Stage uT4 Extensive Local Invasion

uT4 lesions are locally invasive into contiguous organs such as bladder, uterus, cervix, vagina, prostate and seminal vesicles. These advanced lesions are clinically fixed or tethered. Sonographi-cally there is a loss of the normal hyperechoic interface between tumour and the adjacent organ (Fig. 16). The inability of ERUS to distinguish between malignant infiltration or peritumoral inflammation results in a somewhat lower staging accuracy with regard to T4 cancers. Frank stenosis also precludes precise endosonographic evaluation and angulation of the probe to the tumour axis also can cause misinterpretation.

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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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