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M Corbally

Publications and source records attributed to M Corbally.

9 recordsLinked to original sources

Mortality in pediatric paratesticular rhabdomyosarcoma: a multivariate analysis.

We performed a retrospective analysis of 28 children presenting with confirmed paratesticular embryonal rhabdomyosarcoma to examine factors predictive of fatal outcome. Complete surgery, defined as radical inguinal orchiectomy with clear microscopic margins plus radical, retroperitoneal lymph node dissection with extirpation of all gross disease, was performed in 21 patients (75 per cent). All patients received chemotherapy and 20 received radiation therapy according to protocol. Of the patients 16 have survived for more than 5 years with no evidence of disease. Univariate analysis revealed that only the presence of parenchymal metastases at diagnosis (p less than or equal to 0.040) and unresectability (p less than or equal to 0.003) were significant predictors of fatal outcome. Multivariate analysis showed that unresectability was the most important predictor of mortality with an estimated relative risk of 5.8.

Adolescent

Laparoscopy and the management of the impalpable testis.

We describe the technique of laparoscopy when seeking to locate an impalpable testis. The procedure was used in 86 boys with unilateral or bilateral undescended testes; of the 103 testes which were sought, 64 were present, 39 were absent and 53 were intra-abdominal. Laparoscopy is useful in the management of the impalpable testis. The information gained from the study is valuable when advising parents of the significance of an impalpable testis. For example, there is a 39% chance it will be absent, a 29% chance that it will be easily placed in the scrotum and a 38% chance that a staged procedure may be necessary.

Child

Renaissance babies.

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Medicine in the Arts