Publications by authors named "Paul B Heller"
Gynecol Oncol
February 2015
Article Synopsis
- The study investigates the risk of hidden cancers in uterine fibroid patients undergoing minimally invasive hysterectomy with morcellation, a technique that breaks the uterus into smaller pieces for removal.
- Ten cases of malignancies were found, with an overall risk of 0.73% for occult cancer in morcellated specimens, particularly noting higher incidences of certain types of cancers like leiomyosarcoma.
- The research highlights that morcellated malignancies were significantly heavier than benign cases, suggesting a need for further analysis on when morcellation may be beneficial versus harmful in surgical procedures.
Gynecol Oncol
November 2014
Article Synopsis
- Lymphadenectomy's role in endometrial cancer (EC) staging is debated, and sentinel lymph node detection via robotic techniques aims to improve patient outcomes and reduce risks associated with full dissections.
- A study reviewed 120 EC patients who received robotic sentinel lymph node detection (RSLND) after injecting methylene blue, assessing the effectiveness of this method and its accuracy in identifying lymph nodes.
- Results showed that 86% of patients had at least one sentinel lymph node detected, with 8% testing positive for cancer; using advanced immunohistochemistry techniques greatly enhanced the identification of positive nodes compared to standard methods.
