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  • 1
    ISSN: 1434-0879
    Keywords: Extracorporeal shock waves ; Renal cell carcinoma ; Bladder cancer ; Renal embryogenic cells
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The in vitro cytotoxic effect of extracorporeal shock waves (ESW) on renal cell carcinoma (RCC) cells was compared to the effect on normal human embryonic kidney (NHEK) cells. In the in vitro studies cell samples were brought into the second focal point and exposed to different numbers of shock wave impulses. The four parameters of RCC tumor cell injury which were measured, i.e., cell viability, cell growth, cell attachment and electron microscopic evidence of damage, were augmented with increasing SW levels. At 2,000 shock waves (SW) a significant decrease in RCC viability, cell growth and cell attachment was seen compared to the NHEK cells. In the in vivo experiment a FANFT induced bladder tumor was transplanted into the right hind legs of C3H/He mice and the tumors were exposed to 1,400 SW. Preliminary data showed that 1,400 SW at day 12 post transplant significantly inhibited tumor growth. Combining 1,400 SW with cis-diamminedichloroplatinum (4 mg/kg) did not enhance the tumor inhibitory effect of each individually. Doxorubicin (5 mg/kg) and 1,400 SW produced a significant synergistic tumor inhibitory effect.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    World journal of urology 5 (1987), S. 237-244 
    ISSN: 1433-8726
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A total of 48 staghorn stones treated between March and September 1985 with ESWL as a monotherapy revealed a stone-free rate of 61% (follow-up at 8 months). On the basis of these results and the long-term follow-up of these patients (mean follow-up 1.8 years), variables predicting treatment success (freedom from stones and symptoms) and failure were evaluated. Overall stone-burden, architecture of the renal collecting system, stone composition, choice of treatment procedure and patient compliance have been identified as the most important determinants. This study allowed modification of the treatment strategy at UCLA. An additional 94 patients were treated between September 1985 and March 1986 with an individualized approach using ESWL alone, PCN alone, or the combination of both procedures. In this group, 73% of the patients became completely stone-free; the remainder is being followed conservatively.
    Type of Medium: Electronic Resource
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