MUENKE SYNDROME. SURGICAL TREATMENT OF FOUR CASES OF FOUR DIFFERENT FAMILIES IN EARLY STAGE

PURPOSE To assess the use of breast-conserving surgery in two states reported to differ with respect to surgical treatment of breast cancer. METHODS A retrospective cohort study based on data collected from medical records and patients was performed among 1,514 patients diagnosed with early-stage breast cancer in Massachusetts and 1,061 patients in Minnesota. Patients were identified at 18 randomly selected hospitals in Massachusetts and at 30 hospitals in Minnesota. The rate of breast-conserving surgery in both states and the correlates of breast-conserving surgery among women eligible for the procedure were determined. RESULTS The rate of breast-conserving surgery in both states was much higher than previously reported. Among those eligible for the procedure, nearly 75% underwent breast-conserving surgery in Massachusetts and nearly half did so in Minnesota. Significantly (P < .003) more women who underwent mastectomy in Minnesota (27%) than in Massachusetts (15%) reported that their surgeon did not discuss breast-conserving surgery with them. Among women who underwent mastectomy and who reported being informed of both surgical alternatives, more women (P < .001) in Minnesota (74%) than in Massachusetts (62%) said they ultimately chose mastectomy because their surgeon recommended it. In Massachusetts, women treated at teaching hospitals were twice as likely as other women to undergo breast-conserving surgery. In Minnesota, women over age 70 and those who lived in rural areas were less likely than other women to undergo breast-conserving surgery. CONCLUSION Although the rate of breast-conserving surgery in each state was higher than expected based on earlier reports, the rates differed considerably between states. Additional studies are needed to determine whether variation in practice between geographic areas is due to differences in patients' preferences and values or to surgeons' propensity for one type of surgery based on where they practice.

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Surgical treatment of early stage thymoma

Lung Cancer ◽

10.1016/j.lungcan.2010.06.016 ◽

2010 ◽

Vol 70 (1) ◽

pp. 116 ◽

Cited By ~ 1

Author(s):

Marco Anile ◽

Daniele Diso ◽

Domenico Vitolo ◽

Erino Angelo Rendina ◽

Federico Venuta

Keyword(s):

Surgical Treatment ◽

Early Stage

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Surgical treatment of early stage breast cancer in the Auckland and Waikato regions of New Zealand

ANZ Journal of Surgery ◽

10.1111/ans.14840 ◽

2018 ◽

Vol 88 (12) ◽

pp. 1263-1268 ◽

Cited By ~ 2

Author(s):

Ian Campbell ◽

Chunhuan Lao ◽

Tania Blackmore ◽

Melissa Edwards ◽

Louise Hayes ◽

...

Keyword(s):

Breast Cancer ◽

New Zealand ◽

Surgical Treatment ◽

Early Stage ◽

Early Stage Breast Cancer

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Outcomes for patients with second primary malignancy after primary surgical treatment for early-stage squamous cell carcinoma of the oral cavity

Head & Neck ◽

10.1002/hed.25330 ◽

2018 ◽

Vol 40 (11) ◽

pp. 2347-2352 ◽

Cited By ~ 1

Author(s):

Petar Suton ◽

Marin Prpic ◽

Marko Tarle ◽

Matija Mamic ◽

Iva Nikles ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Surgical Treatment ◽

Oral Cavity ◽

Cell Carcinoma ◽

Squamous Cell ◽

Early Stage ◽

Second Primary ◽

Second Primary Malignancy ◽

Primary Malignancy

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Cervical and Vulvar Cancer in Early Stages

Handbook of Research on Oncological and Endoscopical Dilemmas in Modern Gynecological Clinical Practice - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-7998-4213-2.ch012 ◽

2021 ◽

pp. 158-174

Author(s):

Anastasios Liberis ◽

Angelos Sioutas ◽

Marius Moga ◽

Alexandros Daponte

Keyword(s):

Cervical Cancer ◽

Surgical Treatment ◽

Vulvar Cancer ◽

Surgical Intervention ◽

Early Stage ◽

Optimal Treatment ◽

Diagnosis And Management ◽

Early Stages ◽

Early Stage Cervical Cancer

Cervical and vulvar cancer represent two clinical entities whose diagnosis and management are often challenging. They are frequently diagnosed in the early stages, therefore leaving chances for optimal treatment and prognosis. The aim of this chapter is to answer two oncological issues concerning early stage cervical and vulvar cancer. First, is still room for surgical treatment for early stage cervical cancer or should we suggest chemoradiotherapy instead? Second, when is a limited surgical intervention sufficient for early stage vulvar cancer?

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Surgical treatment for basilar invagination with irreducible atlantoaxial dislocation: transoral atlantoaxial reduction plate fixation vs occipitocervical fixation

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03838-6 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Xiaobao Zou ◽

Bieping Ouyang ◽

Haozhi Yang ◽

Binbin Wang ◽

Su Ge ◽

...

Keyword(s):

Surgical Treatment ◽

Early Stage ◽

Plate Fixation ◽

Japanese Orthopaedic Association ◽

Odontoid Process ◽

Basilar Invagination ◽

Atlantoaxial Dislocation ◽

Clinical Effects ◽

Occipitocervical Fixation ◽

Irreducible Atlantoaxial Dislocation

Abstract Background Transoral atlantoaxial reduction plate (TARP) fixation or occipitocervical fixation (OF) is an effective treatment for basilar invagination (BI) with irreducible atlantoaxial dislocation (IAAD). But, all current clinical studies involved a single surgical procedure. The clinical effects of TARP and OF operation for BI with IAAD have yet to be compared. We therefore present this report to compare the treatment of TARP and OF procedure for BI with IAAD. Methods Fifty-six patients with BI with IAAD who underwent TARP or OF operation from June 2011 to June 2017 were retrospectively analyzed. Among these, 35 patients underwent TARP operation (TARP group), and 21 patients underwent OF operation (OF group). We compared the difference of clinical, radiological, and surgical outcomes between the TARP and OF groups postoperatively. Results Compared with OF group, the operative time and blood loss in TARP group were lower. There was no statistical difference in the atlantodental interval (ADI), clivus canal angle (CCA), cervicomedullary angle (CMA), distance between the top of the odontoid process and the Chamberlain line (CL) and Japanese Orthopaedic Association (JOA) score between the TARP and OF groups preoperatively, but the improvements of these parameters in the TARP group were superior to those in the OF group postoperatively. The fusion rates were higher in the TARP group than those in the OF group at the early stage postoperatively. Conclusions TARP and OF operations are effective surgical treatment for BI with IAAD, but the performance of reduction and decompression and earlier bone fusion rates of TARP procedure are superior to those of OF.

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