Publications by authors named "Tat-Hang Sin"

Article Synopsis
  • Breast cancer, especially the HER2-overexpressing subtype, has a high mortality rate and poses significant treatment challenges due to its correlation with low survival rates.
  • A 54-year-old woman with stage IIIB breast cancer underwent neoadjuvant chemotherapy, leading to a tumor size reduction that allowed her to have a modified radical mastectomy, achieving a pathological complete response despite not completing all planned treatments.
  • This case suggests that surgical intervention decisions should prioritize the patient's condition over strict treatment guidelines, and that imaging results after neoadjuvant chemotherapy may not always accurately reflect tumor response.
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Idiopathic granulomatous mastitis (IGM), a recurrent inflammation disease of the non-lactating breast, has had an increasing clinical morbidity rate in recent years, and its complicated symptoms and unclear etiology make it challenging to treat. This rare benign inflammatory breast disease, centered on the lobules, represents the most challenging type of non-puerperal mastitis (NPM), also known as non-lactating mastitis. In this study, patients diagnosed with IGM (M, n = 23) were recruited as cases, and patients with benign control breast disease (C, n = 17) were enrolled as controls.

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Background: Granulomatous lobular mastitis (GLM) is characterized by nonspecific chronic inflammation concentrated in breast lobules. Surgical resection is one of the most common treatment options for GLM. On the basis of our previous use of Breast Dermo-Glandular Flap (BDGF), we designed a new surgical approach for GLM, especially for cases where the focus is close to the nipple.

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Background: Gout is a common and debilitating condition that is associated with significant morbidity and mortality. Despite advances in medical treatment, the global burden of gout continues to increase, particularly in high-sociodemographic index (SDI) regions.

Objective: To address the aforementioned issue, we used age-period-cohort (APC) modeling to analyze global trends in gout incidence and prevalence from 1990 to 2019.

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Tendon impairment is a common injury associated with impairment of range of motion and pain. Currently, evidence has confirmed that natural herbs contribute to orthopedics and have shown excellent results in the clinical management of tendon impairment. Shujin Huoxue tablet (SHT) and its complex prescriptions are regularly used in tendon rupture therapy with positive results.

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Purpose: Treatment of chronic ankle instability (CAI) for ankle sprain patients remains a challenge. If initial treatments fail, surgical stabilization techniques including ligament reconstruction should be performed. Anterior tibiofibular ligament (ATiFL) distal fascicle transfer for CAI was recently introduced.

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Article Synopsis
  • A meta-analysis was conducted to compare clinical and radiological outcomes between full-endoscopic (FE) and microscopic (MI) lumbar decompression laminectomy for treating lumbar spinal stenosis (LSS), using data from 2008 to 2020 across 10 studies with 1,727 patients.
  • The results showed that FE had better pain control after surgery, with significantly lower visual analogue scale (VAS) scores for both back and leg pain in the immediate postoperative period compared to MI, as well as lower Oswestry Disability Index (ODI) scores, indicating less disability.
  • Over time, while MI showed better outcomes than FE at 6 months, FE ultimately provided better pain relief at 12 months, suggesting it may
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To determine the outcome and differences between arthroscopic hip surgery and conservative therapy in patients suffering from femoroacetabular impingement syndrome, we searched articles from PubMed, Embase, Cochrane, Web of Science and Clinicaltrials.gov using a Boolean search algorithm. Only randomized controlled trials comparing arthroscopic hip surgery and conservative therapy were included in this meta-analysis of femoroacetabular impingement syndrome management.

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Background: Virtual reality (VR) simulators have become widespread tools for training medical students and residents in medical schools. Students using VR simulators are provided with a 3D human model to observe the details by using multiple senses and they can participate in an environment that is similar to reality.

Objective: The aim of this study was to promote a new approach consisting of a shared and independent study platform for medical orthopedic students, to compare traditional tendon repair training with VR simulation of tendon repair, and to evaluate future applications of VR simulation in the academic medical field.

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Background: Warfarin is the standard of care and NOAC (Novel oral anticoagulants) are a group of newer drugs for such purposes. NOAC has a generally better profile (Clear interaction, less side effect, require less monitoring). However, its efficacy on valvular atrial fibrillation remains unclear.

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