AACE2021-A-1085: Outcome Following Surgical Resection of Craniopharyngiomas: A Case Series

Objectives: Phosphaturic mesenchymal tumor (PMT) is a rare, polymorphous neoplasm with a highly variable presentation and natural history and unpredictable clinical course. The primary objective was to describe our clinical experience with and management of 4 markedly different cases of sinonasal and skull base PMT. Methods: A retrospective case series with chart review, and relevant literature review, was performed at a tertiary academic medical center between 1998 and 2020. Adult patients treated for PMTs of the sinonasal area and skull base were included. Our main outcome measures included postoperative laboratory findings and radiological evidence of disease remission. Results: Four patients (2 Males, 2 Females; Mean Age: 63.5 years) with PMTs of the skull base have been managed at our institution since 1998. Patient presentations varied, ranging from severe phosphorus wasting and osteoporosis to symptoms secondary to mass effect, including nasal obstruction and rhinorrhea. All 4 patients were eventually found to have elevated levels of fibroblast growth factor 23. Tumors were located in the sinonasal area (right frontal sinus, right ethmoid sinus, and right nasal cavity, respectively) in 3 patients and in the lateral skull base (right jugular foramen) in 1 patient. All 4 patients underwent complete surgical resection of their tumors. PMT tissue pathology was confirmed in all cases. Gross total resection was achieved in all patients. There was no chemical or radiological evidence of disease recurrence in any patients at follow-up. Conclusions: The presentation of skull base PMT is variable, and it may mimic other mass pathologies of the head and neck. Complete surgical resection with negative margins is potentially curative.

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Surgical Resection of Malignant Melanoma Metastatic to the Pancreas: Case Series and Review of Literature

Journal of Gastrointestinal Cancer ◽

10.1007/s12029-011-9320-y ◽

2011 ◽

Vol 43 (3) ◽

pp. 431-436 ◽

Cited By ~ 16

Author(s):

Jatinder Goyal ◽

Evan J. Lipson ◽

Neda Rezaee ◽

Barish H. Edil ◽

Rich Schulick ◽

...

Keyword(s):

Malignant Melanoma ◽

Surgical Resection ◽

Case Series ◽

Review Of Literature

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Effectiveness and safety of endoscopic radial incision and cutting for severe benign anastomotic stenosis after surgery for colorectal carcinoma: a three-case series

Endoscopy International Open ◽

10.1055/s-0043-124470 ◽

2018 ◽

Vol 06 (03) ◽

pp. E335-E339 ◽

Cited By ~ 3

Author(s):

Naoki Asayama ◽

Shinji Nagata ◽

Kenjiro Shigita ◽

Taiki Aoyama ◽

Akira Fukumoto ◽

...

Keyword(s):

Colorectal Carcinoma ◽

Surgical Resection ◽

Case Series ◽

Anastomotic Stenosis ◽

Endoscopic Dilation ◽

Limited Data ◽

Radial Incision ◽

Hiroshima City ◽

Median Interval

AbstractBenign colonic anastomotic stenosis sometimes occurs after surgical resection and usually requires surgical or endoscopic dilation. Limited data are available on the effectiveness and safety of the endoscopic radial incision and cutting (RIC) method at sites other than the esophagus. The aim of this retrospective study was to investigate the effectiveness and safety of RIC dilation for severe benign anastomotic colonic stenosis. Subjects were 3 men (median age 72 years, range 65 – 76 years) who developed severe benign anastomotic stenosis after surgical resection for colorectal carcinoma and were subsequently treated by RIC dilation at Hiroshima City Asa Citizens Hospital between May 2014 and December 2016. Severe anastomotic stenosis was defined as a narrowed anastomosis through which a standard colonoscope could not be passed. The median interval from surgery to RIC was 21 months (range 9 – 29 months). RIC was successful in all 3 patients and reduced the severity of dyschezia postoperatively; 2 patients experienced improvement after a single RIC session and the other after 6 RIC sessions. No treatment-related adverse events or re-stenosis requiring repeat dilation was noted during a median follow-up of 27 months (range 8 – 37 months). Our findings indicate that the RIC technique can be applied safely and effectively to various sites in the colon, avoiding the need for reoperation.

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Hepatic epithelioid hemangioendothelioma: case series of a rare vascular tumor mimicking metastases

Diagnostic Pathology ◽

10.1186/s13000-020-01039-2 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Nasir Ud Din ◽

Shabina Rahim ◽

Tamana Asghari ◽

Jamshid Abdul-Ghafar ◽

Zubair Ahmad

Keyword(s):

Surgical Resection ◽

Case Series ◽

Liver Function Tests ◽

Vascular Tumor ◽

Metastatic Carcinoma ◽

Epithelioid Hemangioendothelioma ◽

Clinicopathological Features ◽

University Hospital ◽

Detailed Review

Abstract Background Hepatic epithelioid hemangioendothelioma is an extremely rare malignant vascular tumor which is often multifocal and, in many cases, discovered incidentally. Here, we describe the clinicopathological features of hepatic epithelioid hemangioendothelioma cases seen in our practice and present a detailed review of the published literature. Methods All cases of hepatic epithelioid hemangioendothelioma diagnosed in Department of Pathology and Laboratory Medicine, Aga Khan University Hospital between January 1, 2006 and December 31, 2019 were included in the study. Slides were reviewed and follow up was obtained. Results Seven cases were reported during the study period. There were 4 females and 3 males. Age range was 20 to 77 years, mean age was 45 years. Three patients presented with right upper abdominal pain; 1 patient presented with jaundice while 3 patients were asymptomatic. In all 7 cases, lesions were identified on imaging studies. In 5 cases, liver lesions were multifocal. Clinical differential diagnosis in all cases was metastatic carcinoma and multifocal hepatocellular carcinoma. Liver function tests were normal in 5 cases. In 1 patient, tumor had already metastasized to the right lung. On histological examination of liver core biopsies performed in all 7 cases, classic histological features of epithelioid hemangioendothelioma were seen. Tumor cells expressed positivity for vascular markers (CD 34, CD31 and ERG) and were negative for cytokeratins, Hep par 1 and Glypican 3. Surgical resection was not performed in any of the 7 cases and all patients were treated by chemotherapy. Follow up was available in 5 cases. Of these, 3 patients died of disease and another patient was alive with metastases in both lungs, omentum and colon. Conclusion Clinicopathological features of the 7 cases in our series and detailed review of published literature is presented. Prognosis was bad in our cases most likely due to fact that surgical resection could not be performed in any of the cases owing to lack of surgical expertise for liver tumor surgery in most parts of the country.

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Interdisciplinary surgical resection of locally advanced renal tumours involving the inferior vena cava – a case series

European Urology Supplements ◽

10.1016/s1569-9056(19)32642-9 ◽

2019 ◽

Vol 18 (5) ◽

pp. e2545-e2546

Author(s):

H. Jones ◽

L.A. Devane ◽

A. Redmond ◽

S. Anderson ◽

J.B. Conneely ◽

...

Keyword(s):

Inferior Vena Cava ◽

Surgical Resection ◽

Inferior Vena ◽

Locally Advanced ◽

Vena Cava ◽

Case Series ◽

Renal Tumours

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SURG-24. SURGICAL RESECTION OF FOURTH VENTRICULAR EPENDYMOMAS – CASE SERIES AND TECHNICAL NUANCES

Neuro-Oncology ◽

10.1093/neuonc/now212.825 ◽

2016 ◽

Vol 18 (suppl_6) ◽

pp. vi196-vi196

Author(s):

Ethan Winkler ◽

Harjus Birk ◽

Michael Safaee ◽

John Yue ◽

John Burke ◽

...

Keyword(s):

Surgical Resection ◽

Case Series

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Surgical resection of severe heterotopic ossification after open reduction and internal fixation of acetabular fractures: A case series of 18 patients

Injury ◽

10.1016/j.injury.2014.05.018 ◽

2014 ◽

Vol 45 (10) ◽

pp. 1604-1610 ◽

Cited By ~ 14

Author(s):

Xin-Bao Wu ◽

Ming-Hui Yang ◽

Shi-Wen Zhu ◽

Qi-Yong Cao ◽

Hong-Hua Wu ◽

...

Keyword(s):

Internal Fixation ◽

Heterotopic Ossification ◽

Surgical Resection ◽

Open Reduction ◽

Case Series ◽

Acetabular Fractures

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Segmental Posthetomy in a Four Stallions Case Series

Animals ◽

10.3390/ani11041145 ◽

2021 ◽

Vol 11 (4) ◽

pp. 1145

Author(s):

Adriana Palozzo ◽

Gianluca Celani ◽

Giulia Guerri ◽

Paola Straticò ◽

Vincenzo Varasano ◽

...

Keyword(s):

Surgical Resection ◽

Single Case ◽

Case Series ◽

Scar Tissue ◽

Successful Outcome ◽

First Case ◽

Degloving Injury ◽

End To End ◽

Circumferential Segment

Segmental posthetomy, also referred to as circumcision, reefing or posthioplasty, consists of removing a circumferential segment of the internal preputial lamina (internal preputial fold) followed by end-to-end anastomosis of skin edges. The purpose of this case series is to describe the successful outcome of segmental posthetomy for treating different diseases involving the internal or/and external preputial fold, while restoring the normal telescopic function. In this paper, we report the first case of complete degloving injury of the equine penis in the literature (case 1) and describe three different common lesions of the equine prepuce/penis (preputial scar tissue in case 2, preputial sarcoid in case 3 and penile/preputial wound in case 4). The amount of prepuce (safe minimums) that can be removed from a stallion without disrupting the proper telescopic function of the internal/external preputial fold and normal copulatory ability, has not been established. In this case series, all Equidae stallions maintained the telescopic function after preputial surgical resection. However, the surgeon must carefully evaluate every single case, especially when performing the Adam’s procedure.

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