Percutaneous Pediculoplasty and Balloon Kyphoplasty in a Vertebral Metastatic Cancer Patient - A case report -

Abstract BackgroundCirculating tumor cells (CTCs) is a major prognostic factor in both primary and metastatic tumor and associated with thrombosis,which may resulted in the formation of Venous thromboembolism (VTE) and the incidence of some adverse events. For the VTE, we can use anticoagulant treatment and Inferior vena cava filter (IVCF) to reduce the risk of pulmonary embolism (PE). However, For large vessels thrombus, These methods can’t solve the problem. So, innovative therapies can quickly and effectively alleviate symptoms and remove tumor thrombus, reducing the possibility of tumor hematogenous dissemination. External iliac venous thrombosis from metastatic ovarian cancer has rarely been reported, especially involving the mechanism that CTCs may lead to the formation of VTE. And little has been reported about the therapy of iliac vein thrombectomy to remove embolus. Here, we present a case of external iliac venous thrombosis and review relevant literature to provide a better recognition of this disease and relevant mechanism.Case presentationThe present case report describes a 60-year-old woman with the external iliac vein thrombosis. She received anticoagulant treatment and we inserted an IVCF to reduce the risk of PE. But it can’t alleviate symptoms and remove tumor thrombus. Finally, we incised external iliac vein to remove the embolus by open operation with the help of multiple disciplinary teamwork(MDT). The IVCF was retrieved on postoperative day nine. And the patient was discharged home on postoperative day twelve. She has good recovery after operation and has no recurrence. ConclusionsThe current report demonstrated that Preoperative IVCF insertion and iliac vein thrombectomy combined with MDT in the treatment of this metastatic cancer patient with deep venous thrombosis(DVT) is effective. And CTCs may involve in the formation of DVT of cancer patients, Exploring the mechanism of VTE that is associated with CTCs is vital important. In addition, Using innovative therapies such as iliac vein thrombectomy to remove embolus is also significant.

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Favorable survival with combined treatment in a metastatic breast cancer patient undergoing hemodialysis: A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.01.044 ◽

2021 ◽

Vol 79 ◽

pp. 206-209

Author(s):

Megumi Matsumoto ◽

Hiroshi Yano ◽

Ryota Otsubo ◽

Aya Tanaka ◽

Takeshi Nagayasu

Keyword(s):

Breast Cancer ◽

Metastatic Breast Cancer ◽

Case Report ◽

Cancer Patient ◽

Breast Cancer Patient ◽

Combined Treatment ◽

Metastatic Breast ◽

Metastatic Breast Cancer Patient

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Meningitis caused by Listeria monocytogenes in a locally advanced cervical cancer patient with pyometra: A case report

Gynecologic Oncology Reports ◽

10.1016/j.gore.2021.100799 ◽

2021 ◽

pp. 100799

Author(s):

Yusuke Matoba ◽

Hiroshi Nishio ◽

Koji Sekiguchi ◽

Shunsuke Uno ◽

Kenta Masuda ◽

...

Keyword(s):

Cervical Cancer ◽

Case Report ◽

Listeria Monocytogenes ◽

Cancer Patient ◽

Locally Advanced ◽

Cervical Cancer Patient ◽

Advanced Cervical Cancer ◽

Locally Advanced Cervical Cancer

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Coincidence of Intra-Abdominal Splenosis in a Patient with Advanced Ovarian Cancer: Case Report and Review of the Literature

The Surgery Journal ◽

10.1055/s-0041-1731426 ◽

2021 ◽

Vol 07 (02) ◽

pp. e116-e120

Author(s):

Tatjana Braun ◽

Amelie De Gregorio ◽

Lisa Baumann ◽

Jochen Steinacker ◽

Wolfgang Janni ◽

...

Keyword(s):

Ovarian Cancer ◽

Case Report ◽

Diagnostic Imaging ◽

Medical History ◽

Rare Disease ◽

Metastatic Cancer ◽

Abdominal Cavity ◽

Advanced Ovarian Cancer ◽

Splenic Tissue ◽

Tumor Spread

AbstractSplenosis is a rare disease, which is often discovered incidentally years after surgical procedures on the spleen or traumatic splenic lesions. Through injury of the splenic capsule, splenic cells are able to spread and autoimplant in a fashion similar to the process of metastatic cancer. Here we present the case of a 62-year-old female patient with a palpable tumor of the lower abdomen. Her medical history was unremarkable, except for splenectomy after traumatic splenic lesion in her childhood. Clinical examination and diagnostic imaging raised the suspicion of advanced ovarian cancer, which was further substantiated by the typical presentation of adnexal masses and disseminated peritoneal metastases during the following staging laparotomy. Surprisingly, we also found peritoneal implants macroscopically similar to splenic tissue. Microscopic examination of tissue specimens by intrasurgical frozen section confirmed the diagnosis of intra-abdominal splenosis. The patient then underwent cytoreductive surgery with complete resection of all cancer manifestations, sparing the remaining foci of splenosis to avoid further morbidity. This case demonstrates the rare coincidence of intra-abdominal carcinoma and splenosis, which could lead to intraoperative difficulties by misinterpreting benign splenic tissue. Therefore, splenosis should be considered in patients with medical history of splenic lesions and further diagnostic imaging like Tc-99m-tagged heat-damaged RBC scan could be used for presurgical distinguishing between tumor spread in the abdominal cavity and disseminated splenosis. The presented case report should not only raise awareness for the rare disease splenosis, but also emphasize the need to consider the possibility of simultaneous incidence of benign and malignant intra-abdominal lesions, as to our knowledge this is the first published case of simultaneous peritoneal carcinomatosis and splenosis.

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