Thoracoscopic surgery for hepatocellular carcinoma located in the hepatic dome: Technical aspect and oncological results

2019 ◽  
Vol 13 (3) ◽  
pp. 375-381 ◽  
Author(s):  
Takanobu Yamao ◽  
Katsunori Imai ◽  
Yo‐ichi Yamashita ◽  
Naoki Umezaki ◽  
Masayo Tsukamoto ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Thoracoscopic Surgery ◽  
Technical Aspect ◽  
Hepatic Dome ◽  
Oncological Results

USEFULNESS THERAPY FOR HEPATOCELLULAR CARCINOMA LOCATED AT HEPATIC DOME: VALUE OF ARTIFICIAL PLEURAL EFFUSION

2003 ◽  
Vol 98 ◽  
pp. S85
Author(s):  
Naoki Hotta ◽  
Yoshitaka Fukuzawa ◽  
Akihiko Okumura ◽  
Tetsuya Ishikawa ◽  
Shinichi Kakumu
Keyword(s):  
Hepatocellular Carcinoma ◽  
Pleural Effusion ◽  
Hepatic Dome ◽  
Artificial Pleural Effusion

scholarly journals Adrenocortical carcinoma masquerading as pheochromocytoma: a histopathologic dilemma

2020 ◽  
Vol 2020 ◽  
Author(s):  
Impana Shetty ◽  
Sarah Fuller ◽  
Margarita Raygada ◽  
Maria J Merino ◽  
B J Thomas ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Differential Diagnosis ◽  
Lynch Syndrome ◽  
Adrenocortical Carcinoma ◽  
Renal Carcinoma ◽  
Thoracoscopic Surgery ◽  
Adrenal Adenoma ◽  
Wedge Resection ◽  
Genetic Profile ◽  
List Type

Summary Adrenocortical carcinoma (ACC) is an aggressive cancer that originates in the cortex of the adrenal gland and generally has a poor prognosis. ACC is rare but can be more commonly seen in those with cancer predisposition syndromes (e.g. Li-Fraumeni and Lynch Syndrome). The diagnosis of ACC is sometimes uncertain and it requires the use of precise molecular pathology; the differential diagnosis includes pheochromocytoma, adrenal adenoma, renal carcinoma, or hepatocellular carcinoma. We describe a case of a 57-year-old woman with Lynch Syndrome and metastatic ACC who was initially diagnosed as having pheochromocytoma. The tumor was first identified at 51 years of age by ultrasound followed by a CT scan. She underwent a left adrenalectomy, and the histopathology identified pheochromocytoma. Two years later, she had tumor recurrence with imaging studies showing multiple lung nodules. Following a wedge resection by video-assisted thoracoscopic surgery (VATS), histopathology was read as metastatic pheochromocytoma at one institution and metastatic ACC at another institution. She later presented to the National Institutes of Health (NIH) where the diagnosis of ACC was confirmed. Following her ACC diagnosis, she was treated with mitotane and pembrolizumab which were stopped due to side effects and progression of disease. She is currently receiving etoposide, doxorubicin, and cisplatin (EDP). This case highlights the importance of using a multi-disciplinary approach in patient care. Thorough evaluation of the tumor’s pathology and analysis of the patient’s genetic profile are necessary to obtain the correct diagnosis for the patient and can significantly influence the course of treatment. Learning points: Making the diagnosis of ACC can be difficult as the differential diagnosis includes pheochromocytoma, adrenal adenoma, renal carcinoma, or hepatocellular carcinoma. Patients with Lynch Syndrome should undergo surveillance for ACC as there is evidence of an association between Lynch Syndrome and ACC. Conducting a complete tumor immunoprofile and obtaining a second opinion is very important in cases of suspected ACC in order to confirm the proper diagnosis. A multi-disciplinary approach including genetic testing and a thorough evaluation of the tumor’s pathology is imperative to ensuring that the patient receives an accurate diagnosis and the appropriate treatment.

scholarly journals Alternative methods of radiofrequencty ablation for hepatocellular carcinoma located close to the hepatic dome

2008 ◽  
Vol 26 ◽  
pp. 63-65
Author(s):  
Shuji Iwai ◽  
Hiroki Sakaguchi ◽  
Takahiro Yasuda ◽  
Hideki Fujii ◽  
Hiroyasu Morikawa ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Alternative Methods ◽  
Hepatic Dome

Left upper lobectomy with pulmonary artery reconstruction after neoadjuvant therapy in re-VATS

2021 ◽  
Keyword(s):  
Pulmonary Artery ◽  
Early Stage ◽  
Thoracoscopic Surgery ◽  
Radical Resection ◽  
N2 Disease ◽  
Left Upper Lobectomy ◽  
Pulmonary Artery Reconstruction ◽  
Oncological Results ◽  
Artery Reconstruction ◽  
Video Assisted Thoracoscopic Surgery

Video-assisted thoracoscopic surgery (VATS) is considered the gold standard for the treatment of early stage non-small-cell lung cancer. Many studies have demonstrated reduced postoperative pain, hospital stay, and morbidity, while achieving the same oncological results. Indeed, it has become a widespread technique in many countries around the world. VATS can be applied also to challenging surgical procedures, such as plasty of the pulmonary artery, to obtain an oncologically radical resection of the tumor, and in the context of an N2 disease even after a previous operation on the thorax. In this case report, we demonstrate how to carry out this procedure safely to achieve radical resection of the diseased tissue.

Percutaneous ultrasound-guided radiofrequency ablation with artificial pleural effusion for hepatocellular carcinoma in the hepatic dome

2003 ◽  
Vol 38 (11) ◽  
pp. 1066-1070 ◽  
Author(s):  
Yasunori Minami ◽  
Masatoshi Kudo ◽  
Toshihiko Kawasaki ◽  
Hobyung Chung ◽  
Chikara Ogawa ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Pleural Effusion ◽  
Ultrasound Guided ◽  
Hepatic Dome ◽  
Artificial Pleural Effusion

scholarly journals Two cases of hepatocellular carcinoma in hepatic dome under right diaphragma using percutaneous microwave coagulaton therapy with artificial ascites method

1998 ◽  
Vol 16 ◽  
pp. 101-105
Author(s):  
Shinsuke Kira ◽  
Kunji Nakai ◽  
Yoshihumi Yamashita ◽  
Keishi Emori ◽  
Hirofumi Kobayashi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Artificial Ascites ◽  
Hepatic Dome

VATS parathyroidectomy for primary hyperparathyroidism

2021 ◽  
Keyword(s):  
Computed Tomography ◽  
Single Photon ◽  
Thoracoscopic Surgery ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Video Assisted ◽  
Aesthetic Results ◽  
Ectopic Parathyroid ◽  
Oncological Results ◽  
Photon Emission Computed Tomography

Mediastinal ectopic parathyroid glands are uncommon. Traditionally, median sternotomies were performed to treat this type of lesion, resulting in a long, painful postoperative period and poor aesthetic results. With the advent of video-assisted thoracoscopic surgery, procedures were performed more frequently by this route with the same surgical and oncological results as those achieved with conventional surgery. The introduction of more sophisticated imaging studies, such as computed tomography, computed tomography–technetium-99m sestamibi scintigraphy, and single-photon emission computed tomography, facilitated identification of the exact location of the lesion. Video-assisted thoracoscopy became a safe approach and the treatment of choice for resection.

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