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Evaluating the efficacy of the endoscopic thyroidectomy via sternocleidomastoid muscle posteroinferior approach in identifying occult lateral cervical lymph node metastasis.
Gland Surg
November 2024
Department of Thyroid Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Background: Lateral cervical lymph node metastasis (LLNM) is a well-established prognostic factor influencing recurrence and survival in patients with papillary thyroid carcinoma (PTC). However, the accuracy of preoperative imaging examinations is limited. We have pioneered a minimally invasive technique-endoscopic thyroidectomy via sternocleidomastoid muscle posteroinferior approach (ETSPIA).
View Article and Find Full Text PDFIs conservative treatment always safe in unifocal clinically T1a/node-negative papillary thyroid carcinoma?
World J Surg
January 2025
UOC Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Article Synopsis
- Management of unifocal node-negative papillary thyroid carcinoma (PTMC) under 1 cm is debated, with nonsurgical options like active surveillance possibly insufficient for assessing aggressive traits or hidden lymph node metastases.
- Out of 4216 thyroidectomies for malignancy, 203 patients underwent thyroid lobectomy plus neck dissection, revealing that 37.4% had positive lymph node involvement and biological aggressive features were found in a significant portion of patients.
- The study identified younger age and multifocality as significant risk factors for hidden lymph node metastases, emphasizing that while PTMC is often seen as low-risk, some patients may exhibit aggressive characteristics, making cautious nonsurgical management essential to avoid undertreatment.
Surgical treatment of pancreatic metastases: More appropriate surgical methods based on a clinicopathologic study of 43 patients.
Langenbecks Arch Surg
December 2024
Department of Pathology, Cancer Institute of the Japanese Foundation for Cancer Research (JFCR), 3-10-6 Ariake, Koto-Ku, Tokyo, 135-8558, Japan.
Purpose: There is no established surgical method for metastatic lesion to the pancreas. In the case of relatively small lesion, we often hesitate to select which surgical method, that is, wedge/partial resection or Whipple/distal pancreatectomy. Moreover, it is debatable whether lymph node dissection is necessary or not.
View Article and Find Full Text PDFUnusual Extension of Superficial Spreading Squamous Cell Carcinoma of Cervix to Uterus, Paraovarian, Paratubal Tissue, and Vaginal Surface: A Unique Case Report.
J Midlife Health
October 2024
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bibinagar, Telangana, India.
Superficial spreading cervical squamous cell carcinoma (SCC) is a rare phenomenon with few cases reported in the literature. The present case report briefs the findings of superficial spreading cervical SCC in postmenopausal women. A 65-year-old postmenopausal woman presented with bleeding per-vaginum for 1-2 months.
View Article and Find Full Text PDFSebaceous carcinoma of the back: a case report and literature review.
J Med Case Rep
November 2024
Department of Surgery, School of Medicine, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá D.C., Colombia.
Article Synopsis
- Extra ocular sebaceous carcinoma is a rare and aggressive tumor that arises from sebaceous glands, accounting for about 25% of sebaceous carcinomas, and is often challenging to diagnose due to its atypical appearance.
- A 69-year-old woman was diagnosed with a sebaceous carcinoma on her back, which presented as a large, ulcerated lesion, and was confirmed through a biopsy; she underwent surgical excision and sentinel lymph node biopsy.
- This case highlights that sebaceous carcinoma can appear in unusual locations, such as the back, and underscores the importance of surgical intervention as the primary treatment method, while noting that sentinel lymph node biopsy may be a less invasive alternative for staging.
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