Focal secondary resection of neurovascular bundles after digital frozen section of prostate surface: a novel tailored surgical approach

10737 Background: Paper was aimed to compare differences in pre-operative management, decision on surgery and surgical approach for breast cancer in six European Breast Cancer Units in Italy, France, Czech Republic and Serbia and Montenegro, and to discuss impact of detected differences on outcome of the disease. Methods: The authors of this paper, who have been invited as young visiting/observing/training guests by four prestigious European Breast Cancer Units in Italy and France (National Cancer Institute - Milan, European Institute of Oncology - Milan, Institute Gustave Roussy - Villejuif, Institute Curie - Paris) as fellows of different European and international institutions (EUSOMA, EACR, ESSO, UICC, ESO, FECS, French Government) in the period 2003–2005, tried to detect and compare differences regarding pre-surgical evaluation, decision making and surgical approach for breast cancer as well as to discuss the impact of identified changes on outcome of the disease. The special attention has been directed to inspection of such small details as waiting list for consultation and hospitalisation, way of decision for surgical intervention (individual or oncology meeting/staff), horizontal or oblique incision for mastectomy, duration of hospital stay, sentinel node procedure (blue dye, radioactive tracer or both, one or two-days protocol, imunochistochemistry examinations during frozen section or not), preferred way of breast reconstruction, number of assistants during operation, drainage, preservation of intercostobrachial nerve during axillary surgery, suture, etc. The data were collected according to personal presence in different institutes, observation and asking the questions. Descriptive statistics were used to show the differences among the parameters under comparison. Results: This study which clearly showed a great range of differences, sometimes very significant, in parameters regarding pre-surgical evaluation and surgical treatment of breast cancer. Conclusions: Although being found, and sometimes significant, the observed differences in several parameters regarding pre-operative evaluation and surgical treatment of breast cancer in six European breast cancer units do not have influence to the outcome of the breast cancer. No significant financial relationships to disclose.

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Digital angiolipoma: uncommon location and presentation of a common tumour

BMJ Case Reports ◽

10.1136/bcr-2021-241777 ◽

2021 ◽

Vol 14 (5) ◽

pp. e241777

Author(s):

Katherine Porter ◽

Michael Boring ◽

Tara M Jehu ◽

Vladimir Neychev

Keyword(s):

Differential Diagnosis ◽

Soft Tissue ◽

Range Of Motion ◽

Surgical Approach ◽

Soft Tissue Mass ◽

Ring Finger ◽

Tissue Mass ◽

Rare Lesion ◽

Uncommon Location ◽

Neurovascular Bundles

A 56-year-old woman presented with an enlarging soft-tissue mass of the left ring finger, causing worsening range of motion in the metacarpophalangeal and interphalangeal joints. Excision of the mass was performed and a 3.5×3.5×3 cm lipoma was found displacing the digital neurovascular bundles laterally and posteriorly. Surgical pathology revealed a rare angiolipoma. This case was unusual because of the location of the mass, and the fact that it was non-tender, and larger than the typical angiolipoma presentation. Definitive identification of angiolipomas, especially those without gross vascularisation, as in this case, is often delayed until final pathology. Reporting cases of angiolipoma of the finger will increase awareness of this rare lesion and broaden the differential diagnosis to improve identification and management in future cases. We discuss a surgical approach which successfully increased range of motion of the hand and preserved neurovascular integrity.

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Positive surgical margin during radical prostatectomy: overview of sampling methods for frozen sections and techniques for the secondary resection of the neurovascular bundles

BJU International ◽

10.1111/bju.15024 ◽

2020 ◽

Vol 125 (5) ◽

pp. 656-663 ◽

Cited By ~ 2

Author(s):

Maria Chiara Sighinolfi ◽

Ahmed Eissa ◽

Valentina Spandri ◽

Stefano Puliatti ◽

Salvatore Micali ◽

...

Keyword(s):

Radical Prostatectomy ◽

Sampling Methods ◽

Surgical Margin ◽

Positive Surgical Margin ◽

Frozen Sections ◽

Secondary Resection ◽

Neurovascular Bundles

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Plantar Fascial Spaces of the Foot and a Proposed Surgical Approach

Foot & Ankle ◽

10.1177/107110078000100105 ◽

1980 ◽

Vol 1 (1) ◽

pp. 11-14 ◽

Cited By ~ 44

Author(s):

Robert D. Loeffler ◽

Anthony Ballard

Keyword(s):

Surgical Approach ◽

Foot Injuries ◽

Plantar Aponeurosis ◽

The Third ◽

Flexor Digitorum Brevis ◽

Plantar Incision ◽

Fascial Spaces ◽

Flexor Digitorum ◽

Adductor Hallucis ◽

Neurovascular Bundles

This study identified five plantar fascial spaces of the foot. The first space lies superficial to the calcaneus, the second lies between the plantar aponeurosis and the flexor digitorum brevis, the third lies between the flexor digitorum brevis and the quadratus plantae, the fourth lies above the quadratus, and the fifth lies above the adductor hallucis. A plantar incision is proposed for exploration and drainage of foot injuries and infections. With this incision, the plantar neurovascular bundles, along with the five plantar spaces through which infection spreads, are visualized clearly. In our experience, the incision heals without a sensitive scar.

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Papillary carcinoma in thyroglossal duct cyst: role of fine needle aspiration and frozen section biopsy to guide surgical approach

Endocrine ◽

10.1007/s12020-014-0173-6 ◽

2014 ◽

Vol 46 (1) ◽

pp. 160-163 ◽

Cited By ~ 3

Author(s):

Debora L. S. Danilovic ◽

Suemi Marui ◽

Erika U. Lima ◽

Arthur V. C. Luiz ◽

Marilia D. E. G. Brescia ◽

...

Keyword(s):

Papillary Carcinoma ◽

Surgical Approach ◽

Fine Needle Aspiration ◽

Frozen Section ◽

Needle Aspiration ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Fine Needle

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The application of electron microscopy to diagnosis in gynecologic neoplasms and tumor-like conditions

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100110787 ◽

1984 ◽

Vol 42 ◽

pp. 102-105

Author(s):

Lawrence M. Roth

Keyword(s):

Electron Microscopy ◽

Reproductive Tract ◽

Malignant Tumors ◽

Frozen Section ◽

Cost Effective ◽

Female Reproductive Tract ◽

Ultrastructural Examination ◽

Specific Diagnosis ◽

Potential Value ◽

Gynecologic Neoplasms

The female reproductive tract may be the site of a wide variety of benign and malignant tumors, as well as non-neoplastic tumor-like conditions, most of which can be diagnosed by light microscopic examination including special stains and more recently immunoperoxidase techniques. Nevertheless there are situations where ultrastructural examination can contribute substantially to an accurate and specific diagnosis. It is my opinion that electron microscopy can be of greatest benefit and is most cost effective when applied in conjunction with other methodologies. Thus, I have developed an approach which has proved useful for me and may have benefit for others. In cases where it is deemed of potential value, glutaraldehyde-fixed material is obtained at the time of frozen section or otherwise at operation. Coordination with the gynecologic oncologist is required in the latter situation. This material is processed and blocked and is available if a future need arises.

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