scholarly journals Surgical treatment of desmoplastic fibroma in the jaw using mandibular graft reconstruction – a case report

RSBO ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 130-04
Author(s):  
Rafaela Savio Melzer ◽  
Daniela Cristina Lunelli ◽  
Cleverson Patussi ◽  
Laurindo Moacir Sassi
Keyword(s):  
Case Report ◽  
Benign Lesion ◽  
Bone Lesion ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Desmoplastic Fibroma ◽  
En Bloc ◽  
Graft Harvest ◽  
Long Term Follow Up ◽  
Rare Benign Tumour

: Considered a rare benign tumour of fibroblastic origin, desmoplastic fibroma is an injury with aggressive behaviour and local recurrence and unclear aetiology, although trauma and genetic factors are considered. The pathology may develop in the femur, radio, pelvis and tibia, and rarely affects the jaws, characterized as an injury of slow asymptomatic growth that may vary radiographically. The local aggressive resection is the treatment of choice. Objective: To report a case of a desmoplastic fibroma in the mandible, whose treatment was en bloc resection followed by reconstruction with mandibular graft. Case report: Female patient, 33 years old, Caucasian, with a bone lesion discovered in routine x-ray. Images showed hypodense image with discrete destruction of bone cortical, near teeth 36 and 37, with no involvement of the roots. The chosen treatment was en bloc resection followed by reconstruction with mandibular graft harvest from ramus. Conclusion: desmoplastic fibroma is a benign lesion that should be included in the differential diagnosis list of osteolytic lesions. A long-term follow up is required, considering the potential to recurrence.

scholarly journals Surgical treatment of desmoplastic fibroma in the jaw using mandibular graft reconstruction – a case report

RSBO ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 130
Author(s):  
Rafaela Savio Melzer ◽  
Daniela Cristina Lunelli ◽  
Cleverson Patussi
Keyword(s):  
Case Report ◽  
Benign Lesion ◽  
Bone Lesion ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Desmoplastic Fibroma ◽  
En Bloc ◽  
Graft Harvest ◽  
Long Term Follow Up ◽  
Rare Benign Tumour

Introduction: Considered a rare benign tumour of fibroblastic origin, desmoplastic fibroma is an injury with aggressive behaviour and local recurrence and unclear aetiology, although trauma and genetic factors are considered. The pathology may develop in the femur, radio, pelvis and tibia, and rarely affects the jaws, characterized as an injury of slow asymptomatic growth that may vary radiographically. The local aggressive resection is the treatment of choice. Objective: To report a case of a desmoplastic fibroma in the mandible, whose treatment was en bloc resection followed by reconstruction with mandibular graft. Case report: Female patient, 33 years old, Caucasian, with a bone lesion discovered in routine x-ray. Images showed hypodense image with discrete destruction of bone cortical, near teeth 36 and 37, with no involvement of the roots. The chosen treatment was en bloc resection followed by reconstruction with mandibular graft harvest from ramus. Conclusion: desmoplastic fibroma is a benign lesion that should be included in the differential diagnosis list of osteolytic lesions. A long-term follow up is required, considering the potential to recurrence.

scholarly journals Long-term follow-up after colorectal endoscopic submucosal dissection in 182 cases

2021 ◽  
Vol 09 (02) ◽  
pp. E258-E262
Author(s):  
Christian Suchy ◽  
Moritz Berger ◽  
Ingo Steinbrück ◽  
Tsuneo Oyama ◽  
Naohisa Yahagi ◽  
...  
Keyword(s):  
Case Series ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Published Data ◽  
Low Grade ◽  
Recurrence Rates ◽  
En Bloc ◽  
Long Term Follow Up

Abstract Background and study aims We previously reported a case series of our first 182 colorectal endoscopic submucosal dissections (ESDs). In the initial series, 155 ESDs had been technically feasible, with 137 en bloc resections and 97 en bloc resections with free margins (R0). Here, we present long-term follow-up data, with particular emphasis on cases where either en bloc resection was not achieved or en bloc resection resulted in positive margins (R1). Patients and methods Between September 2012 and October 2015, we performed 182 consecutive ESD procedures in 178 patients (median size 41.0 ± 17.4 mm; localization rectum vs. proximal rectum 63 vs. 119). Data on follow-up were obtained from our endoscopy database and from referring physicians. Results Of the initial cohort, 11 patients underwent surgery; follow-up data were available for 141 of the remaining 171 cases (82,5 %) with a median follow-up of 2.43 years (range 0.15–6.53). Recurrent adenoma was observed in 8 patients (n = 2 after margin positive en bloc ESD; n = 6 after fragmented resection). Recurrence rates were lower after en bloc resection, irrespective of involved margins (1.8 vs. 18,2 %; P < 0.01). All recurrences were low-grade adenomas and could be managed endoscopically. Conclusions The rate of recurrence is low after en bloc ESD, in particular if a one-piece resection can be achieved. Recurrence after fragmented resection is comparable to published data on piecemeal mucosal resection.

scholarly journals A Giant retroperitoneal liposarcoma encasing entirely the right kidney: A case report and a review of nephrectomy indications

2021 ◽  
Author(s):  
Houssem Harbi ◽  
Amira Akrout ◽  
Mohamed Fourati ◽  
Amine Zouari ◽  
Nozha Toumi
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Resection Margins ◽  
En Bloc ◽  
Retroperitoneal Liposarcoma ◽  
R1 Resection ◽  
The Right

A 68-year-old female was operated for a giant dedifferentiated retroperitoneal liposarcoma (RLS) encasing entirely the right kidney. She had an en-bloc resection of the tumor with right nephrectomy. The en-bloc resection should avoid R1 resection margins. Renal conservation is suggested if the kidney is widely displaced and for elderly patient.

scholarly journals Successful en bloc resection of an esophageal hemangioma by combined EBL & EMR: a case report and technical review

2016 ◽  
Vol 1 ◽  
pp. 45-45 ◽  
Author(s):  
Il Hyun Baek ◽  
Jung Won Jeon ◽  
Hyun Phil Shin ◽  
Jae Myung Cha ◽  
Kwang Ro Joo ◽  
...  
Keyword(s):  
Case Report ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Technical Review

scholarly journals En bloc resection of the external iliac vein along with broad ligament leiomyosarcoma: A case report

2019 ◽  
Vol 23 ◽  
pp. e00131 ◽  
Author(s):  
Fatima Ahmed ◽  
Rachel Pounds ◽  
Hong-Giap Teo ◽  
James Nevin ◽  
Kavita Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Ligament ◽  
Iliac Vein ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
External Iliac Vein

Fracture of the Tarsal Navicular Associated with Calcaneonavicular Coalition: A Case Report

1995 ◽  
Vol 16 (12) ◽  
pp. 800-802 ◽  
Author(s):  
Yasuhito Tanaka ◽  
Yoshinori Takakura ◽  
Kouichi Akiyama ◽  
Shigeru Kamei ◽  
Masato Nukata ◽  
...  
Keyword(s):  
Case Report ◽  
Full Range ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Truck Driver ◽  
Fracture Line ◽  
Long Distance ◽  
En Bloc ◽  
Calcaneonavicular Coalition ◽  
Level Of Activity

Fracture of the navicular occurred in a 23-year-old male with unilateral cartilaginous calcaneonavicular coalition. Inversion sprain of the left foot caused the longitudinal navicular fracture next to the coalition. En bloc resection from the beak of the calcaneus to the fracture line of the navicular including the calcaneonavicular coalition was performed, and a short leg cast was applied for 10 days. Four weeks after surgery, he returned to his preinjury level of activity and job as a long-distance truck driver. Two years and 3 months after surgery, he was totally asymptomatic and had gained a full range of subtalar motion. He had no peroneal spasm or recurrence of the coalition.

Therapeutic strategy involving endoscopic resection for cN0 superficial carcinoma of the esophagus.

2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 1-1
Author(s):  
T. Iizuka ◽  
D. Kikuchi ◽  
S. Hoteya
Keyword(s):  
Endoscopic Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Additional Treatment ◽  
En Bloc ◽  
Carcinoma Of The Esophagus ◽  
Secondary Hemorrhage ◽  
Long Term Follow Up

1 Background: With the progress in endoscopic submucosal dissection (ESD) which enables en bloc resection irrespective of the size of lesion, a therapeutic strategy has become feasible whereby ESD is undertaken first, followed by considering additional treatment based on the results of histologic exploration. In this study, we attempted to clarify the clinical results in patients who had undergone additional treatment after endoscopic resection (ER) for cN0 superficial carcinoma. Methods: Of 140 patients diagnosed as having T1a-MM-SM2 lesions of squamous cell carcinoma of the esophagus who had undergone ER between January 1998 and March 2010, 83 patients who received additional treatment after ER (surgery, 27 pts; chemoradiotherapy [CRT], 56 pts.) were the subjects of this study. The mean duration of observation was 45.1 months. Results: The en bloc resection rate was 86%. There were 5 patients (6%) who had complications associated with ER, including perforation in 2 patients, secondary hemorrhage in a patient and pneumonia in 2 patients. Complications associated with additional treatment were noted in 13 patients (15.6%), including secondary hemorrhage, recurrent laryngeal nerve paralysis and pulmonary infarction in one patient each, pneumonia in 3, grade ≥ 3 myelosuppression in 5, and syndrome of inappropriate secretion of antidiuretic hormone (SIADH) and radiation pneumonitis in one patient each. Long-term follow-up revealed no local recurrence and no patients who experienced late toxicity due to CRT. The tumor recurred in 4 patients, the site of recurrent lesion being the mediastinum in 3 patients and the cervical lymph node in one patient, of whom 2 patients died of the primary disease. The 5-year survival rate was 88.4%. Conclusions: Endoscopic resection plus additional treatment for superficial carcinoma of the esophagus did not entail the development of any serious complications; thus, such combined treatment was safe and feasible. The long-term follow-up results were fairly gratifying, and ER with subsequent additional treatment is considered to be valid for patients with cN0 superficial carcinoma of the esophagus. No significant financial relationships to disclose.

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