Background: In our department, axillary views of the shoulder in trauma patients are not performed on a routine base, but sometimes, they are ordered by the trauma surgeon. We usually perform an anteroposterior view of the shoulder, combined with a posterior and an anterior oblique view of the shoulder in trauma patients. Because the classical described axillary view of the shoulder is sometimes very painful for the patient, especially in patients with humeral fractures, we perform a less painful modified axillary view.
Methods: We now perform the axillary view with the patient standing upright and bending forward and we give a craniocaudal tube inclination between 30 and 45 degrees. Doing so, we also have an "axillary" view on the shoulder, but without harm for the patient. We performed a retrospective study in 103 patients with a modified axillary view and the additional value was checked.
Conclusion: We conclude that the modified axillary view is useful in 30 patients for detection of Hill-Sachs lesions or evaluation for displacement or angulation in proximal humeral fractures.
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http://dx.doi.org/10.1007/s10140-006-0484-x | DOI Listing |
Quant Imaging Med Surg
December 2024
Department of Radiology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
Background: The heterogeneity within breast cancer and its microenvironment are associated with metastasis. Analyzing distinct tumor subregions using habitat analysis and characterizing the tumor microenvironment through radiomics may be valuable for predicting axillary lymph node metastasis (ALNM) in breast cancer. This study aimed to develop and validate a nomogram for predicting ALNM in breast cancer patients by integrating clinicopathological, intra- or peri-tumoral radiomic, and habitat signatures based on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and determine the optimal peritumoral region size for accurate prediction.
View Article and Find Full Text PDFTransl Cancer Res
November 2024
Department of Nuclear Medicine, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, China.
Background: Phyllodes tumors (PTs) are breast neoplasms with varying degrees of malignancy, posing challenges in diagnosis and management. This case report focuses on a rare case of malignant phyllodes tumor of the breast (MPTB) in a 35-year-old woman.
Case Description: This case report presents a complex scenario of a patient with extensive breast abnormalities, including a malignant PT in the left breast, ductal carcinoma in both breasts, with axillary lymph node involvement.
J Thorac Dis
November 2024
Division of Thoracic Surgery, Department of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Background: The standard treatment for thymomatous myasthenia gravis (TMG) patients is thymectomy, whereas its role in non-TMG (NTMG) is still under debate. The objective of this study is to assess myasthenia gravis (MG) outcomes of thymectomy using the uniportal video-assisted thoracoscopic surgery (UVATS) technique for both groups and evaluate the procedure's efficacy and safety.
Methods: We retrospectively collected data from January 2019 to December 2022 at Hospital Kuala Lumpur.
Gland Surg
November 2024
Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Background: Sentinel lymph node biopsy (SNB) using radioisotopes is a standard method for assessing axillary lymph node status in patients with breast cancer. Although preoperative lymphoscintigraphy can estimate the number of sentinel lymph nodes (SNs), multiple radioactive SNs are often identified, even when lymphoscintigraphy reveals only one SN. Importantly, metastases are not always observed in the most radioactive SN (hottest SN).
View Article and Find Full Text PDFKyobu Geka
September 2024
General Thoracic Surgery, Kagoshima University, Kagoshima, Japan.
We introduce a novel approach for reduced-port robotic-assisted thoracoscopic surgery for thoracic neoplasms. Surgery is performed via single- or two-incision. Main incision( 4 cm) is placed on 8th intercostal space on mid-axillary line and second incision, if needed, is placed on 5th intercostal space on anterior axillary line.
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