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Ultrasound surgery

Yohei Oguri, Haruhiko Cho, Ryouki Oohinata, Haruna Onoyama, Ryosuke Takada, Toru Motoi
Primary gastric undifferentiated pleomorphic sarcoma (UPS) is a rare disease with insufficient long-term follow-up data. In the present study, a 70-year-old male complained of abdominal fullness and visited our hospital. Abdominal computed tomography revealed a large tumor in the upper part of the stomach, which was accompanied by smaller tumors in the small intestinal mesentery. An endoscopic ultrasound-guided fine-needle biopsy examination of the gastric tumor revealed features of pleomorphic sarcoma and high-grade spindle-shaped cells...
December 2018: Molecular and Clinical Oncology
J González-García, A González-Bada, J M López-Ramos, M A Echevarria-Correas, M B G Muñecas-Herreras, L Aguilera-Celorrio
OBJECTIVE: The objective of this study is to determine whether the accomplishment of an interfascial blockade, the blocking of the cutaneous branches of the intercostal nerves in the axillary line (BRILMA) associated with a multimodal analgesic regimen improves post-operative analgesia and allows saving opioids after non-reconstructive surgery of breast. MATERIAL AND METHODS: A prospective, randomised and simple blind study was conducted on patients that underwent non-reconstructive breast surgery...
December 10, 2018: Revista Española de Anestesiología y Reanimación
Sae Rom Chung, Woo Jung Choi, Joo Hee Cha, Hak Hee Kim, Hee Jung Shin, Eun Young Chae, Ga Young Yoon
BACKGROUND/OBJECTIVE: The purpose of this study was to perform a comprehensive analysis of the radiological and clinicopathological factors that could predict recurrence of invasive breast cancer who underwent curative surgery without neoadjuvant chemotherapy. METHODS: Three hundred and sixty-four consecutive women who underwent preoperative mammography, ultrasound, and breast magnetic resonance imaging for newly diagnosed invasive breast cancers and curative surgery between January and December 2010 were included...
December 11, 2018: Asian Journal of Surgery
Beáta Benke, Gyula Marada, Miklós Tunyogi Csapó, Péter Than, Márta Radnai
From an anatomic and functional point of view, the stomatognathic system and the upper cervical spine are closely connected. Together with the complex neuromuscular relationships, this generates an important field of cooperation between dentists and orthopedics. The aim of this case report was to demonstrate the improvements of temporomandibular joint (TMJ) function after orthopedic surgery in case of a patient with idiopathic scoliosis. A 15-year-old female patient who had adolescent idiopathic scoliosis was surgically treated in 2016...
December 2018: Orvosi Hetilap
Chun-Bi Chang, Kwai-Fong Ng, Yon-Cheong Wong, Shen-Yang Lee, Cheng-Keng Chuang, Li-Jen Wang
RATIONALE: Metanephric adenoma (MA) is a rare and often benign tumor. Most MAs were misdiagnosed as renal cell carcinomas (RCCs) preoperatively. Diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC) mapping can help to differentiate benign and malignant tumors. However, there are still pitfalls in using DWI and ADC to discriminate benign and malignant lesions. PATIENT CONCERNS: A 56-year-old woman had a right renal metanephric adenoma. The tumor showed very low ADC value preoperatively and was misdiagnosed as a renal cell carcinoma...
December 2018: Medicine (Baltimore)
Krzysztof Kaliszewski, Dorota Diakowska, Marcin Ziętek, Bartłomiej Knychalski, Michał Aporowicz, Krzysztof Sutkowski, Beata Wojtczak
A thyroid nodule discovered during imaging study performed due to unrelated thyroid disease is known as a thyroid incidentaloma, while positron emission tomography (PET) associated incidental neoplasm of thyroid is known as a "PAIN" phenomenon.To evaluate which patients with "PAIN" phenomenon should undergo surgery in regards to cytology results.Retrospective review of 4716 patients consecutively admitted and surgically treated in tertiary surgical center. 49 (1.04%) patients with "PAIN" phenomenon were identified...
December 2018: Medicine (Baltimore)
Ren Mao, Yu-Jun Chen, Bai-Li Chen, Xiao-Hua Xie, Yao He, Shu-Ling Chen, Ming Xu, Xue-Hua Li, Jian Zhang, Xin-Ming Song, Zhi-Rong Zeng, Jordi Rimola, Florian Rieder, Shomron Ben-Horin, Min-Hu Chen, Xiao-Yan Xie
Background and Aim: Penetrating disease is a common condition complicating Crohn's disease (CD). Establishing the presence of a fistula and the anatomical definition of the fistulous tracts are essential for deciding on appropriate treatment strategies. We aimed to assess the diagnostic accuracy of intra-cavitary contrast-enhanced ultrasound (IC-CEUS) for the detection of fistulous tract associated with abscesses in CD patients. Methods: In this prospective cohort study, consecutive CD patients with suspicion for an intra-abdominal abscess, who were referred for US-guided aspiration were recruited...
December 13, 2018: Journal of Crohn's & Colitis
Miriam Brazzelli, Rodolfo Hernández, Pawana Sharma, Clare Robertson, Michal Shimonovich, Graeme MacLennan, Cynthia Fraser, Russell Jamieson, Srinivasa Rao Vallabhaneni
BACKGROUND: Endovascular abdominal aortic aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) is less invasive than open surgery, but may be associated with important complications. Patients receiving EVAR require long-term surveillance to detect abnormalities and direct treatments. Computed tomography angiography (CTA) has been the most common imaging modality adopted for EVAR surveillance, but it is associated with repeated radiation exposure and the risk of contrast-related nephropathy...
December 2018: Health Technology Assessment: HTA
Karolina Dorobisz, Tadeusz Dorobisz, Dariusz Janczak, Tomasz Krecicki
Stenosis of arteries that supplies blood to the brain is one of the main causes of ischemic stroke which is the third most common cause of deaths in Europe. Atherosclerosis of carotid and vertebral arteries is responsible for 20% of the ischemic stroke cases. Stenosis may be either asymptomatic or manifested with typical neurological symptoms including motor and sensory disturbances as well as disturbances in vision and speech. However, discrete non-specific symptoms of ischemia, including headaches and vertigo, tinnitus and hearing loss, are also quite common...
December 12, 2018: Acta Neurologica Belgica
Yanqing Zhang, Jiaqi Pan, Desheng Xu, Zhengkai Yang, Jingxue Sun, Lulu Sun, Yanmeizhi Wu, Hong Qiao
Circulating microRNAs (miRNAs) are promising diagnostic markers in various types of cancers, including papillary thyroid carcinoma (PTC). However, there is sparse information reported with regards to miRNA expression in papillary thyroid microcarcinoma (PTMC) or concerning the role of a combination of miRNAs and ultrasound (US) in the diagnosis of PTMC before surgery. Therefore, we designed a study that aimed to evaluate miRNA expression levels and their potential associations with US findings and determine whether miRNAs could be used as diagnostic and prognostic biomarkers of PTMC...
October 9, 2018: Oncology Reports
Jing Geng, Jun Tang
The present study evaluated the diagnostic value of contrast-enhanced ultrasound (CEUS) in endometrial carcinoma (EC). Articles published until 31 January 2017 were retrieved from PubMed, EMBASE, Elsevier, Springer and Google scholar, with the following inclusion criteria: i) The accuracy (sensitivity and specificity) of CEUS in the diagnosis of EC was evaluated; ii) a gold standard was adopted to treat and confirm EC, including surgery, histopathology and appropriate follow-up (as included in the meta-analysis); iii) the data allowed for construction of a 2×2 table of positives, false-positives, negatives and false-negatives...
December 2018: Experimental and Therapeutic Medicine
Yin Liu, Hai-Bo Wang, Xiang Li, Jian-Yong Xiao, Ji-Xiang Wang, Kathleen H Reilly, Bo Sun, Jing Gao
BACKGROUND: Plaque composition and morphologic characteristics identified by virtual histology intravascular ultrasound (VH-IVUS) can determine plaques at increased risk of clinical events following percutaneous coronary intervention (PCI) among coronary artery disease (CAD) patients. However, there have been few studies to investigate the relationship between plaque composition of saphenous vein graft (SVG) by VH-IVUS and clinical outcomes in patients with saphenous vein graft disease (SVGD) undergoing PCI...
December 12, 2018: BMC Cardiovascular Disorders
Karen Zaghiyan, Brian Mendelson, Matthew Eng, Gayane Ovsepyan, James Mirocha, Phillip Fleshner
BACKGROUND: Transversus abdominis plane block may improve analgesia after colorectal surgery; however, techniques remain unstandardized and results are conflicting. OBJECTIVE: The purpose of this study was to compare laparoscopic and ultrasound-guided transversus abdominis plane block with no block in minimally invasive colorectal surgery. DESIGN: This was a randomized controlled trial. SETTINGS: The study was conducted at an urban teaching hospital...
November 28, 2018: Diseases of the Colon and Rectum
Emanuela Roldi, Paolo Inghileri, Ophélie Dransart-Raye, Silvia Mongodi, Pierre-Grégoire Guinot, Francesco Mojoli, Belaïd Bouhemad
BACKGROUND: Left double-lumen tubes (LDLTs) are used in thoracic surgery to allow one-lung ventilation. Their size is usually chosen on the basis of clinical parameters (height, sex). Double-lumen endobronchial tubes are frequently undersized/oversized, risking tube displacement or tracheal trauma. A correlation between ultrasound tracheal diameter and left main bronchus dimension has been demonstrated. OBJECTIVES: We hypothesised that the insertion of undersized/oversized double-lumen tubes is frequent when the size is selected using standard criteria, and that the use of ultrasound to estimate tracheal diameter may help to reduce the frequency of insertion of oversized tubes...
December 11, 2018: European Journal of Anaesthesiology
Vasileios Rafailidis, Konstantinos Notas, Evangelos Destanis, Konstantinos Kouskouras, Ioannis Chryssogonidis, Chrysostomos Xerras, Afroditi Charitanti-Kouridou, Thomas Tegos
BACKGROUND: Carotid dissection is a rare disease, mainly affecting young and middle-aged patients potentially ending up in stroke. Multimodality imaging plays an essential role, both in terms of prompt and accurate diagnosis and follow-up of this entity. PATIENTS AND METHODS: We herein present a case series of patients with internal carotid artery dissection and compare the various imaging findings of ultrasonography, multidetector computed tomography angiography and magnetic resonance angiography, with a purpose to illustrate the value of multimodality imaging in the diagnosis of carotid dissection...
December 12, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Piergiorgio Muriana, Angelo Carretta, Paola Ciriaco, Francesca Rossetti, Giampiero Negri
Transbronchial needle aspiration under endobronchial ultrasound guidance (EBUS-TBNA) is recommended for the diagnosis and staging of lung cancer. Major complications following EBUS-TBNA are uncommon. We report a case of isolated tension pneumoperitoneum following EBUS-TBNA under deep sedation in an 80-year-old male patient affected by a right hilar mass suspicious for lung cancer. At the end of the procedure, the patient suddenly manifested desaturation, severe bradycardia and hypotension, and abdominal distension...
December 12, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Balasubramanian Venkitaraman, Kajamohideen Suhailudeen, Thanaraj
Clinical assessment of the axilla, especially in early-stage breast cancer, can have a high degree of inaccuracy with over-staging curtailing the use of sentinel node biopsy. Imaging of axilla, using ultrasound ± guided fine needle aspiration cytology (FNAC) can help in better staging. In this study, we aim to compare physical examination and ultrasound of axilla and FNAC and assess their accuracy in preoperative staging of axilla. This was a prospective observational study. Patients with biopsy-proven invasive early-stage breast carcinoma, consenting to be part of the study, underwent ultrasound (US) of ipsilateral axilla with guided FNAC, when indicated and underwent surgery which included complete axillary dissection...
December 2018: Indian Journal of Surgical Oncology
Karthik N Rao, Mohan Jagade, Vitthal D Kale, Devkumar Rengaraja, Amol Hekare
Tongue is one of the most common subsites involved by oral cancer. Improved surgical care and adjuvant therapy, along with better rehabilitation has significantly improved long-term survival and quality of life in patients with oral cancer. Primary surgical treatment is the preferred modality of treatment in cancers of the oral tongue. Although the surgical techniques have remained unchanged, various devices have been used to aid primary tumour resection, with a view to reduce bleeding and scarring. The purpose of this study is to compare resection of oral tongue tumours using ultrasonic coagulation device with conventional electrodiathermy...
December 2018: Indian Journal of Surgical Oncology
Salvatore Paiella, Gabriele Capurso, Giulia Martina Cavestro, Giovanni Butturini, Raffaele Pezzilli, Roberto Salvia, Marianna Signoretti, Stefano Crippa, Silvia Carrara, Isabella Frigerio, Claudio Bassi, Massimo Falconi, Elsa Iannicelli, Alessandro Giardino, Alessandro Mannucci, Andrea Laghi, Luigi Laghi, Luca Frulloni, Alessandro Zerbi
INTRODUCTION: Surveillance programs on high-risk individuals (HRIs) can detect pre-malignant lesions or early pancreatic cancer (PC). We report the results of the first screening round of the Italian multicenter program supported by the Italian Association for the study of the Pancreas (AISP). METHODS: The multicenter surveillance program included asymptomatic HRIs with familial (FPC) or genetic frailty (GS: BRCA1/2, p16/CDKN2A, STK11/LKB1or PRSS1, mutated genes) predisposition to PC...
December 11, 2018: American Journal of Gastroenterology
Attilio Marino, Enrico Almici, Simone Migliorin, Christos Tapeinos, Matteo Battaglini, Valentina Cappello, Marco Marchetti, Giuseppe de Vito, Riccardo Cicchi, Francesco Saverio Pavone, Gianni Ciofani
Major obstacles to the successful treatment of gliolastoma multiforme are mostly related to the acquired resistance to chemotherapy drugs and, after surgery, to the cancer recurrence in correspondence of residual microscopic foci. As innovative anticancer approach, low-intensity electric stimulation represents a physical treatment able to reduce multidrug resistance of cancer and to induce remarkable anti-proliferative effects by interfering with Ca2+ and K+ homeostasis and by affecting the organization of the mitotic spindles...
December 4, 2018: Journal of Colloid and Interface Science
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