keyword
https://read.qxmd.com/read/38536602/endoscopic-loco-regional-treatment-in-controlling-pancreatic-neuroendocrine-tumors-pnets-behavior-a-case-series-and-literature-review
#1
JOURNAL ARTICLE
Cosmas Rinaldi Adithya Lesmana
Pancreatic neuroendocrine tumors (PNETs) are considered rare pancreatic neoplasms, and it is a challenging disease entity due to its indolent behavior and is difficult to manage. Diagnostic challenge is usually found in the imaging-based approach, such as transabdominal ultrasound, abdominal CT scan, and abdominal MRI. Surgery is still the main key player in controlling the disease. The main problems in clinical practice are the early detection of small PNETs lesion and non-functional PNET (NF-PNET) cases. Most cases usually come with large tumor size or metastatic disease...
March 27, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38534950/safety-and-feasibility-of-combining-on-demand-selective-locoregional-treatment-with-first-line-atezolizumab-plus-bevacizumab-for-patients-with-unresectable-hepatocellular-carcinoma
#2
JOURNAL ARTICLE
Tasuku Nakabori, Sena Higashi, Yutaro Abe, Kaori Mukai, Toshiki Ikawa, Koji Konishi, Noboru Maeda, Katsuyuki Nakanishi, Shinichiro Hasegawa, Hiroshi Wada, Kazuyoshi Ohkawa
Various locoregional treatments for localized hepatocellular carcinoma (HCC) have been developed. This retrospective study investigated the safety and feasibility of combining on-demand selective locoregional treatment for residual lesions after tumor shrinkage (complete response [CR] oriented) or for solitary or few drug-resistant lesions (progressive disease (PD) salvage) with first-line atezolizumab plus bevacizumab (atezo/bev) for unresectable HCC. Twenty-nine patients with unresectable HCC were included...
March 15, 2024: Current Oncology
https://read.qxmd.com/read/38534000/microwave-coagulation-for-liver-metastases
#3
REVIEW
Dawid Storman, Mateusz J Swierz, Jerzy W Mitus, Michal Pedziwiatr, Ning Liang, Robert Wolff, Malgorzata M Bala
BACKGROUND: Liver metastases (i.e. secondary hepatic malignancies) are significantly more common than primary liver cancer. Long-term survival after radical surgical treatment is approximately 50%. For people in whom resection for cure is not feasible, other treatments must be considered. One treatment option is microwave coagulation utilising electromagnetic waves. It involves placing an electrode into a lesion under ultrasound or computed tomography guidance. OBJECTIVES: To evaluate the beneficial and harmful effects of microwave coagulation versus no intervention, other ablation methods, or systemic treatments in people with liver metastases regardless of the location of the primary tumour...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533761/the-influence-of-microwave-ablation-parameters-on-the-positioning-of-trocar-in-different-cancerous-tissues-a-numerical-study
#4
JOURNAL ARTICLE
Vellavalapalli Satish, Ramjee Repaka
The present study analyzed the microwave ablation of cancerous tumors located in six major cancer-prone organs and estimated the significance of input power and treatment time parameters in the apt positioning of the trocar into the tissue during microwave ablation. The present study has considered a three-dimensional two-compartment tumour-embedded tissue model. FEA based COMSOL Multiphysics software with inbuilt bioheat transfer, electromagnetic waves, heat transfer in solids and fluids, and laminar flow physics has been used to obtain the numerical results...
March 27, 2024: Electromagnetic Biology and Medicine
https://read.qxmd.com/read/38524051/unveiling-the-success-of-awake-insertion-of-supraglottic-airway-device-for-ventilation-in-the-bronchoscopic-management-of-tracheal-stenosis
#5
Vipul Sharma, Harika Atluri
Tracheal and subglottic stenoses are inflammatory conditions that can arise from a variety of potential etiologies, most commonly as a result of iatrogenic airway injury due to endotracheal intubation. Significant stenosis requires management by endoscopy or surgical resection. We describe a case of recurrent subglottic cuff stenosis with an episode of sudden desaturation in a 25-year-old female. The management involved balloon dilatation, laser ablation, and topical mitomycin C application through a flexible fiberoptic bronchoscope...
February 2024: Curēus
https://read.qxmd.com/read/38523848/a-rare-case-of-persistent-multifocal-cribriform-morular-thyroid-carcinoma
#6
William Kuenstner, Po Zhao, Wen Lee, Carlos Garcia, Kenneth D Burman, Leila Shobab
BACKGROUND/OBJECTIVE: Cribriform-morular thyroid carcinoma (CMTC) was considered a variant of papillary thyroid carcinoma (PTC) but is a separate entity in the 2022 World Health Organization classification. CMTC has an association with familial adenomatous polyposis (FAP). Our objective is to report a case of CMTC who was subsequently diagnosed with FAP, to highlight these associated entities and implications for management. CASE REPORT: A 15-year-old female with a history of iron-deficiency anemia and alpha-gal syndrome presented with several years of goiter and dysphagia...
2024: AACE Clinical Case Reports
https://read.qxmd.com/read/38523280/suboptimal-visual-outcome-after-femto-lasik-ablation-in-a-high-myopic-patient
#7
JOURNAL ARTICLE
Rudy M M A Nuijts, Robin Ollivier, Bruce D Allan, Michael A Lawless, Francesco Carones, José Luis Güell, Paolo Vinciguerra, Thomas Kohnen
A 28-year-old nurse had an aberration-free femto-laser in situ keratomileusis (LASIK) performed for her myopia of -6.25 -0.50 × 096 and -6.75 -0.50 × 175 in the right and left eye, respectively. Corrected distance visual acuity (CDVA) preoperatively was 20/16. Preoperatively, there were no abnormalities on Scheimpflug imaging, and a pachymetry of 585 μm was measured in both eyes. Flap thickness was 115 μm. The patient was quite nervous during the surgery. Since the surgery, her uncorrected distance visual acuity (UDVA) and CDVA are suboptimal at 20/30 and 20/20 in the right eye, and 20/20 and 20/16 in the left eye...
April 1, 2024: Journal of Cataract and Refractive Surgery
https://read.qxmd.com/read/38521547/one-year-postprocedural-quality-of-life-following-mitral-valve-surgery-data-from-the-netherlands-heart-registration
#8
JOURNAL ARTICLE
Samuel Heuts, Jules R Olsthoorn, Saskia Houterman, Maaike M Roefs, Jos G Maessen, Peyman Sardari Nia
OBJECTIVES: The aim of surgical treatment of mitral valve disease is to reverse heart failure and to restore life expectancy and quality of life (QoL). In mitral valve surgery, QoL has not been studied extensively, especially regarding the surgical approach. The current study aimed to evaluate QoL after mitral valve surgery through full sternotomy and a minimally invasive approach (MIMVS). METHODS: All patients undergoing mitral valve surgery between 2013-2018 through sternotomy or a MIMVS approach (right anterolateral mini-thoracotomy, sternal-sparing), with or without concomitant tricuspid valve surgery, surgical ablation, or atrial septal defect closure were eligible for inclusion in this multicentre nationwide registry in the Netherlands...
March 23, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38521493/practical-approaches-to-concomitant-surgical-ablation-of-atrial-fibrillation-matching-the-ablation-to-the-patient
#9
EDITORIAL
Patrick M McCarthy, James L Cox
No abstract text is available yet for this article.
March 21, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38521171/evaluation-of-a-delayed-liver-transplantation-strategy-for-patients-with-hcc-receiving-bridging-therapy-the-delta-hcc-study
#10
JOURNAL ARTICLE
Catherine Lamarque, Lauriane Segaux, Philippe Bachellier, Benjamin Buchard, Faiza Chermak, Filomena Conti, Thomas Decaens, Sébastien Dharancy, Vincent Di Martino, Jérôme Dumortier, Claire Francoz-Caudron, Jean Gugenheim, Jean Hardwigsen, Fabrice Muscari, Sylvie Radenne, Ephrem Salamé, Thomas Uguen, José Ursic-Bedoya, Corinne Antoine, Aurélie Deshayes, Christian Jacquelinet, Pierre-André Natella, Vincent Leroy, Daniel Cherqui, Nadia Oubaya, Christophe Duvoux
INTRODUCTION: To maximize utility and prevent premature liver transplantation (LT), a delayed LT strategy (DS) was adopted in France in 2015 in patients listed for any single HCC treated with resection or thermal-ablation during waiting phase, postponing LT until recurrence. The purpose of this study was to evaluate DS to make sure that it did not hamper pre and post-LT outcomes in DS patients. PATIENTS AND METHODS: Patients listed for HCC in France between 2015 and 2018 were studied...
March 21, 2024: Journal of Hepatology
https://read.qxmd.com/read/38520582/recurrent-intrahepatic-cholangiocarcinoma-a-10-point-score-to-predict-post-recurrence-survival-and-guide-treatment-of-recurrence
#11
JOURNAL ARTICLE
Diamantis I Tsilimigras, Yutaka Endo, Alfredo Guglielmi, Luca Aldrighetti, Matthew Weiss, Todd W Bauer, Irinel Popescu, George A Poultsides, Shishir K Maithel, Hugo P Marques, Guillaume Martel, Carlo Pulitano, Feng Shen, François Cauchy, Bas Groot Koerkamp, Itaru Endo, Timothy M Pawlik
INTRODUCTION: Although up to 50-70% of patients with intrahepatic cholangiocarcinoma (ICC) recur following resection, data to predict post-recurrence survival (PRS) and guide treatment of recurrence are limited. METHODS: Patients who underwent resection of ICC between 2000 and 2020 were identified from an international, multi-institutional database. Data on primary disease as well as laboratory and radiologic data on recurrent disease were collected. Factors associated with PRS were examined and a novel scoring system to predict PRS (PRS score) was developed and internally validated...
March 23, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38519406/risk-factors-patterns-and-outcome-predictors-of-late-recurrence-in-patients-with-hepatocellular-carcinoma-after-curative-resection-a-large-cohort-study-with-long-term-follow-up-results
#12
JOURNAL ARTICLE
Chih-Yang Hsiao, Cheng-Maw Ho, Ming-Chih Ho, Hou-Ying Cheng, Yao-Ming Wu, Po-Huang Lee, Rey-Heng Hu
BACKGROUND: Late recurrence of hepatocellular carcinoma after curative resection significantly influences long-term patient survival outcomes, and yet it remains understudied. This study aims to explore the risk factors and patterns of late recurrence and predictors of subsequent outcome. METHODS: This single-center retrospective study analyzed 1,701 consecutive patients who achieved a disease-free survival period exceeding 2 years after curative resection for hepatocellular carcinoma between 2001 and 2018...
March 21, 2024: Surgery
https://read.qxmd.com/read/38518987/venous-ablation-procedures-by-provider-type-including-advanced-practice-providers
#13
JOURNAL ARTICLE
Clay Wiske, Ethan Chervonski, Caron B Rockman, Glenn R Jacobowitz, Mikel Sadek
OBJECTIVE: The necessary training and certification of providers performing venous ablation has become a topic of debate in recent years. As venous interventions have shifted away from the hospital, the diversity of provider backgrounds has increased. We aimed to characterize superficial venous ablation practice patterns associated with different provider types. METHODS: We analyzed Medicare fee-for-service data from 2010 through 2018. Procedures were identified by their Current Procedural Terminology (CPT) code and included radiofrequency ablation, endovenous laser ablation, chemical adhesive ablation (i...
March 20, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38518986/strategies-to-reduce-rates-of-severe-endothermal-heat-induced-thrombosis-following-radiofrequency-ablation
#14
JOURNAL ARTICLE
Baqir J Kedwai, Joshua T Geiger, Daniel J Lehane, Roan J Glocker, Karina A Newhall, Grayson S Pitcher, Jennifer L Ellis, Adam J Doyle
OBJECTIVE: Endothermal heat-induced thrombosis (EHIT) is a potential complication of radiofrequency ablation (RFA). Data on effective prophylaxis of EHIT is limited. In 2018, a high-volume single institution implemented strategies to decrease the incidence of EHIT, including a single peri-procedural prophylactic dose of low molecular weight heparin (LMWH) to patients with a great saphenous vein (GSV) diameter ≥8mm or sapheno-femoral junction (SFJ) diameter ≥10mm, and limiting treatment to one vein per procedure...
March 20, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38518978/assessing-endoscopic-ultrasound-guided-radiofrequency-ablation-in-unresectable-pancreatic-ductal-adenocarcinoma-a-single-center-historic-cohort-study
#15
JOURNAL ARTICLE
Carlos Robles-Medranda, Raquel Del Valle, Miguel Puga-Tejada, Martha Arevalo-Mora, Domenica Cunto, Maria Egas-Izquierdo, Lorena Estrada-Guevara, Orlando Bunces-Orellana, Daniel Moreno-Zambrano, Juan Alcivar-Vasquez, Haydee Alvarado-Escobar, Ruxandra C Merfea, Jonathan Barreto-Perez, Jorge Rodriguez, Daniel Calle-Loffredo, Hannah Pitanga-Lukashok, Jorge Baquerizo-Burgos, Daniela Tabacelia
BACKGROUND: /aims: Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) has emerged as an alternative for the local treatment of unresectable pancreatic ductal adenocarcinoma (PDAC). We aim to assess the feasibility and safety of EUS-RFA in patients with unresectable PDAC. METHODS: The following was a historic cohort compounded by locally advanced (LA) and metastatic (m) PDAC naïve patients, who underwent EUS-RFA between October 2019 to March 2022...
March 20, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38517657/a-comparative-study-assessing-the-efficacy-and-safety-of-radiofrequency-ablation-versus-surgical-treatment-for-osteoid-osteoma-retrospective-analysis-in-a-single-institution
#16
JOURNAL ARTICLE
Jasminka Igrec, Maria Anna Smolle, Michael Meszarics, Theresa Marie Godschachner, Jakob Steiner, Mira Feichtinger, Emina Talakic, Rupert Horst Portugaller, Andreas Leithner, Michael Fuchsjäger, Iva Brcic
OBJECTIVE: We aim to evaluate the efficacy of CT-guided percutaneous radiofrequency ablation (RFA) and surgical treatment in osteoid osteoma (OO) treated at the Medical University of Graz. MATERIALS AND METHODS: In a single-institution study, we analysed data from January 2005 to January 2021 of patients with histological/radiological diagnosis of OO. CT and MRI scans were reviewed for typical findings. Means (with SD) and medians (with IQR) were reported for normally and non-normally distributed variables...
March 22, 2024: Insights Into Imaging
https://read.qxmd.com/read/38517403/supermicrosurgical-lymphovenous-anastomosis
#17
JOURNAL ARTICLE
Chih-Hsun Lin, Takumi Yamamoto
Genital elephantiasis is a severe form of lymphedema of the groin. It is characterized by progressive enlargement and distortion of the genitals, presenting significant physical, psychological, and social challenges to the affected individuals. While pharmacological treatment of filariasis is well-established in the medical field, the surgical management of genital elephantiasis can be varied and confusing. This review article provides an in-depth analysis of the etiology, classification, severity grading, and various effective surgical treatment and reconstructive modalities commonly employed by surgeons since the early 20th Century...
March 22, 2024: Journal of the Chinese Medical Association: JCMA
https://read.qxmd.com/read/38516680/diagnosis-and-comprehensive-treatment-of-a-glucagonoma-in-a-patient-with-residual-intrahepatic-metastases-postoperatively-a-case-report-and-literature-review
#18
Shenghui Yu, Muxi Ge, Cheng Zhang, Lang Chen, Lei Zhao
Glucagonomas are rare neuroendocrine neoplasms of the pancreas with malignant potential. At present, their epidemiology is not entirely clear, so clinicians are not well versed, lacking any consensus on diagnosis or comprehensive treatment. The present study reports the case of a 32-year-old woman hospitalized for recurrent glossitis, perioral dermatitis and necrolytic migratory erythema (NME) of both lower limbs. Imaging studies revealed a low-density nodule (~2 cm) in the tail of the pancreas, as well as multiple space-occupying hepatic lesions...
May 2024: Oncology Letters
https://read.qxmd.com/read/38516481/emergency-surgical-intervention-in-microwave-ablation-induced-massive-lung-necrosis
#19
Ali Kimiaei, Seyedehtina Safaei, Pinar Çağan, Cemal Asim Kutlu
Microwave ablation (MWA) has become an increasingly used procedure for the management of lung nodules in recent years. Here, we report a 33-year-old female presenting with massive pulmonary necrosis and tension pneumothorax after MWA for metastatic colon cancer. She required surgical intervention, including thoracotomy, debridement, and wedge resection, for the management of these complications.
February 2024: Curēus
https://read.qxmd.com/read/38514270/-new-progress-in-the-first-line-treatment-of-advanced-hepatocellular-carcinoma
#20
JOURNAL ARTICLE
C H Zhang, D Y Yao, S Q Liu, L L Yang, Z J Jin
Hepatocellular carcinoma is a kind of cancer with a strong invasion, a high incidence rate and mortality, and a poor prognosis. At the time of diagnosis, most patients are already in the advanced stages of a tumor and have lost the chance for radical surgical treatment. Advanced hepatocellular carcinoma treatment has a gradual transition from systemic chemotherapy to targeted therapy, immunotherapy, and combination therapy, especially immune checkpoint inhibitor-based immunotherapy combination therapy, such as combination with bevacizumab monoclonal antibodies and other drugs, or combination with TACE, HAIC, radiotherapy, ablation, and other treatment methods...
February 20, 2024: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
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