keyword
https://read.qxmd.com/read/38347218/clinical-analysis-of-a-new-multifunctional-instrument-set-for-gasless-endoscopic-thyroidectomy-with-two-different-approaches
#21
JOURNAL ARTICLE
Bo Hu, Yuqing Chen, Yannan Jin, Xianfu Liu, Yansong Chen, Jingwei Tang, Yuan Liu, Zhe Zhang, Nanhai Wang, Ru Bai, Gongsheng Jin
BACKGROUND: Following the rapid development of endoscopic thyroidectomy techniques, various surgical procedures have been developed (e.g., transoral, submandibular, areolar, axillary, retroauricular, and combined procedures), and each of these procedures has its own advantages. In recent years, gasless endoscopic thyroidectomy has emerged as a feasible procedure, and it has replaced traditional CO2 insufflation approaches because of advantages such as stable cavity construction, pollution reduction, resource saving, and risk reduction...
February 12, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38322601/management-of-surgically-accessible-lymph-nodes-beyond-normal-resection-planes
#22
REVIEW
Daniel deLahunta, Surya Nalamati
This article discusses the management of isolated metastatic lymph nodes for colon and rectal cancer. There are traditionally significant differences in how certain regions of lymph nodes for colon and rectal cancer are managed in the East and West. This has led to the development of the lateral lymph node dissection for rectal cancer and extended lymphadenectomy techniques for colon cancer. This article will evaluate the literature on these techniques and what the surgical and oncological outcomes are at this time...
March 2024: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/38312301/contemporary-management-of-rectal-cancer
#23
JOURNAL ARTICLE
Alexander M Troester, Wolfgang B Gaertner
UNLABELLED: The management of rectal cancer has undergone significant changes over the past 50 years, and this has been associated with major improvements in overall outcomes and quality of life. From standardization of total mesorectal excision to refinements in radiation delivery and shifting of chemoradiotherapy treatment to favor a neoadjuvant approach, as well as the development of targeted chemotherapeutics, these management strategies have continually aimed to achieve locoregional and systemic control while limiting adverse effects and enhance overall survival...
March 2024: Surgery open science
https://read.qxmd.com/read/38307590/venous-thromboembolism-following-lateral-lymph-node-dissection-for-rectal-cancer
#24
JOURNAL ARTICLE
Yuta Kobayashi, Mamoru Uemura, Masakatsu Paku, Masatoshi Kitakaze, Mitsuyoshi Tei, Yoshinori Kagawa, Mitsunobu Takeda, Yuki Sekido, Tsuyoshi Hata, Atsushi Hamabe, Takayuki Ogino, Norikatsu Miyoshi, Yuichiro Doki, Hidetoshi Eguchi
BACKGROUND/AIM: Postoperative venous thromboembolism (VTE) is a well-recognized complication that leads to morbidity and mortality. Lateral lymph node dissection (LLND) for rectal cancer is thought to potentially increase the risk of VTE due to its technical complexity. However, the relationship between LLND and VTE remains inadequately understood. The aim of this study was to elucidate the impact of LLND on the incidence of postoperative VTE. PATIENTS AND METHODS: This is a retrospective analysis of patients who underwent rectal cancer resection between 2010 and 2018 to identify the risk factors associated with postoperative VTE...
February 2024: Anticancer Research
https://read.qxmd.com/read/38303371/-a-case-of-long-term-survival-achieved-by-multimodal-treatments-for-postoperative-lung-metastasis-and-mediastinal-lymph-node-metastasis-after-surgery-for-ascending-colon-cancer
#25
JOURNAL ARTICLE
Kota Sugiura, Junpei Takashima, Ayaka Koizumi, Fumi Shigehara, Kenji Yamazaki, Hitoshi Sugimoto, Daisuke Fujimoto, Fumihiko Miura, Keizo Taniguchi, Noriyuki Matsutani, Hirotoshi Kobayashi
A 52-year-old male patient with Stage Ⅲc ascending colon cancer underwent laparoscopic right hemicolectomy with D3 lymph node dissection. Adjuvant chemotherapy was administered for 6 months, and no recurrence was observed during the follow-up period. Left lung metastasis was detected and surgically removed 7 years after the initial surgery. He underwent open partial small bowel resection with lymph node dissection when mesenteric lymph node metastasis was identified 2 years later. Although chemotherapy was conducted on the identification of mediastinal lymph node metastasis 2 years later, the mediastinal lymph nodes increased...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303366/-a-case-of-perforation-of-the-duodenum-during-chemotherapy-with-ramucirumab-plus-nab-paclitaxel-for-advanced-gastric-cancer
#26
JOURNAL ARTICLE
Hiroyuki Hanayama, Hiroya Suzuki, Shotaro Mochizuki, Sohei Hayashishita, Akira Matsuishi, Ryo Kanouda, Yuya Maruyama, Akinao Kaneta, Tomohiro Kikuchi, Azuma Nirei, Takeshi Tada, Zenichiro Saze, Koji Kono
A 70-year-old male patient was diagnosed with advanced gastric cancer with para-aortic lymph node metastasis. After diagnostic laparoscopy, the patient received 2 courses of neoadjuvant chemotherapy. Subsequently, distal gastrectomy, D2 plus para-aortic lymph node dissection, and Roux-en-Y reconstruction were performed. An enlarged lymph node(No. 16b2)was identified during surgery. The histopathological diagnosis revealed ypT4b, ypN3b, cM1(LYM; No. 16), Stage ⅣB. Chemotherapy with ramucirumab plus nab-paclitaxel was administered at 6 weeks postoperatively...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303308/-a-case-of-recurrent-breast-cancer-that-was-brca1-pathogenic-variant-positive-successfully-treated-with-parp-inhibitor
#27
JOURNAL ARTICLE
Tomoyoshi Aoyagi, Maki Namura, Haruhito Sakata, Tamaki Tamanuki, Mika Iwai, Kanae Iwata, Hidekazu Takahashi, Hiroshi Matsuzaki
The patient was a 51-year-old woman at the time of diagnosis of left breast cancer. She underwent a mastectomy and axillary dissection. Pathological findings were invasive ductal carcinoma of the breast, tumor diameter 25 mm, and metastasis in 2 of 16 removed axillary lymph nodes. The subtype was triple negative. Postoperative chemotherapy was administered, and the patient was followed by follow-up imaging. At the age of 63 years, ultrasonography showed local recurrence, and local mass excision was performed...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303271/-malignant-melanoma-of-a-male-breast-that-was-difficult-to-differentiate-from-breast-cancer-a-case-report
#28
JOURNAL ARTICLE
Mitsuhiko Muto, Takuya Nagata, Aya Sasaki, Yuki Oka, Nobue Futawatari, Koji Asai, Toshiyuki Enomoto, Koji Kiribayashi, Manabu Watanabe, Yoshihisa Saida
INTRODUCTION: Malignant melanoma in the male breast is extremely rare. Here we report a case of malignant melanoma in which a small cystic lesion in the male breast gradually increased during follow-up and was difficult to distinguish from breast cancer. CASE: A 65-year-old male was diagnosed with a tumor in the right breast and was referred to our department for further examination. At 42 years of age, he underwent tumor resection of a malignant melanoma of the abdominal skin...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303269/-a-case-of-robot-assisted-laparoscopic-surgery-for-stenotic-sigmoid-colon-cancer-with-simultaneous-lateral-lymph-node-metastasis
#29
JOURNAL ARTICLE
Kazuki Yokoyama, Hajime Morohashi, Yoshiyuki Sakamoto, Takuya Miura, Takuji Kagiya, Hiroaki Tamba, Shuntaro Matsumoto, Yuki Yoshihara, Kenichi Hakamada
The patient is a 63-year-old man. He visited his previous physician for abdominal pain. After close examinations, he was diagnosed with stenotic sigmoid colon cancer with left lateral lymph node metastasis. On the same day, colonic stenting was performed to relieve the symptoms of stenosis. After 1 month of stenting, a robot-assisted laparoscopic sigmoid colectomy and left lateral lymph node dissection were performed. Postoperative pathological examination revealed regional lymph node metastasis and left lateral lymph node metastasis(#283); the patient was diagnosed with pT4aN1bM1a(LYM), fStage Ⅳa...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303247/-a-case-of-single-hole-ileal-resection-for-ascendiry-colon-cancer-with-ureterocutaneous-fistula-in-the-right-lower-abdomen
#30
JOURNAL ARTICLE
Nobutaka Hayashi, Yujiro Nishizawa, Yoshinori Kagawa, Akira Inoue, Yusuke Kawabe, Miki Sindo, Ken Suzuki, Megumi Nakanishi, Hisateru Komatsu, Masashi Hirota, Yasuhiro Miyazaki, Akira Tomokuni, Masaaki Motoori, Kazuhiro Iwase, Kazumasa Fujitani
The patient is a 70s woman. She underwent cystectomy for bladder cancer 6 years ago and had a ureterocutaneous fistula in the right lower abdomen. After colonoscopy for positive fecal occult blood, a type 1 elevated lesion was found in the ascending colon, which was diagnosed as a well-differentiated adenocarcinoma on biopsy. Surgery was performed with a single hole. The approach from the right lower abdomen, where the ureterocutaneous fistula and ureter are located, was avoided, and the approach from the hepatic flexure of the transverse colon was used first...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303217/-a-long-term-survival-case-of-her2-positive-gastric-cancer-with-distant-lymph-node-metastasis-receiving-multidisciplinary-therapy
#31
JOURNAL ARTICLE
Shusuke Yasuoka, Shinya Urakawa, Junichiro Kato, Shinya Kidogami, Tadafumi Fukata, Hisashi Nishida, Hiroaki Ohigashi, Hiroyoshi Takemoto, Takayuki Fukuzaki
An 82-year-old man presented with right cervical swelling. Cervical ultrasonography revealed several swollen lymph nodes which were diagnosed with adenocarcinoma by fine needle aspiration cytology. Computed tomography showed right axillary lymph nodes were also swelling. Upper and lower gastrointestinal endoscopy found type 0-Ⅱa gastric cancer located at the posterior wall of the middle region. Pathology was HER2-positive moderately differentiated tubular adenocarcinoma. Doublet chemotherapy with S-1 and cisplatin was administered for unresectable gastric cancer(cT1bN0M1, cStage Ⅳb)...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38293584/a-multi-centric-dataset-on-patient-individual-pathological-lymph-node-involvement-in-head-and-neck-squamous-cell-carcinoma
#32
JOURNAL ARTICLE
Roman Ludwig, Adrian Schubert, Dorothea Barbatei, Laurence Bauwens, Sandrine Werlen, Olgun Elicin, Matthias Dettmer, Philippe Zrounba, Panagiotis Balermpas, Bertrand Pouymayou, Vincent Grégoire, Roland Giger, Jan Unkelbach
DATASET: We provide a dataset on lymph node metastases in 968 patients with newly diagnosed head and neck squamous cell carcinoma (HNSCC). All patients received neck dissection and we report the number of metastatic versus investigated lymph nodes per lymph node level (LNL) for every individual patient. Additionally, clinicopathological factors including T-category, primary tumor subsite (ICD-O-3 code), age, and sex are reported for all patients. The data is provided as three datasets: Dataset 1 contains 373 HNSCC patients treated at Centre Léon Bérard (CLB), France, with primary tumor location in the oral cavity, oropharynx, hypopharynx, and larynx...
February 2024: Data in Brief
https://read.qxmd.com/read/38283858/bilateral-inflammatory-recurrence-of-her-2-positive-breast-cancer-a-unique-case-report-and-literature-review
#33
Rong Qin, Xiangyang Wang, Tingting Fan, Ting Wu, Chao Lu, Xun Shao, Liang Yin
Inflammatory breast cancer (IBC) is an aggressive and rare form of breast cancer with a poor prognosis. The occurrence of bilateral IBC in a short period of time is extremely rare. In this case report, a 54-year-old woman diagnosed with invasive ductal carcinoma of the left breast underwent lumpectomy, lymph node dissection, chemotherapy, and radiotherapy but opted against trastuzumab treatment. Four years later, she experienced bilateral breast inflammation, skin changes, edema, and heat (calor). Biopsies confirmed breast cancer metastasis to both breasts...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38283476/urothelial-carcinoma-recurrence-with-an-ileal-conduit-multimodal-management-with-extirpative-surgery-chemotherapy-and-immunotherapy
#34
Parth U Thakker, Justin Refugia, Maxwell Sandberg, Alejandro R Rodriguez, Ashok K Hemal
Ileal conduit (IC) is the most performed urinary diversion after radical cystectomy (RC) for urothelial carcinoma (UC) of the bladder. While UC recurrence after RC is well-described, recurrence of UC within a urinary diversion is much less prevalent, and thus, management of these lesions is not well understood. Here, we report the case of a 59-year-old male with a history of invasive UC with glandular differentiation of the urinary bladder who had carcinoma in situ recurrence after induction, intravesical Bacille Calmette-Guerin therapy...
December 2023: Curēus
https://read.qxmd.com/read/38270925/extent-of-surgery-for-medullary-thyroid-cancer-and-prevalence-of-occult-contralateral-foci
#35
JOURNAL ARTICLE
Yifan V Mao, Elena G Hughes, David Steinmetz, Samantha Troob, Jiyoon Kim, Chi-Hong Tseng, Gregory A Fishbein, Dipti P Sajed, Masha J Livhits, Michael W Yeh, Denise Lee, Trevor E Angell, James X Wu
IMPORTANCE: Standard treatment for patients with medullary thyroid cancer (MTC) consists of total thyroidectomy with central neck dissection, but the rationale for bilateral surgery in patients with unilateral disease on ultrasonography remains unclear. OBJECTIVE: To determine the presence of occult contralateral disease (lesions not seen on preoperative ultrasonography) in patients with MTC as a rationale for total thyroidectomy. DESIGN, SETTING, AND PARTICIPANTS: This multi-institutional, retrospective cohort study was conducted from September 1998 to April 2022 in academic medical centers and included patients with MTC who underwent thyroidectomy with preoperative imaging...
January 25, 2024: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/38263067/can-neoadjuvant-chemoradiotherapy-before-lateral-pelvic-lymph-node-dissection-improve-local-control-and-prognosis-in-rectal-cancer-patients-with-clinically-suspected-lateral-lymph-node-metastasis-a-multicenter-lateral-node-study-in-china
#36
MULTICENTER STUDY
Zhongshi Xie, Qichen Chen, Bo Feng, Yujuan Jiang, Xin Wang, Wei Xing, Qian Liu
AIMS: Selective lateral pelvic lymph node (LPN) dissection (LPND) following neoadjuvant chemoradiotherapy (nCRT) for rectal cancer is widely recognized. This study aimed to determine the effects of nCRT before LPND on local control and prognosis of rectal cancer patients. MATERIALS AND METHODS: Data were retrieved from a prospective database for rectal cancer patients with clinical LPN metastasis receiving total mesorectal excision and LPND at three institutions between January 2012 and December 2019...
January 23, 2024: BMC Cancer
https://read.qxmd.com/read/38250676/neoadjuvant-s-1-and-oxaliplatin-plus-bevacizumab-therapy-for-high-risk-locally-advanced-rectal-cancer-a-prospective-multicenter-phase-ii-study
#37
JOURNAL ARTICLE
Takuya Miura, Hajime Morohashi, Yoshiyuki Sakamoto, Takuji Kagiya, Tatsuya Hasebe, Yoshihito Nakayama, Hiromasa Fujita, Kenichi Hakamada
AIM: We report the short/mid-term results of surgery for high-risk locally advanced rectal cancer (LARC) after neoadjuvant chemotherapy (NAC, four courses of S-1 + oxaliplatin+ bevacizumab) without radiotherapy with the primary aim of ypT0-2. METHODS: High-risk LARC was defined as cT4b, mesorectal fascia (MRF) ≤1 mm (MRF+), or lateral lymph node metastasis (cLLN+) on high-resolution MRI. The planned 32 cases from April 2018 to December 2021 were all included...
January 2024: Annals of Gastroenterological Surgery
https://read.qxmd.com/read/38249814/lateral-lymph-node-dissection-can-increase-overall-survival-and-5%C3%A2-year-survival-rate-of-rectal-cancer-patients-a-meta%C3%A2-analysis
#38
JOURNAL ARTICLE
Boyuan Zou, Ning Ning, Yichao Yan, Yankai Zhang
Rectal cancer is one of the most malignant tumors, and postoperative recurrence and metastasis are the main reasons for treatment failure. Lymph node metastasis is the main metastatic pathway of rectal cancer. The present study aimed to investigate the role of lateral lymph node dissection (LLND) in patients with rectal cancer using a meta-analysis. Articles in Chinese and English related to the application of LLND in patients with rectal cancer were retrieved and eligible studies were selected for data analysis...
February 2024: Oncology Letters
https://read.qxmd.com/read/38249812/laparoscopic-d2-lymph-node-dissection-in-patients-with-obesity-and-gastric-cancer-a-retrospective-study
#39
JOURNAL ARTICLE
Yu Guo, Xue Dong Zhang, Guang Tan Zhang, Xiao Fei Song, Yuan Yuan, Peng Zhang, Yu Cheng Song
D2 lymph node dissection is widely used in laparoscopic radical gastrectomy for gastric cancer, and its efficacy and safety are known for patients with obesity. Currently, D2+ lymph node dissection is also applied to certain patients with gastric cancer of later stages. Due to the high difficulty of D2+ surgery, it is more challenging to perform on patients with obesity. There is currently limited research on the efficacy and safety of D2+ surgery in obese patients with gastric cancer. The present study aimed to retrospectively analyze the clinical data of patients undergoing laparoscopic radical gastrectomy for gastric cancer admitted to a single gastroenterology department...
February 2024: Oncology Letters
https://read.qxmd.com/read/38243617/preoperative-lateral-lymph-node-features-and-impact-on-local-recurrence-after-neoadjuvant-chemoradiotherapy-and-total-mesorectal-excision-for-locally-advanced-rectal-cancer-results-from-a-multicentre-international-cohort-study
#40
JOURNAL ARTICLE
Pietro Achilli, Davide Ferrari, Giacomo Calini, Camillo L Bertoglio, Carmelo Magistro, Matteo Origi, Pietro Carnevali, Bruno D Alampi, Irene Giusti, Giovanni Ferrari, Eleonora Calafiore, Antonino Spinelli, Fabian Grass, Philip Deslarzes, Dieter Hahnloser, Solafah Abdalla, David W Larson
AIM: Locally advanced rectal cancer (LARC) is commonly treated with neoadjuvant chemoradiotherapy (nCRT) and total mesorectal excision (TME) to reduce local recurrence (LR) and improve survival. However, LR, particularly associated with lateral lymph node (LLN) involvement, remains a concern. The aim of this study was to investigate preoperative factors associated with LLN involvement and their impact on LR rates in LARC patients undergoing nCRT and curative surgery. METHOD: This multicentre retrospective study, including four academic high-volume institutions, involved 301 consecutive adult LARC patients treated with nCRT and curative surgery between January 2014 and December 2019 who did not undergo lateral lymph node dissection (LLND)...
January 19, 2024: Colorectal Disease
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