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Total Pelvic Exenteration with Presacral Fascia and Pelvic Musculature Excision for Pelvic Recurrence of Rectal Cancer.
Ann Surg Oncol
January 2025
Division of Colorectal Surgery, Changzheng Hospital, Navy Medical University, Shanghai, China.
Background: Local relapse has not been eradicated even in the era of total mesorectum excision. Although various approaches have been attempted, R0 resection remains the only potentially curative treatment. PATIENT AND METHODS: A 45-year-old woman with a history of laparoscopic abdominoperineal resection was diagnosed with pelvic recurrence 7 months ago.
View Article and Find Full Text PDF[Chinese expert consensus on standardized treatment of presacral cyst (2024 edition)].
Zhonghua Zhong Liu Za Zhi
January 2025
Article Synopsis
- Surgical excision is the main treatment for presacral cysts, but it's challenging due to nearby blood vessels and nerves, which can lead to complications and recurrence if done incorrectly.
- The Chinese Expert Consensus on the Standardized Diagnosis and Treatment of Presacral Cysts (2024 edition) was developed by a team of specialists to address these challenges and improve patient outcomes.
- Key updates in the 2024 consensus include new classifications for cyst anatomy, a focus on protecting sacral nerves during surgery, and clearer surgical approaches for different types of cysts.
Standard or Extended Lymphadenectomy for Muscle-Invasive Bladder Cancer.
N Engl J Med
October 2024
From Baylor College of Medicine (S.P.L.) and the University of Texas M.D. Anderson Cancer Center (A.M.K.), Houston, the University of Texas Health San Antonio (R.S.S.) and CHRISTUS Santa Rosa Medical Center Hospital (I.M.T.), San Antonio, and the University of Texas Southwestern Medical Center, Dallas (A.I.S.) - all in Texas; Stanford University, Stanford (E.S.), Norris Comprehensive Cancer Center, University of Southern California, Los Angeles (S.D., A.S.), and City of Hope Medical Center, Duarte (S.K.P.) - all in California; SWOG Statistics and Data Management Center and Fred Hutchinson Cancer Center - both in Seattle (C.T., M.P.); the Ohio State University, Columbus (K.S.P.); the University of Chicago, Chicago (N.D.S.); McGill University Health Center, Montreal (W.K.); the Bladder Cancer Advocacy Network, SWOG Advocates, Pittsford, NY (R.B.); Oregon Health and Science University, Portland (T.M.K.); the University of Michigan, Ann Arbor (A.A.); the University of Colorado, Aurora (F.G.L.R.); Brigham and Women's Hospital, Boston (A.S.K.); Fox Chase Cancer Center, Philadelphia (D.J.C.); and Oschsner Medical Center, Jefferson, LA (D.J.C.).
Background: Whether extended lymphadenectomy is associated with improved disease-free and overall survival, as compared with standard lymphadenectomy, among patients with localized muscle-invasive bladder cancer undergoing radical cystectomy is unclear.
Methods: We randomly assigned, in a 1:1 ratio, patients with localized muscle-invasive bladder cancer of clinical stage T2 (confined to muscle) to T4a (invading adjacent organs) with two or fewer positive nodes (N0, N1, or N2) to undergo bilateral standard lymphadenectomy (dissection of lymph nodes on both sides of the pelvis) or extended lymphadenectomy involving removal of common iliac, presciatic, and presacral nodes. Randomization was performed during surgery and stratified according to the receipt and type of neoadjuvant chemotherapy, tumor stage (T2 vs.
Mature cystic teratoma mimicking a tailgut cyst in an adolescent female: a case report.
J Surg Case Rep
November 2024
Surgery Department, Darwish Nazal Governmental Hospital, Ministry of Health, Darwish Nazal Hospital St., Qalqileyah 00970, Palestine.
Article Synopsis
- Presacral tumors are rare, especially in children, and can come from different cell types that develop during embryonic growth.
- A case study of a 13-year-old girl showed initial imaging suggested a tailgut cyst, but surgery revealed it was actually a mature cystic teratoma, which is unusual for her age.
- The surgery required careful dissection due to adhesions, and the diagnosis highlights the importance of surgical exploration over just imaging to accurately identify and treat presacral masses.
Castleman's Disease Presenting as an Unusual Pelvic Retroperitoneal Mass.
Cureus
October 2024
General Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Castleman's disease (CD) is characterised by benign lymphoepithelial proliferation and is a peculiar form of angiofollicular lymph node hyperplasia rather than a neoplasm or a hamartoma. CD is broadly classified as unicentric CD (UCD) and multicentric CD. In the unicentric variant, patients have localised disease affecting only a single lymph node or a group of adjacent nodes in a single region, which clinically presents as an enlarging mass without any other significant symptoms.
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