journal
https://read.qxmd.com/read/38845840/the-efficacy-and-safety-of-trastuzumab-and-albumin-bound-paclitaxel-with-or-without-pyrotinib-as-neoadjuvant-therapy-for-her2-positive-breast-cancer-a-prospective-observational-cohort-study
#1
JOURNAL ARTICLE
Yu Wang, Yanlong Xu, Xuefeng Liu, Cong Li, Jiapeng Wang, Xinyue Zhang, Bin Shao, Jianguo Zhang
BACKGROUND: In the past few years, the combination of trastuzumab and paclitaxel has become an important option for human epidermal growth factor receptor-2 (HER2)-positive breast cancer. Small molecule tyrosine kinase inhibitors (TKIs) can bring clinical benefit to HER2-positive breast cancer patients. However, the efficacy and safety of these two regimens have not been compared. This study explored the efficacy and safety of pyrotinib combined with trastuzumab and albumin-bound paclitaxel (nab-paclitaxel)...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845839/a-comprehensive-analysis-of-imaging-features-and-clinical-characteristics-to-differentiate-malignant-from-non-malignant-mammographic-architectural-distortion
#2
JOURNAL ARTICLE
Shuping Zhang, Zhenzhen Shao, Huiming Yi, Peifang Liu, Fangfang Liu, Hong Lu, Geok Hoon Lim, Wengui Xu
BACKGROUND: Mammographic architectural distortion (AD) is usually subtle and has variable presentations and causes, which poses a diagnostic challenge for breast radiologists and consequently a complex decision-making challenge for clinicians and patients. Presently, there is no reliable imaging standard to differentiate between malignant and benign ADs preoperatively. This study aimed to perform a comprehensive analysis of detailed mammographic and ultrasonographic features and clinical characteristics to enhance the diagnostic and differential efficacy for AD lesions...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845838/is-cardiovascular-evaluation-necessary-for-elderly-patients-with-primary-hyperparathyroidism
#3
EDITORIAL
Sung Hye Kong, Sang Wan Kim
No abstract text is available yet for this article.
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845837/preoperative-magnetic-resonance-imaging-identify-feasibility-of-breast-conserving-surgery-for-breast-cancer-patients
#4
JOURNAL ARTICLE
Liangsheng Liu, Shanshan He, Zhenhua Niu, Rui Yin, Yijun Guo, Zhaoxiang Dou, Wenjuan Ma, Zhaoxiang Ye, Hong Lu
BACKGROUND: Breast-conserving surgery (BCS) stands as the favored modality for treating early-stage breast cancer. Accurately forecasting the feasibility of BCS preoperatively can aid in surgical planning and reduce the rate of switching of surgical methods and reoperation. The objective of this study is to identify the radiomics features and preoperative breast magnetic resonance imaging (MRI) characteristics that are linked with positive margins following BCS in patients with breast cancer, with the ultimate aim of creating a predictive model for the feasibility of BCS...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845836/oncoplastic-surgery-in-the-usa-a-review-of-where-we-started-where-we-are-today-and-where-we-are-headed
#5
REVIEW
Lauren M Willcox, Albert Losken, Gabriela Del Pilar Garcia Nores
The surgical management of breast cancer has evolved tremendously over the last century and now includes oncoplastic techniques that improve both cosmetic and oncologic outcomes for patients. The purpose of this review is to provide the reader with a broad overview of the history of oncoplastic breast surgery in the United States (USA), and to summarize important patient factors and technical innovations for optimal operative planning in the era of multimodal treatment of breast cancer. The indications for oncoplastic surgery (OPS) have broadened significantly as more women pursue breast conservation with preservation of their native breast tissue...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845835/surgical-treatment-algorithm-for-breast-cancer-lymphedema-a-systematic-review
#6
REVIEW
Caroline Lilja, Christoffer Bing Madsen, Tine Engberg Damsgaard, Jens Ahm Sørensen, Jørn Bo Thomsen
BACKGROUND: Various surgical treatments are increasingly adopted and gaining popularity for lymphedema treatment. However, challenges persist in selecting appropriate treatment modalities targeted for individual patients and achieving consensus on choice of treatment as well as outcomes. The systematic review aimed to create a treatment algorithm incorporating the latest scientific knowledge, to provide healthcare professionals and patients with a tool for informed decision-making, when selecting between treatments or combining them in a relevant manner...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845834/shoulder-function-following-oncoplastic-breast-conserving-surgery-a-narrative-review
#7
REVIEW
Marianne Djernes Lautrup, Mikkel Boersen Rindom, Katrine Rye Hauerslev
BACKGROUND AND OBJECTIVE: The high prevalence of breast cancer survivors makes it very relevant to investigate late morbidity following the treatment. Oncoplastic breast conserving surgery (OPS) has gained great popularity over the past years, and evidence-based knowledge suggest better prognosis for treatment with breast conserving surgery (BCS) compared to mastectomy. The aim was to investigate if OPS causes late effects on an acceptable level compared to what we know about breast surgery causing late effects...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845833/comparison-of-laparoscopic-versus-open-pancreaticoduodenectomy-combined-with-portal-vein-superior-mesenteric-vein-resection-and-reconstruction-for-pancreatic-cancer-a-propensity-score-matching-analysis
#8
JOURNAL ARTICLE
Zhengwei Lin, Fei Feng, Yingpeng Ye, Yong Yang, Hongda Zhu, Xinhua Zhou, Hong Li, Caide Lu, Jiongze Fang
BACKGROUND: Open surgery is gradually replaced by minimally invasive surgery, but few studies have reported the feasibility of laparoscopic pancreaticoduodenectomy (LPD) combined with vascular resection and reconstruction. The present study compared the efficacy of LPD with open pancreaticoduodenectomy (OPD) combined with portal vein/superior mesenteric vein (PV/SMV) resection and reconstruction for pancreatic cancer. METHODS: The clinical data of patients who underwent PD combined with PV/SMV resection and reconstruction from March 2016 to August 2022 at our institution were retrospectively analyzed...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845832/baseline-circulating-tumor-dna-predicts-long-term-survival-outcomes-for-patients-with-early-breast-cancer
#9
JOURNAL ARTICLE
Xiangui Zhang, Rui Feng, Yaqian Xu, Liu Yang, Fei Xie, Houpu Yang, Siyuan Wang, Yuan Peng, Miao Liu, Chaobin Wang, Shu Wang
BACKGROUND: Circulating tumor DNA (ctDNA) is a potential biomarker not only capable of monitoring the treatment response during neoadjuvant therapy (NAT) or rescue therapy, but also identifying minimal residual disease (MRD) and detecting early relapses after primary treatment. However, it remains uncertain whether the detection of ctDNA at diagnosis, before any treatment, can predict the prognosis for patients with early breast cancer. The objective of our study was to evaluate the predictive value of baseline ctDNA for prognosis in patients with early breast cancer...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845831/efficacy-and-safety-of-uterine-artery-embolization-via-the-distal-radial-approach-for-uterine-fibroids-or-adenomyosis-a-single-center-retrospective-cohort-study
#10
JOURNAL ARTICLE
Xinsen Wang, Wenlei Zhang, Suyang Xue, Ricardo Bassil Lasmar, Delong Zhao, Xue Wang
BACKGROUND: The standard approach for transarterial embolization of uterine fibroids or adenomas is via the femoral artery, but this approach limits the patient's quality of life and increases the risk of deep vein thrombosis in the lower extremities. We applied the distal radial approach technique for the treatment of uterine artery embolization, and aimed to explore the feasibility and safety of uterine artery chemoembolization through the distal radial approach. METHODS: We conducted a retrospective study at The First Hospital of Jilin University from January 1, 2021 to November 30, 2023...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845830/bilateral-axillo-breast-approach-robotic-thyroglossal-duct-cyst-resection-in-an-adolescent-a-case-report-and-literature-review
#11
JOURNAL ARTICLE
Sijuan Chen, Yanning Li, Xianjiao Cao, Dayong Zhuang, Peng Zhou, Tao Yue, Jing Xu, Changxiu Shao, Xiaolei Li, Qingqing He
BACKGROUND: Thyroglossal duct cyst (TGDC) is a common congenital neck mass that is the most frequent cause of neck swelling in children. The traditional open Sistrunk procedure for TGDC often leaves a visible scar on the neck. Therefore, it is essential to consider the impact of neck scarring on the quality of life for children and adolescents. Our study aimed to assess the safety and efficacy of robotic TGDC resection using the bilateral axillo-breast approach (BABA) in adolescents. CASE DESCRIPTION: A 16-year-old female patient presented with a neck mass (no pain or redness) that had been present for 3 years...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845829/thyroidectomy-in-children-and-adolescents-a-systematic-review
#12
REVIEW
Angeliki Vouchara, Angeliki Chorti, Georgios Tzikos, Alexandra Menni, Stergianna Ntouma, Styliani Giza, Maria Tzitiridou-Chatzopoulou, Sohail Bakkar, Assimina Galli-Tsinopoulou, Antonios Michalopoulos, Theodosios S Papavramidis
BACKGROUND: Thyroid surgery in pediatric population is not as common as that in adults, although they share the same indications, techniques and complications. This review aims to evaluate the surgical management of thyroid disease in patients under 18 years old. METHODS: We conducted a bibliographic search in the international literature. Data from the identified studies such as demographics, indication for surgery, type of procedure, complications and length of hospital stay were recorded...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845828/intraoperative-thyroid-frozen-section-indications-results-and-consequences
#13
JOURNAL ARTICLE
Jesper Gern, Michael Arbogast, Hakan Alakus, Stefanie Brunner, Matthias Schmidt, Michael Faust, Christiane Josephine Bruns, Anne Maria Schultheis, Costanza Chiapponi
BACKGROUND: Frozen section (FS) analysis is strongly influenced by the experience of surgeons and pathologists. We analyzed its performance in a secondary care hospital with surgical and pathologic experience transferred from a university hospital. METHODS: Indications, results, and consequences of all thyroid FS performed between January 1, 2021 and December 31, 2022 were critically reviewed. RESULTS: FS was performed in 90 (26.5%) of 340 procedures...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845827/deep-convolutional-neural-network-model-resnest-for-discrimination-of-papillary-thyroid-carcinomas-and-benign-nodules-in-thyroid-nodules-diagnosed-as-atypia-of-undetermined-significance
#14
JOURNAL ARTICLE
Dan Zhao, Mukun Luo, Min Zeng, Zhou Yang, Qing Guan, Xiaochun Wan, Yu Wang, Hao Zhang, Yunjun Wang, Hongtao Lu, Jun Xiang
BACKGROUND: A deep convolutional neural network (DCNN) model was employed for the differentiation of thyroid nodules diagnosed as atypia of undetermined significance (AUS) according to the 2023 Bethesda System for Reporting Thyroid Cytopathology (TBSRTC). The aim of this study was to investigate the efficiency of ResNeSt in improving the diagnostic accuracy of fine-needle aspiration (FNA) biopsy. METHODS: Fragmented images were used to train and test DCNN models...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38845826/combined-perforator-flaps-for-total-breast-reconstruction-a-narrative-review-and-insights-from-massive-weight-loss-cases
#15
REVIEW
Wahida Chakari, Camilla Bille, Caroline Lilja, Jørn Bo Thomsen
BACKGROUND AND OBJECTIVE: Perforator flaps have revolutionized autologous breast reconstruction, introducing both free and pedicled options as well as the potential for combining flaps. These versatile techniques can be utilized in massive weight loss (MWL) patients, effectively addressing both functional and aesthetic challenges by using their excess skin. This review aims to explore literature on combined pedicled and free perforator flaps for total breast reconstruction, and share our own experience in the field...
May 30, 2024: Gland Surgery
https://read.qxmd.com/read/38720683/is-open-pancreatic-surgery-still-relevant-now-in-the-era-of-minimally-invasive-pancreatic-surgery
#16
EDITORIAL
Kai Siang Chan, Vishal G Shelat, Sameer P Junnarkar
No abstract text is available yet for this article.
April 29, 2024: Gland Surgery
https://read.qxmd.com/read/38720682/summary-of-the-best-evidence-for-the-prevention-and-management-of-myasthenic-crisis-after-thymectomy
#17
REVIEW
Ping Chen, Feichao Bao, Eugenio Pompeo, Xuefei Zhang, Tingting Xu
BACKGROUND: Myasthenic crisis (MC) may occur after thymectomy in patients with myasthenia gravis (MG), but effective preventive interventions can reduce the occurrence of this complication. Previous research on MC focused on risk factors, emergency treatment, etc., which was relatively scattered and did not form a comprehensive management framework. This study sought to retrieve and summarize the relevant evidence on the prevention and management of postoperative MC to provide a theoretical reference for clinical medical staff...
April 29, 2024: Gland Surgery
https://read.qxmd.com/read/38720681/the-impact-of-nodule-size-on-malignancy-risk-in-indeterminate-thyroid-nodules
#18
JOURNAL ARTICLE
Saad M Alqahtani, Hamed I Albalawi, Yousef S Alalawi, Areej A AlFattani, Saif S Al-Sobhi
BACKGROUND: The association between malignancy risk and nodule size in indeterminate thyroid nodules (ITNs) remains controversial. Thus, we aimed to explore the impact of nodule size as a predictor of cancer in patients with ITNs. METHODS: This cross-sectional study assessed 113 patients who underwent surgical intervention for ITNs, comparing two groups based on nodule size (≥4 or <4 cm). The correlation between nodule size and malignancy risk was examined...
April 29, 2024: Gland Surgery
https://read.qxmd.com/read/38720680/ultrasonographic-findings-of-tracheal-adenoid-cystic-carcinoma-with-thyroid-invasion-and-mimicking-thyroid-tumors-a-case-report
#19
Zhiqiang Yuan, Yan Luo
BACKGROUND: Tracheal adenoid cystic carcinoma (TACC) is a rare, low-grade malignant tumor. The primary TACC usually metastasizes to the lung and bone, rarely involving the thyroid. Although some previous reports have described the imaging features of TACC with thyroid invasion, the multimodal ultrasound findings of TACC with thyroid invasion and mimicking thyroid tumors have not been reported before. CASE DESCRIPTION: A 69-year-old woman who had been experiencing hoarseness for 2 years and a thyroid nodule for 2 months was presented to our clinic...
April 29, 2024: Gland Surgery
https://read.qxmd.com/read/38720679/the-current-status-of-minimally-invasive-pancreatectomy-and-implications-of-the-brescia-guidelines
#20
EDITORIAL
Hani M Annabi, Preston B Adhikari, Catherine H Davis
No abstract text is available yet for this article.
April 29, 2024: Gland Surgery
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