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ACSNSQIP Risk Calculator in Indian Patients Undergoing Surgery for Head and Neck Cancers: Is It Valid?
AbstractPre-operative assessment is vital to determine patient-specific risks and minimize them in order to optimize surgical outcomes. The American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP) Surgical Risk Calculator is the most comprehensive surgical risk assessment tool available. We performed this study to determine the validity of ACSNSQIP calculator when used to predict surgical complications in a cohort of patients with head and neck cancer treated in an Indian tertiary care center. Retrospective data was collected for 150 patients with head and neck cancer who were operated in the D...
Source: Indian Journal of Surgical Oncology - February 14, 2018 Category: Cancer & Oncology Source Type: research

Recurrent Bilateral Mucinous Cystadenoma: Laparoscopic Ovarian Cystectomy with Review of Literature
AbstractThe second most common epithelial tumor of the ovary is the mucinous tumors, and it constitutes about 8 –10% of all ovarian tumors. The recurrence of mucinous cystadenoma is very rare after complete excision. Few cases have been reported. The case presented had initial surgery for adenxal mass diagnosed as mucinous tumor, performed by laparotomy and was followed up. After recurrence, the patient und erwent laparoscopic evaluation and bilateral ovarian cystectomy was performed as a fertility preservation for the patient young age. The histopathological diagnosis was mucinous cystadenoma, the same as the initia...
Source: Indian Journal of Surgical Oncology - February 9, 2018 Category: Cancer & Oncology Source Type: research

Nipple Areola Complex Involvement in Invasive Carcinoma Breast
AbstractA variety of factors including tumor biology and distance of the tumor from the nipple have been associated with nipple areola complex involvement in patients with breast cancer. Preoperative understanding regarding these factors can help in modifying the surgical options including preservation of nipple areola complex (NAC) and breast conservation. Nipple sparing surgery (breast conservation surgery/skin sparing mastectomy with immediate reconstruction) for breast cancer has gained widespread interest with the aim of achieving oncologically safe and cosmetically acceptable outcome. To study the proportion of cases...
Source: Indian Journal of Surgical Oncology - February 8, 2018 Category: Cancer & Oncology Source Type: research

Role of RPLND and Metastasectomy in the Management of Oligometastatic Renal Cell Carcinoma
AbstractAlthough lymphadenectomy is currently accepted as most accurate and reliable staging procedure for lymph node metastases, its therapeutic benefit in renal cell carcinoma (RCC) still remains controversial. Although the new, targeted therapy paradigms have changed the treatment of patients with advanced RCC and offer prolonged survival, cure is extremely uncommon in the absence of surgical resections. In this paper, the current role of metastasectomy is reviewed. Review the available literature concerning the role of retroperitoneal lymph node dissection and metastasectomy in outcome of oligometastatic RCC. A PubMed ...
Source: Indian Journal of Surgical Oncology - February 5, 2018 Category: Cancer & Oncology Source Type: research

Staging for Head and Neck Cancer: Purpose, Process and Progress
AbstractWith advancing knowledge and new data available, periodic revisions in the TNM staging system is essential. In addition, new disease entities entering in the spectrum of neoplastic diseases demand that a staging system be developed to facilitate their treatment algorithms and outcomes. The most recent revisions in the AJCC/UICC staging system were published in the eighth edition of the AJCC staging manual. This presentation gives a historical background on the AJCC/UICC staging process and highlights major changes introduced in the eighth edition for cancers of the head and neck. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - February 5, 2018 Category: Cancer & Oncology Source Type: research

Incidence and Predictive Model for Lateral Pelvic Lymph Node Metastasis in Lower Rectal Cancer
In conclusion, a specific group of patients with lower rectal cancer of stages II and III might be have treated with LPND in spite of concurrent chemo-radiation to achieve satisfactory oncological o utcome. The proposed stratification grouping is strongly guiding the patient for lateral pelvic lymph node dissection. Further study to prove the oncological advantage of LPND is warranted at large scale. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - February 4, 2018 Category: Cancer & Oncology Source Type: research

Low-Grade, Multiple, Ta Non-muscle-Invasive Bladder Tumors: Tumor Recurrence and Worsening Progression
In this study, we have retrospectively analyzed the clinical outcome of initially diagnosed multiple low-grade Ta tumors, with a special focus on tumor recurrence and worsening progression (WP) pattern. We retrospectively reviewed 42 patients with primary, multiple, low-grade Ta bladder cancer. We defined WP as confirmed high-grade Ta, all T1 or Tis/concomitant CIS of bladder recurrence, upper urinary tract recurrence (UTR), or progression to equal to or more than T2. The associations between clinico-pathological factors and tumor recurrence as well as WP pattern were analyzed. Tumor recurrence and WP occurred in 23 (54.76...
Source: Indian Journal of Surgical Oncology - January 29, 2018 Category: Cancer & Oncology Source Type: research

Metastatic Renal Cell Cancer —Systemic Therapy
AbstractManagement of metastatic renal cell carcinoma (mRCC) has evolved considerably in the past 10  years due to better understanding of tumor biology. This development has changed mRCC to a chronic progressive disease with several lines of treatment options. The introduction of several new targeted therapies including immunotherapy has improved median overall survival of approximately 1 year t o>2  years in mRCC. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - January 29, 2018 Category: Cancer & Oncology Source Type: research

Stridor as the First Presentation of Metastatic Breast Cancer that Was Managed with Chemotherapy: a Case Report
This report also highlights the association of other metastatic sites with this higher level of neck nodal metastases of breast cancer. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - January 25, 2018 Category: Cancer & Oncology Source Type: research

Solitary Primary Intraosseous Angiosarcoma of the Mandible
We report a rare case of a solitary primary intraosseous mandibular angiosarcoma in a 7-year-old male child. The unique clinical presentation, the histopathological features along with the management challenges of this fascinating yet aggressive tumor is discussed. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - January 25, 2018 Category: Cancer & Oncology Source Type: research

Limb Salvage Versus Amputation in Conventional Appendicular Osteosarcoma: a Systematic Review
AbstractThe overall survivorship in patients with appendicular osteosarcoma has increased in the past few decades. However, controversies and questions about performing an amputation or a limb salvage procedure still remain. Using three peer-reviewed library databases, a systematic review of the literature was performed to evaluate all studies that have evaluated the outcomes of appendicular osteosarcoma, either with limb salvage or amputation. The mean 5-year overall survivorship was 62% for salvage and 58% for amputation (p >  0.05). At mean 6-year follow-up, the local recurrence rates were 8.2% for salv...
Source: Indian Journal of Surgical Oncology - January 20, 2018 Category: Cancer & Oncology Source Type: research

Philosophy on Neck Dissection in Thyroid Cancer —Current Controversies and Consensus
AbstractThyroid cancer commonly metastasizes to lymph nodes either in the central compartment or lateral neck in at least 50% of patients. Over the past several decades, our understanding of the natural progression of thyroid cancer has changed. Our current practice reflects our increasingly sophisticated understanding of the biology of thyroid cancer while taking into account the morbidity and mortality associated with aggressive variants of the disease. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - December 21, 2017 Category: Cancer & Oncology Source Type: research

Outcome of Treatment for Medullary Thyroid Carcinoma —a Single Centre Experience
AbstractWe conducted this study to evaluate the demography, clinical presentation, management and outcomes of medullary thyroid carcinoma (MTC) from the Indian context. This was a retrospective study of patients with MTC managed between January 2008 and December 2016. All pertinent data was collected and the results were analysed using STATA (v.13.1). MTC accounted for 90/2022 (4.45%) patients managed with thyroid cancer during the study period. The mean age of presentation was 40  years (range 14–70 years) with 47 males and 43 females. The most common presentation included goitre with cervical lymphadenopa...
Source: Indian Journal of Surgical Oncology - December 8, 2017 Category: Cancer & Oncology Source Type: research

Management of Borderline Ovarian Tumors —Still a Gray Zone
AbstractBorderline ovarian tumors (BOTs) are a heterogeneous group of non-invasive epithelial ovarian tumors that occur at a younger age, present in early stage, frequently associated with infertility but are easily curable. Although they may have symptomatic long-term recurrences, they have an excellent prognosis in spite of peritoneal spread. Among the epithelial tumors of the ovary, BOTs fall in the spectrum lying between cystadenomas (benign) and cystadenocarcinomas (malignant). Their oncological behavior is more aggressive than benign ovarian tumors but relatively less than that of malignant ovarian tumors. Since the ...
Source: Indian Journal of Surgical Oncology - November 28, 2017 Category: Cancer & Oncology Source Type: research

Tailoring the Best Technique in the Surgical Management of IVC Thrombosis
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - November 28, 2017 Category: Cancer & Oncology Source Type: research

Low-Grade Central Osteosarcoma: Report of Two Unusual Morphologic Variants
AbstractLow-grade central osteosarcoma (LGCO) is a rare subtype of osteosarcoma, constituting
Source: Indian Journal of Surgical Oncology - November 13, 2017 Category: Cancer & Oncology Source Type: research

Current Status and Future Directions in Colorectal Cancer
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - November 10, 2017 Category: Cancer & Oncology Source Type: research

Adrenal Schwannoma Treated with Open Adrenalectomy: a Case Report
We report a rare case of a right adrenal schwannoma in a 68-year-old man. The clinical evaluation was unremarkable and the radiological examination revealed a suprarenal mass lesion on ultrasonography (USG). CT revealed a right adrenal mass which was purported to be likely malignant. Ri ght adrenalectomy was performed by the open approach along with excision of the surrounding enlarged lymph nodes. The postoperative course was uneventful. HPE established the adrenal mass to be a schwannoma, a benign tumor arising from Schwann cells, an exceedingly unusual occurrence in the adrenal glands. A non-secreting adrenal mass can b...
Source: Indian Journal of Surgical Oncology - November 9, 2017 Category: Cancer & Oncology Source Type: research

Papillary Adenocarcinoma in a Gastric Duplication Cyst
AbstractGastric duplication cysts are rare and mostly present in the first year of life. In adulthood presentation is in the form of obstruction, ulceration, bleeding, fistulization etc. Malignancy is extremely rare with only 12 cases reported to date. We came across a gastric duplication cyst with papillary adenocarcinoma in a 63 year old man. He underwent cyst excision with radical subtotal gastrectomy. The awareness of such a condition made it possible for us to have a suspicion of malignancy preoperatively based on imaging and thus a radical surgery was performed. High index of suspicion is necessary to diagnose this c...
Source: Indian Journal of Surgical Oncology - November 9, 2017 Category: Cancer & Oncology Source Type: research

Rare Case Report of Neuroendocrine Tumor in Axilla-Metastasis from Unknown Primary or De Novo?
AbstractNeuroendocrine tumors (NET) are the neoplasm arising from neuroendocrine cells which are present throughout the body. It can be benign, being more common or malignant. Gut is the most common site, but they can be seen in any part of the body. We had a case of grade III NET in axilla presented with a fungating lesion with unknown primary. Clinical behavior of such tumor is predicted by tumor grade or differentiation. We treated this patient by surgery and adjuvant chemotherapy. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - November 7, 2017 Category: Cancer & Oncology Source Type: research

Pseudomyxoma pleuri as a Surgical Emergency: a Rare Case Report
AbstractPseudomyxoma pleuri is a rare condition and it mostly results from secondary involvement of an abdominal pathology. Massive pleural disease impedes cardiopulmonary functions and threatens life. We are reporting our experience about managing a middle-age lady with a known case of Pseudomyxoma peritonei, who presented to causality with progressive breathing difficulty in acute exacerbation and cardiopulmonary compromise. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - October 27, 2017 Category: Cancer & Oncology Source Type: research

The Second Victim: Ignored in the Indian Perspective
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - October 26, 2017 Category: Cancer & Oncology Source Type: research

Current Status and Future Directions in Colorectal Cancer
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - October 23, 2017 Category: Cancer & Oncology Source Type: research

Overt Skeletal Metastases in a Patient of Occult (Microscopic) Follicular Thyroid Carcinoma: a Rare Case
AbstractOccult follicular thyroid carcinoma (FTC) presenting as distant metastases is a rare occurrence. However, despite being occult in majority of these cases, primary tumor can be detected on thyroid imaging or during surgery. Here, we present an extremely rare case of an occult FTC with overt skeletal metastases in which primary tumor was discernible only on microscopic examination. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - September 30, 2017 Category: Cancer & Oncology Source Type: research

Skeletal Metastasis —an Epidemiological Study
AbstractMetastasis is the commonest bone tumors. The commonest primary metastasis to the bone are the breast, lung, prostate, kidney, and thyroid. The bone is the third common site of metastatic disease, only the lung and the liver have higher metastatic rate than skeleton. We have no epidemiological studies conducted to evaluate the various aspects of skeletal metastasis like age, sex distribution, presentation, common sites of primary and associated secondary metastases, and investigation from Indian subcontinent. Here we are presenting the first epidemiological study of skeletal metastasis from our region. We have condu...
Source: Indian Journal of Surgical Oncology - September 28, 2017 Category: Cancer & Oncology Source Type: research

32 Consecutive Cases of Whipple ’s Operation with Single-Layer End to Side Dunking Pancreatojejunostomy Without Any Pancreatic Fistula: Our Institutional Experience
AbstractThe aim of this paper is to study the outcome of single-layer end to side dunking pancreatojejunostomy technique in 32 patients of malignant pancreatic disease undergoing Whipple ’s surgery in a tertiary care oncology centre in India. From January 2013 to January 2016, 32 consecutive patients who underwent pancreatoduodenectomy for malignant diseases were analysed retrospectively. All the patients underwent standard Whipple’s operation. Pancreatojejunostomy was establish ed in a single-layer end to side dunking manner with PDS 4-0. Various patient data, i.e. preoperative symptoms and demography, intra-o...
Source: Indian Journal of Surgical Oncology - September 26, 2017 Category: Cancer & Oncology Source Type: research

Sporadic Retroperitoneal Fibrosis: a Gentle Giant
We report on a case of multicentric fibromatosis originating from the retroperitoneal space and submandibular triangle, in an 18-year-old lady. Computed tomography revealed a retroperitoneal abdominopelvic tumor extending from the left sub-diaphragmatic space to the pelvic inlet which had enveloped the solid viscera in the left upper quadrant with a displaced celiac axis. She also had a recurrent resectable fibromatosis in left submandibular gland. Histopathological evaluation revealed fibromatosis. Preoperatively, Vinblastin-, Methotrexate-, Tamoxifen-based systemic chemotherapy was offered for 12  weeks in an attemp...
Source: Indian Journal of Surgical Oncology - September 25, 2017 Category: Cancer & Oncology Source Type: research

Bilateral Breast and Axillary Lymph Nodes Metastases of an Ovarian Serous Cystadenocarcinoma
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - September 24, 2017 Category: Cancer & Oncology Source Type: research

Patterns and the Occurrence of KRAS Mutations in Metastatic Colorectal Cancers —a Study from Indian Regional Cancer Centre
AbstractMutation analysis of the KRAS oncogene is established as a predictive biomarker in Colorectal cancer (CRC). Many prospective clinical trials have shown that only CRCs with wild-type KRAS respond to anti-epidermal growth factor receptor (EGFR) treatment. Hence, mutation analysis is mandatory before treatment of metastatic CRCs. There are very few studies on the KRAS mutation status in the Indian setting. Hence, this study was done to document the patterns of KRAS mutations in CRCs reporting to a regional cancer centre in South India. Among 150 cases of metastatic colorectal cancer reporting over a period of 20  ...
Source: Indian Journal of Surgical Oncology - September 24, 2017 Category: Cancer & Oncology Source Type: research

Infiltrating Lobular Breast Cancer Presenting as Isolated Gastric Metastasis: a Case Report
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - September 23, 2017 Category: Cancer & Oncology Source Type: research

Postoperative Delirium in Indian Patients Following Major Abdominal Surgery for Cancer: Risk Factors and Associations
AbstractPostoperative delirium (POD) is not uncommon following major abdominal surgery with its incidence ranging between five and 51%. As cancer affects disproportionately, the population older than 65  years and as delirium is more common in the elderly, surgical oncology patients are at a higher risk of developing POD. The present study was undertaken to explore the impact and associations of POD in Indian patients undergoing oncological major abdominal surgery. A retrospective review of the el ectronic medical records in a tertiary cancer care institution of all postoperative patients who had undergone major gastr...
Source: Indian Journal of Surgical Oncology - September 13, 2017 Category: Cancer & Oncology Source Type: research

Abdominal Wall Endometriosis Mimicking Metastases
AbstractAbdominal wall lesions can be broadly divided into nontumorous and tumorous conditions. Nontumorous lesions include congenital lesion, abdominal wall hernia, inflammation and infection, vascular lesions, and miscellaneous conditions like hematoma. Tumorous lesions include benign and malignant neoplasms. Here, we report an unusual case of abdominal wall endometriosis mimicking metastases in a patient with breast carcinoma. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - September 8, 2017 Category: Cancer & Oncology Source Type: research

Analysis of Factors Affecting the Longevity of Voice Prosthesis Following Total Laryngectomy with a Review of Literature
This study included 60 laryngectomized patients with a prosthetic voice rehabilitation at a tertiary cancer center in South India between January 1, 2010 and December 31, 2013. Among the 60 patients, the primary site of cancer was the larynx in 43 patients and hypopharynx in the remaining 17. All patients had undergone a primary TEP insertion, 55 in the upfront setting and five in the salvage (post-radiation/chemo-radiation) setting. The ability to retain a successful trachea-esophageal speech on follow-up (median 15.5  months) in our series was around 82%. The mean device life of voice prosthesis in our patient cohor...
Source: Indian Journal of Surgical Oncology - September 6, 2017 Category: Cancer & Oncology Source Type: research

A Survey on Breast Cancer Awareness Among Medical, Paramedical, and General Population in North India Using Self-Designed Questionnaire: a Prospective Study
AbstractBreast cancer (BC) has become the most common cancer in urban women. Unfortunately, most women are not aware of BC symptoms/signs, prevention, and management. In resource-limited countries like India where we do not have structured screening/awareness programs, a majority of women present with locally advanced BC. The aim of our study is to identify the present status of awareness about BC prevention, early detection, symptoms, and management in urban and rural Indian women (medical, paramedical, and nonmedical) and to assess whether education and socioeconomic strata have any role in better awareness about BC or n...
Source: Indian Journal of Surgical Oncology - September 5, 2017 Category: Cancer & Oncology Source Type: research

A Rare Presentation of Synovial Sarcoma as Cervical Lymphadenopathy in a Pediatric Patient —a Case Report
We report a rare case of synovial sarcoma of the head and neck region in a five-year-old child who has presented with right side cervical lymphadenopathy associated with dysphagia and hoarseness of voice. Patient was managed by modified radical neck dissection followed by chemotherapy. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - September 3, 2017 Category: Cancer & Oncology Source Type: research

A Comparative Study of Clinical Profile and Relapse Patterns in TRIPLE-NEGATIVE and Non - Triple-Negative Breast Cancer Patients Treated with Curative Intent
AbstractMolecular subtyping in breast cancer is recently emerging as an important determinant of treatment and outcomes, and triple negative breast cancer (TNBC) has been established as a distinct clinical entity with unique features and adverse outcomes. A retrospective analysis of a prospectively maintained computerized breast cancer database was performed, and all the non-metastatic female breast cancer patients undergoing potentially curative multimodality treatment between 2005 and 2012 were included for analysis. Patients with incomplete information regarding ER, PR, and HER2/neu status were excluded. All the eligibl...
Source: Indian Journal of Surgical Oncology - August 23, 2017 Category: Cancer & Oncology Source Type: research

GnRH Antagonist: a New and an Effective Way of Treatment of Advanced Prostate Cancer
This article elucidates the mechanism of action of GnRH antagonists along with its clinical advantages and demerits. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - August 23, 2017 Category: Cancer & Oncology Source Type: research

Recurrent Bleeding Neck Mass: a Case Report
We describe our approach to the patient, whose tumour was labelled as an atypical glomus on final histopathology. They are relatively uncommon in the head neck, and this case report with literature review is expected to add to our knowledge. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - August 23, 2017 Category: Cancer & Oncology Source Type: research

Quality Indicators for Sentinel Lymph Node Biopsy in Breast Cancer: Applicability and Clinical Relevance in a Non-screened Population
This study assessed our SLNB program against 11 published quality indicators (QIs). All breast cancer patients who underwent SLNB in our centre from June 2013 –Dec 2015 were included. Clinical, pathological and follow-up data were extracted from the institutional REDCap data system. Analysis was done with SPSS 23. Following validation, 234 patients had SLNB, always performed along with primary surgery. Identification rate was 95.3% and>  1 SLN was identified in 72% of patients. SLNB positivity was 33%, of these, 100% underwent ALND. Overall 91% of QI eligible patients underwent SLNB. No ineligible patients (T...
Source: Indian Journal of Surgical Oncology - August 21, 2017 Category: Cancer & Oncology Source Type: research

Setting up of the Indian HIPEC Registry: A Registry for Indian Patients with Peritoneal Surface Malignancies
AbstractThere are various registries for patients with peritoneal metastases (PM) that aid pooling of data and generate evidence that dictates current clinical practice. This manuscript describes the setting up of the Indian HIPEC registry that was set up with a similar goal by a group of Indian surgeons. This is a registry for patients with PM treated with CRS and HIPEC in India. It also acts as a database for storing treatment-related information. Patients with PM from colorectal ovarian, gastric, appendiceal tumors, and other rare peritoneal tumors/metastases from rare tumors are enrolled in the registry. A coordinator ...
Source: Indian Journal of Surgical Oncology - August 19, 2017 Category: Cancer & Oncology Source Type: research

Oncologic and Cosmetic Outcomes of Oncoplastic Breast Surgery in Locally Advanced Breast Cancer After Neoadjuvant Chemotherapy, Experience from a Developing Country
AbstractOncoplastic surgery (OPS) has emerged as a new approach for extending breast conserving surgery (BCS) possibilities, reducing both mastectomy and re-excision rates, while avoiding breast deformities. OPS is based upon the integration of plastic surgery techniques for immediate reshaping after wide excision for breast cancer. This is a prospective feasibility cohort study of oncoplastic breast surgery after neoadjuvant chemotherapy that was carried at the National Cancer Institute, Cairo University and included 70 patients. The primary outcome was the local recurrence rate. Secondary outcomes included survival and m...
Source: Indian Journal of Surgical Oncology - August 15, 2017 Category: Cancer & Oncology Source Type: research

CRS and HIPEC for PMP —Use of the LC-CUSUM to Determine the Number of Procedures Required to Attain a Minimal Level of Proficiency in Delivering the Combined Modality Treatment
AbstractThe learning curve for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for pseudomyxoma peritonei (PMP) which peaks at 90 procedures for the surgeon may take several years to reach. The cumulative summation (CUSUM) test of the learning curve (LC-CUSUM) was used to assess the safety of the procedure (minimal level of proficiency for the surgeon) in terms of morbidity, mortality, and completeness of cytoreduction and early oncological failure before the peak of the learning curve had been reached. The limits for h0 and h1 were set based on the results of large series of such cases pu...
Source: Indian Journal of Surgical Oncology - August 12, 2017 Category: Cancer & Oncology Source Type: research

A Long-Standing Primary Vaginal Paraganglioma —Coexisting with Esophageal Carcinoma
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - August 12, 2017 Category: Cancer & Oncology Source Type: research

Technique of Laparoscopic Hysterectomy and Pelvic Lymphadenectomy for Endometrial Cancer
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - August 12, 2017 Category: Cancer & Oncology Source Type: research

Dermatofibrosarcoma Protuberans of the Breast —a Rare Entity
AbstractDermatofibrosarcoma protuberans (DFSP) represents about 1% of soft-tissue sarcomas with an estimated incidence of 0.8 to 5.0 cases per million per year. This lesion may occur anywhere in the body but more than 50% occur on the trunk, 20% on the head and neck and 30% on the extremities. DFSP of the breast is an extremely uncommon site of presentation. Data regarding DFSP of the breast is limited and mostly in the form of case reports. Clinical presentation is not uniform and may mimic benign skin lesions [1]. However, it typically presents as a nodular cutaneous mass in early or mid-adult life. We herein report a ca...
Source: Indian Journal of Surgical Oncology - August 10, 2017 Category: Cancer & Oncology Source Type: research

An Overview of the Current Management of Bilobar Colorectal Liver Metastases
AbstractBilobar colorectal liver metastases (BCRLM) present a challenging scenario for liver surgeons globally. The following article aims to provide an overview of the different strategies which may be utilised in order to successfully manage advanced BCRLM. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - August 9, 2017 Category: Cancer & Oncology Source Type: research

Role of Plasma D-Dimer Levels in Breast Cancer Patients and Its Correlation with Clinical and Histopathological Stage
This study was done with an attempt to evaluate the role of D-dimer in patients of carcinoma breast, in predicting lymph node metastasis in carcinoma patients and to look for relationship of these markers with histopathologic parameters. Clinical data was obtained from clinical examination of patients admitted in the Department of Surgery with history of breast lump and confirmed with fine needle aspiration cytology (FNAC). Clinical staging was done using TNM staging. D-dimer level was measured prior to commencement of treatment, i.e., modified radical mastectomy (MRM) or neoadjuvant chemotherapy and finally 6  months...
Source: Indian Journal of Surgical Oncology - August 8, 2017 Category: Cancer & Oncology Source Type: research

Inadequately Staged Endometrial Cancer: a Clinical Dilemma
We report our experience with completion staging in endometrial cancer, to determine the benefits and risks of completion staging in women with posthysterectomy diagnosis of endometrial cancer. Design: A retrospective case series of 20 women with postoperative diagnosis of endometrial cancer, who had undergone completion staging. Setting: A gynaecologic oncology unit in a tertiary level hospital in Tamil Nadu, India. Patients: Electronic medical records of patients who underwent completion staging between January 2011 and December 2014 for endometrial cancer were reviewed. Two hundred and sixty four women with endometrial ...
Source: Indian Journal of Surgical Oncology - August 7, 2017 Category: Cancer & Oncology Source Type: research

Primary Mucin Secreting Adenocarcinoma Bladder: a Case Series
AbstractPrimary mucinous adenocarcinoma is an extremely rare type of bladder cancer. These tumours may have varied presenting complains with isolated mucusuria in some patients. As it is difficult to differentiate primary from secondary tumours, it is often a diagnostic dilemma. We narrate three cases of primary mucinous adenocarcinoma bladder and try to bring out the clinical and pathological features unique to this tumour along with the diagnostic importance of immunohistochemistry. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 29, 2017 Category: Cancer & Oncology Source Type: research

Strategies for Differentiating Gallbladder Carcinoma from Xanthogranulomatous Cholecystitis —a Tertiary Care Centre Experience
AbstractXanthogranulomatous cholecystitis (XGC) is an uncommon variant of chronic cholecystitis, characterized by focal or diffuse destructive inflammatory process. The importance of XGC is that it mimics gallbladder carcinoma (GBC) both preoperatively and intra-operatively, since it can present with pericholecystic infiltration, hepatic involvement and lymphadenopathy. As a result of this misdiagnosis which is not infrequent, the patient may need to undergo an unnecessary radical cholecystectomy rather than only a cholecystectomy which is associated with greater morbidity and mortality. Patients who underwent gallbladder ...
Source: Indian Journal of Surgical Oncology - July 27, 2017 Category: Cancer & Oncology Source Type: research