Publications by authors named "C Hirche"

Background: Malignant tumors release growth factors, promoting lymphangiogenesis in primary tumors and draining sentinel lymph nodes, ultimately facilitating lymph node metastasis. As a malignant lymphatic tumor entity, lymphangiosarcomas are characterized by low survival rates and limited treatment options. The transcription factor SOX18 plays a crucial role in both lymphatic endothelial cell differentiation and cancer-induced lymphangiogenesis.

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The high incidence of vascular and lymphatic metastasis is closely associated with poor prognosis and mortality in cancer. Finding effective inhibitors to prevent pathological angiogenesis and lymphangiogenesis relies on appropriate in-vivo models. The chick embryo chorioallantoic membrane (CAM) is a membrane formed by the fusion of the chorion and allantois during embryonic development.

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Background: The articular origin of intraneural ganglion cysts has been previously described and well supported, except for the median nerve at the level of the elbow.

Observations: The authors present a patient with a median intraneural ganglion cyst at the elbow region and magnetic resonance imaging (MRI) evidence of a joint connection to the proximal radioulnar joint. A 63-year-old man presented with thumb flexion weakness and dysesthesias in the thumb, index, and middle fingers.

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Article Synopsis
  • - Autologous postmastectomy breast reconstruction shows better long-term clinical outcomes and patient satisfaction compared to implant-based methods, but adjuvant radiotherapy has often been seen as a barrier to immediate reconstruction.
  • - Recent advancements in postmastectomy radiotherapy (PMRT) have reduced complications, yet plastic surgeons remain cautious about offering immediate flap-based reconstruction to patients requiring radiotherapy.
  • - At a recent workshop, experts concluded that PMRT should not be viewed as a deterrent to immediate autologous reconstruction, emphasizing goals like symmetry, softness, and skin preservation in the reconstruction process.
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Background: Lymphedema microsurgery is an emerging treatment modality, with dissimilar long-term outcomes. One of the main technical challenges in lymphatic microsurgery is the identification and availability of suitable donor vessels for anastomosis. Tissue engineering using biomaterials has demonstrated promise in addressing vessel quality issues in other fields, but its application in microsurgery is still limited.

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