Methods of Identification and the Value of Pathological Prognostic Factors

Several pathologic features have been proposed as prognostic factors in an attempt to estimate the likelihood of inguinal nodal metastasis and systemic dissemination.131,132 Among all of them histological grade, vascular/perineural invasion, and anatomical level of tumor infiltration seem to be the most important.55,58,133-141 In addition, several risk-group stratification systems and nomograms using some of these pathologic factors have been designed and tested.55,138,140,142-146 Pathologic features should be evaluated using surgical specimens since biopsies are unreliable for establishing all pertinent data excepting the confirmation of malignancy. 1 47 Special care should be taken for specimen processing, gross description, and sample sections. Data obtained from pathological examination of the specimen should be used for therapeutic planning (adjuvant therapy, groin dissection) and surveillance strategies.

Dealing With Erectile Dysfunction

Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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