Long-term follow-up after surgical removal of thymolipoma

Object Resection of dysembryoplastic neuroepithelial tumor (DNET) is thought to result in favorable seizure outcome, but long-term follow-up data are scarce. The authors present a review of 18 patients who underwent surgical removal of a DNET: 12 via temporal lobectomy and six via lesionectomy. Methods The mean long-term follow up was 10.8 years (median 10.4 years, range 7.8 to 14.8 years), and results obtained during this time period were compared with previously reported short-term (mean 2.7 years) seizure outcome data. In the current study, 66.7% patients had an Engel Class I outcome and 55.6% had an Engel Class IA outcome compared with 77.8% and 55.6%, respectively. Temporal lobectomy (Engel Class I, 83.3%; Engel Class IA, 66.7%) led to a better seizure outcome than lesionectomy (Engel Classes I and IA, 33.3%). Two patients (11.1%) required repeated operation and both had an incomplete lesionectomy initially. Conclusions Results indicated that complete resection of a DNET leads to a favorable seizure outcome, with epilepsy cure in those who had experienced early postoperative seizure relief. Long-term seizure outcome after surgery is predictable based on the result of short-term follow up.

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Prolactin-Secreting Adenomas: Surgical Results and Long-Term Follow-up

Neurosurgery ◽

10.1227/00006123-198905000-00013 ◽

1989 ◽

Vol 24 (5) ◽

pp. 736-743 ◽

Cited By ~ 21

Author(s):

Giulio Maira ◽

Carmelo Anile ◽

Laura De Marinis ◽

Antonino Barbarino

Keyword(s):

Empty Sella ◽

Surgical Removal ◽

Total Removal ◽

Efficacious Treatment ◽

Transsphenoidal Microsurgery ◽

Long Term Follow Up ◽

Grade Ii ◽

Adenomatous Tissue

ABSTRACT Transsphenoidal surgery is an efficacious treatment for patients with prolactin (PRL)-secreting adenomas, even if disrupted pituitary-hypothalamic relationships may persist and/or a recurrence of the PRL-secreting tumor can occur. In this paper, we analyze the long-term follow-up of 119 consecutively treated women who underwent transsphenoidal microsurgery for PRL-secreting adenomas. Apparent total removal of the tumor was achieved in 98 patients who had enclosed tumors (58 with Grade-I tumors and 40 with Grade II). In the remaining patients, the removal was considered partial. Persistent normal basal PRL levels were achieved in 61 patients who had apparent total removal of the adenoma (44 with Grade I tumors and 17 with Grade II). Of the remaining 37 patients in whom surgical removal of the adenomatous tissue was thought to be total, 30 had persistent nonevolutive, high PRL levels ranging from 21 to 196 ng/ml, without clinical and radiological signs of tumor regrowth, and 7 with PRL levels ranging from 56 to 560 ng/ml had a recurrence of the PRL-secreting tumor. These data seem to indicate that a slightly elevated postsurgical PRL value does not imply that tumoral tissue is still present. Nontumoral conditions (i.e., a secondary empty sella) could induce functional hyperprolactinemia.

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Traumatic Fracture of the Medial Coronoid Process in Two Dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633092 ◽

1994 ◽

Vol 07 (04) ◽

pp. 173-176 ◽

Cited By ~ 6

Author(s):

J. C. Yovich ◽

R. A. Read

Keyword(s):

Coronoid Process ◽

Surgical Removal ◽

Elbow Trauma ◽

Traumatic Fracture ◽

Elbow Movement ◽

Long Term Follow Up ◽

Elbow Function ◽

One Year

SummaryAcute traumatic fracture of the me-dial coronoid process occurred in two adult dogs. The fracture was the sole injury in one dog, but was associated with further elbow trauma in the other. Surgical removal of the fractured portion of medial coronoid process resulted in a rapid return to normal elbow function which was sustained on long-term follow-up. Radiographs showed some osteophyte formation within the elbow joints at one year postoperatively. Two years later, repeat radiography of the elbow of one of the dogs did not show any further osteophyte production. In contrast, the surgical removal of fragmented coronoid processes frequently results in continuing lameness, reduced range of elbow movement and progressive osteoarthritis.Removal of a traumatically fractured portion of the medial coronoid process in two adult dogs resulted in a rapid return to soundness. Elbow function in both dogs remained normal on long-term follow-up.

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Long-term follow-up after surgical removal of meningioma of the inner third of the sphenoidal wing: outcome determinants and different strategies

Neurosurgical Review ◽

10.1007/s10143-018-1018-1 ◽

2018 ◽

Vol 43 (1) ◽

pp. 109-117 ◽

Cited By ~ 3

Author(s):

Andrea Talacchi ◽

Aurel Hasanbelliu ◽

Alberto D’Amico ◽

Nicolò Regge Gianas ◽

Francesca Locatelli ◽

...

Keyword(s):

Surgical Removal ◽

Long Term Follow Up

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Long-Term Follow-Up of Patients with Malignant Pedunculated Colon Polyps after Colonoscopic Polypectomy

Canadian Journal of Gastroenterology ◽

10.1155/2013/380389 ◽

2013 ◽

Vol 27 (1) ◽

pp. 20-24 ◽

Cited By ~ 13

Author(s):

Hugh James Freeman

Keyword(s):

Colon Cancer ◽

Early Stage ◽

Surgical Removal ◽

Neoplastic Disease ◽

Colon Polyps ◽

Increased Risk ◽

Long Term Follow Up ◽

Malignant Polyps

BACKGROUND: Previously published studies have suggested that patients with resected colon cancer have an increased risk for early metachronous colon cancer. Current screening guidelines recommend intense surveillance by colonoscopy for the initial five years after the initial colon cancer has been resected. Information regarding endoscopically removed malignant polyps is limited.METHODS: In the present study, 25 consecutive patients (14 male, 11 female) with malignant pedunculated colon polyps treated with snare cautery polypectomy were followed for more than one decade up to 20 years. Five patients required an additional resection to ensure that removal of the original cancer was complete. Annual colonoscopies were planned for five years. If an adenoma was detected in the fifth year, colonoscopy was performed annually until no adenomas were detected. Otherwise, colonoscopy was planned every three years after five years.RESULTS: In the present study, there was no mortality from colon cancer and no patient developed either recurrent colon cancer or an early metachronous colon cancer during the initial five-year period of surveillance. Two patients (one male, one female) ultimately developed late cecal cancers almost one decade after the original colon cancers were resected. One had an early stage cancer that was resected, while the other had an infiltrating mucinous carcinoma complicating a small tubulovillous adenoma with extension to a single lymph node. After surgical removal and adjuvant chemotherapy, no further neoplastic disease has been detected.CONCLUSIONS: Overall, patients with malignant pedunculated polyps do extremely well if appropriately managed at the time of the initial polypectomy. Short-term outcomes after removal of a malignant polyp(s) appear to be similar to those with a nonmalignant polyp. However, late metachronous colon cancer may still occur. Long-term follow-up should be considered in each patient, assuming reasonable life expectancy, because risk of additional adenomas and metachronous colon cancer persists even after the initial five years of currently recommended surveillance. Patients with resected malignant polyps may represent a special patient subgroup that requires surveillance for more extended periods than current guidelines have recommended.

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Benign Chondroblastoma of The Temporal Bone

Otolaryngology ◽

10.1177/019459987908700213 ◽

1979 ◽

Vol 87 (2) ◽

pp. 229-236 ◽

Cited By ~ 22

Author(s):

Stephen G. Harner ◽

D. Thane R. Cody ◽

David C. Dahlin

Keyword(s):

Temporal Bone ◽

Giant Cells ◽

Surgical Removal ◽

Preoperative Irradiation ◽

Rare Tumor ◽

Pathologic Examination ◽

Ear Canal ◽

Long Term Follow Up

Benign chondroblastoma is a rare tumor in the temporal bone. It occurs preponderantly in middle-aged men as a mass in the posterosuperior region of the ear canal and is accompanied by hearing loss. On pathologic examination, giant cells and focal regions of chondroid differentiation are noted. After the extent of the tumor has been determined, the treatment is surgical removal. Preoperative irradiation may be helpful. Long-term follow-up is essential.

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Long Term Follow-Up After Surgical Removal of Pheochromocytoma - Observations in 61 Patients

Clinical and Experimental Hypertension Part A Theory and Practice ◽

10.3109/10641969109042121 ◽

1991 ◽

Vol 13 (6-7) ◽

pp. 1179-1194 ◽

Cited By ~ 4

Author(s):

P. Pruszczyk ◽

W. Januszewicz ◽

T. Feltynowski ◽

J. Chodakowska ◽

B. Wocial ◽

...

Keyword(s):

Surgical Removal ◽

Long Term Follow Up

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Surgical cardiac sympathetic denervation in patients with VT storm: long term follow-up data

European Heart Journal ◽

10.1093/ehjci/ehaa946.0751 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

P Barwad ◽

Y.Y Lokhandwala ◽

B Kumar ◽

A Vyas ◽

V Shah ◽

...

Keyword(s):

Catheter Ablation ◽

Demographic Data ◽

Sympathetic Denervation ◽

Outcome Analysis ◽

Surgical Removal ◽

Clinical Parameters ◽

Long Term Follow Up ◽

Cardiac Sympathetic Denervation

Abstract Background Surgical Cardiac Sympathetic Denervation (CSD) is a procedure which involves surgical removal of terminal cervical and thoracic sympathetic ganglion for reducing sympathetic discharge to the heart. CSD is usually performed as a last desperate measure in treatment of ventricular tachycardia (VT). We report here the clinical profile and long-term follow-up of all our patients who underwent CSD (unilateral or bilateral) predominantly upfront prior to considering catheter ablation of VT for VT storm. Material and methods We retrospectively collected data of all patients who underwent CSD for VT storm between year 2010 till 2019. Success of CSD was defined as successful discharge of patient from the hospital after the procedure more than 75% decrease in the frequency of VT after two weeks of surgical procedure. Results A total of 65 patients underwent CSD in the above-mentioned period and the average duration of follow-up was 28 months. The clinical parameters, demographic data and outcome analysis is provided in details in table 1. Only 14 (21.5%) patients underwent attempt of catheter ablation of VT prior to considering CSD. CSD was successful in 53 (81.5%) of patients. There was a significant decline in the incidence of number of ICD or external shocks before and after CSD (25.2±39.4 vs 1.09±2.9) respectively. There was no significant effect of CSD on ejection fraction. None of the available clinical parameters predicted the success of CSD. Discussion and conclusion The current retrospective analysis reemphasize the role of surgical CSD in treatment of patients with VT storm. As in predominant patient's CSD was performed even before the attempting catheter-based ablation, it brings in a new dimension in the treatment of VT. Efficacy of CSD (81.5%) in experienced hand is equivalent or even better than catheter-based ablation in patients with VT storm. Funding Acknowledgement Type of funding source: None

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Enlarging blood cyst with atrial septal defect causing tricuspid obstruction

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-019-01281-6 ◽

2019 ◽

Vol 68 (12) ◽

pp. 1461-1464

Author(s):

Yu-Lien Chang ◽

Kuo-Sheng Liao ◽

Hsiu-Hsueh Tseng ◽

Yin-Tso Liu

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Benign Tumors ◽

Surgical Removal ◽

Chest Tightness ◽

Long Term Follow Up ◽

Valve Effect ◽

Cyst Development

AbstractBlood cysts are benign tumors in nature and seldom need surgical removal. Herein, we report an 86-year-old patient with a blood cyst originating from the fossa ovalis accompanied by an atrial septal defect. The patient used the bizarre sleeping postures, including prostrating and worshiping, to relieve chest tightness. The septal base defect kept the tumor progressively enlarged with time, which contributed to a “ball-valve “effect and caused tricuspid flow obstruction. It was resolved after excision. This case report emphasizes that long-term follow-up and increased awareness are required for unpredictable intracardiac blood cyst development.

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Mineralization of the supraspinatus tendon in dogs: a long-term follow-up

Journal of the American Animal Hospital Association ◽

10.5326/15473317-36-3-262 ◽

2000 ◽

Vol 36 (3) ◽

pp. 262-267 ◽

Cited By ~ 19

Author(s):

OM Laitinen ◽

GL Flo

Keyword(s):

Conservative Treatment ◽

Supraspinatus Tendon ◽

Michigan State University ◽

Surgical Removal ◽

State University ◽

Long Term Follow Up ◽

Inflammatory Drugs ◽

Nonoperated Group

Mineralization of the supraspinatus tendon was diagnosed in 24 large-breed dogs as a probable cause for a chronic unilateral forelimb lameness. Owners of 12 dogs responded to a questionnaire survey evaluating the treatment that their dog had received which consisted of either surgical removal of the mineralization after failure of conservative treatment (operated group; n=9) or rest and nonsteroidal anti-inflammatory drugs (NSAIDs) (nonoperated group; n=3). In eight out of the 12 dogs, the mineralization was also present in the asymptomatic forelimb. Based on owner evaluation, the degree of lameness had decreased distinctly in both groups. Six dogs (four operated and two nonoperated) were reevaluated at Michigan State University Veterinary Teaching Hospital (MSU-VTH) and were without lameness except for one dog in the operated group. The mineralizations had reformed in all dogs in the operated group after a mean follow-up time of 5.1 years.

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