pettilä, V. / Mulier, J. L. G. Haitsma / Rozemeijer, S. / Spoelstra-de Man, A. M. E. / Elbers, P. E. / Tuinman, P. R. / de Waard, M. C. / Oudemans-van Straaten, H. M. / Liberatore, A. M. A. / Souza, R. B. / Martins, A. M. C. R. P. F. / Vieira, J. C. F. / Koh, I. H. J. / Martínez, M. Galindo / Sánchez, R. Jiménez / Gascón, L. Martínez / Mulero, M. D. Rodríguez / Freire, A. Ortín / Muñoz, A. Ojados / Acebes, S. Rebollo / Martínez, Á. Fernández / Aliaga, S. Moreno / Para, L. Herrera / Payá, J. Murcia / Mulero, F. Rodríguez / Guerci, P. / Ince, Y. / Heeman, P. / Ergin, B. / Uz, Z. / Massey, M. / Papatella, R. / Bulent, E. / Toraman, F. / Longbottom, E. R. / Torrance, H. D. / Owen, H. C. / Hinds, C. J. / Pearse, R. M. / O’Dywer, M. J. / Trogrlic, Z. / van der Jagt, M. / Lingsma, H. / Ponssen, H. H. / Schoonderbeek, J. F. / Schreiner, F. / Verbrugge, S. J. / Duran, S. / van Achterberg, T. / Bakker, J. / Gommers, D. A. M. P. J. / Ista, E. / Krajčová, A. / Waldauf, P. / Duška, F. / Shah, A. / Roy, N. / McKechnie, S. / Doree, C. / Fisher, S. / Stanworth, S. J. / Jensen, J. F. / Overgaard, D. / Bestle, M. H. / Christensen, D. F. / Egerod, I. / Pivkina, A. / Zhivotneva, I. / Pasko, N. / Alklit, A. / Hansen, R. L. / Knudsen, H. / Grode, L. B. / Hravnak, M. / Chen, L. / Dubrawski, A. / Pinsky, M. R. / Parry, S. M. / Knight, L. D. / Connolly, B. C. / Baldwin, C. E. / Puthucheary, Z. A. / Denehy, L. / Hart, N. / Morris, P. E. / Mortimore, J. / Granger, C. L. / Jensen, H. I. / Piers, R. / Van den Bulcke, B. / Malmgren, J. / Metaxa, V. / Reyners, A. K. / Darmon, M. / Rusinova, K. / Talmor, D. / Meert, A. P. / Cancelliere, L. / Zubek, L. / Maia, P. / Michalsen, A. / Decruyenaere, J. / Kompanje, E. / Vanheule, S. / Azoulay, E. / Vansteelandt, S. / Benoit, D. / Ryan, C. / Dawson, D. / Ball, J. / Noone, K. / Aisling, B. / Prudden, S. / Ntantana, A. / Matamis, D. / Savvidou, S. / Giannakou, M. / Gouva, M. / Nakos, G. / Koulouras, V. / Aron, J. / Lumley, G. / Milliken, D. / Dhadwal, K. / McGrath, B. A. / Lynch, S. J. / Bovento, B. / Sharpe, G. / Grainger, E. / Pieri-Davies, S. / Wallace, S. / McGrath, B. / Jung, M. / Cho, J. / Park, H. / Suh, G. / Kousha, O. / Paddle, J. / Gripenberg, L. Gamrin / Rehal, M. Sundström / Wernerman, J. / Rooyackers, O. / de Grooth, H. J. / Choo, W. P. / Spoelstra-de Man, A. M. / Swart, E. L. / Talan, L. / Güven, G. / Altıntas, N. D. / Padar, M. / Uusvel, G. / Starkopf, L. / Starkopf, J. / Blaser, A. Reintam / Kalaiselvan, M. S. / Arunkumar, A. S. / Renuka, M. K. / Shivkumar, R. L. / Volbeda, M. / ten Kate, D. / Hoekstra, M. / van der Maaten, J. M. / Nijsten, M. W. / Komaromi, A. / Norberg, Å. / Smedberg, M. / Mori, M. / Pettersson, L. / Theodorakopoulou, M. / Christodoulopoulou, T. / Diamantakis, A. / Frantzeskaki, F. / Kontogiorgi, M. / Chrysanthopoulou, E. / Lygnos, M. / Diakaki, C. / Armaganidis, A. / Gundogan, K. / Dogan, E. / Coskun, R. / Muhtaroglu, S. / Sungur, M. / Ziegler, T. / Guven, M. / Kleyman, A. / Khaliq, W. / Andreas, D. / Singer, M. / Meierhans, R. / Schuepbach, R. / De Brito-Ashurst, I. / Sabetian, G. / Nikandish, R. / Hagar, F. / Masjedi, M. / Maghsudi, B. / Vazin, A. / Asadpour, E. / Kao, K. C. / Chiu, L. C. / Hung, C. Y. / Chang, C. H. / Li, S. H. / Hu, H. C. / El Maraghi, S. / Ali, M. / Rageb, D. / Helmy, M. / Marin-Corral, J. / Vilà, C. / Vàzquez, A. / Martín-Loeches, I. / Díaz, E. / Yébenes, J. C. / Rodriguez, A. / Álvarez-Lerma, F. / Varga, N. / Cortina-Gutiérrez, A. / Dono, L. / Martínez-Martínez, M. / Maldonado, C. / Papiol, E. / Pérez-Carrasco, M. / Ferrer, R. / Nweze, K. / Morton, B. / Welters, I. / Houard, M. / Voisin, B. / Ledoux, G. / Six, S. / Jaillette, E. / Nseir, S. / Romdhani, S. / Bouneb, R. / Loghmari, D. / Aicha, N. Ben / Ayachi, J. / Meddeb, K. / Chouchène, I. / Khedher, A. / Boussarsar, M. / Chan, K. S. / Yu, W. L. / Nolla, J. / Vidaur, L. / Bonastre, J. / Suberbiola, B. / Guerrero, J. E. / Coll, N. Ramon / Jiménez, G. Jiménez / Calero, J. Codina / García, M. / de la Torre, M. C. / Vendrell, E. / Palomera, E. / Güell, E. / Serra-Prat, M. / Bermejo-Martín, J. F. / Almirall, J. / Tomas, E. / Escoval, A. / Froe, F. / Pereira, M. H. Vitoria / Velez, N. / Viegas, E. / Filipe, E. / Groves, C. / Reay, M. / Ballin, A. / Facchin, F. / Sartori, G. / Zarantonello, F. / Campello, E. / Radu, C. M. / Rossi, S. / Ori, C. / Simioni, P. / Umei, N. / Shingo, I. / Santos, A. C. / Candeias, C. / Moniz, I. / Marçal, R. / e Silva, Z. Costa / Ribeiro, J. M. / Georger, J. F. / Ponthus, J. P. / Tchir, M. / Amilien, V. / Ayoub, M. / Barsam, E. / Martucci, G. / Panarello, G. / Tuzzolino, F. / Capitanio, G. / Ferrazza, V. / Carollo, T. / Giovanni, L. / Arcadipane, A. / Sánchez, M. López / González-Gay, M. A. / Díaz, F. J. Llorca / López, M. I. Rubio / Zogheib, E. / Villeret, L. / Nader, J. / Bernasinski, M. / Besserve, P. / Caus, T. / Dupont, H. / Morimont, P. / Habran, S. / Hubert, R. / Desaive, T. / Blaffart, F. / Janssen, N. / Guiot, J. / Pironet, A. / Dauby, P. / Lambermont, B. / Pettenuzzo, T. / Citton, G. / Kirakli, C. / Ediboglu, O. / Ataman, S. / Yarici, M. / Tuksavul, F. / Keating, S. / Gibson, A. / Gilles, M. / Dunn, M. / Price, G. / Young, N. / Remeta, P. / Bishop, P. / Zamora, M. D. Fernández / Muñoz-Bono, J. / Curiel-Balsera, E. / Aguilar-Alonso, E. / Hinojosa, R. / Gordillo-Brenes, A. / Arboleda-Sánchez, J. A. / Skorniakov, I. / Vikulova, D. / Whiteley, C. / Shaikh, O. / Jones, A. / Ostermann, M. / Forni, L. / Scott, M. / Sahatjian, J. / Linde-Zwirble, W. / Hansell, D. / Laoveeravat, P. / Srisawat, N. / Kongwibulwut, M. / Peerapornrattana, S. / Suwachittanont, N. / Wirotwan, T. O. / Chatkaew, P. / Saeyub, P. / Latthaprecha, K. / Tiranathanagul, K. / Eiam-ong, S. / Kellum, J. A. / Berthelsen, R. E. / Perner, A. / Jensen, A. E. K. / Jensen, J. U. / Gebhard, D. J. / Price, J. / Kennedy, C. E. / Akcan-Arikan, A. / Kang, Y. R. / Nakamae, M. N. / Hamed, K. / Khaled, M. M. / Soliman, R. Aly / Mokhtar, M. Sherif / Seller-Pérez, G. / Arias-Verdú, D. / Llopar-Valdor, E. / De-Diós-Chacón, I. / Quesada-García, G. / Herrera-Gutierrez, M. E. / Hafes, R. / Carroll, G. / Doherty, P. / Wright, C. / Vera, I. G. Guerra / Ralston, M. / Gemmell, M. L. / MacKay, A. / Black, E. / Docking, R. I. / Appleton, R. / Ralston, M. R. / Gemmell, L. / Mackay, A. / Röttgering, J. G. / Elbers, P. W. G. / Mejeni, N. / Nsiala, J. / Kilembe, A. / Akilimali, P. / Thomas, G. / Andersson, A. E. / Fagerdahl, A. M. / Knudsen, V. / Cheikh, A. Ben / Hamdaoui, Y. / Guiga, A. / Fraj, N. / Sma, N. / Chouchene, I. / Bouafia, N. / Amirian, A. / Ziaian, B. / Fleischmann, C. / Thomas-Rueddel, D. O. / Schettler, A. / Schwarzkopf, D. / Stacke, A. / Reinhart, K. / Martins, A. / Sousa, P. / Snell, G. / Matsa, R. / Paary, T. T. S. / Cavalheiro, A. M. / Rocha, L. L. / Vallone, C. S. / Tonilo, A. / Lobato, M. D. S. / Malheiro, D. T. / Sussumo, G. / Lucino, N. M. / Rosenthal, V. D. / Dashti, A. Sanaei / Yousefipour, A. / Goodall, J. R. / Williamson, M. / Tant, E. / Thomas, N. / Balci, C. / Gonen, C. / Haftacı, E. / Gurarda, H. / Karaca, E. / Paldusová, B. / Zýková, I. / Šímová, D. / Houston, S. / D’Antona, L. / Lloyd, J. / Garnelo-Rey, V. / Sosic, M. / Sotosek-Tokmazic, V. / Kuharic, J. / Antoncic, I. / Dunatov, S. / Sustic, A. / Chong, C. T. / Sim, M. / Lyovarin, T. / Díaz, F. M. Acosta / Galdó, S. Narbona / Garach, M. Muñoz / Romero, O. Moreno / Bailón, A. M. Pérez / Pinel, A. Carranza / Colmenero, M. / Gritsan, A. / Gazenkampf, A. / Korchagin, E. / Dovbish, N. / Lee, R. M. / Lim, M. P. P. / Lim, B. C. L. / See, J. J. / Assis, R. / Filipe, F. / Lopes, N. / Pessoa, L. / Pereira, T. / Catorze, N. / Aydogan, M. S. / Aldasoro, C. / Marchio, P. / Jorda, A. / Mauricio, M. D. / Guerra-Ojeda, S. / Gimeno-Raga, M. / Colque-Cano, M. / Bertomeu-Artecero, A. / Aldasoro, M. / Valles, S. L. / Tonon, D. / Triglia, T. / Martin, J. C. / Alessi, M. C. / Bruder, N. / Garrigue, P. / Velly, L. / Spina, S. / Scaravilli, V. / Marzorati, C. / Colombo, E. / Savo, D. / Vargiolu, A. / Cavenaghi, G. / Citerio, G. / Andrade, A. H. V. / Bulgarelli, P. / Araujo, J. A. P. / Gonzalez, V. / Souza, V. A. / Massant, C. / Filho, C. A. C. Abreu / Morbeck, R. A. / Burgo, L. E. / van Groenendael, R. / van Eijk, L. T. / Leijte, G. P. / Koeneman, B. / Kox, M. / Pickkers, P. / García-de la Torre, A. / de la Torre-Prados, M. / Fernández-Porcel, A. / Rueda-Molina, C. / Nuevo-Ortega, P. / Tsvetanova-Spasova, T. / Cámara-Sola, E. / García-Alcántara, A. / Salido-Díaz, L. / Liao, X. / Feng, T. / Zhang, J. / Cao, X. / Wu, Q. / Xie, Z. / Li, H. / Kang, Y. / Winkler, M. S. / Nierhaus, A. / Mudersbach, E. / Bauer, A. / Robbe, L. / Zahrte, C. / Schwedhelm, E. / Kluge, S. / Zöllner, C. / Mitsi, E. / Pennington, S. H. / Reine, J. / Wright, A. D. / Parker, R. / Welters, I. D. / Blakey, J. D. / Rajam, G. / Ades, E. W. / Ferreira, D. M. / Wang, D. / Kadioglu, A. / Gordon, S. B. / Koch, R. / Rahamat-Langedoen, J. / Schloesser, J. / de Jonge, M. / Bringue, J. / Guillamat-Prats, R. / Torrents, E. / Martinez, M. L. / Camprubí-Rimblas, M. / Blanch, L. / Park, S. Y. / Park, Y. B. / Song, D. K. / Shrestha, S. / Park, S. H. / Koh, Y. / Park, M. J. / Hong, C. 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P. / Frankel, J. E. / Beam, A. L. / Olaniran, K. O. / Gibbons, F. K. / Christopher, K. B. / Pennington, J. / Zolfaghari, P. / King, H. S. / Kong, H. H. Y. / Shum, H. P. / Yan, W. W. / Kaymak, C. / Okumus, N. / Sari, A. / Erdogdu, B. / Aksun, S. / Basar, H. / Ozcan, A. / Ozcan, N. / Oztuna, D. / Malmgren, J. A. / Lundin, S. / Torén, K. / Eckerström, M. / Wallin, A. / Waldenström, A. C. / Riccio, F. C. / Antonio, A. C. P. / Leivas, A. F. / Kenji, F. / James, E. / Jonnada, S. / Gerrard, C. S. / Jones, N. / Salciccioli, J. D. / Marshall, D. C. / Komorowski, M. / Hartley, A. / Sykes, M. C. / Goodson, R. / Shalhoub, J. / Villanueva, J. R. Fernández / Garda, R. Fernández / Lago, A. M. López / Ruiz, E. Rodríguez / Vaquero, R. Hernández / Rodríguez, C. Galbán / Pérez, E. Varo / Hilasque, C. / Oliva, I. / Sirgo, G. / Martin, M. C. / Olona, M. / Gilavert, M. C. / Bodí, M. / Ebm, C. / Aggarwal, G. / Huddart, S. / Quiney, N. / Fernandes, S. M. / Silva, J. Santos / Gouveia, J. / Silva, D. / Marques, R. / Bento, H. / Alvarez, A. / Silva, Z. Costa / Diaz, D. Díaz / Martínez, M. Villanova / Herrejon, E. Palencia / de la Gandara, A. Martinez / Gonzalo, G. / Lopez, M. A. / de Gopegui Miguelena, P. Ruíz / Matilla, C. I. Bernal / Chueca, P. Sánchez / Longares, M. D. C. Rodríguez / Abril, R. Ramos / Aguilar, A. L. Ruíz / de Murillas, R. Garrido López / Fernández, R. Fernández / Laborías, P. Morales / Castellanos, M. A. Díaz / Laborías, M. E. Morales / Park, J. / Woo, S. / West, T. / Powell, E. / Rimmer, A. / Orford, C. / Williams, J. / de Gopegui Miguelena, P. Ruiz / Bourne, R. S. / Shulman, R. / Tomlin, M. / Mills, G. H. / Borthwick, M. / Berry, W. / Huertas, D. García / Manzano, F. / Villagrán-Ramírez, F. / Ruiz-Perea, A. / Rodríguez-Mejías, C. / Santiago-Ruiz, F. / Colmenero-Ruiz, M. / König, C. / Matt, B. / Kortgen, A. / Hartog, C. S. / Wong, A. / Balan, C. / Barker, G. / Tachaboon, S. / Paratz, J. / Kayambu, G. / Boots, R. / Vlasenko, R. / Gromova, E. / Loginov, S. / Kiselevskiy, M. / Dolgikova, Y. / Tang, K. B. / Chau, C. M. / Lam, K. N. / Gil, E. / Suh, G. Y. / Park, C. M. / Chung, C. R. / Lai, C. H. / Cheng, Y. J. / Colella, V. / Zarrillo, N. / D’Amico, M. / Forfori, F. / Pezza, B. / Laddomada, T. / Beltramelli, V. / Pizzaballa, M. L. / Doronzio, A. / Balicco, B. / Kiers, D. / van der Heijden, W. / Gerretsen, J. / de Mast, Q. / el Messaoudi, S. / Rongen, G. / Gomes, M. / Riksen, N. P. / Kashiwagi, Y. / Hayashi, K. / Inagaki, Y. / Fujita, S. / Blet, A. / Sadoune, M. / Lemarié, J. / Bihry, N. / Bern, R. / Polidano, E. / Merval, R. / Launay, J. M. / Lévy, B. / Samuel, J. L. / Hartmann, J. / Harm, S. / Weber, V.

    Intensive Care Med Exp

    Keywords covid19
    Publisher PMC
    Document type Article ; Online
    DOI 10.1186/s40635-016-0098-x
    Database COVID19

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  4. Article ; Online: Letter to Editor - The impact of reflux pressure on scarring in children with sterile vesicoureteric reflux.

    Gopal, Milan

    Journal of pediatric urology

    2022  Volume 19, Issue 1, Page(s) 131–132

    MeSH term(s) Child ; Humans ; Infant ; Cicatrix/etiology ; Vesico-Ureteral Reflux/complications ; Vesico-Ureteral Reflux/pathology ; Kidney/pathology ; Infertility ; Urinary Tract Infections/pathology
    Language English
    Publishing date 2022-10-21
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2022.10.025
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  5. Article ; Online: Ano-scrotal distance (ASD): Is it a marker for the severity of chordee?

    Gopal, Milan

    Journal of pediatric urology

    2021  Volume 17, Issue 5, Page(s) 672–673

    MeSH term(s) Humans ; Hypospadias ; Male ; Penile Diseases ; Penis ; Scrotum
    Language English
    Publishing date 2021-07-15
    Publishing country England
    Document type Letter
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2021.06.032
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  6. Article ; Online: Letter to Editor regarding 'Association between intraoperative meatal mismatch and urethrocutaneous fistula development in hypospadias repair'. D'Oro A, Chan YY, Rosoklija I et al. J Pediatr Urol 2020.

    Gopal, Milan

    Journal of pediatric urology

    2020  Volume 17, Issue 2, Page(s) 224

    MeSH term(s) Fistula ; Humans ; Hypospadias/surgery ; Male ; Urethra/surgery
    Language English
    Publishing date 2020-12-30
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2020.12.019
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  7. Article ; Online: Paediatric acute epididymo-orchitis temporally related to SARS-CoV-2 infection: A case series and review of the literature.

    Hoffmann, Kelly / Gopal, Milan

    Journal of pediatric urology

    2023  Volume 20, Issue 1, Page(s) 91–94

    Abstract: Introduction: Acute epididymo-orchitis (AEO) is becoming an increasingly common differential diagnosis in children with acute scrotal pain. It has been noted in adult men that SARS-CoV-2 has a propensity for involving the testis and epididymis, ... ...

    Abstract Introduction: Acute epididymo-orchitis (AEO) is becoming an increasingly common differential diagnosis in children with acute scrotal pain. It has been noted in adult men that SARS-CoV-2 has a propensity for involving the testis and epididymis, affecting sperm and testosterone production. Our literature search revealed only one case report of COVID-19 presenting with epididymo-orchitis in a child. We present three more children who presented with AEO, all recovering from PCR-confirmed SARS-CoV-2 infection. This article reviews the post-inflammatory aetiology of paediatric epididymo-orchitis, and the propensity SARS-CoV-2 has for the testis.
    Patients and methods: Two pre-pubertal ten-year-old patients presented to the emergency department with a 48-h history of gradual onset unilateral scrotal pain and increasing erythema of the ipsilateral scrotal skin. One fifteen-year-old boy was referred for ongoing symptoms four days following a diagnosis of AEO made by his General Practitioner. On further questioning, all three had PCR-confirmed COVID infection two weeks prior to the onset of their scrotal symptoms and had just ended their isolation period. A literature search was then performed using the keywords SARS-CoV-2, testes and paediatric acute epididymo-orchitis.
    Discussion: The SARS-Cov-2 virus has a propensity for affecting the testis and epididymis. This puts patients at increased risk of acute epididymo-orchitis during COVID infections. The inflammation induced by the virus appears to affect the cells responsible for testosterone production and sperm quality. However, there is no evidence that viral transmission can happen via semen.
    Conclusion: SARS-Cov-2 infection can lead to acute epididymo-orchitis. Knowledge of this is clinically significant, firstly to avoid unnecessary surgical intervention due to a mistaken diagnosis of testicular torsion and secondly, due to the potential of the virus to affect sperm quality and testosterone production.
    MeSH term(s) Adult ; Humans ; Male ; Child ; Aged, 80 and over ; Orchitis/diagnosis ; Orchitis/etiology ; COVID-19/complications ; Semen ; SARS-CoV-2 ; Epididymitis/diagnosis ; Epididymitis/etiology ; Testosterone ; Pain/complications
    Chemical Substances Testosterone (3XMK78S47O)
    Language English
    Publishing date 2023-09-27
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2023.09.017
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  8. Article ; Online: Utility of F-15 diuretic MAG3 renography in assessment of paediatric hydronephrosis.

    Roy, Chloe / Godse, Alok / Lall, Anupam / Peace, Richard / Gopal, Milan

    Journal of pediatric urology

    2024  

    Abstract: Introduction: Diuretic renography is crucial in evaluation of paediatric hydronephrosis. Furosemide is conventionally given 15-20 min after radiolabelled tracer (F+15/F+20 protocol), however this is equivocal in around 15% of patients. Giving furosemide ...

    Abstract Introduction: Diuretic renography is crucial in evaluation of paediatric hydronephrosis. Furosemide is conventionally given 15-20 min after radiolabelled tracer (F+15/F+20 protocol), however this is equivocal in around 15% of patients. Giving furosemide 15 min prior to tracer (F-15 MAG3 protocol) has been suggested as an additional tool in the investigation of patients with suspected upper urinary tract obstruction. However, the role of this method in assessment and management of paediatric hydronephrosis is not widely reported.
    Objective: To investigate utility of F-15 renograms in children with hydronephrosis being assessed for Pelvi-Ureteric Junction Obstruction (PUJO).
    Study design: Retrospective review of patients <16 years old undergoing F-15 MAG3 renogram between 2018 and 2021 in our tertiary paediatric surgical centre. Data collected included patient demographics, mode of presentation, investigations, management and outcomes.
    Results: Eighteen patients were included. Median age at F-15 renogram was 7.3 years. Eleven patients presented with antenatal hydronephrosis, 5 with symptoms in childhood and 2 with incidental hydronephrosis on trauma imaging. Fourteen patients were symptomatic. Ten had a prior non-obstructed F+20 renogram but persisting symptoms suggestive of PUJO. Seven had previous equivocal F+20 renograms. One symptomatic patient directly underwent an F-15 renogram. A conclusive result was obtained in 16/18 (89%); 11 patients had obstructed curves and 5 non-obstructed. Two asymptomatic patients' scans were inconclusive. All symptomatic patients had conclusive scans. Of 11 patients with an obstructed F-15, 9 have undergone pyeloplasty to date. All have had post-operative resolution in symptoms and static or improved post-operative ultrasound. One patient with an inconclusive scan underwent pyeloplasty due to persisting hydronephrosis and parent preference. Three patients with non-obstructed F-15 renograms have been discharged. One symptomatic patient with a non-obstructive F-15 had a ureteric stent inserted due to persistent flank pain; 1 continues under surveillance.
    Discussion: It is known that conventional F+20 MAG3 renograms can give equivocal results. Published experience suggests that F-15 renograms are conclusive in the majority of patients. Routine primary use is, however, discouraged as they can 'over diagnose' obstruction and limit the study of tracer transit under physiological flow rates. This study indicates that the F-15 renogram is a useful adjunct in the assessment of patients with symptoms suggestive of PUJO who have previously had an equivocal or a non-obstructed F+20 renogram.
    Conclusion: F-15 renogram was conclusive in 89% of patients. We recommend using F-15 renograms to aid surgical decision-making in children with equivocal F+20 renograms, especially in the presence of symptoms.
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2024.03.028
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  9. Article ; Online: Emergency scrotal exploration in children: Following a change in mindset in the UK.

    Gopal, Milan / Thattaruparambil, Vinayak / McLaran, Pearly / Weisser, Swantje / Auth, Janina

    Journal of pediatric urology

    2023  Volume 19, Issue 4, Page(s) 474–476

    Abstract: A survey of 200 emergency scrotal explorations done over four paediatric surgical centres in the UK revealed that the incidence of finding testicular torsion (TT) was 24% and the preoperative utilisation of Doppler ultrasound (DUS) was 10% [1]. We ... ...

    Abstract A survey of 200 emergency scrotal explorations done over four paediatric surgical centres in the UK revealed that the incidence of finding testicular torsion (TT) was 24% and the preoperative utilisation of Doppler ultrasound (DUS) was 10% [1]. We changed our practice to include better preoperative utilisation of a clinical risk score (TWIST) and DUS. This led to a significant increase in the incidence of finding TT from 18% to 53%. Obtaining a DUS did not lead to an increase in our orchidectomy rate. Adopting this change is possible in an NHS setting and it has significant clinical and economic benefits.
    MeSH term(s) Male ; Child ; Humans ; Scrotum/diagnostic imaging ; Scrotum/surgery ; Retrospective Studies ; Spermatic Cord Torsion/diagnostic imaging ; Spermatic Cord Torsion/surgery ; Orchiectomy ; United Kingdom
    Language English
    Publishing date 2023-04-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2023.03.039
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  10. Article ; Online: Three Different Presentations of Amyand's Hernia in Premature Infants.

    Gopal, Milan / Mukherjee, Kunal / Athiraman, Naveen

    Clinical pediatrics

    2021  Volume 60, Issue 6-7, Page(s) 314–316

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Appendicitis/complications ; Appendicitis/diagnostic imaging ; Appendicitis/therapy ; Appendix/diagnostic imaging ; Appendix/pathology ; Appendix/surgery ; Diagnosis, Differential ; Enterocolitis, Necrotizing/complications ; Enterocolitis, Necrotizing/diagnostic imaging ; Enterocolitis, Necrotizing/therapy ; Gangrene/complications ; Gangrene/diagnostic imaging ; Gangrene/therapy ; Groin/diagnostic imaging ; Groin/surgery ; Hernia, Inguinal/complications ; Hernia, Inguinal/diagnostic imaging ; Hernia, Inguinal/therapy ; Humans ; Infant, Newborn ; Infant, Premature ; Intestinal Obstruction/complications ; Intestinal Obstruction/diagnostic imaging ; Intestinal Obstruction/therapy ; Intestines/diagnostic imaging ; Intestines/surgery ; Male ; Orchiopexy ; Radiography, Abdominal/methods ; Spermatic Cord Torsion/complications ; Spermatic Cord Torsion/diagnostic imaging ; Spermatic Cord Torsion/therapy ; Ultrasonography/methods
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2021-06-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207678-0
    ISSN 1938-2707 ; 0009-9228
    ISSN (online) 1938-2707
    ISSN 0009-9228
    DOI 10.1177/00099228211006707
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