Abstract
Gastroduodenal intussusception is not a common clinical condition. It is usually caused by transpyloric prolapse of a benign gastric lesion into the duodenum. In the present report, the authors present an extremely rare case of gastroduodenal intussusception in which gastric carcinom...
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PMID: 21863686
PDF is available here.
Abstract
To examine the outcome of a policy of early hospital discharge (<24 hours) after breast cancer surgery in a Third World setting, where health care resources and support services are very limited.
Prospective enrollment into a plan of early hospital discharge within 24...
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PMID: 22046853
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Abstract
The patient, a 58-year-old woman, underwent a partial excision of the right breast and an axillary lymph node dissection in October 2004. The histopathological findings were: solid tubular carcinoma with metastasis to 17 axillary lymph nodes; triple negative-type breast cancer. As ad...
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PMID: 21829078
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Abstract
Twenty cases were collected. The mean age was 61.25 years. Skin invasion by tumor was found in all patients, and it was the reason for consultation. It was a cutaneous involvement at the nipple and areola (17 cases) and at the periareolar skin (three cases). The clinical appearance of skin involveme...
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PMID: 21684107
PDF is available here.
Zoltán Z Mátrai,
László L Tóth,
Csaba C Polgár,
István I Láng,
Mária M Gõdény,
István I Sinkovics,
Zsolt Z Horváth,
Mária M Bidlek,
Nóra N Udvarhelyi,
Alexandra A Bartal,
Akos A Sávolt,
Mihály M Ujhelyi and
Miklós M Kásler
Abstract
The indication of neoadjuvant chemotherapy has been recently extended; it is now applied not only in locally advanced breast cancer but in primarily resecable tumours as well, in order to promote breast conservation. Based on recent clinical results, the reconsideration of traditional lymph node diss...
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PMID: 21655472
PDF is available here.
Abstract
A few studies have investigated the outcome of palliative total gastrectomy (PTG) in stage IV proximal gastric cancer. In this study, we tried to summarize the outcome of PTG in stage IV proximal gastric cancer.
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PMID: 21600557
PDF is available here.
Abstract
We should pay attention to appropriate positioning of the arm during surgery, and preoperative use of paclitaxel needs to be considered as etiology for perioperative peripheral nerve palsy....
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PMID: 21626872
PDF is available here.
Abstract
This year, the 7th edition of the AJCC staging manual has for the first time attributed a unique pTNM staging to intrahepatic cholangiocarcinoma (IHCC) that is intended to replace the 2 Western and ideally also the 2 Eastern systems currently in use. This proposal, which has not yet been validated, w...
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PMID: 21523730
PDF is available here.
Abstract
Radical vaginal trachelectomy is today an established method of treating selected women with cervical cancer stage IA2 and IB1, with tumour size less than 2cm without precluding future childbearing. This technique has been used for more than 20 years with reassuring oncological safety and excellent o...
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PMID: 21095163
PDF is available here.
Abstract
Improvements in surgery and the application of combined approaches to fight rectal cancer have succeeded in reducing the local recurrence (LR) rate and when there is LR it tends to appear later and less often in isolation. Moreover, a subtle change in the distribution of LRs with respect to the pelvi...
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PMID: 21483626
PDF is available here.
Abstract
A 6 3-year-old male presented with dysphagia. Gastrointestinal endoscopic examination showed advanced gastric cancer type 3, which was diagnosed as well-differentiated adenocarcinoma. Computed tomography(CT)showed bilateral lung tumors, hugely enlarged Virchow and para-aortic lymph nodes. He was trea...
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PMID: 21499000
PDF is available here.
Abstract
Early gastric cancer (EGC) defined as gastric cancer involving up to submucosal layer, regardless of lymph node metastasis, is increasingly found at Siriraj Hospital. Understanding the characteristic of EGC and result of surgical management for EGC can help to choose the optimal treatment. In the pre...
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PMID: 21560839
PDF is available here.
Abstract
Gastric cancer is a global phenomenon and is the second leading cause of cancer-related deaths worldwide. The highest rates of gastric cancer are seen in Asia and parts of Eastern Europe. In Western countries, the incidence of gastric cancer has declined over the last several decades. At the same tim...
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PMID: 21372770
PDF is available here.
Abstract
Minimally invasive approach for gastric cancer has gained increasing acceptance. Introduction of the da Vinci robotic system has allowed overcoming the technical limitations of standard laparoscopy. To date, several studies have been published reporting the feasibility of robot-assisted gastrectomy (...
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PMID: 21372768
PDF is available here.
Abstract
Surgery is the only curative strategy for gastric cancer management and radical resection with free margins and extended lymphadenectomy seems to be the best option. Morbidity rate is usually associated with surgical treatment in about 24% of patients, and mortality in about 3%. These rates are influ...
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PMID: 21372771
PDF is available here.
Abstract
There are few studies in the literature comparing laparoscopic versus open Gastrectomy, predominantly for advanced gastric cancer (AGC). Most of the available studies and meta-analysis compare both approaches in the early gastric cancer. The meta-analysis, here presented, compares the clinical outcom...
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PMID: 21434716
PDF is available here.
Abstract
This study was conducted to evaluate the prognosis value of lymph node involvement (LN positive) lymph node involvement for borderline ovarian tumor (BOT).
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PMID: 21349494
PDF is available here.
Abstract
A 59-year-old male patient was diagnosed as having lung cancer with a suspected invasion of the descending aorta. A significant response was not obtained after chemotherapy. A left pneumonectomy with partial resection of the aortic wall with simple clamping was done. The postoperativ...
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PMID: 21317155
PDF is available here.
Abstract
We herein report an additional case of malignant melanoma arising on the nipple of a 47-year old woman. The nodular, ulcerated lesion was removed surgically and the diagnosis was that of a vertical growth phase melanoma. The melanocytic origin of the tumour was confirmed by immunohistochemistry. The...
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PMID: 21837923
PDF is available here.
Abstract
M/F was 16/24 with mean age 34 years. Their most common symptoms were coughing (90%) . The left main bronchus was the most common site of involvement (25%). 95% of all the cases underwent surgery and 5% of the patients underwent chemoradiotherapy due to distant metastasis . The most common surgical...
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PMID: 21587121
PDF is available here.
Abstract
We retrospectively evaluated the usefulness of minilaparotomy for the resection of transverse colon cancer, which has generally been considered difficult to resect laparoscopically. Patients for whom curative resection was attempted for transverse colon cancer (n = 21) or sigmoid colon cancer (n = 8...
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PMID: 21675613
PDF is available here.
Abstract
Thyroid microcarcinoma is defined as a tumour of one centimeter or less in its greater diameter. Prognoses and therapeutic modalities remain controversial therapeutic guidelines for surgical treatment.
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PMID: 21267823
PDF is available here.
Abstract
Aims and background. To compare the antioxidant status of cervical cancer patients with healthy controls and to assess the antioxidant levels before and after radiotherapy or radiochemotherapy. Methods and study design. Antioxidant levels (glutathione, glutathione peroxidase, superoxide dismutase, an...
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PMID: 21789005
PDF is available here.
Abstract
We focused on the search for risk factors predictive of lymph node involvement in patients with follicular thyroid carcinoma to plan the most appropriate management and follow-up. Methods and study design. We carried out a cross-sectional study among patients with follicular thyroid carcinoma and ly...
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PMID: 21789006
PDF is available here.
Abstract
To determine the true incidence of Müllerian and mesothelial lymph node involvement in serous and mucinous borderline ovarian tumors (BLOT) with serial sectioning and immunohistochemistry.
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PMID: 21682116
PDF is available here.
Abstract
Lymphadenitis caused by nontuberculous mycobacteriae has been increasingly seen in Finland since the cessation of universal BCG vaccination in 2006. An otherwise healthy child develops a slowly growing unilateral mass in the cervicofacial region. Without treatment, the lymphadenitis suppurates and fo...
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PMID: 21695996
PDF is available here.
Abstract
The aim of this retrospective study was to analyse the clinical characteristics, management and prognosis of four patients with vaginal primary malignant melanoma (VPMM) who were diagnosed and treated in our departments together with a review of the current literature.
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PMID: 21446344
PDF is available here.
Abstract
We selected English language studies reporting at least 25 robotic cases compared with laparoscopic or laparotomy cases that also addressed surgical technique, complications, and perioperative outcomes. Patients underwent total hysterectomy, bilateral salpingo-oophorectomy, and lymphadenectomy.
Eigh...
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PMID: 21099613
PDF is available here.
Abstract
To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma.
Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[...
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PMID: 21099602
PDF is available here.
Abstract
I in 24 patients, II in 43, III in 109, and IV in 1 patient. Eight patients had a major pathologic response after induction therapy. On univariate analysis, variables significantly associated with positive CRL nodes included squamous cell histology, proximal location, advanced clinical presentation,...
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PMID: 21095315
PDF is available here.
Abstract
Localized prostate tumors have various clinical, biological and histopathologic characteristics that lead to different progression profiles. High-risk, clinically localised disease has been classically defined by clinical examination, PSA levels and histopathologic data. High-risk localized prostate...
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PMID: 21220228
PDF is available here.
Abstract
To describe patterns of lymph node metastasis in invasive colon and rectal carcinomas.
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PMID: 21072903
PDF is available here.
Abstract
Radical esophagectomy was reported to have prolonged survival in patients with esophageal cancer However, it is associated with high morbidity and mortality. Controversy still exists regarding value of radical esophagectomy
The authors analyzed the results, including complications and survival in 68...
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PMID: 21114203
PDF is available here.
Abstract
We compared the results of preoperative EUS to final pathologic analyses of the esophageal specimen, examining the accuracy of EUS staging. Ninety-five patients with esophageal cancer who underwent MIE had preoperative EUS. Twenty-four of the 95 patients were excluded for lack of a repeat EUS after...
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PMID: 21140689
PDF is available here.
Abstract
During the study period, 17 patients underwent single-incision laparoscopic colectomy. Of the planned single-incision laparoscopic cases, 15 (88%) were completed with a single incision, whereas 2 required an additional port placement. There were no conversions to open surgery during any of the cases...
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PMID: 20940605
PDF is available here.
Abstract
In selected cases, totally laparoscopic colectomy with transvaginal anastomosis and extraction of specimen is feasible and reproducible and may be an alternative technique for treatment of women with right colon cancer. This approach may provide both an attractive way to increase patient comfort and...
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PMID: 20940594
PDF is available here.
Abstract
Of 913 stage II patients, the mean age was 71 years and 48% were male. Univariate analysis of the number of lymph nodes harvested found that ≥24 nodes removed was a significant and independent factor for improved survival in stage II (P = .009) and ≥36 nodes in stage III cancers (P = .008). Cox...
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PMID: 20940600
PDF is available here.
Abstract
The first patient was a 59-year-old woman who was diagnosed with invasive scirrhous carcinoma. The tumor was estrogen receptor (ER)-positive, progesterone receptor (PgR)-positive, and human epidermal growth factor receptor 2 (HER2)-positive. The patient was treated with adjuvant chemotherapy and end...
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PMID: 21084819
PDF is available here.
Coen L Klos,
Paul C Shellito,
David W Rattner,
Richard A Hodin,
James C Cusack,
Liliana Bordeianou,
Patricia Sylla,
Theodore S Hong,
Lawrence Blaszkowsky,
Davis P Ryan,
Gregory Y Lauwers,
Yuchiao Chang and
David L Berger
Abstract
After neoadjuvant treatment and total mesorectal excision, lymph node positivity is associated with significantly shorter survival and time to local recurrence in rectal cancer patients, whereas absolute total lymph node harvests likely have little impact on prognosis.
Copyright © 2...
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PMID: 20887837
PDF is available here.
Abstract
The benefit of lymphadenectomy (LND) in patients with urothelial carcinoma of the upper urinary tract (UCUUT) has remained controversial. The aim of this study was to examine the influence of the LND template and the total number of lymph nodes (LN) when increasing the number of patients undergoing...
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PMID: 20812922
PDF is available here.
Abstract
We previously reported an axillary recurrence rate of 1 per cent at a median follow-up of 2 years. Our objective is to determine the rate of axillary recurrence with longer follow-up. A retrospective review of patients with invasive breast cancer and a negative SLNB treated between 2001 and 2005 was...
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PMID: 21105626
PDF is available here.
Abstract
We hypothesize that the incidence of axillary recurrence in patients who do not undergo CLND for micrometastases is low, and CLND is not necessary for locoregional control. We performed a retrospective chart review of patients with invasive breast carcinoma and micrometastases detected on SLNB. The...
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PMID: 21105616
PDF is available here.
Abstract
Using a population-based dataset, we show the optimal number of LN examined is dependent upon the patient's tumor stage. Across all T-stages, the highest optimal number of LN resected was 15. Since it is possible to estimate but not perfectly predict the stage of a patient's tumor preoperatively, we...
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PMID: 20638686
PDF is available here.
Abstract
Relative to combined breast and local lymph node irradiation, isolated breast irradiation does not appear to be associated with a higher risk of locoregional relapse or death among cN0 to cN2 breast cancer patients with pN0 status after NAC. These results need to be confirmed in a prospective study....
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PMID: 20171795
PDF is available here.
Abstract
Papillary carcinoma is the most frequent malign tumour of the thyroid with rising incidence and metastasising in lymphatic veins.
Diagnosing our patients and comparing the TNM stages to metastases found in lymphatic nodes. MATERIALS, METHODS: A retrospective study of 1,353 patients treated at our de...
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PMID: 21121153
PDF is available here.
Abstract
Despite significant changes since 2004, substantial variation remains in management of the axilla. A number of surgeons are practicing outwith current guidelines....
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PMID: 20522293
PDF is available here.
Abstract
Recent studies have demonstrated increased recurrence-free survival and overall survival rates in patients undergoing radical cystectomy with extended PLND, even in cases of pathologically lymph node negative disease. The growing use of minimally invasive techniques has prompted interest in robotic...
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PMID: 20657290
PDF is available here.
Abstract
Despite the potential for residual axillary disease after SLND, SLND without ALND can offer excellent regional control and may be reasonable management for selected patients with early-stage breast cancer treated with breast-conserving therapy and adjuvant systemic therapy....
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PMID: 20739842
PDF is available here.
Abstract
These data support the conclusion that ulceration is a predictive marker for response to adjuvant IFN therapy. Future studies to evaluate specifically the differential effect of IFN on patients with ulcerated melanomas may allow us to focus this therapy on patients most likely to benefit from it....
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PMID: 20739846
PDF is available here.
Abstract
Assessment of the sentinel node has recently been introduced into the standard treatment of early-stage squamous cell vulvar cancer. The combination of a radioactive tracer and blue dye is the most accurate technique for sentinel node detection. Preoperative imaging is recommended to rule out gross...
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PMID: 20616719
PDF is available here.
Abstract
We have focused our review on lymph node disease in patients with early endometrial cancer. We report on the important issues surrounding lymphadenectomy in endometrial cancer and the results of a recent large randomized trial that do not indicate a benefit of surgical staging. Other issues, includi...
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PMID: 20531186
PDF is available here.