Treatment of lymphocele with negative pressure wound therapy post inguinal mass excision: a case-report
ConclusionInguinal lymphocele that is not reabsorbed or does not resolve with conservative treatment should be surgically treated. Lymphocele excision with ligation of lymphatic vessels, followed by negative pressure wound therapy appears to be a safe and effective approach.
Authors: Mailhot Vega RB, Hoppe BS PMID: 31976780 [PubMed - as supplied by publisher]
ConclusionsWe evaluated 11 different fiducials in terms of visibility and artifacts. The results of this study may assist radiation oncologists who seek to maximize contrast, minimize artifacts, and/or balance contrast versus artifacts by fiducial selection.
Publication date: Available online 9 December 2019Source: Practical Radiation OncologyAuthor(s): Laura Padilla, Joshua Dault, Emma FieldsAbstractImage guided radiation therapy is essential to ensure complex treatment plans are delivered safely. Residents in radiation oncology have little to no structured training on how to order or evaluate patient setup imaging. We created a joint image verification workshop for medical and physics residents to learn about setup imaging options available, understand information needed to review patient setup, practice image review, and promote interprofessional collaboration during traini...
Conclusions: Our study confirms that the combination of IMRT and PDR-BT can be considered an effective treatment for cervical cancer, ensuring high local control, despite the high percentage of locally advanced disease. PMID: 31969909 [PubMed]
Over the past several years, a wave of new cancer immunotherapy agents referred to as immune checkpoint inhibitors (ICIs) have transformed the standard of care for patients with cancer. ICIs are most commonly used in advanced cancers with palliative intent and recently as frontline therapy for some cancers. These new agents have been shown to extend overall survival (OS) and progression free survival (PFS) in patients with lung cancer, melanoma, Hodgkin lymphoma, renal cell carcinoma, urothelial carcinoma, Merkel cell carcinoma, head and neck cancer, and more.
Approximately 60% of cancer patients receive radiation therapy during the course of their illness, and nearly half of all patients referred to radiation oncology are treated with palliative intent. However, many palliative care specialists are unfamiliar with the indications, expected outcomes, and toxicities of radiation therapy. Palliative care providers can benefit from a greater understanding of how to support patients and their families through this process. This session will follow a patient with lung cancer from the time of diagnosis, through curative-intent treatment and subsequent recurrence with brain and bone metastases, to death.
Children with end-stage illness may have DNR orders, which limit common operating room interventions such as intubation, administration of vasoactive medications, and CPR. However, many of these children may still benefit from surgeries, imaging, or other interventions requiring anesthesia, such as radiation therapy to palliate metastases, long-term central venous access for medications or parenteral nutrition, gastric tubes, or pleura or paracentesis to help with breathlessness or abdominal distension.
Authors: Skavinski KA Abstract Pain from pressure ulcers can severely impact a patient's quality of life. Evidence-based treatment of ulcer-related pain typically relies on systemic opioids with limiting side effects. Literature exists on the use of topical ketamine for neuropathic pain, but not for tissue injury in general and for decubitus ulcer pain specifically. Ketamine has a number of actions including blocking of the glutamate NMDA ionophore in the periphery. Preclinical evidence suggests that NMDA receptors located on peripheral sensory afferent terminals may play a role in initiating pain signaling in infl...
Introduction: The incidence of Non-Hodgkin Lymphoma (NHL) is increasing, especially in people over 60 years of age. This population usually has a worse prognosis, probably due to comorbidities, functional deterioration and decreased tolerance to treatment. Therefore, a pre-therapeutic evaluation would be important to make decisions. The Comprehensive Geriatric Assessment (CGA) is the recommended tool for this evaluation, but it is a complex process that demands time and resources. We performed a study to evaluate the characteristics of the CGA in patients>64 years of age with NHL and to determine which domains can const...