Unusual Breast Neoplasm with Diagnostic and Management Challenges
AbstractWith the growing awareness and availability of proper screening methods, detection of breast lump is increasing globally and is now a very sensitive issue for females. The treatment of these lumps ranges from lumpectomy to wide local excision to mastectomy; hence, a proper diagnosis is very important to prevent under- or overtreatment in patients. Breast lesions are the heterogeneous diseases encompassing several distinct entities with remarkably different characteristics. While the more common forms of breast cancers are well recognized and understood better, there are many important unusual lesions and malignanci...
Source: Indian Journal of Surgical Oncology - May 24, 2018 Category: Cancer & Oncology Source Type: research

From the Desk of the Editor
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 24, 2018 Category: Cancer & Oncology Source Type: research

Etiologic and Clinicopathological Correlates of Gastric Carcinoma in the Egyptian Delta
We report a clinic-epidemiologic study of gastric carcinoma in the Egyptian delta; the age at presentation was a decade earlier than that recorded in the USA and Europe; most of the cases were sporadic, located mostly at the body. Most of the cases were presented at stage IV with poor response to neoadjuvant therapy with a poorer overall survival than that recorded in the USA and Europe. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 23, 2018 Category: Cancer & Oncology Source Type: research

A Case of Primary Intra-abdominal Synovial Sarcoma
AbstractSynovial sarcomas are relatively common intermediate-to-high-grade malignant soft tissue tumors, often with an initial indolent course. And among the sarcomas primary intra-abdominal synovial sarcoma is a relatively rare entity that may present with an abdominal mass and diagnosis is usually confirmed by immunohistochemistry. The authors report a case of a 46-year-old man who presented with a large palpable abdominal mass. Contrast-enhanced computed tomography (CT) scan showed a large well-defined heterogeneous intra-abdominal mass filling the entire pelvis and extending upwards till the subhepatic region causing d...
Source: Indian Journal of Surgical Oncology - May 22, 2018 Category: Cancer & Oncology Source Type: research

Different Presentations of Five Rare Cases of Sclerosing Stromal Tumor of the Ovary
AbstractA rare subtype of preceding neoplasm of ovary is sclerosing stromal cell tumor with few presented cases in the literature. In these case series, we describe five cases of ovarian sclerosing stromal cell tumor with different presentations in our department. Interestingly, one of our cases had elevated alfa-fetoprotein. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 19, 2018 Category: Cancer & Oncology Source Type: research

Cytoreductive Surgery in Combination with HIPEC in the Treatment of Peritoneal Sarcomatosis
AbstractCytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an effective treatment for peritoneal carcinomatosis, but it has been debated for peritoneal sarcomatosis. The purpose of the study is the presentation of perioperative and long-term results of CRS and hyperthermic intraoperative intraperitoneal chemotherapy in patients with peritoneal sarcomatosis. Retrospective study in a prospectively maintained database of 20 patients  that underwent 29 CRS + HIPEC for peritoneal sarcomatosis. Clinical and histopathologic variables were correlated to survival. Complete cytor...
Source: Indian Journal of Surgical Oncology - May 19, 2018 Category: Cancer & Oncology Source Type: research

Feasibility, Safety, and Surgical Outcome of Robotic Hemithyroidectomy Via Transaxillary and Retroauricular Approach: an Institutional Experience
AbstractThe aim of this observational prospective study was to determine the technical feasibility, safety, and adequacy of robotic hemithyroidectomy. From April 2015 to May 2016, 16 patients with solitary thyroid lesion underwent robotic hemithyroidectomy using theDa Vinci ® Si Surgical system. Patients were observed and data were recorded on surgical time, blood loss, complications, and functional outcome of the patients. A total of 16 patients (3 males and 13 females; mean age 39.9  years) underwent robotic hemithyroidectomy after evaluation for solitary thyroid nodule with a mean nodule size of 2.2 &plu...
Source: Indian Journal of Surgical Oncology - May 19, 2018 Category: Cancer & Oncology Source Type: research

Recurrent Retroperitoneal Liposarcoma: a Case Report and Literature Review
AbstractThis is a case report of a 61-year-old male patient, presented with fifth recurrence of retroperitoneal liposarcoma and operated for six times. Literature review on retroperitoneal liposarcoma biology, recurrence pattern, role of surgery in primary tumor, and recurrent tumor, adjuvant therapy, role of multivisceral resection, and palliative surgery. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 19, 2018 Category: Cancer & Oncology Source Type: research

Carcinosarcoma of Breast Mimicking Breast Abscess
AbstractCarcinosarcoma, a tumor having both carcinomatous and sarcomatous elements, occurring in the breast, is a rare condition. The tumor consists of both epithelial and mesenchymal cell lines and tends to behave aggressively. It has clinical features like that of invasive breast carcinoma but sometimes there can be diagnostic confusion as it can mimic or present as breast abscess. Treatment is multimodal. Surgery plays the vital role. Post-op radiation and chemo are indicated. Hormone therapy is usually inapplicable as most of the time, it is hormone receptor negative. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 19, 2018 Category: Cancer & Oncology Source Type: research

Managing Synchronous Liver Metastases in Colorectal Cancer
AbstractThe most common site of blood-borne metastases from colorectal cancers (CRC) is the liver. Resection of (liver) metastases is a part of standard treatment of metastatic colorectal cancer. Hepatic resection is the first-line treatment of liver metastases, with 5-year survival rates between 25 and 58%. The enhanced efficacy of systemic chemotherapeutic regimens has increased tumor response rates and improved the progression-free and overall survival of patients with these malignancies. In approximately 20% of patients with initially unresectable liver metastases, the metastases may become resectable after administrat...
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

Vasoformative Lesions in Mediastinal Mixed Germ Cell Tumors: an Interesting Account of Two Cases Spanning the Benign to Malignant Spectrum
AbstractExtragonadal germ cell tumors are most commonly encountered in the anterior mediastinum. The presence of sarcomatous malignancies in these tumors is a rare phenomenon that adversely impacts patient prognosis because of poor response to conventional cisplatin-based chemotherapy. Even more unusual is the presence of florid benign somatic proliferations that overshadow the germ cell component, often resulting in misdiagnosis and inappropriate management. Two young male patients aged 17 and 28  years respectively presented with mass in the anterior mediastinum. Histopathology of both cases revealed mixed germ cell...
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

A Prospective Observational Study of Breast Lumps in Adolescent Girls: Tertiary Care South Indian Teaching Hospital Experience
AbstractThe aim of the current study was to assess the incidence and varying clinical presentations of benign breast lumps in adolescent age group in a Tertiary care Medical College Hospital. This was a prospective, observational study of 6-year duration (2011 to 2017) conducted in a Medical College, South India. All adolescent age group patients visiting the outpatient department (OPD) with complaints of breast lump were enrolled into the study. Triple assessment comprising of clinical examination, imaging, and core biopsy was used for diagnosis and identification of type of tumor. Management of tumors was based on pathol...
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

Desmoplastic Fibroma of Bone: a Case Series and Review of Literature
This article presents a report on three cases of desmoplastic fibroma in the proximal humerus, distal femur, and neck femur region. The varied radiographic features and the management of the three cases are described in detail. All the three patients were treated by extended curettage. Follow-up ranged from 2 to 5  years. There were no local or systemic recurrence until the last follow-up. Tumor resection with adequate margins is the preferred treatment, although extended curettage can be an acceptable alternative treatment modality when resection is not possible or acceptable. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

Recent Strategies and Paradigm Shift in Management of Hepatic Metastasis from Colorectal Cancer
AbstractThe liver is the most common site for metastasis from colorectal cancers (CRCs). There are so many new armamentarium, which have increased the life expectancy and progression-free survival. There are various available guidelines, such as NCCN, ESMO, and ASCO, which provide an insight into the latest modalities and new protocols. We have tried to elucidate into paradigm shift of the management. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

Solid Pseudopapillary Neoplasm of the Pancreas Clinicopathological Characteristics and Long-Term Outcome: a Single-Center Experience
This study aims to share our experience and to describe management of the disease. We retrospectively evaluated patients 13 patients diagnosed with SPT on histopathological examination of resected specimen. Data on their clinicopathological, management-related factors, and follow-up was collected. All the patients were females, with a median age of 20  years. Abdominal pain was the most common presentation. The mean tumor size was 6.5 cm and majority of tumors were located in the head region. R0 resection was obtained in all the patients. All patients were disease-free with a median follow-up of 68 months. E...
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

HATRICK —Synchronous Triple Primary Tumors of Thyroid
We present a case of a 27-year-old female patient who presented with a painless, gradually progressive right-sided neck swelling for the last 1 year with no systemic complaints. Examination revealed a 4 ×  3-cm, firm, smooth surfaced swelling on right lobe of thyroid. USG neck showed a hypoechoic solid nodule on the right lobe and the left lobe was normal. FNAC showed features of adenomatous colloid nodule, Bethesda II. Right hemithyroidectomy specimen revealed evidence of triple tumors—not otherwis e-specified (NOS) tumor, papillary carcinoma thyroid, and medullary carcinoma thyroid, which w...
Source: Indian Journal of Surgical Oncology - May 18, 2018 Category: Cancer & Oncology Source Type: research

Sarcomatoid Carcinoma of Urinary Bladder: a Case Report
We report a case with sarcomatoid variant of bladder urothelial carcinoma and review the pathologic features. A 65-year-old male on evaluation of long standing obstructive voiding symptoms and intermittent hematuria found to have a bladder mass. Magnetic resonance urography revealed a 35  × 45 mm mass at dome of urinary bladder with perivesical fat infiltration. He underwent transurethral resection and histopathology revealed pT1 high-grade malignant spindle cell tumor. He underwent radical cystoprostatectomy with bilateral extended pelvic lymphadenectomy with EPLND with ileal conduit urine diversi...
Source: Indian Journal of Surgical Oncology - May 16, 2018 Category: Cancer & Oncology Source Type: research

Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC): Initial Experience from Indian Centers and a Review of Literature
AbstractCytoreductive surgery and HIPEC is a therapeutic option that benefits only selected patients with peritoneal metastases (PM). New treatments like pressurized intraperitoneal aerosol chemotherapy (PIPAC) have been developed to overcome some limitations of intraperitoneal chemotherapy and treat patients who are not eligible for a curative approach. The safety and feasibility of the procedure in the first few Indian patients treated with PIPAC, and the technique and the set-up required for PIPAC are described here. From May 2017 to August 2017, data was collected prospectively for all patients undergoing PIPAC at thre...
Source: Indian Journal of Surgical Oncology - May 16, 2018 Category: Cancer & Oncology Source Type: research

Esophageal Metallic-Stent Migration: a Rare Cause of Anal Pain in a Patient with Gastric Cancer
AbstractStents are a great development for esophageal fistula treatment; however, stent migration is a frequent complication. A stent migration that caused anal pain is presented. A 79-year-old man with poorly differentiated gastric carcinoma was submitted to a total gastrectomy with a Roux-en-Y esophagojejunostomy. The patient developed an anastomosis leakage 3 months after surgery; a fixed metallic stent was used as treatment with good evolution. Five months after the stent (and 8 months after gastrectomy), the patient returned to the emergency department with acute incapacitating anal pain; the pain was caused by the mi...
Source: Indian Journal of Surgical Oncology - May 16, 2018 Category: Cancer & Oncology Source Type: research

Multiple Gastrointestinal Cancers in a Single Patient —a Rare Clinical Entity
AbstractMultiple gastrointestinal cancers in a single patient is a rare entity. In our study, we are showing the clinical presentation and management of these patients. A fifty-nine-year-old asthenic male (already treated case of metachronous colorectal cancer in 2008 and 2011) presented with complaints of generalized weakness and fatigue. Strong family history was present with two of his first-degree relatives having diagnosed with gastrointestinal cancer at the age
Source: Indian Journal of Surgical Oncology - May 16, 2018 Category: Cancer & Oncology Source Type: research

Malignant Peripheral Nerve Sheath Tumor of the Parotid Gland
AbstractMalignant peripheral nerve sheath tumor (MPNST) refers to spindle cell sarcomas arising from or separating in the direction of cells of peripheral nerve sheath. The MPNST of the parotid gland is an extremely rare tumor, accounts for
Source: Indian Journal of Surgical Oncology - May 16, 2018 Category: Cancer & Oncology Source Type: research

Isolated Drain Site Metastasis After Open Resection in Ileal Adenocarcinoma —an Uncommon Site
We report a 50-year-old gentleman who had undergone laparotomy and ileal resection for distal ileal adenocarcinoma presented with an isolated drain site metastasis after 1  year of completion of chemotherapy. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 12, 2018 Category: Cancer & Oncology Source Type: research

Does the Anatomy of the Transected Pancreatic Neck Influence Post Whipple ’s Operation Pancreatic Fistula?
AbstractFew studies correlate anatomical parameters of the transected pancreatic neck to occurrence of the dangerous complication —post Whipple’s pancreaticoduodenectomy pancreatic fistula. To evaluate the correlation between anatomical details of the transected neck of the pancreas and post-operative pancreatic fistula (POPF) following Whipple’s pancreaticoduodenectomy. Observational study. The study included 66 patient s undergoing Whipple’s pancreaticoduodenectomy with pancreaticojejunostomy at tertiary care centre between December 2009 and December 2014. Student’st test, Fisher ’s ex...
Source: Indian Journal of Surgical Oncology - May 11, 2018 Category: Cancer & Oncology Source Type: research

Clinico-pathological Features of PIK3CA Mutation in HER2-Positive Breast Cancer of Indian Population
In conclusion, we identified 24.2% somatic mutation of PIK3CA in HER2-positive breast cancer patients. PIK3CA mutation is significantly associated with ER-positive tumors. The frequency and distribution pattern reported in this study is similar to the global report. Overall survival of PIK3CA mutation is slightly lower but in patients who received herceptin with PIK3CA mutation showed better clinical outcome. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 3, 2018 Category: Cancer & Oncology Source Type: research

Extremely Didactic Experience About the Postoperative Recurrence of Lung Cancer: a Case Report
We present the case of a patient who was treated for the postoperative recurrence of lung cancer that was later proven by biopsy to be a second lung cancer. It is possible that cases of a second cancer, like ours, are overlooked because they are incorrectly classified as postoperative recurrences of lung cancer based on the clinical course and imaging findings. However, when we encounter a case of suspected postoperative recurrence, we should also consider that it could be a second lung cancer. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - April 30, 2018 Category: Cancer & Oncology Source Type: research

Type 1 Papillary Renal Cell Carcinoma Presenting as an Infected Benign Renal Cyst: an Uncommon Presentation
We describe an unusual presentation of papillary renal cell carcinoma in a 40-year old male where radiological evaluation revealed a Bosniak type 2 cyst (probably benign), and clinical signs as well as symptoms also suggested an infected cyst l. However, on histopathological examination, an intra cystic type 1 papillary renal cell carcinoma was diagnosed. This is an extremely rare presentation of papillary renal cell carcinoma because it usually present as a heterogenous mass. Hence, even the radiologically benign cyst should be evaluated and managed cautiously. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - April 27, 2018 Category: Cancer & Oncology Source Type: research

Sternalis Muscle: Not So Uncommon Entity
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - April 25, 2018 Category: Cancer & Oncology Source Type: research

Juvenile Trabecular Ossifying Fibroma —a Case Report
AbstractOssifying fibroma is a benign osteogenic mesenchymal tumor that is classified in the fibro-osseous lesions. Fibro-osseous lesions contain minerals, blood vessels, and giant cells that have the same radiographic and pathologic features but have different clinical behaviors, and were replaced with the normal bone. These lesions include fibrous dysplasia, cemento-osseous dysplasia, and ossifying fibroma. Juvenile ossifying fibroma is a type of uncommon and has invasive behavior, high incidence and occurs in young men, especially in maxilla, and is different from the type of adult in age, location, and clinical behavio...
Source: Indian Journal of Surgical Oncology - April 21, 2018 Category: Cancer & Oncology Source Type: research

Clinical Significance of Incidental Prostatic Carcinoma on Radical Cystectomy Histology Specimens: a Clinicopathological and Survival Analysis
AbstractIncidental prostatic carcinoma on radical cystectomy histology specimens is not an uncommon entity and managing such cases is still controversial. Classification into clinically significant and insignificant cancers by Epstein based on the assumption that one is more likely to affect the survival than the other is not universally accepted. We conducted this retrospective analysis with the aim to find out the role of dichotomization of incidental prostatic cancer into such classification. Patient ’s data were retrospectively reviewed from January 2013 to December 2014. A total of 175 patients underwent radical...
Source: Indian Journal of Surgical Oncology - April 21, 2018 Category: Cancer & Oncology Source Type: research

Surgical Management of Head and Neck Soft Tissue Sarcoma: 11-Year Experience at a Tertiary Care Centre in South India
This study aimed at analysing clinicopathological, recurrence and survival pattern of surgically treated HNSTS. Case records of 28 patients of HNSTS who underwent surgery at the Regional Cancer Centre (RCC), Trivandrum (India) between 2002 and 2012 were analysed retrospectively for demographic profile, clinical features, treatment given, recurrence pattern and outcome. The median age of patients was 37  years (range, 3–79) with male:female ratio of 3:2. Majority of patients presented with painless lump in the neck as the most common subsite affected followed by scalp and face. One patient had nodal disease, whil...
Source: Indian Journal of Surgical Oncology - April 20, 2018 Category: Cancer & Oncology Source Type: research

Right and Transverse Colonic Multi-Visceral Resections for Locally Advanced Cancers —a Single-Center Experience
AbstractLocally advanced colorectal tumors constitute to about 5 –22% of all colorectal cancers at the time of presentation. Multi-visceral resection is usually required for such cases in order to achieve curative resection (R0). We aim to present our experience of right and transverse colonic en bloc resections and their outcomes. Retrospective review of a pro spective database between February 2008 and December 2014. Case notes, operative findings, histopathology results, and follow-up records were analyzed. A total of 23 patients underwent en bloc multi-visceral resections for locally advanced right-sided or trans...
Source: Indian Journal of Surgical Oncology - April 20, 2018 Category: Cancer & Oncology Source Type: research

Extensive Re-ossification and Reformation of the Proximal Femur After External Beam Radiotherapy in Metastatic Carcinoma Breast
In this report, we describe a case of breast carcinoma with a large metastatic lytic lesion in the proximal femur, which was treated by in situ fixation followed by hormonal therapy and external beam radiotherapy. In the post-operative period, rapid and dramatic ossification and reformation of the proximal femur was observed. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - April 19, 2018 Category: Cancer & Oncology Source Type: research

The Futility of Systematic Lymphadenectomy in Early-Stage Low-grade Endometrial Cancer
AbstractLymphadenectomy is considered an integral part of comprehensive surgical staging of endometrial cancer but debate on the value of lymphadenectomy continues in early-stage endometrial cancer. The aim of our study was to determine the number of node positive patients in clinically early-stage low-grade (G1 –G2) endometrioid endometrial cancer. We retro-prospectively analyzed the medical records of 155 women with endometrial pathology coming to the BLK cancer center between January 2015 and December 2017 and studied 60 patients of FIGO grade 1–2 endometrioid endometrial cancer confined to the uteru s to de...
Source: Indian Journal of Surgical Oncology - April 18, 2018 Category: Cancer & Oncology Source Type: research

Malignant Spindle Cell Tumor Breast —a Diagnostic Dilemma
We present a case of right breast lump. Cytological features revealed fibro histiocytic lesion. There were no areas of necrosis, hemorrhage, or calcification. Histopathologically, it showed partially encapsulated tumor with cells arranged in sheets, composed of oval to epithelioid cells with spindling at places with moderate pleomorphism (mitotic activity 6 –7/10 hpf). Differential diagnosis of primary stromal sarcoma, metaplastic sarcoma, and phyllodes was made. Immunohistochemistry revealed vimentin positivity with focal positivity of S-100. Desmin, cytokeratin and smooth muscle actin, p63, ER, PR, and Her2-ne...
Source: Indian Journal of Surgical Oncology - April 16, 2018 Category: Cancer & Oncology Source Type: research

Perineal Wound Complications Following Extralevator Abdominoperineal Excision: Experience of a Regional Cancer Center
AbstractExtralevator abdominoperineal excision (ELAPE) results in a large perineal defect which needs reconstruction by a flap or biological mesh. The incidence of perineal wound complications is thought to be higher following an ELAPE compared to conventional abdominoperineal excision (APE). WE aimed to analyze the perineal wound complications following ELAPE in our institution. This was a retrospective analysis of all consecutive patients who underwent an APE (conventional and ELAPE) procedure in our institution between 2012 and 2015. We retrieved the demographic data, treatment data, and pathological data from the case ...
Source: Indian Journal of Surgical Oncology - April 14, 2018 Category: Cancer & Oncology Source Type: research

Numb Chin Syndrome as the Initial Manifestation of Breast Carcinoma
We report the case of a 58-year-old woman who presented with numb chin syndrome. An orthopantogram and computed tomography of the head revealed osteolytic lesion in the left molar region. Histopathological and immunohistochemical examination confirmed the lesion to be metastatic breast carcinoma. Breast ultrasound scan demonstrated a 1.5  × 1.5-cm lesion in the left breast and fine needle aspiration cytology from the lesion confirmed the diagnosis of breast carcinoma. Bone scan showed multiple bone metastases. She was diagnosed to have numb chin syndrome secondary to bone metastases from breast carcinom...
Source: Indian Journal of Surgical Oncology - April 14, 2018 Category: Cancer & Oncology Source Type: research

Malignancy Presenting as a Psoas Abscess
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - April 12, 2018 Category: Cancer & Oncology Source Type: research

Patterns of Care of Breast Cancer Patients in a Rural Cancer Center in Western India
AbstractBreast cancer is an emerging public health problem in low- and middle-income countries. The main objective is to describe the clinical characteristics and patterns of care of breast cancer patients diagnosed and treated in a rural cancer hospital in Barshi, Western India. The results from a cross-sectional study of 99 consecutive breast cancer patients diagnosed and treated between February 2012 and November 2014 in Nargis Dutt Memorial Cancer Hospital is reported. The case records of the patients were scrutinized and reviewed to abstract data on their clinical characteristics, diagnostic, and treatment details. Th...
Source: Indian Journal of Surgical Oncology - April 11, 2018 Category: Cancer & Oncology Source Type: research

Germ Cell Tumor Ovary: an Institutional Experience of Treatment and Survival Outcomes
We present our experience of germ cell tumor ovary in the Department of Surgical Oncology, King George’s Medical University over the last 5 years with special emphasis on treatment outc ome and role of fertility preservation surgery. A retrospective review of medical records of patients with ovarian germ cell tumors, treated at our center from January 2012 to December 2016, was performed. Epidemiological and clinical profile of patients was reviewed. Clinical stage of presentation, neoadjuvant treatment, surgical treatment, and adjuvant treatment data were analyzed, and treatment outcome data was recorded. Patie...
Source: Indian Journal of Surgical Oncology - April 10, 2018 Category: Cancer & Oncology Source Type: research

The Results of the Combine Treatment of Patients with Liver Bilobar Metastases from Colorectal Cancer Using Radiofrequency Ablation
AbstractColorectal cancer (CRC) is the third most common cancer worldwide. The mortality from CRC remains very high. The main cause of such a high mortality is a disseminate process with the appearance of distant metastases. In this regard, the treatment of metastatic lesions is recognized as an important trend in modern oncology. The program of study included 176 patients with colorectal cancer after primary tumor  removal with the malignant progression—multiple (more than 4) bilobar liver metastases. The research was organized in Samara Regional Oncology Centre from 2001 to 2014. By the treatment method, patie...
Source: Indian Journal of Surgical Oncology - April 9, 2018 Category: Cancer & Oncology Source Type: research

Sarcomatoid Adenocarcinoma of the Ampulla of Vater
AbstractSarcomatoid adenocarcinoma of ampulla of Vater is an extremely rare malignant neoplasm that displays both carcinomatous and sarcomatous component. A 58-year-old woman was admitted to our hospital under the suspicion of an ampulla of Vater cancer. Abdominal computed tomography and endoscopy demonstrated a bulging of ampulla and the biopsy specimen revealed an adenocarcinoma, well differentiated in the background of tubulovillous adenoma. So we performed the pylorus preserving pancreaticoduodenectomy. At postoperative biopsy, the tumor was composed of adenocarcinoma component and sarcomatoid component. Thus, a diagno...
Source: Indian Journal of Surgical Oncology - April 7, 2018 Category: Cancer & Oncology Source Type: research

Outcome of Pancreaticoduodenectomy at Low-Volume Centre in Tier-II City of India
AbstractCurrently, pancreaticoduodenectomy (PD) is considered a common and feasibly performed surgery for periampullary tumours, but it is still a high-risk surgical procedure with potential morbidity and mortality rates. Previously, it was emphasised for the need of high-volume centres to perform specialised surgery such as PD. The authors have made an attempt to know the relation between low-volume centre and outcomes of PD. The study was conducted in a Tier-II city referral hospital located in Karnataka, India. A total of 37 patients with suspected periampullary neoplasms underwent surgical exploration with curative int...
Source: Indian Journal of Surgical Oncology - April 6, 2018 Category: Cancer & Oncology Source Type: research

Initiating a Robotic Thyroidectomy Program in India
AbstractRobotic surgery has been successfully used for many surgical indications in head and neck surgery. Robotic thyroidectomy is getting accepted worldwide, but the majority of the literature is from South Korea. The purpose of the paper is to review and give a personal perspective on how a robotic thyroidectomy program was initiated in a tertiary care academic medical institution in India. Advantages of robotic approaches are the three-dimensional visualization, precision, dexterity, and surgeon ergonomics. Cost is an important concern. Training includes basic robotics skill training, cadaveric training, observership, ...
Source: Indian Journal of Surgical Oncology - April 5, 2018 Category: Cancer & Oncology Source Type: research

Epithelioid Sarcoma Presenting as Recurrent Thumb Ulcer: a Lesson to Learn
AbstractEpithelioid sarcoma first described by Enzinger (Cancer 26:1029 –41,1970) is a rare soft-tissue sarcoma typically presenting as a subcutaneous or deep dermal mass in distal portions of the extremities of adolescents and young adults. They are frequently mistaken for ulcers, abscesses, or infected warts that fail medical management. Patients often develop multiple local recurrences of long duration, with subsequent metastases in 30 to 50% of cases (Chase and Enzinger (Am J Surg Pathol 9:241 –63,1985)). We here report a case of left thumb epithelioid sarcoma that presented as an ulcer and subsequently met...
Source: Indian Journal of Surgical Oncology - March 20, 2018 Category: Cancer & Oncology Source Type: research

Outcomes of Computed Tomography-Guided Image-Based Interstitial Brachytherapy for Cancer of the Cervix Using GEC-ESTRO Guidelines
AbstractLocally advanced cancer of the cervix is treated by concurrent chemoradiation followed by brachytherapy. Interstitial brachytherapy is used to treat large tumors with involvement of parametrium, post-hysterectomy, and narrow, conical vagina. The GYN GEC-ESTRO working group described target volume delineation and also 3D image-based planning using MRI and 3D dose-volume parameters for brachytherapy of carcinoma cervix. CT-based as compared to MR-based image-guided brachytherapy (IGBT) is much more feasible and practical because MR access is still difficult for most departments. This is a retrospective study done to ...
Source: Indian Journal of Surgical Oncology - March 18, 2018 Category: Cancer & Oncology Source Type: research

Castleman ’s Disease: a Suprarenal Surprise!
AbstractCastleman ’s disease is a distinct form of lymph node hyperplasia. It commonly presents as a mediastinal mass and rarely as a solitary retroperitoneal mass. We narrate a case of Castleman’s disease presenting as a right suprarenal mass emphasising the usefulness of robot-assisted retroperitoneoscopy in su rgical management of retroperitoneal masses in close relation to vital structures. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - March 17, 2018 Category: Cancer & Oncology Source Type: research

Inter-institutional Travel Fellowships —a Need for the Young Surgical Oncologists
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - March 15, 2018 Category: Cancer & Oncology Source Type: research

Brachytherapy in Head and Neck Cancers: “Are We Doing It or Are We Done with It”
AbstractWe performed an e-Survey and reviewed the literature on the prevalence of use of brachytherapy in head and neck cancers in order to understand the patterns of care and probable application of this modality. A five-point questionnaire was prepared and sent to 300 oncologists through a web-based survey engine. This was done in preparation for my lecture on “Ongoing Research and Potential Research Avenues” in IBSCON held in Chennai in August 2016. SPSS software was used for the statistical analysis. Of a total of 300 emails that were sent out for the survey, 120 replies were received, which is 40%. Among t...
Source: Indian Journal of Surgical Oncology - March 4, 2018 Category: Cancer & Oncology Source Type: research

Malignant Hemangiopericytoma of the Liver Masquerading as Hepatocellular Carcinoma
We present a case of hemangiopericytoma of the liver, metastatic from a meningeal hemangiopericytoma, who presented 10  years after the surgical excision of the primary tumour and morphologically mimicked a hepatocellular carcinoma. We review the literature regarding this entity and discuss the difficulties in preoperative diagnosis and the need for a thorough preoperative evaluation. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - March 2, 2018 Category: Cancer & Oncology Source Type: research

From the Desk of the Editor 2018
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - March 2, 2018 Category: Cancer & Oncology Source Type: research