scholarly journals Management of thyroglossal tract disease after failed Sistrunk’s procedure

2003 ◽  
Vol 117 (9) ◽  
pp. 710-712 ◽  
Author(s):  
N. N. Patel ◽  
B. E. J. Hartley ◽  
D. J. Howard
Keyword(s):  
Local Excision ◽  
Wide Local Excision ◽  
Recurrent Disease ◽  
Retrospective Case ◽  
Applied Anatomy ◽  
Tract Disease ◽  
Thyroglossal Duct Remnants ◽  
Sistrunk Operation ◽  
Sistrunk’S Procedure ◽  
Case Note Review

Sistrunk’s procedure for thyroglossal duct remnants has a very high success rate, there remains the occasional patient, however, that will have recurrent disease despite a competently performed operation. Applied anatomy and embryology proffer a solution to this problem. Extending the Sistrunk operation, with an anterior wide local excision remaining within normal tissue, enables removal of the entire thyroglossal tract remnant.A retrospective case note review was conducted to study our experience using this extended procedure to treat patients with thyroglossal tract disease that had recurred after a previous Sistrunk’s operation.Six patients aged from five to 33 years were included in the study. There was one recurrence and the complication rate was comparable to the standard operation.It was concluded that a wide local excision is a valuable extension of the Sistrunk operation for the management of recurrent disease.

Rhinectomy for the management of nasal malignancies

2011 ◽  
Vol 125 (10) ◽  
pp. 1033-1037 ◽  
Author(s):  
E Chipp ◽  
D Prinsloo ◽  
S Rayatt
Keyword(s):  
High Risk ◽  
Cell Carcinoma ◽  
Recurrent Disease ◽  
Surgical Excision ◽  
Salvage Procedure ◽  
Previous Surgery ◽  
Retrospective Case ◽  
Disease Free ◽  
Case Note Review

AbstractBackground:Tumours of nasal skin or mucosa are common, and can usually be treated with limited surgical excision or radiotherapy. This paper highlights a subset of high risk tumours which require rhinectomy for complete oncological clearance.Method:Retrospective case note review of 14 patients undergoing rhinectomy for nasal tumours. Clinical and histological findings, treatment and outcome are reviewed and discussed.Results:Forty-three per cent of patients had recurrent disease and underwent rhinectomy as a salvage procedure following previous surgery or radiotherapy. Most tumours (79 per cent) were basal cell carcinoma or squamous cell carcinoma. After a mean follow up of 30.1 months (range, zero to 96 months), seven patients (50 per cent) were alive and disease-free. Reconstruction was most commonly with a prosthesis.Conclusion:Rhinectomy is an oncologically sound procedure for the management of high risk nasal malignancies. Prosthetic rehabilitation can be an excellent alternative to surgery, particularly in those patients unsuitable for major reconstruction.

scholarly journals Wide Local Excision for Dermatofibrosarcoma Protuberans: A Single-Center Series of 90 Patients

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Byung Jun Kim ◽  
Hyeonwoo Kim ◽  
Ung Sik Jin ◽  
Kyung Won Minn ◽  
Hak Chang
Keyword(s):  
Local Recurrence ◽  
Local Excision ◽  
Wide Local Excision ◽  
Safety Margin ◽  
Dermatofibrosarcoma Protuberans ◽  
Low Grade ◽  
Recurrence Free Survival ◽  
Free Survival ◽  
Incomplete Removal ◽  
Surgical Methods

Background. Dermatofibrosarcoma protuberans (DFSP), a rare low-grade sarcoma of fibroblast origin, tends to extend in a finger-like fashion beyond macroscopic tumor margins. Therefore, incomplete removal and subsequent recurrence are common. This study aimed to determine the efficacy of wide local excision (WLE) for controlling local recurrence of DFSP.Methods. The medical records of 90 DFSP patients who received WLE at our hospital between June 1992 and January 2015 were retrospectively reviewed. WLE was conducted including a 3 cm (range, 1 to 5 cm) safety margin according to tumor size, location, and recurrence status. Clinical and tumor characteristics and surgical methods were evaluated for risk factor analysis and local recurrence-free survival.Results. DFSP occurred most often in patients in their 30s (30%) and on the trunk (51.1%). Five patients (5.5%) experienced local recurrence during the 43.4-month follow-up period. Recurrence was found at a mean of 10.8 months after WLE. Although no factors were significantly associated with recurrence, recurrences were more frequent in head and neck. Recurrence-free survival was 87% in 6 years and 77% in 7 years.Conclusions. WLE with adequate lateral and deep margins can effectively control local recurrence rate and is a simple and effective method to treat DFSP.

A Comparison Between Oncoplastic Breast Conserving Surgery andStandard Wide Local Excision: A UK Experience

2016 ◽  
Vol 01 (01) ◽  
Author(s):  
Saira Khawaja ◽  
Abrar Saiyed ◽  
Darmiga Thayabaran ◽  
Sujatha Udayasankar ◽  
Joel Dias ◽  
...  
Keyword(s):  
Local Excision ◽  
Wide Local Excision ◽  
Breast Conserving Surgery
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