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TELEPHONE: +44 (0)1243 790070 (Head Office West Sussex)                                            +44 (0)1428  661263  (Surrey Office)Reachmd home  forgot your password? Home latest information on the air cme community resources my account about site on-demand programs programming guide series information you are here : home / on the air / program details bookmark renal cell carcinoma and partial nephrectomy original series: medical breakthroughs by penn medicine   login or register for additional programming information program description in certain cases of renal cell cancer, patients are now given the option of partial nephrectomy, as opposed to complete kidney removal. Is this a viable alternative for your patients? Host dr. Lee freedman talks with dr. buy cheap viagra William schwab, assistant professor of surgery in the division of urology at the university of pennsylvania school of medicine, about recent advances toward increasing the efficacy of this procedure. Series reachmd expired programs guest c. William schwab ii, md dr. http://nationalityinworldhistory.net/bsh-buy-viagra-online-no-prescription-xr/ William schwab is an assistant professor of surgery in the division of urology at the university of pennsylvania school of medicine, where he ear... cheap viagra online More hosted by lee freedman, md back to program list facebook • twitter • rss feeds press • advertise • media kit • investor relations • privacy & terms of use contact us • faq • help copyright © reachmd 2012. All rights reserved.. T to determine clinicopathological features associated with positive surgical margins. The kaplan-meier method was used to estimate freedom from local disease recurrence and metastatic progression. viagra generic Cox proportional hazards models were used to assess whether positive surgical margin predicted local recurrence or metastatic disease adjusting for tumor size, pathological stage, histological subtype and presence of a solitary kidney. Results: positive surgical margins were documented in 77 cases (5. viagra mechanism function 5%). Decreasing tumor size and presence of a solitary kidney carried a significantly higher risk of positive surgical margins. pfizer viagra buy online india The overall 10-year probability of freedom from local disease recurrence was 93% (95% ci 89, 95) and from metastatic progression 93% (95% ci 90, 95), with no significant difference between patients with positive vs negative margins (p = 0. buy generic viagra online 97 and 0. 18, respectively). Positive surgical margins were not associated with an increased risk of local recurrence or metastatic disease. Conclusions: positive surgical margins in partial nephrectomy specimens do not uniformly portend an adverse prognosis. While every effort should be taken to ensure clear margins, our data suggest that select patients with a positive surgical margin can be safely offered vigilant monitoring without compromising long-term disease-free survival. cheap viagra online Comment in who will fail local therapy for renal cell carcinoma. viagra difference from viagra [j urol. viagra effectiveness over time 2008] who will fail local therapy for renal cell carcinoma. Jewett ma, zuniga a. J urol.. viagra user reviews   
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