Surgery for Cancer in the Wake of Second and Future Waves! Challenges and Opportunities in the Indian Context
AbstractThe pandemic situation created by newly discovered severe acute respiratory disease corona virus 2019 has thrown up many challenges to surgical fraternity across world. All surgeons particularly cancer surgeons are facing dilemmas not only in managing patients but also in appropriate personal as well as employee ’s health protection as well. Since the pandemic is not expected to recede unless it affects a considerable proportion of population or up to 60% of population is vaccinated, we need to be aware of prevailing best practices. This is important in ensuring continuity of care for cancer patients as w ell...
Source: Indian Journal of Surgical Oncology - July 30, 2021 Category: Cancer & Oncology Source Type: research

Safe Delivery of Surgical Care in Head and Neck Cancer Patients During COVID-19 —an Audit of Pattern of Presentation and Treatment Strategies in an Oncology Centre in the Northern India
We present here the pattern of presentation of head and neck cancer patients to the hospital and strategy to continue services. A retrospective audit of patients registered under Head and Neck Disease Management Group during lockdown, 23rd March to 31st May 2020, was done. Four categories were made new registrations, post-surgical patients, emergency department visits and follow-up presentation. Of the 693 patients assessed, a majority were with oral cavity cancer (80%). Seventy-eight percent of patients presented with stage IV disease. There were 382 new registrations, of which 68% were symptomatic. Of the 69 patients tha...
Source: Indian Journal of Surgical Oncology - July 30, 2021 Category: Cancer & Oncology Source Type: research

Clinical Impact of Inferior Mesenteric Lymph Node Metastasis in Patients with Cancer of the Sigmoid Colon or Rectum
AbstractThe aim of this study was to clarify the clinical impact of inferior mesenteric lymph node (IMLN) metastasis from cancer of the sigmoid colon or rectum. A total of 952 patients underwent curative surgery with IMLN dissection for either sigmoid colon cancer or rectal cancer from January 2000 to August 2018. Of these, 26 (2.7%) were pathologically diagnosed with IMLN metastasis. Excluding 1 patient, 25 patients were retrospectively investigated for clinicopathological characteristics and long-term outcomes. Specifically, the clinical course of patients with recurrence was meticulously scrutinised. Of the 25 patients,...
Source: Indian Journal of Surgical Oncology - July 29, 2021 Category: Cancer & Oncology Source Type: research

Neoadjuvant Chemotherapy Followed by Cystectomy: a Single-Center Experience
In this study, we have retrospectively reviewed our series of patients who underwent neoadjuvant chemotherapy followed by radical cystectomy for muscle-invasive disease. Between Jan 2005 and Dec 2019, 72 patients underwent radical cystectomy following neoadjuvant chemotherapy over a 15-year period. The data was retrospectively collected and analyzed. The median age was 59.84  ± 8.967 years (range, 43 to 74), and the ratio of male to female patients was 5:1. Of the 72 patients, 14 (19.44%) completed all the three cycles, 52 (72.22%) completed at least two cycles, and the remaining 6 (8.33%) complet...
Source: Indian Journal of Surgical Oncology - July 29, 2021 Category: Cancer & Oncology Source Type: research

Upper Tract Urothelial Carcinoma with Intra-renal Haemorrhage
We present the first case of intra-renal haemorrhage (IRH) in UTUC managed with rad ical nephroureterectomy. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 29, 2021 Category: Cancer & Oncology Source Type: research

Testicular PNET Arising in a Mixed Germ Cell Tumor: a Diagnosis Not to Be Missed
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 28, 2021 Category: Cancer & Oncology Source Type: research

Bilateral Orchidectomy Revisited in Management of Metastatic Hormone-Sensitive Prostate Cancer
ConclusionThere was no significant difference in time to progression between bilateral orchidectomy and medical castration. Considering nadir PSA level, better quality of life, patient compliance, reduced hospital visit, and decrease in cost of treatment, bilateral orchidectomy may be a better treatment option especially in developing countries. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 24, 2021 Category: Cancer & Oncology Source Type: research

Effect of Preoperative Biliary Stenting on Outcomes of Pancreaticoduodenectomy
AbstractBiliary drainage before pancreaticoduodenectomy was introduced to decrease morbidity from obstructive jaundice. Recent retrospective and randomised data show that preoperative biliary drainage (PBD) increases perioperative infectious complications. Most patients presenting to our tertiary care centre have undergone drainage procedures prior to surgical consultation. We analysed the impact of PBD, specifically endoscopic stent placement, on the postoperative outcome of pancreaticoduodenectomy at our centre. A cohort of 87 patients undergoing pancreaticoduodenectomy from 2012 to 2016 was identified. Data was collecte...
Source: Indian Journal of Surgical Oncology - July 24, 2021 Category: Cancer & Oncology Source Type: research

Morbidity Following Groin Dissection in Malignancy Remains a Challenge: an Experience from North-East India
AbstractInguinal lymph nodal dissection is notoriously associated with high morbidity. Various risk factors and technical modifications have been described in the past to overcome complications like lymphedema, wound breakdown, and infection which adversely affect the postoperative outcome and quality of life of the patient. This is a retrospective observational study from 1 January 2016 to 31 December 2019 of patients who underwent inguinal/ilio-inguinal block dissection for malignancy. Lymphedema was the most frequent morbidity seen (24%). The mean hospital stay of patients following surgery was 9.7  days (range 4 t...
Source: Indian Journal of Surgical Oncology - July 22, 2021 Category: Cancer & Oncology Source Type: research

A Prospective Observational Study to Determine the Correlation of Clinical, Ultrasonography, and Pathological Examination of Cervical Lymph Nodal Staging in Oral Squamous Cell Carcinoma
AbstractOral cancer is one of the most common cancers in our population. These cancers are drained by the nodes located in the cervical region which are easily accessible for clinical examination. However, these cervical nodes may also be enlarged due to various other nonmalignant causes. Hence, accuracy of clinical examination and ultrasound screening for cervical lymph nodes is invaluable. The aims of this study are (1) to correlate the clinical, radiological, and pathological results of cervical lymph nodes in patients with oral malignancy and (2) to calculate the accuracy of clinical and radiological methods in detecti...
Source: Indian Journal of Surgical Oncology - July 21, 2021 Category: Cancer & Oncology Source Type: research

Inferior Vena Cava (IVC) Wall Penetration by IVC Filter Detected Incidentally During Retroperitoneal Lymphadenectomy
We report a complication —IVC wall penetration by a retrievable IVC filter, detected incidentally during a retroperitoneal lymph node dissection. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 15, 2021 Category: Cancer & Oncology Source Type: research

Correction to: Translation of the Gothenburg Trismus Questionnaire ‑2 into Telugu and its Validation for use in Indian Patients
A Correction to this paper has been published:https://doi.org/10.1007/s13193-021-01384-8 (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 12, 2021 Category: Cancer & Oncology Source Type: research

In Situ Preparation for Nerve Preservation in Extremity Soft Tissue Sarcoma. Point of Surgical Technique
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 11, 2021 Category: Cancer & Oncology Source Type: research

Estimation of Serum MicroRNA 21 as a Tumour Marker in Carcinoma Oesophagus
This study aimed to isolate MiR 21 from serum samples of carcinoma oesophagus patients and healthy subjects for determining its strength of association in various stages of the carcinoma oesophagus. This is a case –control study with 1:1 matched cases and controls. We included 40 patients of carcinoma oesophagus and 40 healthy individuals. Serum separated from venous blood samples of cases and controls was stored at − 80 °C. Total RNA was extracted, and the real-time polymerase chain reaction was us ed to measure the serum MiR 21. On statistical comparison, we found a marked increase in M...
Source: Indian Journal of Surgical Oncology - July 8, 2021 Category: Cancer & Oncology Source Type: research

Preoperative Lymphocyte-to-Monocyte Ratio in the Prognostication of Advanced Resectable Colon Cancer: a Retrospective Observational Study
AbstractLymphocyte-to-monocyte ratio (LMR) has been reported as a biomarker for predicting the prognosis of colorectal cancer. However, the clinical usefulness of LMR requires detailed research, which can contribute to better therapeutic strategies. A cohort of 554 patients with resectable advanced colon cancer in our institution was analyzed retrospectively. An analysis of stages II and III resectable advanced colon cancer was performed. LMR was useful for predicting overall survival (OS) and relapse-free survival (RFS). The ROC curve revealed an LMR value of 2.77 as a cutoff for OS. A high LMR was an independent prognost...
Source: Indian Journal of Surgical Oncology - July 8, 2021 Category: Cancer & Oncology Source Type: research

Role of Adjuvant Radiotherapy in Early Stage Tongue Cancer: Need for Establishing Stringent Guidelines
AbstractThe primary objective of this study was to determine, using population-based data, whether the addition of postoperative radiotherapy (RT) provides an overall survival benefit in patients with early primary squamous cell carcinoma (SCC) of tongue. The study included the data of tongue cancer patients treated between January 2016 and July 2019 retrieved from our hospital database. Tumours limited to pathologic T1 and T2 category managed with primary surgery with or without postoperative external beam RT were included. Overall survival (OS) and disease-free survival (DFS) were the main outcomes of interest. A total o...
Source: Indian Journal of Surgical Oncology - July 1, 2021 Category: Cancer & Oncology Source Type: research

Neoadjuvant Therapy in Borderline Resectable Pancreatic Cancer
AbstractIn this perspective, we present our assessment of all of the known accumulated evidence on the role of neoadjuvant therapy in the management of borderline resectable pancreatic cancer highlighting the gaps in the data, the current regimens used and providing a brief insight into the way forward. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - July 1, 2021 Category: Cancer & Oncology Source Type: research

Bone Marrow Metastases from Solid Organ Cancer in Adults
AbstractSolid organ cancers infrequently metastasize to bone marrow (BM). BM involvement by cancer in adults leads to poor prognosis and it becomes difficult to provide appropriate treatment. We aimed to study the clinical, pathological and radiological characteristics of adult patients with BM involvement at our institute. Eleven adult patients diagnosed with BM involvement associated with solid organ cancer were included in the study. Clinical, laboratory, radiological and treatment details were analysed. Carcinoma of the breast accounted for majority of the cases. Most of the patients had poor performance status (PS) at...
Source: Indian Journal of Surgical Oncology - June 29, 2021 Category: Cancer & Oncology Source Type: research

Correction to: Editorial
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - June 28, 2021 Category: Cancer & Oncology Source Type: research

Prevalence of Molecular Subtypes in Operated Cases of Breast Cancer and Its Clinicopathological Correlation: A Single Institute Study from a Tertiary Cancer Centre in North India
AbstractBreast cancer has emerged as a major health problem among women in India. There are few Indian studies which have looked at prevalence of molecular subtypes  of breast cancer in Indian population. The primary objective of our study was to find out the prevalence of various molecular subtypes in operated cases of breast cancer patients presenting to us. Three hundred sixty patients who were operated in our department were analysed. Clinicopathological f eatures of all cases were recorded. Classification into various molecular subtypes was done using St. Gallen 2013 criteria. Luminal B HER2 negative was the pred...
Source: Indian Journal of Surgical Oncology - June 19, 2021 Category: Cancer & Oncology Source Type: research

The Emerging Role of ICG Fluorescence During Minimally Invasive Esophagectomy
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - June 19, 2021 Category: Cancer & Oncology Source Type: research

Translation of the Gothenburg Trismus Questionnaire-2 into Telugu and its Validation for use in Indian Patients
AbstractTrismus refers to restriction in the ability to open the mouth. Comprehensive evaluation of trismus and its treatment outcomes needs a multidimensional, self-administered, trismus specific tool. In the present scenario, Gothenburg trismus questionnaire is the only reliable instrument to quantify trismus. Translation of this questionnaire helps in providing standardized documentation of trismus related problems and to obtain a patient's perspective on treatment outcomes within various populations. The aim of this study was to translate the Gothenburg trismus questionnaire-2 (GTQ 2) into Telugu (one of the Indian Lan...
Source: Indian Journal of Surgical Oncology - June 18, 2021 Category: Cancer & Oncology Source Type: research

Bilateral Risk-Reducing Prophylactic Mastectomies in an Unaffected BRCA1 Carrier Using Dermal Sling and Implant
We report a case of bilateral risk-reducing prophylactic mastectomies (B/L RRM) and bilateral risk-reducing salpingo-oophorectomy (B/L RRSO) performed in a 37-year-old healthy BRCA 1 carrier. Althoug h, this is an age-old practice, its acceptance in India has been low for reasons such as cost of surgery, social stigma, lack of awareness, fear of visiting an oncology clinic, surgery and reconstruction, or loss of a healthy organ; and more acceptance towards other risk reduction methods. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - June 16, 2021 Category: Cancer & Oncology Source Type: research

Sebaceous Lymphadenoma of Parotid: Case Report of a Rare Entity
AbstractSebaceous differentiation can be normally seen in salivary glands. An entity first described by Hamperi. Sebaceous components are present in several salivary gland tumors like Warthin ’s tumor and mucoepidermoid tumor. But, if the sebaceous component predominates, it is known as a sebaceous adenoma. If lymphatic stroma in the background is prominent, it qualifies as sebaceous lymphadenoma. The term was coined and properly described by McGavran et al., differentiating it from si milar appearing tumors like Warthin’s tumor, sebaceous adenoma, and mucoepidermoid tumor. Clinicians, as well as pathologists, ...
Source: Indian Journal of Surgical Oncology - June 13, 2021 Category: Cancer & Oncology Source Type: research

Remote Access Thyroid Surgery: A Review of Literature
AbstractSince the first description of endoscopic thyroid lobectomy in 1997, a variety of techniques have been developed to avoid the visible cervical scar conventionally been associated with thyroidectomy. These “remote access” approaches, which typically use either endoscopic or robotic instrumentation, have successfully avoided the anterior neck scar, which has a measurable impact on the patient’s quality of life (Graves and Suh Surgery 168(5):845–850,2020; Sakorafas World J Surg 34(8):1793 –1804,2010). The main advantage of these techniques is better cosmesis compared to conventional trans...
Source: Indian Journal of Surgical Oncology - June 9, 2021 Category: Cancer & Oncology Source Type: research

Clinico-histopathological Profile of Primary Paediatric Intra-abdominal Tumours: a Multi-hospital-Based Study
AbstractPaediatric cancers are gradually on the rise in India. Its proportion among children aged  
Source: Indian Journal of Surgical Oncology - June 8, 2021 Category: Cancer & Oncology Source Type: research

Residual Thyroid Tissue on Postoperative Diagnostic 131 I Radioactive Whole-Body Scan After Surgery in Differentiated Thyroid Cancer: A Tertiary Referral Centre Experience
AbstractResidual thyroid tissue after total thyroidectomy in differentiated thyroid cancers is considered an independent risk factor for recurrence. Guidelines recommend following up patients after surgery with thyroglobulin (Tg), neck ultrasonography, and occasionally whole-body radioactive scan. However, the results of serum thyroglobulin and whole-body radioiodine scan are often discordant. The present study was undertaken to determine the levels of serum-stimulated thyroglobulin to complement the findings of residual thyroid tissue in the radioactive whole-body scan. One hundred twenty-six patients had undergone a radi...
Source: Indian Journal of Surgical Oncology - June 8, 2021 Category: Cancer & Oncology Source Type: research

Outcomes of Re-exploration Procedures After Head and Neck Free Flap Reconstruction
This study was conducted to evaluate the outcomes of re-exploration procedures done after head and neck microvascular flap reconstructions. This is a retrospective review of 109 flaps in 106 patients (three patients had two flaps each) that underwent re-exploration procedures in 1001 consecutive free flap surgeries. The outcome was analysed in terms of the type of the flaps, re-exploration rate, flap salvage rate and overall flap success rate. Free radial forearm (RFF) was the commonest flap done (354, 35.3%). One hundred nine flaps underwent re-exploration procedures in 106 patients. Out of this, 79 flaps could be salvage...
Source: Indian Journal of Surgical Oncology - June 8, 2021 Category: Cancer & Oncology Source Type: research

Graduating from Laboratory to Operating Rooms —the Way Forward for Future Surgeons!
AbstractBackgroundChanging healthcare and social scenarios are reducing the learning opportunities of surgical postgraduates in our country. Majority of surgical training centers in the developed world use laboratory training as an integral part of their curricula. However, in India, most of surgical residents are still trained by traditional apprenticeship model.AimsTo describe the role of laboratory training in improving the competency of surgical postgraduates.Settings and DesignLaboratory dissection was used as an educational intervention for postgraduates in tertiary care teaching hospital.Methods and MaterialThirty-f...
Source: Indian Journal of Surgical Oncology - June 5, 2021 Category: Cancer & Oncology Source Type: research

A Novel “Work from Home Setup” for Telepathology Second Opinion of Oral Lesions
AbstractThe advent of smartphones with high-resolution cameras has opened up new possibilities in the field of telepathology for a second opinion especially in the COVID-19 era. The aim of this study was to  evaluate the intraobserver concordance of a novel “work from home setup” with conventional microscopy diagnosis taken as the gold standard. A total of 90 cases of oral biopsies diagnosed by one pathologist were photographed with a smartphone camera. The static images were transferred via Googl e Drive and viewed on a 40-inch LED television screen connected by an HDMI cable to a laptop by the same patho...
Source: Indian Journal of Surgical Oncology - June 5, 2021 Category: Cancer & Oncology Source Type: research

Impact of Surgery on Extramammary Paget ’s Disease Vulva: a Case Series
We report here a series of 7 cases of Paget’s disease vulva treated by primary surgery. The series highlights some of the challenges in the diagnosis and management of Paget’s disease vulva. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - June 5, 2021 Category: Cancer & Oncology Source Type: research

Parathyroid Carcinoma: a Review
AbstractParathyroid cancer is a rare endocrine malignancy with only a few thousand cases reported worldwide. As a result, there exists considerable controversy regarding the various aspects of this disease, viz., etiology, diagnosis, and management. We hereby attempt to review the literature on parathyroid carcinoma (PC) and summarize the practices based on the current evidence available. The majority of the PC are sporadic although an association with hyperparathyroidism-jaw tumor syndrome, multiple endocrine neoplasia (MEN) 1 and 2, and isolated familial hyperparathyroidism has been shown. As preoperative diagnosis is ch...
Source: Indian Journal of Surgical Oncology - June 3, 2021 Category: Cancer & Oncology Source Type: research

Expression Levels of Il-6 and Il-18 in Acute Myeloid Leukemia and Its Relation with Response to Therapy and Acute GvHD After Bone Marrow Transplantation
AbstractCytokines seem to play a crucial role in physiological and pathological conditions of acute myeloid leukemia (AML). The aim of this study was to evaluate the expression levels of interleukins-6 (IL-6) and IL-18 in patients with AML and its correlation with response to therapy and graft versus host disease (GvHD) after bone marrow transplantation. The expression levels of IL-6 and IL-18 genes were done in all patients and compared with matched control. Complete remission (CR) was used for evaluation of the effects of these cytokines on response to treatment in patients group. The expression level of these cytokines ...
Source: Indian Journal of Surgical Oncology - May 31, 2021 Category: Cancer & Oncology Source Type: research

A Prospective Single Centre Study of Preoperative Blood Ordering Versus Actual Usage Among Patients Undergoing Elective Curative Oncological Resections in a Tertiary Care Hospital in India
This study was a prospective, observational study aimed to look at the preoperative ordering schedule, pattern of usage of blood products for elective oncological surgeries in order to develop an institutional maximal surgical blood ordering schedule (MSBOS) in a tertiary university setting teaching Hospital. All biopsy proven, consenting, cancer patients of age 18 to 80  years who underwent elective curative cancer surgery over a period of 1 year were included. Various details such as nature of procedure, preoperative haemoglobin, intraoperative blood loss, duration of surgery, and number of units cross-matched ...
Source: Indian Journal of Surgical Oncology - May 29, 2021 Category: Cancer & Oncology Source Type: research

Does Preoperative Diagnosis Will Change the Treatment Plan of Clear Cell Carcinoma of Endometrium Masquerading as Desmoid Tumor of Anterior Abdominal Wall?: a Case Report
AbstractClear cell carcinoma (CCC) of the female genital tract can arise in the ovary, endometrium, cervicovaginal region, in peritoneal and other extra pelvic sites. However, CCC involving anterior abdominal wall is a very rare entity. We are reporting a case of 55-year-old postmenopausal lady with ECOG PS-I with no comorbidity had history of cesarean section about 30  years back and presented with pain in abdomen at periumbilical region about 9 months back. She underwent evaluation at outside clinic with finding of an anterior abdominal wall swelling of size approximately 3 × 3 cm which was compl...
Source: Indian Journal of Surgical Oncology - May 26, 2021 Category: Cancer & Oncology Source Type: research

Desk of the editor (Addendum Vol.12 Issue 1 E)
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 22, 2021 Category: Cancer & Oncology Source Type: research

Editorial
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 22, 2021 Category: Cancer & Oncology Source Type: research

Technical Considerations and Outcome Analysis of Using Extended Bipaddle Pectoralis Major Myocutaneous Flaps for Reconstructions of Large and Complex Oral Cavity Defects: Expanding the Horizons
AbstractReconstruction of large and complex defects arising from resection of advanced oral cancers requires free flaps or multi-staged reconstructions using a combination of pedicled flaps. Bipaddle (pectoralis major myocutaneous (PMMC) flap is a good alternative for reconstruction of such defects, especially in low-middle –income countries (LMIC). However, care should be taken while expanding its limits to avoid unnecessary morbidity. We discuss technical considerations while extending the PMMC flap design beyond the usual boundaries and analyse surgical and quality of life (QOL) outcomes in our patients with large...
Source: Indian Journal of Surgical Oncology - May 20, 2021 Category: Cancer & Oncology Source Type: research

Surgical Management of Locoregional Recurrence in Breast Cancer
AbstractLocoregional recurrences from breast cancer represent a heterogeneous group of disease that poses a therapeutic challenge and needs a multidisciplinary team management. The incidence of local recurrence after breast conservation surgery ranges from 10 to 22% and 5 –15% after mastectomy at 10-year follow-up. Management of locoregional recurrence depends on tumor biology, stage at presentation, and prior local and systemic therapy. With improvements in diagnostic, pathological, and surgical techniques, radiation and systemic therapy approach, outcomes in thes e patients have improved. In this review, we discuss...
Source: Indian Journal of Surgical Oncology - May 20, 2021 Category: Cancer & Oncology Source Type: research

Primary Peritoneal Rhabdomyosarcomatosis in a 2-Year-Old Child Treated with Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy — Case Report and Review of Literature
We present a case of primary peritoneal embryonal rhabdomyosarcoma in a 2-year-old child who was treated with systemic chemotherapy, cytoreductive surgery, and hyperthermic intraperitoneal chemotherapy while avoiding radiation, with its evidence and rationale. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 19, 2021 Category: Cancer & Oncology Source Type: research

Correction to: An Initial Experience of Shoulder Resections and Reconstruction for Bone Tumours from a Cancer Centre in North-East India
A Correction to this paper has been published:https://doi.org/10.1007/s13193-021-01344-2 (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 19, 2021 Category: Cancer & Oncology Source Type: research

Multicentric Giant Cell Tumor of Bone: Metachronous Presentation —a Case Report
We present a case of a 35-year-old male patient, who suffered from multicentric metach ronous GCT, which involved the radius, humerus, femur, and pelvic with pulmonary metastasis. Local control by multiple resections of the tumor and chemotherapy for pulmonary metastases was able to control the disease with long-term survival and good functional outcome. These tumors had a typical rad iological appearance and the diagnosis was confirmed on histopathology. Long follow-up needed in this case in view the illness occurs for long period. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 17, 2021 Category: Cancer & Oncology Source Type: research

Pre-Anesthesia Re-Evaluation in Post COVID-19 Patients Posted for Elective Surgeries: an Online, Cross-Sectional Survey.
AbstractMultiple studies have reported the increased risk of pulmonary complications and mortality in patients undergoing surgery with perioperative COVID-19 infection. With several reports of long-term sequelae in patients recovered from COVID-19 infection, this survey was conducted to collect the opinions of anesthesiologists regarding modifications to pre-anesthesia checkup (PAC) when COVID-19 survivors are posted for elective surgeries. We designed, validated and distributed a detailed online questionnaire, about various modifications in PAC in different patient populations like asymptomatic patients, patients with mil...
Source: Indian Journal of Surgical Oncology - May 17, 2021 Category: Cancer & Oncology Source Type: research

Pedicled Flap vs. Free Flap Reconstruction in Head and Neck Cancers: Clinical Outcome Analysis from a Single Surgical Team
AbstractHead and neck cancers are one of the leading causes of morbidity and mortality in Indian population. Reconstruction and restoration of function are also of paramount importance in these patients. The aim of this study was to report outcomes for free flaps and pedicle flaps in patients with oral cavity cancers. A retrospective analysis of 628 patients with oral cavity cancers who underwent reconstruction with either free flaps or pedicle flaps during 2014 –2020 was done. The median age of the cohort was 49 years. The free flap reconstruction was performed in 481 (76%) and pedicle flap in 147 (24%) patient...
Source: Indian Journal of Surgical Oncology - May 17, 2021 Category: Cancer & Oncology Source Type: research

Evaluation of Upper Urinary Tract Integrity After Radical Cystectomy and Orthotopic Diversion with Ileal and Sigmoid Neobladder
AbstractThe study aims to evaluate the effects of orthotopic urinary diversion using ileal and sigmoid segments after radical cystectomy on upper urinary tract function and morphology. A retrospective study included 60 patients divided into 2 equal groups (W-ileal pouch group and sigmoid pouch group). We assessed renal function and morphology post-operative after 6  months and after 1 year by serum creatinine, ultrasound, IVP, pouchogram, and renal scan study. After 6 months post-operatively, in the W-ileal group, there were 16 renal units (26.6%) deteriorated in morphology and 11 renal units (18.4%) deterio...
Source: Indian Journal of Surgical Oncology - May 17, 2021 Category: Cancer & Oncology Source Type: research

Seeing Is Not Believing: Intraoperative Nerve Monitoring (IONM) in the Thyroid Surgery
This article inspects the true usefulness of IONM, elaborates on the optimal way to practice it, and presents a critical literature review. (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 17, 2021 Category: Cancer & Oncology Source Type: research

Digital Breast Tomosynthesis: an Overview
AbstractBreast cancer is emerging as the most common malignancy in Indian women. Mammography is one of the few screening modalities available to the modern world that has proved itself of much use by aiding early detection and treatment of non-palpable, node-negative breast cancers. However, due to its two-dimensional nature, many cases of malignancies are still missed, to be detected at a later date or by an alternate modality. In 2011, FDA approved the supplemental use of digital breast tomosynthesis (DBT) in screening and diagnostic set ups. The acquisition of multiple low-dose projection images of the compressed parenc...
Source: Indian Journal of Surgical Oncology - May 15, 2021 Category: Cancer & Oncology Source Type: research

Review of the autobiography book: Memoirs of a Surgeon Beyond Incisions, Blood, & amp; Sweat by Prof. Shashanka Mohan Bose.
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 14, 2021 Category: Cancer & Oncology Source Type: research

COVID-19 Stage Migration (CSM): a New Phenomenon in Oncology?
AbstractThe current COVID-19 pandemic has led to severe disruptions in health care delivery for cancer patients. These interruptions in cancer care delivery  may have an unknown effect on cancer outcomes at the individual and population level. These yet to be known variations in individual and population-level cancer outcomes resulting from COVID-19 related interruptions in care can be labeled as COVID-19 Stage Migration (CSM). (Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 12, 2021 Category: Cancer & Oncology Source Type: research

Hand Rule of 5 for a Robust Gastric Conduit in Minimal Access Onco-Surgery
(Source: Indian Journal of Surgical Oncology)
Source: Indian Journal of Surgical Oncology - May 10, 2021 Category: Cancer & Oncology Source Type: research