scholarly journals Ultrasound-Guided Hook-Wire Localization for Surgical Excision of Non-Palpable Superficial Inguinal Lymph Nodes in Dogs: A Pilot Study

Animals ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 2314
Author(s):  
Alessio Pierini ◽  
Veronica Marchetti ◽  
Matteo Rossanese ◽  
Riccardo Finotello ◽  
Andrea Cattai ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Clinical Decision Making ◽  
Surgical Excision ◽  
High Rate ◽  
Ultrasound Guided ◽  
Regional Lymph Nodes ◽  
Localization Method ◽  
Operative Complications ◽  
Hook Wire ◽  
Post Operative Complications

The evaluation of loco-regional lymph nodes (LN) plays an important prognostic role and assists the clinical decision making in canine cancer patients. Excision of non-palpable LN can be challenging. The aim of the study was to evaluate surgical time, successful excision rate and surgical complications associated with the use of an ultrasound-guided hook-wire (UGHW) LN localization method for non-palpable superficial inguinal LN (SILN) in dogs. Dogs that presented for excision of non-palpable SILN, performed with the aid of an UGHW placement, were enrolled. Information including signalment, SILN width, UGHW placement and surgical procedure time, hook-wire position, successful excision and intra- and post-operative complications were reviewed. Seventeen dogs were enrolled. Median LN width was 3 mm (range 2–11). Median time of preoperative UGHW placement and surgical LN excision was 8 min and 15 min, respectively. Successful SILN excision was achieved in all cases. Two minor intra-operative (hook migration and wire fragmentation) and one minor post-operative complications (seroma) were observed. No major intraoperative or post-operative complications occurred. The UGHW LN localization method is safe and effective and may allow a high rate of successful SILN excisions in dogs. This method has the potential to facilitate LN excision for other superficial LN locations.

scholarly journals Intraoperative Ultrasound-guided Excision of Cervical Lymph Nodes for Recurrent Differentiated Thyroid Cancer

2013 ◽  
Vol 5 (2) ◽  
pp. 45-49
Author(s):  
Ian C Bennett ◽  
Magdalena Biggar ◽  
Clement Wong ◽  
Michael Law
Keyword(s):  
Thyroid Cancer ◽  
Thyroid Carcinoma ◽  
Lymph Nodes ◽  
Differentiated Thyroid Cancer ◽  
Intraoperative Ultrasound ◽  
Surgical Excision ◽  
Ultrasound Guided ◽  
Cervical Lymph Nodes ◽  
Intraoperative Localization

ABSTRACT As a result of sensitive thyroglobulin assays and widespread use of cervical ultrasound, endocrine surgeons are encountering patients with impalpable suspicious or frankly metastatic cervical lymph nodes in the follow-up phase after treatment for welldifferentiated thyroid cancer. The surgical excision of impalpable disease of recurrent or persistent thyroid cancer can represent a significant challenge which may require some means of intraoperative localization to ensure that affected nodes are removed. Surgeon-performed intraoperative ultrasound (IOUS) can be used for guiding excision of suspicious but impalpable cervical nodes. The IOUS-guided excision technique is described. The successful application of IOUS to localize and guide resection of impalpable nodal recurrences of papillary thyroid carcinoma in two patients is reported. The utilization of IOUS to guide resection of impalpable pathological nodes in the context of thyroid carcinoma is a safe and practical technique which avoids the need for additional localization procedures and unnecessary potential morbidity for the patient. How to cite this article Biggar M, Wong C, Law M, Bennett IC. Intraoperative Ultrasound-guided Excision of Cervical Lymph Nodes for Recurrent Differentiated Thyroid Cancer. World J Endoc Surg 2013;5(2):45-49.

scholarly journals Dermatofibrosarcoma Protuberans of Scalp With Cervical Lymph Node Metastasis

Sarcoma ◽  
2004 ◽  
Vol 8 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Pawan Lal ◽  
Arun Goel ◽  
A. K. Mandal
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Lymph Nodes ◽  
Regional Lymph Node ◽  
Radical Neck Dissection ◽  
Dermatofibrosarcoma Protuberans ◽  
Wide Excision ◽  
High Rate ◽  
Regional Lymph Nodes ◽  
Node Metastasis

Dermatofibrosarcoma protuberans (DFSP) is an uncommon, slow growing and locally aggressive tumor of the skin with a high rate of recurrence even after supposedly wide excision. The reports of regional lymph node metastasis and distant metastasis are very rare. Because of the extreme rarity of these cases with metastasis, the experience with management of such patients is very limited. A case of recurrent DFSP of scalp, with metastasis to the regional lymph nodes, in a 17-year-old boy is reported here. This is the second case of DFSP involving scalp and 16th case of DFSP of all sites metastasizing to the regional lymph nodes reported in literature. The patient was treated with wide excision of the lesion and ipsilateral radical neck dissection (including excision of overlying involved skin).

scholarly journals Initial Outcome of Surgical Management of Parotid Gland Neoplasm

2020 ◽  
Vol 15 (2) ◽  
pp. 193-195
Author(s):  
Mohammad Misbah Al Kabir Sumon ◽  
Sultana Dil Afsana ◽  
Md Belal Hossain
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Sampling Technique ◽  
Surgical Excision ◽  
Clear Understanding ◽  
Cross Sectional ◽  
Operative Complications ◽  
Initial Outcome ◽  
Relationship Of ◽  
Post Operative Complications

Introduction: Surgical excision is the gold standard for treatment of parotid gland neoplasm. But the complex relationship of the tumour to the facial nerve in the parotid gland makes the surgery very challenging. Objective: To evaluate the initial outcome of parotid gland neoplasm surgery. Materials and Methods: This cross-sectional observational study was conducted from January to December 2012 where 20 surgically treated patients with parotid gland neoplasm were selected by random sampling technique. They were followed up from 03 to 06 months to assess the minor post-operative complications. Results: The study revealed that 35% of patients belonged to the 4th decade of life. Pleomorphic adenoma constituted 85% of the tumours. Superficial parotidectomy was performed in 95% of cases. 40% of patients developed neuropraxia of the marginal mandibular branch of the facial nerve but all improved over a period of 3-6 months. 5% had permanent facial nerve weakness. Frey’s syndrome was observed in 20% of cases clinically but improved gradually. The rate of wound infection, parotid fistula and hypoesthesia of the skin over the ear lobule occurred in 10%, 5% and 20% cases respectively. Conclusion: Safe and effective parotid gland surgery requires a clear understanding of the regional anatomy, the experience of the surgeon, meticulous surgical technique along with detailed preoperative informed consent for surgery to reduce post-operative complications and morbidity of the patient. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 193-195

scholarly journals Metastatic Fibrolamellar Hepatocellular Carcinoma to the Pancreas

2015 ◽  
Vol 9 (2) ◽  
pp. 266-271 ◽  
Author(s):  
Nicolas A. Villa ◽  
Rahul Pannala ◽  
Douglas O. Faigel ◽  
Danielle J. Haakinson ◽  
Nitin Katariya ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Disease ◽  
Lymph Nodes ◽  
Primary Resection ◽  
High Rate ◽  
Fibrolamellar Hepatocellular Carcinoma ◽  
Regional Lymph Nodes ◽  
Underlying Liver Disease ◽  
Liver Recurrence ◽  
Resected Liver

Fibrolamellar hepatocellular carcinoma (FL-HCC) is a rare variant of hepatocellular carcinoma, usually presenting in the younger population (<40 years) without underlying liver disease. Although it has a better prognosis than hepatocellular carcinoma, it has a high rate of recurrence months to years after primary resection. While sites of recurrence usually involve the liver, regional lymph nodes, peritoneum, and lung, metastasis to the pancreas is extremely rare, with only 2 other cases reported in the literature. We present the case of a 46-year-old patient with metastatic FL-HCC to the pancreas 30 years after diagnosis and 26 years since his last resected liver recurrence.

scholarly journals POST OPERATIVE COMPLICATIONS IN PATIENTS OPERATED FOR APPENDICITIS, AN EXPERIENCE IN PIMS PESHAWER.

1969 ◽  
Vol 6 (2) ◽  
pp. 809-815
Author(s):  
MUHAMMAD KHAN ◽  
MUHAMMAD UZAIR ◽  
MUHAMMAD IFTIKHAR ◽  
MUNIR AHMAD
Keyword(s):  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Wound Infection ◽  
Paralytic Ileus ◽  
Iliac Fossa ◽  
High Rate ◽  
Abdominal Abscess ◽  
Mortality And Morbidity ◽  
Operative Complications ◽  
Post Operative Complications

BACKGROUND: Appendicitis is one of the most common acute abdominal states of illnesses. Mostof the patients presented to our surgical emergency department are suffering from acute appendicitis.Early diagnosis and treatment reduce the mortality and morbidity of acute appendicitis significantly.The aim of the study was to determine the post operative complications of acute appendicitis.OBJECTIVE: The objective of this study is to know postoperative complications of openappendicectomy and its related morbidity and mortality in patients presenting to PIMS HospitalPeshawar, KPK.MATERIAL AND METHODS: This study was conducted in General Surgical Unit, PeshawarInstitute of Medical Sciences (PIMS) from June 2015 to July 2016. The design of the study wasdescriptive type. Patients coming to emergency or surgical OPD were examined after detail history,investigation and then operated. Postoperative complications of appendicectomy along with otherfindings were noted.RESULTS: 100 patients were admitted and operated, 86% were male and 14% female, 54% were inthe age range of 21-30 years. Most (80%) presented with pain right iliac fossa of 1 day duration,majority (76%) presented in typical way. mass formation was found in 9% cases. Inflamed appendixwas commonest in (82%) cases, perforated appendix (12%) and normal appendix found in (6%) cases.Among the complications, wound infection was recorded in (20%), intra-abdominal abscess (8%),paralytic ileus (5%), intestinal obstruction (4%) and (1%) case of each DVT, bleeding and death werenoted.CONCLUSIONS: variations in signs and symptoms lead to delay in diagnosis and high rate of posop complications like wound infection , intra-abdominal abscess , paralytic ileus , intestinal obstruction , DVT, bleeding and death.KEY WORDS: appendicitis, post-operative complications.

scholarly journals Utility of endoscopic ultrasound-guided fine-needle aspiration of regional lymph nodes that are proximal to and far from the primary distal esophageal carcinoma

Oncotarget ◽  
2017 ◽  
Vol 8 (45) ◽  
pp. 79356-79365
Author(s):  
Yusuke Shimodaira ◽  
Rebecca S. Slack ◽  
Kazuto Harada ◽  
Manoop S. Bhutani ◽  
Elena Elimova ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Esophageal Carcinoma ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Regional Lymph Nodes ◽  
Fine Needle

scholarly journals Nomogram for predicting the survival of gastric adenocarcinoma patients who receive surgery and chemotherapy

2019 ◽  
Author(s):  
Chao-Yang Wang ◽  
Jin Yang ◽  
Hao Zi ◽  
Zhong-Li Zheng ◽  
Bing-Hui Li ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Gastric Adenocarcinoma ◽  
Clinical Decision Making ◽  
External Validation ◽  
Staging System ◽  
Training Set ◽  
Regional Lymph Nodes ◽  
Ajcc Staging System ◽  
Validation Set ◽  
Ajcc Staging

Abstract Background: Surgery is the only way to cure gastric adenocarcinoma (GAC), and chemotherapy is the basic adjuvant management for GAC. A significant prognostic nomogram for predicting the respective disease-specific survival (DSS) rates of GAC patients who receive surgery and chemotherapy has not been established.Objective: We were planning to establish a survival nomogram model for GAC patients who receive surgery and chemotherapy. Methods: We identified 5764 GAC patients who had received surgery and chemotherapy from the record of Surveillance, Epidemiology, and End Results (SEER ) database. About 70% ( n =4034) of the chosen GAC patients were randomly assigned to the training set, and the rest of the included ones ( n =1729) were assigned to the external validation set. A prognostic nomogram was constructed by the training set and the predictive accuracy of it was validated by the validation set. Results: Based on the outcome of a multivariate analysis of candidate factors, a nomogram was developed that encompassed age at diagnosis, number of regional lymph nodes examined after surgery, number of positive regional lymph nodes , sex , race, grade, derived AJCC stage, summary stage , and radiotherapy status. The C-index (Harrell’s concordance index) of the nomogram model was some larger than that of the traditional seventh AJCC staging system (0.707 vs 0.661). Calibration plots of the constructed nomogram displayed that the probability of DSS commendably accord with the survival rate. Integrated discrimination improvement (IDI) revealed obvious increase and categorical net reclassification improvement (NRI) showed visible enhancement. IDI for 3-, 5- and 10- year DSS were 0.058, 0.059 and 0.058, respectively ( P >0.05), and NRI for 3-, 5- and 10- year DSS were 0.380 (95% CI=0.316–0.470), 0.407 (95% CI=0.350–0.505), and 0.413 (95% CI=0.336–0.519), respectively. Decision curve analysis (DCA) proved that the constructed nomogram was preferable to the AJCC staging system. Conclusion: The constructed nomogram supplies more credible DSS predictions for GAC patients who receive surgery and chemotherapy in the general population. According to validation, the new nomogram will be beneficial in facilitating individualized survival predictions and useful when performing clinical decision-making for GAC patients who receive surgery and chemotherapy.

scholarly journals Nomogram for predicting the survival of gastric adenocarcinoma patients who receive surgery and chemotherapy

BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chao-Yang Wang ◽  
Jin Yang ◽  
Hao Zi ◽  
Zhong-Li Zheng ◽  
Bing-Hui Li ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Gastric Adenocarcinoma ◽  
Clinical Decision Making ◽  
External Validation ◽  
Staging System ◽  
Training Set ◽  
Regional Lymph Nodes ◽  
Ajcc Staging System ◽  
Validation Set ◽  
Ajcc Staging

Abstract Background Surgery is the only way to cure gastric adenocarcinoma (GAC), and chemotherapy is the basic adjuvant management for GAC. A significant prognostic nomogram for predicting the respective disease-specific survival (DSS) rates of GAC patients who receive surgery and chemotherapy has not been established. Objective We were planning to establish a survival nomogram model for GAC patients who receive surgery and chemotherapy. Methods We identified 5764 GAC patients who had received surgery and chemotherapy from the record of Surveillance, Epidemiology, and End Results (SEER) database. About 70% (n = 4034) of the chosen GAC patients were randomly assigned to the training set, and the rest of the included ones (n = 1729) were assigned to the external validation set. A prognostic nomogram was constructed by the training set and the predictive accuracy of it was validated by the validation set. Results Based on the outcome of a multivariate analysis of candidate factors, a nomogram was developed that encompassed age at diagnosis, number of regional lymph nodes examined after surgery, number of positive regional lymph nodes, sex, race, grade, derived AJCC stage, summary stage, and radiotherapy status. The C-index (Harrell’s concordance index) of the nomogram model was some larger than that of the traditional seventh AJCC staging system (0.707 vs 0.661). Calibration plots of the constructed nomogram displayed that the probability of DSS commendably accord with the survival rate. Integrated discrimination improvement (IDI) revealed obvious increase and categorical net reclassification improvement (NRI) showed visible enhancement. IDI for 3-, 5- and 10- year DSS were 0.058, 0.059 and 0.058, respectively (P > 0.05), and NRI for 3-, 5- and 10- year DSS were 0.380 (95% CI = 0.316–0.470), 0.407 (95% CI = 0.350–0.505), and 0.413 (95% CI = 0.336–0.519), respectively. Decision curve analysis (DCA) proved that the constructed nomogram was preferable to the AJCC staging system. Conclusion The constructed nomogram supplies more credible DSS predictions for GAC patients who receive surgery and chemotherapy in the general population. According to validation, the new nomogram will be beneficial in facilitating individualized survival predictions and useful when performing clinical decision-making for GAC patients who receive surgery and chemotherapy.

Sign in / Sign up

Export Citation Format

Share Document