Correlation of surgical case volume and fellowship training with performance on simulated procedural tasks.

Background: High-volume and fellowship-trained surgeons have superior outcomes. However, in gynecology, a large proportion of cases are performed by low-volume surgeons. Simulation has been shown to be useful in assessing surgical skill and may be a useful tool in hospital credentialing and maintenance of privileges.

Uterine carcinosarcoma.

Purpose Of Review: To summarize the clinical characteristics, epidemiology, and treatment of uterine carcinosarcoma.

Recent Findings: Recent studies have suggested that uterine carcinosarcomas are aggressive neoplasms that carry a poor prognosis even when diagnosed at an early stage. Treatment is typically surgical.

Improvement of long-term survival of colorectal cancer in Japanese-Americans of Hawaii from 1990 to 2001.

Background: To compare the long-term survival of colorectal cancer (CRC) during two 6-year periods using patients with similar characteristics of the same ethnicity in Hawaii.

Methods: A retrospective review of Japanese-American patients in Hawaii with CRC surgically resected and followed more than 5 years in a single institution. Patients were divided into two groups by date that patients had surgery: Group 1; 1990-1995, and Group 2; 1996-2001 (introduction of newer chemotherapy, aggressive surgery for liver metastases including radiofrequency thermal ablation).

A classic case of ITP in a woman presenting with spontaneous bruising.

Idiopathic thrombocytopenic purpura is an autoimmune disorder causing thrombocytopenia. The authors present the case of a patient who presented with spontaneous bruising. A complete blood cell count revealed the patient was severely thrombocytopenic with a platelet count of 4000.