scholarly journals Microductectomy: Current Surgical Technique for Pathological Ductal Discharge

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Surgical Technique ◽  
Malignant Neoplasm ◽  
Diagnostic Procedures ◽  
Surgical Removal ◽  
Pathological Appearance

Thelorrhea is one of the most common reasons for consultation in mastology. In the cases of a discharge with a pathological appearance, an appropriate approach is important given the possibility of it originating in a malignant neoplasm. Its study currently includes advanced diagnostic procedures such as ductoscopy with biopsy or brushing. However, these kinds of diagnostic intervention are not available everywhere and therefore, the surgical removal of the affected duct continues to be of great value diagnostically as well as therapeutically, especially in women with unsatisfied parity.

scholarly journals REVIEW OF THE CURRENT STATE OF THE PROBLEM OF PRIMARY DETECTION OF MALIGNANT TUMORS OF THE CAVITY

2019 ◽  
Vol 15 (2) ◽  
pp. 50-55
Author(s):  
Наталья Нуриева ◽  
Natal'ya Nurieva ◽  
Александр Гузь ◽  
Aleksandr Guz ◽  
Александр Захаров ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Malignant Tumors ◽  
Malignant Neoplasm ◽  
Diagnostic Procedures ◽  
Primary Diagnosis ◽  
Malignant Neoplasms ◽  
Dental Rehabilitation ◽  
Late Treatment ◽  
Clinically Significant

Subject: malignant neoplasms of the oral cavity, primary detectability, appeal to specialists, terms of treatment before hospitalization. Objective: based on a five-year analysis of the medical records of patients with a verified diagnosis of malignant neoplasm of the oral cavity, to identify significant criteria for primary diagnosis, doctors of the first contact, including non-cancer profile. Methodology. Malignant neoplasms occupy one of the leading places among all medical and social problems. This is due to a number of reasons, among which are particularly high rates of morbidity and mortality, late treatment of patients and frequent disability. the Purpose of early detection of malignant tumors of the oral cavity is to increase the effectiveness and radicality of treatment, increase the possibility of dental rehabilitation, reduction of disability. To write this article, we conducted a five-year analysis of the primary detection of malignant tumors of the oral cavity in 76 patients hospitalized for treatment in the head and neck Department of the Chelyabinsk district Oncology center. All patients with histologically confirmed diagnosis. Everyone needs specialized anti-tumor treatment. In addition to standard diagnostic procedures, all patients were surveyed on the issues of primary complaints and appeals to medical specialists. Results. On the example of the received questionnaires as well as the standard medical examinations conducted upon admission to the head and neck Department, the trends of the primary referral of patients to primary contact doctors, the terms of treatment before referral to a specialized oncological institution, the stage of the process and the presence of metastasis of the primary focus during treatment, the presence of aggravating factors are analyzed. Conclusions. The results for the five-year period in patients with primary malignant neoplasm of the oral cavity were evaluated, practical recommendations on clinically significant symptoms of malignant tumors of the oral cavity, orientation on the timing of observation were given.

scholarly journals Management of Local Soft Tissue Recurrent Osteosarcoma After Wide Resection and Reconstruction with Megaprosthesis: A Case Report

2019 ◽  
Vol 13 (4) ◽  
pp. 137
Author(s):  
Venansius Herry Perdana Suryanta ◽  
Muhammad Naseh Sajadi Budi
Keyword(s):  
Local Recurrence ◽  
Limb Salvage ◽  
Salvage Surgery ◽  
Malignant Neoplasm ◽  
Quadriceps Muscle ◽  
Response To Therapy ◽  
Wide Resection ◽  
Surgical Removal ◽  
Limb Salvage Surgery ◽  
Surgical Methods

Introduction: Limb salvage surgery involves all of the surgical methods to achieve the eradication of a malignant neoplasm and restoration of the limb with a satisfactory oncologic, functional, and cosmetic outcome. Rates of local recurrence are 4% to 10%. There is a chance of local recurrence from the contamination of biopsy path. Neoadjuvant chemotherapy has a guarding effect on managing neoplasm infiltration at the biopsy location.Case Presentation: An 18 year old male experienced a new painless lump at his right anterior thigh with size about 5 cm in diameter since 5 months ago. Previously, he underwent limb salvage surgery with megaprosthesis about 6 months ago due to osteosarcoma at his right distal femur. He also got neoadjuvant and adjuvant chemotherapy for 6 cycles. Mass removal was done and 1.5 cm mass in diameter was found within quadriceps muscle with a soft consistency and well-defined border from the previous biopsy site that had not been resected. The specimen result was osteosarcoma surrounded by tumor-free tissue. Postoperatively, he still had the same range of motion function as before.Conclusions: We need to consider the previously contaminated biopsy path that could lead to local recurrence. Factors that affect the prediction of the recurrent disease are the disease-free time period, location of recurrence and histological response to therapy and the capability to achieve total surgical removal. Tumor removal followed by the local radiation and chemotherapy is the preferred treatment for recurrence.

Breast implant – Associated Anaplastic large cell lymphoma

2021 ◽  
Vol 20 (3) ◽  
pp. 117-130
Author(s):  
Charilaos Ioannidis
Keyword(s):  
Anaplastic Large Cell Lymphoma ◽  
Soft Tissues ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Malignant Neoplasm ◽  
Large Cell ◽  
Surgical Removal ◽  
Treatment Change ◽  
Anaplastic Lymphoma ◽  
Large Cell Lymphoma

Breast Implant –Associated Anaplastic Large Cell Lymphoma is a newly recognized malignant neoplasm presenting in breasts of women who have had breast implants for cosmetic or reconstructive purposes. A review of the literature showed thatit is an uncommon, slow growing T-cell lymphoma with morphology and immunophenotype similar to anaplastic lymphoma kinase (ALK)-negative anaplastic large cell lymphoma. Its clinicopathologic features and treatment, however, are unique. It usually follows an indolent clinical course, but it has the potential to form a mass, to invade locally through the periimplant breast capsule into the breast parenchyma or soft tissues and/or to spread to regional lymph nodes. Surgical removal of the implant en bloc with the whole of the capsule (explantation plus complete capsulectomy) is the treatment of choice and confers an excellent disease free and overall survival. In the few cases with metastatic disease, chemotherapy is used as an adjuvant therapy. Early detection and management convey the best prognosis; therefore clinicians, gynecologists among others, ought to be aware of this new entity and refer suspicious cases for further evaluation and treatment. Change in attitudes towards implant based surgery does not seem necessary, as long as patients are properly informed about the risk of breast implant –associated anaplastic large cell lymphoma.

scholarly journals Combined supra/infratentorial approach to tentorial meningiomas

2005 ◽  
Vol 63 (1) ◽  
pp. 50-54 ◽  
Author(s):  
Igor de Castro ◽  
Daniel de Holanda Christoph ◽  
José Alberto Landeiro
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Occipital Lobe ◽  
Transverse Sinus ◽  
Surgical Removal ◽  
Tentorial Meningioma ◽  
Operative Evaluation ◽  
Unique Approach ◽  
Microsurgical Techniques ◽  
Brain Retraction

In spite of significant advancements in imaging technology, monitoring, and microsurgical techniques, complete and safe removal of tentorial meningiomas remains a challenge for most neurosurgeons. Classifications of tentorial meningiomas are revised. The combined supra/infratentorial approach to resects tentorial meningioma is discussed. This approach provides a wider exposure of the supra/infratentorial region with less brain retraction. With this approach the occipital lobe and the cerebellum are exposed along the tentorium. Two illustrative cases are presented. The patients were studied with computerized tomography, magnetic resonance and angiography. The anatomy of the transverse sinus and the confluence of the sinus could be appreciated with these studies. The operative technique is described stepwise. Emphasis is placed on pre-operative evaluation and surgical technique, leading to a total surgical removal of the lesion with margins of safety. The goal of surgical treatment of tentorial meningiomas is their complete and safe removal. With this unique approach we sought to confirm that it offers a safe means of resection not only the neoplasm but also the infiltrated dura.

scholarly journals Making the “inoperable” tumors “operable”: Harvey Cushing's contributions to the surgery of posterior fossa tumors

2014 ◽  
Vol 36 (4) ◽  
pp. E15 ◽  
Author(s):  
Mahdi Malekpour ◽  
Aaron A. Cohen-Gadol
Keyword(s):  
Surgical Technique ◽  
Posterior Fossa ◽  
Preoperative Evaluation ◽  
Pivotal Role ◽  
Surgical Removal ◽  
Posterior Fossa Surgery ◽  
Posterior Fossa Tumors ◽  
Harvey Cushing ◽  
Ventricular Puncture

Harvey Cushing played a pivotal role in establishing neurosurgery as a distinct surgical discipline. One of his most important contributions was defining the surgical removal of posterior fossa tumors. Compulsive preoperative evaluation followed by meticulous surgical technique as well as incorporation of maneuvers such as ventricular puncture and electrocautery further advanced resection of tumors in this region. Herein, the authors review Cushing's contributions to posterior fossa surgery.

scholarly journals Penetrating keratoplasty for treatment of corneal abscesses in horses – case report

2013 ◽  
Vol 82 (3) ◽  
pp. 303-307
Author(s):  
Zita Makra ◽  
Imre Biksi ◽  
Gábor Bodó
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Medical Therapy ◽  
Penetrating Keratoplasty ◽  
Corneal Stroma ◽  
Surgical Removal ◽  
Full Thickness ◽  
Effective Technique ◽  
Corneal Incision ◽  
Donor Graft

This case report describes the surgical technique and outcome of allograft transplantation to treat full thickness corneal abscesses in three horses. In all three cases penetrating keratoplasty was performed. Each affected eye had an abscess within the corneal stroma. An initial full thickness circular corneal incision was made around the lesion. After excision of the stromal abscess the created defect was replaced with a larger diameter full thickness donor graft and the initial corneal incision was repaired. All of the horses that underwent penetrating keratoplasty procedure healed with a scar at the graft site and remained visual. Penetrating keratoplasty is an effective technique for surgical removal of medically nonresponsive full thickness stromal abscess in horses and results in a visual and cosmetically acceptable globe. The advantages of this technique compared to medical therapy are that there is less scarring, shorter healing times and less damage of the globe because of the concurrent uveitis. To the authors’ knowledge, clinical experience with penetrating keratoplasty in horses has not been reported in Europe so far.

scholarly journals DIFFICULTIES IN MORPHOLOGICAL DIAGNOSIS OF MELANOCYTIC LESIONS: A CASE REPORT

2021 ◽  
Vol 20 (3) ◽  
pp. 144-150
Author(s):  
A. S. Artemyeva ◽  
Yu. V. Semiletova
Keyword(s):  
Medical Center ◽  
Treatment Plan ◽  
Critical Role ◽  
Malignant Neoplasm ◽  
Surgical Margin ◽  
Cancer Center ◽  
Excision Biopsy ◽  
Surgical Removal ◽  
Pigmented Lesion ◽  
Melanocytic Lesions

Introduction. Skin cancer is one of the most common malignancies, however melanoma accounts for only 1.8 % of all skin cancers. Melanoma is rare but aggressive tumor. Early detection and appropriate treatment of the tumor are critical and result in improved overall and recurrence-free survival rates. Histopathological reporting plays a critical role in guiding the surgical oncologist’s treatment plan for melanocytic lesions. The experience and knowledge of the pathomorphologist are decisive in the future fate of the patient.Case description. We report a case of a 36-year-old female patient who presented with a pigmented lesion on the skin of the trunk. In the regional cancer center at her place of residence, she underwent surgical removal of this lesion with a surgical margin of about 1 cm. The histological diagnosis was reported as melanoma. Diagnosis of melanoma was also confirmed in another medical center that did not specialize in the treatment of patients with skin tumors, but the tumor thickness was changed to a smaller one. However, in the federal cancer center that specialized in the treatment of patients with skin melanoma, the diagnosis of melanoma was not confirmed. The patient was diagnosed with nevus. The paper discusses in detail the reasons for the erroneous diagnosis of a malignant neoplasm, indicating the stages of differential diagnosis.Conclusion. This clinical case demonstrates that a reference analysis of borderline melanocytic lesions under conditions of specialized cancer centers with experienced pathologists is required. We have described objective difficulties in pathomorphological diagnosis, which can additionally be aggravated by the absence of important clinical and instrumental information, artifacts during excision biopsy, macroscopic examination, and orientation of tissue fragments in the embedding paraffin block.

scholarly journals Surgical Removal of Defects in the Palate with the Use of TiNi Mesh

2017 ◽  
Vol 2 (1) ◽  
pp. 354
Author(s):  
M.N. Shakirov ◽  
R.N. Dzhonibekova ◽  
I.D. Tazin ◽  
X.O. Gafarov ◽  
V.Y. Mitasov
Keyword(s):  
Surgical Technique ◽  
Connective Tissue ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
The Body ◽  
Surgical Removal ◽  
Minimally Invasive Surgical ◽  
Body Tissues

Application of a thin- profiled mesh NiTi with filaments thickness of 40 micrometer sand with the cell size of 3x3-5x5 mm for patients allows to improve the quality of the surgical technique in conducting surgical procedures for eliminating different forms and sizes of the palate defects. Due to its biochemical, biophysical compatibility with the body tissues and the peculiar integration properties a connective tissue grows around and through the structure of the implant by forming a durable frame. At the same time this process takes place by type of covering the muco-periosteal cover from the wound periphery to the center of the palate, over the implant material and completes with the full elimination of the existing defect. The developed method should be considered as minimally invasive surgical techniques and is recommended as a method of choice for patients with various background diseases.

scholarly journals Foreign body esophagus: Six years of silence

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094432
Author(s):  
Sudha Shahi ◽  
Tika Ram Bhandari ◽  
Prakash Bahadur Thapa ◽  
Deependra Shrestha ◽  
Kiran Shrestha
Keyword(s):  
Foreign Body ◽  
Signs And Symptoms ◽  
Diagnostic Procedures ◽  
Definitive Diagnosis ◽  
Surgical Removal ◽  
Endoscopic Removal ◽  
Choice Of Treatment ◽  
History Of ◽  
Sharp Foreign Body ◽  
Resection And Anastomosis

Foreign body esophagus remains one of the common medical emergencies which may lead to significant morbidity and mortality. Sharp objects, batteries, and elderly with foreign body esophagus should be treated with emergent removal owing to the complications that might ensue. Endoscopic removal is the preferred choice of treatment but for large foreign body, sharp foreign body, and so on, rigid esophagoscopic removal might be more preferable. Foreign body esophagus though an obvious situation might at times be missed. It is important to make an early definitive diagnosis. We report a unique case of missed foreign body (denture) esophagus despite the obvious signs and symptoms. Definitive diagnosis was made only after 6 years due to the lack of definitive diagnostic procedures and expertise. The foreign body was impacted in the mucosal wall of the esophagus requiring Gastric resection and anastomosis (with McKeown procedure). With this we have tried to highlight the pitfalls in the diagnosis and management of foreign body esophagus. We report a case of a 55-year-old female who presented to the Emergency Room with history of progressive dysphagia and odynophagia for 6 years which was aggravated for the past 6 months. A radiological diagnosis was made. It was followed by a failed attempt of endoscopic removal which warranted the surgical removal of the foreign body.

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