Tall Cell Variant of Invasive Papillary Breast Carcinoma.

Tall cell variant of invasive papillary breast carcinoma is exceedingly rare, with only 30 cases reported in the literature. This report describes a case of a 47-year-old woman who presented to the clinic with bilateral breast masses on a screening mammogram. The patient was lost to follow-up, but she presented again after 4 years when the right breast mass significantly grew in size over several months.

Case Report of Renal Cell Carcinoma Metastasis to the Breast.

Metastases from other primary malignancies to the breast are extremely rare, with an incidence of up to 2%. Renal cell carcinoma (RCC) is known to form micrometastases in unusual organs. This report describes a case of a RCC metastasis to the breast that was identified 20 years after nephrectomy.

Case Report of Histiocytoid Invasive Lobular Carcinoma.

The histiocytoid variant of invasive lobular carcinoma (ILC) is a rare subtype of breast cancer that can be challenging to diagnose and aggressive in nature. It is often diagnosed after the disease has metastasized. This report describes a case of a six-centimeter ILC of the histiocytoid subtype.

Thirteen-Centimeter Breast Lymphoma.

Lymphoma of the breast is a rare diagnosis, accounting for less than 0.5% of all breast malignancies. Presentation is usually similar to that of breast cancer, with a painless palpable mass.

The Revised 2017 MSPE: Better, But Not "Outstanding".

Aim: The medical student performance evaluation (MSPE) is relied on as an objective summary evaluation by surgical program directors. In 2017, an MSPE task force released recommendations for best practice for their format and content. The purpose of this study was to analyze US medical schools' adherence to these guidelines.

Improving Information Transfer during Transitions of Care Standardized Handoffs.

Multiple studies have shown the detrimental effect of miscommunication during transitions of care. The aim of this study is to determine whether a certain method of "sign-out" can improve information transmission and thereby reduce medical errors. Surgical interns underwent a 90-minute training session before starting residency in five previously verified methods of sign-out.

Procalcitonin elevation suggests a septic source.

Procalcitonin is used as a marker for sepsis but there is little known about the correlation of the procalcitonin elevation with the causative organism in sepsis. All patients aged 18 to 80 years who were admitted to the surgery service from June 2010 to May 2012 and who had a procalcitonin drawn were evaluated. Culture data were reviewed to determine the causative organism.

Use of early gastrografin small bowel follow-through in small bowel obstruction management.

Small bowel follow-through (SBFT) is a diagnostic tool commonly used in the management of patients with small bowel obstruction (SBO). This study assessed whether early implementation of Gastrografin SBFT would reduce the time to resolution of the SBO and decrease the time to operative intervention. In this retrospective chart review, 103 patients with the clinical diagnosis of adhesive SBO were evaluated.

Simulating the domain of medical modeling and simulation: the medical modeling and simulation database.

Over the past year the National Center for Collaboration in Medical Modeling and Simulation's (NCCMMS) Medical Modeling and Simulation Database (MMSD) has grown dramatically. There are now over 170,000 entries including current articles and upcoming conference listings. In addition, in the near future, the scope of the NCCMMS website will expand to include an evaluation section where NCCMMS researchers will compile data describing the efficacy and cost efficiency of many commercially available simulators.

Tracking the domain: the medical modeling and simulation database.

To foster awareness of the magnitude and breadth of activity and to foster collaboration among the participants, the National Center for Collaboration in Medical Modeling and Simulation (NCCMMS) has created the Medical Modeling and Simulation Database (MMSD). The MMSD consists of two web-based, searchable compilations: one, the Research Database, that contains bibliographic information on published articles and abstracts (where available) and a second, the Companies and Projects Database, that maintains contact information for research centers, development and application programs, journals and conferences. NCCMMS is developing the MMSD to increase awareness of the breadth of the medical modeling domain and to provide a means of fostering collaboration and bringing like-minded organizations and researchers into more frequent contact with each other, thus speeding advancement of medical modeling and simulation.