scholarly journals En bloc resection of extra-peritoneal soft tissue neoplasms incorporating a type III internal hemipelvectomy: a novel approach

2012 ◽  
Vol 10 (1) ◽  
Author(s):  
Sanjay S. Reddy ◽  
Norman D. Bloom
Keyword(s):  
Soft Tissue ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Soft Tissue Neoplasms ◽  
En Bloc ◽  
Internal Hemipelvectomy ◽  
Type Iii ◽  
Novel Approach

Use of a Fascia Lata Autograft to Reconstruct a Large Triceps Tendon Defect After En-Bloc Resection of a Soft-Tissue Sarcoma

2020 ◽  
Vol 10 (1) ◽  
pp. e0390-e0390
Author(s):  
Rachel Clancy ◽  
Zachary Lim ◽  
Robert A. Ravinsky ◽  
Anne O'Neill ◽  
Peter Ferguson ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Fascia Lata ◽  
En Bloc ◽  
Tendon Defect ◽  
Triceps Tendon

Myofibroma of the cervical spine presenting as brachialgia

2014 ◽  
Vol 21 (6) ◽  
pp. 916-918 ◽  
Author(s):  
Benjamin M. Davies ◽  
Daniel du Plessis ◽  
Kanna K. Gnanalingham
Keyword(s):  
Soft Tissue ◽  
Facet Joint ◽  
Surgical Excision ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Benign Tumors ◽  
Histopathological Analysis ◽  
En Bloc ◽  
Left Posterior ◽  
Midline Approach

Myofibromas are rare, benign tumors of myofibroblasts. Their occurrence in adults, involving bone outside of the head and neck, is especially uncommon. The authors report the case of a 34-year-old woman who presented with left-sided brachialgia. Magnetic resonance imaging identified an expansile soft-tissue lesion of the C6–7 facet joint. En bloc resection via a left posterior midline approach was undertaken. Histopathological analysis confirmed the lesion to be a myofibroma. Brachialgia resolved following surgery and there is no evidence of recurrence at 20 months follow-up. Myofibroma is a rare cause of primary soft-tissue tumor of the spine. Surgical excision remains the mainstay of treatment.

scholarly journals Use of the T-1470 LiteTouch™ Laser in the En Bloc Resection of an Upper Tract Urothelial Cancer

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Ezra Shoen ◽  
Benjamin Zollinger ◽  
Tripp Gresham ◽  
Katayoon M. Rezaei ◽  
Michael Whalen
Keyword(s):  
Urothelial Carcinoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Upper Tract Urothelial Carcinoma ◽  
En Bloc ◽  
Tumor Biopsy ◽  
Upper Tract ◽  
Novel Approach ◽  
Tissue Acquisition ◽  
Artery Disease

Background. Endoscopic laser-ablative therapy of upper tract urothelial carcinoma offers kidney-sparing treatment for well-selected low-risk tumors. The traditional technique consists of tumor biopsy with flexible forceps or nitinol basket for pathologic assessment of stage and grade, followed by laser ablation of the tumor. In this case, we present the use of the new T-1470 LiteTouch™ laser for intraoperative tumor en bloc resection, affording both tissue acquisition and tumor ablation. Case Presentation. An 81-year-old female with a past medical history significant for stage 4 chronic kidney disease, peripheral artery disease, coronary artery disease, type 2 diabetes mellitus, and gout was diagnosed with a 2 cm left upper tract high-grade papillary urothelial carcinoma confirmed by cytology with cell block preparation. Using a novel approach, the tumor was resected, en bloc, using the T-1470 LiteTouch™ laser which allowed for sufficient tissue resection for pathologic examination and strong hemostasis. This new technique is the first recorded example of tumor en bloc resection using the T-1470 LiteTouch™ laser of an upper tract urothelial carcinoma. Conclusion. The use of the T-1470 LiteTouch™ laser offers promise for its use as a novel laser for the endoscopic treatment of upper tract urothelial carcinoma. It shows potential for advantages over current techniques through its ability to achieve en bloc resection and superior hemostasis.

En bloc hemisacrectomy and internal hemipelvectomy via the posterior approach

2014 ◽  
Vol 21 (3) ◽  
pp. 458-467 ◽  
Author(s):  
Michelle J. Clarke ◽  
Patricia L. Zadnik ◽  
Mari L. Groves ◽  
Hormuzdiyar H. Dasenbrock ◽  
Daniel M. Sciubba ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Pelvic Ring ◽  
Tumor Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Surgical Morbidity ◽  
En Bloc ◽  
Internal Hemipelvectomy

Object Traditionally, hemisacrectomy and internal hemipelvectomy procedures have required both an anterior and a posterior approach. A posterior-only approach has the potential to complete an en bloc tumor resection and spinopelvic reconstruction while reducing surgical morbidity. Methods The authors describe 3 cases in which en bloc resection of the hemisacrum and ilium and subsequent lumbopelvic and pelvic ring reconstruction were performed from a posterior-only approach. Two more traditional anterior and posterior staged procedures are also included for comparison. Results In all 3 cases, an oncologically appropriate surgery and spinopelvic reconstruction were performed through a posterior-only approach. Conclusions The advantage of a midline posterior approach is the ability to perform a lumbosacral reconstruction, necessary in cases in which the S-1 body is iatrogenically disrupted during tumor resection.

scholarly journals Recurrent giant cell tumour of the distal ulna after en bloc resection with preoperative denosumab use

2021 ◽  
Vol 14 (11) ◽  
pp. e245022
Author(s):  
Nasa Fujihara ◽  
Shunsuke Hamada ◽  
Masahiro Yoshida ◽  
Satoshi Tsukushi
Keyword(s):  
Soft Tissue ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Distal Ulna ◽  
En Bloc ◽  
Grade Ii ◽  
Grade Iii

In recent years, denosumab has been used to treat giant cell tumour of bone (GCTB) not only in cases where surgery is complicated but also preoperatively to decrease the preoperative grade or to facilitate surgery for Campanacci grade II and III cases. However, there are no clear protocols regarding the preoperative use of denosumab before en bloc resection. There are a few reports of recurrent cases after en bloc resection; however, the association with the use of denosumab is unknown. We present the clinical, radiological and histopathological findings of a case of Campanacci grade III GCTB at the distal end of the ulna, which resulted in soft tissue recurrence after en bloc resection with the preoperative use of denosumab.

scholarly journals Single stage en bloc resection of a recurrent metastatic osteosarcoma of the pediatric lumbar spine through multiple exposures – a novel approach

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 32
Author(s):  
Saurabh Gupta ◽  
Zachary S. Stinson ◽  
Rex A. Marco ◽  
John P. Dormans
Keyword(s):  
Surgical Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Single Stage ◽  
Neurological Deficits ◽  
Wide Resection ◽  
En Bloc ◽  
Novel Approach ◽  
Metastatic Osteosarcoma

To obtain a wide resection and safe margins in recurrent spine osteosarcoma, the surgical approach can include – posterior only, combined posterior and anterior, and combined posterior and anterior with a return to posterior in multiple stages. In our case, we used a novel approach of multiple extensile exposures circumferentially in a single stage with a single surgical prep. We present the case of a 9-year-old female with a history of metastatic osteosarcoma, who previously underwent an attempted en bloc resection with an L3 corpectomy and left below knee amputation. At 1 year follow-up, she developed a recurrent solitary spine lesion at the previous surgical resection site. An additional attempt at complete surgical resection was performed with a complex en bloc L2, L3, L4 corpectomy with removal of deep spinal implants and anterior and posterior spinal fusion with instrumentation and revision decompressive laminectomy. The patient had a good functional outcome without neurological deficits, except those resulting from resection of involved lumbar nerve roots. At last follow-up of 5 months, there was no local recurrence or distant metastasis. This approach for revision resection of recurrent spinal osteosarcoma can be performed successfully with clean margins in a safe manner.

En-bloc resection of soft-tissue sarcoma of anterior chest wall and reconstruction with titanium bars and free anterolateral thigh flap

2021 ◽  
Vol 14 (7) ◽  
pp. e241603
Author(s):  
Walter Sebastián Nardi ◽  
Agustin Buero ◽  
Leonardo Pankl ◽  
Sergio Damián Quildrian
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Soft Tissue Sarcomas ◽  
En Bloc Resection ◽  
Anterior Chest Wall ◽  
Bloc Resection ◽  
Anterolateral Thigh Flap ◽  
En Bloc ◽  
Complete Surgical Resection ◽  
Anterolateral Thigh

Primary soft-tissue sarcomas (STSs) of the chest wall are uncommon. Complete surgical resection remains the mainstay of treatment being sternal resection ocassionally required. We present a 25-year-old man with an anterior chest wall STS. The patient underwent complete oncological resection with reconstruction using titanium bars combined with a free vascularised anterolateral thigh flap. STSs of the chest wall are very rare and they comprise a surgical challenge for both resection and reconstruction.

Adjuvant Radiation for Soft Tissue Sarcomas

2015 ◽  
pp. e634-e642 ◽  
Author(s):  
Colleen I. Dickie ◽  
Rick Haas ◽  
Brian O'Sullivan
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Local Control ◽  
Soft Tissue Sarcomas ◽  
Intensity Modulated Radiotherapy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Surgical Approaches ◽  
Adjuvant Radiation ◽  
En Bloc

Over recent decades, limb-preservation surgery in combination with radiotherapy achieves local control rates exceeding 90% for extremity soft tissue sarcoma (STS). Local control is not as successful for retroperitoneal sarcoma (approximately 60%) despite aggressive surgical approaches including en bloc resection of uninvolved adjacent organs combined with intensity modulated radiotherapy (IMRT). This review will discuss the indications for adjuvant radiation therapy (RT) for primary presentation of soft tissue sarcoma: “What,” referring to the type and manner of planning and delivery of RT; “When,” referring to the timing and scheduling of RT; and “Why,” referring to the rationale for the use of RT will be addressed. From a practical stand point, this Educational Chapter on “adjuvant RT” will focus on pre- and postoperative RT in the context of gross total resection for extremity and retroperitoneal soft tissue sarcoma, the two most frequent paradigms for the use of adjuvant RT.

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