Ann Urol
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Case Reports
[A case of adrenal gland metastasis of a cutaneous melanoma treated by excision with 3-year survival].
Case report of a 38-year-old man who, 14 months after resection of a malignant melanoma from the right shoulder in September 1990, presented with a tumour of the right adrenal gland. Resection confirmed metastatic melanoma. Chemotherapy was administered for 3 months. The patient was followed until his death in March 1995, i.e. three years after resection of the secondary adrenal tumour.
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The authors describe the different forms of postoperative pain therapy which can be applied after a surgical repair of hypospadias. Hereby we chose for the caudal analgesia. ⋯ An overview is given of the technique, the points for attention and the different products which can be injected. Systemic analgesia and penile nerve blockade are often less effective and should only be applied in case caudal analgesia can not be administered.