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https://www.readbyqxmd.com/read/29923854/ghost-ileostomy-in-advanced-ovarian-cancer-a-reliable-option
#1
Víctor Lago, Blas Flor, Luis Matute, Pablo Padilla-Iserte, Alvaro García-Granero, Marco Bustamante, Santiago Domingo
OBJECTIVE: Diverting ileostomy (DI) has been proposed to reduce the incidence and consequences anastomotic leakage after bowel resection. In colorectal cancer treatment, ghost ileostomy (GI) has been proposed as an alternative to DI. Our objective was to report the results of GI associated with colorectal resection in the treatment of ovarian cancer. MATERIALS AND METHODS: This is an observational pilot study performed in a single institution. The main objective sought was to report the results of GI associated with colorectal resection in the treatment of ovarian cancer: 26 patients were included...
June 19, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29920909/a-qualitative-study-of-the-development-of-a-multidisciplinary-case-conference-review-methodology-to-reduce-involved-margins-in-pelvic-exenteration-surgery-for-recurrent-rectal-cancer
#2
Gabrielle H van Ramshorst, Sarah 'o Shannassy, Wendy E Brown, James G Kench, Michael J Solomon
AIM: Pelvic exenteration surgery remains the only curative option for recurrent rectal cancer. Microscopically involved surgical margins (R1) are associated with a higher risk of local recurrence and decreased survival. Our study aimed to develop a post hoc multidisciplinary case conference review and investigate its potential for identifying areas for improvement. METHOD: Patients who underwent pelvic exenteration surgery for recurrent rectal cancer with R1 resections at a tertiary referral center between April 2014- January 2016 were retrospectively reviewed from a prospectively maintained database...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29895098/urological-outcomes-following-pelvic-exenteration-for-advanced-pelvic-cancer-are-not-inferior-to-those-following-radical-cystectomy
#3
Edwin J Aslim, Min Hoe Chew, Ghee Kheng Chew, Lui Shiong Lee
BACKGROUND: Pelvic exenteration (PE) for locally advanced pelvic malignancy requires a multi-disciplinary approach and is associated with significant morbidity. Urinary reconstruction forms a major component of this procedure. The aim of the study is to review the urological outcomes following PE in a newly established pelvic oncology unit, to compare with those following radical cystectomy (RC) for bladder cancer. METHODS: Patients were identified from prospectively maintained PE and bladder cancer databases, inclusive of all cases performed between January 2012 and December 2016...
June 12, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29888161/magnetic-resonance-imaging-guided-brachytherapy-re-irradiation-for-isolated-local-recurrence-of-soft-tissue-sarcoma
#4
Noelia Sanmamed, Alejandro Berlin, Akbar Beiki-Ardakani, Heather Ballantyne, Anna Simeonov, Peter Chung
Management options for locally recurrent sarcoma of the pelvis in patients previously treated with external beam radiation and surgery are limited. Pelvic exenteration is often the only viable but unattractive option. We present a patient with recurrent myxoid round cell liposarcoma of the ischiorectal fossa treated in 2013 with preoperative radiation (50 Gy in 25 fractions) and subsequent wide local resection. Four years later, a follow-up magnetic resonance imaging (MRI) scan demonstrated a 1 x 1 cm T2 hypointense soft tissue pre-sacral nodule consistent with local recurrence (LR)...
April 10, 2018: Curēus
https://www.readbyqxmd.com/read/29863559/mesenchymal-chondrosarcoma-of-the-orbit-attached-to-the-optic-nerve
#5
Abbas Bagheri, Mohammad Abbaszadeh, Peyman Torbati, Mozhgan Rezaei Kanavi
Mesenchymal chondrosarcoma (MCS) is a rare tumor in the orbit. Although optic nerve displacement is a common finding in intraorbital MCS, optic nerve tissue involvement in tumor has rarely been reported in huge tumors associated with intracranial extension. Herein the authors report a patient with MCS involving optic nerve tissue without intracranial extension. A 59-year-old woman with a 2-month history of progressive proptosis and normal vision presented to us. Computed tomography revealed a clearly outlined heterogeneous mass with calcified foci in its center, which was attached to the optic nerve, magnetic resonance imaging showed the mass to be isointense to gray matter on T1- and T2-weighted images...
May 31, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29863537/inadvertent-intraocular-surgery-in-children-with-unsuspected-retinoblastoma-a-study-of-14-cases
#6
Swathi Kaliki, Shikha Taneja, Vijay A R Palkonda
PURPOSE: To study the clinical presentation and treatment outcome of patients who underwent inadvertent intraocular surgery before the diagnosis of retinoblastoma. DESIGN: Retrospective study of 14 patients who had undergone an inadvertent intraocular surgery before the diagnosis of retinoblastoma. RESULTS: The mean age at presentation to the ocular oncology clinic was 69 months. The most common initial misdiagnosis was endophthalmitis (n = 4)...
May 8, 2018: Retina
https://www.readbyqxmd.com/read/29858669/extended-pelvic-resection-for-rectal-and-anal-canal-tumors-is-a-significant-risk-factor-for-perineal-wound-infection-a-retrospective-cohort-study
#7
Ken Imaizumi, Yuji Nishizawa, Koji Ikeda, Yuichiro Tsukada, Takeshi Sasaki, Masaaki Ito
PURPOSE: Perineal wound infection (PWI) rates are high after abdominoperineal resection (APR) and total pelvic exenteration (TPE). This study identified risk factors for PWI after surgery for anorectal tumors and examined the relationship between the surgical excision volume with the PWI degree. METHODS: A retrospective review involving 135 patients who underwent surgical excision of anorectal tumors was performed. Superficial PWI included cellulitis and superficial dehiscence; deep PWI included major dehiscence, perineal abscess, and presacral abscess...
June 1, 2018: Surgery Today
https://www.readbyqxmd.com/read/29805827/treatment-and-pathology-of-an-unusual-large-carcinoma-of-the-conjunctiva
#8
Thomas Stahnke, Ngoy Kilangalanga, Steffi Knappe, Rudolf F Guthoff, Andreas Erbersdobler
Carcinoma of the conjunctiva is a malignant tumor which is mostly detected and surgically treated at an early stage because of medical or cosmetic problems. Exceptions of this rule may occur in developing countries, where patients do not have access to standard medical care systems. We report the case of a conjunctival carcinoma in an African patient with an unusually late presentation. Because of local medical shortcomings, and considering the severe, transmural inflammation of anterior ocular structures, an exenteration was performed although the orbit was not deeply involved with the tumor...
2018: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29787373/gynecological-organ-involvement-at-robot-assisted-radical-cystectomy-in-females-is-anterior-exenteration-necessary
#9
Michelle Whittum, Ahmed Aly Hussein, Youssef E Ahmed, Hijab Khan, Collin Krasowski, Neil B Huben, Paul R May, Tomoaki Terakawa, Qiang Li, Khurshid A Guru
INTRODUCTION: We aimed to investigate patient and disease variables associated with gynecological organ invasion in females with bladder cancer at the time of robot-assisted radical cystectomy (RARC). METHODS: We conducted a retrospective review of female patients who underwent robot-assisted anterior pelvic exenteration (RAAE) between 2005 and 2016. Patients were divided into two groups: those with gynecological organ involvement at RAAE and those without. Data were reviewed for perioperative and pathological outcomes...
May 14, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29777299/-advanced-periocular-basal-cell-carcinoma-a-therapeutic-challenge
#10
B Lauterbach, V Kakkassery, D Debus, L M Heindl, E S Schultz
BACKGROUND: Basal cell carcinomas are the most common periocular malignant tumor. In advanced periocular basal cell carcinoma, vismodegib is a new treatment option which might potentially avoid surgical eye removal. CASE REPORT: We treated a 76-year-old patient unwilling to consent to surgery with vismodegib for advanced periocular basal cell carcinoma on the left forehead that had already undergone several previous treatments. After initial partial remission, the tumor regrew under ongoing therapy, so that radical surgical excision including orbital exenteration was performed...
May 17, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/29768642/-rhinocerebral-mucormycosis
#11
Anke Mertens, Doreen Barche, Laszlo Scheinpflug, Friedrich Gunther Scholz, Stefan Vielhaber, Cordula Scherlach, Uwe Tröger, Gernot Geginat, Jacqueline Färber, Christoph Arens
Mucormycosis is a rare but serious type of fungal infection, which can progress rapidly especially in immunsupressed patients.We report about a 47 year old female patient with ptosis on the left eye. The ophthalmological report offered no further pathologic findings. Diabetes mellitus was known and the blood sugar value was very high.A computed tomography of the paranasal sinuses showed a shadow in the ethmoid bone and in an additonally performed MRI-scan, an increase of orbital fat and an extension of the ocular muscle were visible...
May 16, 2018: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29765948/congenital-orbital-rhabdomyosarcoma
#12
Masoomeh Eghtedari, Amir Reza Farsiani, Mohammad Reza Bordbar
Rhabdomyosarcoma (RMS) is the most common malignant tumor of the orbit in children, but it is rarely present at birth. We report a large congenital orbital RMS with intracranial extension in a newborn baby. A newborn baby girl was referred to our hospital due to severe right-eye exophthalmia. Imaging studies showed an orbital mass with intracranial extension. Treatment was started with a course of neoadjuvant chemotherapy followed by right orbital exenteration and intracranial resection of the tumor. Histologic examination of the mass showed undifferentiated malignant small-cell tumor...
April 2018: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29741977/laparoscopic-pelvic-exenteration-for-locally-advanced-rectal-cancer-technique-and-short-term-outcomes
#13
Ashish Pokharkar, Praveen Kammar, Ashwin D'souza, Rahul Bhamre, Pavan Sugoor, Avanish Saklani
BACKGROUND: Since last two decades minimally invasive techniques have revolutionized surgical field. In 2003 Pomel first described laparoscopic pelvic exenteration, since then very few reports have described minimally invasive approaches for total pelvic exenteration. METHODS: We report the 10 cases of locally advanced rectal adenocarcinoma which were operated between the periods from March 1, 2017 to November 11, 2017 at the Tata Memorial Hospital, Mumbai. All male patients had lower rectal cancer with prostate involvement on magnetic resonance imaging (MRI)...
May 9, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29723950/use-of-a-contralateral-nasoseptal-flap-for-sino-orbital-fistula-closure
#14
Mohammad K Hararah, Jameson K Mattingly, Vijay R Ramakrishnan
Sino-orbital fistulas can occur after orbital exenteration. Chronic nonhealing fistulas lead to bothersome symptoms including malodorous discharge, hypernasal speech, crusting, wound breakdown, or inability to wear an ocular prosthesis. Reconstruction can be difficult due to the complexity of the defects and the multitude of treatments patients often undergo for the management of the primary disease. Prior radiation, lack of available local tissue, or compromised blood supply are some of the issues that make successful fistula closure problematic...
May 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29721748/oncological-outcomes-of-robotic-assisted-laparoscopic-versus-open-lateral-lymph-node-dissection-for-locally-advanced-low-rectal-cancer
#15
Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Akinobu Furutani, Shoichi Manabe, Yusuke Yamaoka, Hitoshi Hino
BACKGROUND: The long-term outcomes of robotic-assisted laparoscopic lateral lymph node dissection (RALLD) have not been fully investigated. This study aimed to assess the oncological and long-term outcomes of RALLD for rectal cancer through comparison with those of open lateral lymph node dissection (OLLD) in a retrospective study. METHODS: Between September 2002 and October 2014, the medical data of 426 patients who underwent total mesorectal excision with lateral lymph node dissection for primary rectal cancer were collected...
May 2, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29707499/cervical-exenteration
#16
REVIEW
Uma M Sachdeva, Michael Lanuti
Cervical exenteration is a radical procedure for the treatment of locally invasive cancers of the trachea, esophagus, or thyroid, as well as recurrent tumors at the site of a tracheal stoma, and occasionally for benign disease. Exenteration involves removal of the larynx, pharynx, esophagus, and trachea, as well as associated lymphatic tissue. The tracheal stump is brought up as a cervical or mediastinal tracheostomy, depending on the length and the location of the distal resection site. The alimentary tract can be reconstructed with several types of conduits, but most commonly the stomach or left colon are used...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29705982/urinary-and-fecal-diversion-following-pelvic-exenteration-comparison-of-double-barrelled-and-plain-wet-colostomy
#17
Sertac Yazici, Senol Tonyali, Ali Cansu Bozaci, Hakan Bahadir Haberal, Erhan Hamaloglu, Haluk Ozen
PURPOSE: To assess early and late-term outcomes of patients who had undergone pelvic exenteration and simultaneous fecal and urinary diversion with plain wet colostomy (PWC) or double-barrelled wet colostomy (DBWC). MATERIALS AND METHODS: The medical records of all patients who had undergone pelvic exenteration and urinary diversion between 2006 and 2017 at our hospital were reviewed retrospectively. RESULTS: In total, 15 patients with a mean age of 56 ± 13 years were included in the study...
April 29, 2018: Urology Journal
https://www.readbyqxmd.com/read/29703413/laparoscopic-anterior-pelvic-exenteration-in-10-steps
#18
Carlos Martínez-Gómez, Martina Aida Angeles, Alejandra Martinez, Gwénaël Ferron
No abstract text is available yet for this article.
April 24, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29703260/adenocarcinoma-arising-in-sigmoid-colon-neovagina-53-years-after-construction
#19
Kazunosuke Yamada, Dai Shida, Tomoyasu Kato, Hiroshi Yoshida, Shigetaka Yoshinaga, Yukihide Kanemitsu
BACKGROUND: In view of the rarity of vaginal agenesis, malignancy arising in the neovagina is extremely rare. CASE PRESENTATION: Here, we report a 76-year-old female with an adenocarcinoma arising in the sigmoid colon neovagina which was constructed 53 years ago for congenital vaginal agenesis. Vaginal endoscopy to examine vaginal bleeding revealed a protruding lesion occupying three quarters of the lumen in the vicinity of anastomosis of the residual vagina and sigmoid colon...
April 27, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29684952/-a-case-of-clear-cell-adenocarcinoma-arising-from-a-female-urethral-diverticulum
#20
Toshiki Oka, Takahiro Imanaka, Yohei Yamanaka, Takanori Kinjo, Hironori Nomura, Iwao Yoshioka, Shingo Takada, Hironao Yasuoka
Adenocarcinoma arising from the female urethral diverticulum is very rare, as only about 100 cases have been reported worldwide. An 82-year-old woman presented with asymptomatic macrohematuria. A transvaginal examination revealed a firm circular mass on the anterior vaginal wall. Cystourethroscopy showed a urethral tumor, which was determined to be clear cell adenocarcinoma after transurethral resection of the urethral tumor. However, we could not resect all of the tumor, so anterior pelvic exenteration and ileal conduit urinary diversion were performed...
February 2018: Hinyokika Kiyo. Acta Urologica Japonica
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