M. Catarci, S. Ghinassi, A. Cintio, L. Montemurro, L. Pinnarelli, L. Leone, G. Longo, G. Grassi
{"title":"Implementation and Early Results of Extended Lymph Node Dissection for Gastric Cancer in a Non-Specialized Western Center§~!2010-02-19~!2010-03-03~!2010-04-21~!","authors":"M. Catarci, S. Ghinassi, A. Cintio, L. Montemurro, L. Pinnarelli, L. Leone, G. Longo, G. Grassi","doi":"10.2174/1876504101002010004","DOIUrl":"https://doi.org/10.2174/1876504101002010004","url":null,"abstract":"Background: The optimal degree of lymph node dissection for gastric cancer is still matter of debate. Particularly, there are serious doubts about the reproducibility of extended lymph node dissection in western surgical units, and no studies to date have investigated factors influencing early results (mortality, major morbidity and reoperation rates) during the learning curve. Methods: Univariate and multivariate analysis of 19 variables on a prospective series of 313 consecutive resections for gastric cancer performed by ten different surgeons. Endpoints were mortality, major morbidity and reoperation rates, calculated within 60 days form the operation. Results: Early results were all independently influenced by the presence of comorbidities alone. ASA status III-IV vs I-II determined a higher operative mortality rate (11.9% vs 0.5%; Odds Ratio 12.3; 95% c.i. 1.53 to 98.1; p .018), a higher major morbidity rate (39.7% vs 16.6%; Odds Ratio 2.71; 95% c.i. 1.51 to 4.88; p .0008) and a higher reoperation rate (9.5% vs 2.1%; Odds Ratio 4.81; 95% c.i. 1.51 to 15.3; p .008). Conclusions: Extended lymph node dissection can be safely implemented into the clinical practice of a non-dedicated western institution by providing adequate coaching from more expert surgeons. This implementation protocol led to acceptable rates of operative morbi-mortality, independently influenced only by the comorbidity status.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"116 1","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2010-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68143178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milton V Marshall, John C Rasmussen, I-Chih Tan, Melissa B Aldrich, Kristen E Adams, Xuejuan Wang, Caroline E Fife, Erik A Maus, Latisha A Smith, Eva M Sevick-Muraca
{"title":"Near-Infrared Fluorescence Imaging in Humans with Indocyanine Green: A Review and Update.","authors":"Milton V Marshall, John C Rasmussen, I-Chih Tan, Melissa B Aldrich, Kristen E Adams, Xuejuan Wang, Caroline E Fife, Erik A Maus, Latisha A Smith, Eva M Sevick-Muraca","doi":"10.2174/1876504101002010012","DOIUrl":"10.2174/1876504101002010012","url":null,"abstract":"<p><p>Near-infrared (NIR) fluorescence imaging clinical studies have been reported in the literature with six different devices that employ various doses of indocyanine green (ICG) as a non-specific contrast agent. To date, clinical applications range from (i) angiography, intraoperative assessment of vessel patency, and tumor/metastasis delineation following intravenous administration of ICG, and (ii) imaging lymphatic architecture and function following subcutaneous and intradermal ICG administration. In the latter case, NIR fluorescence imaging may enable new discoveries associated with lymphatic function due to (i) a unique niche that is not met by any other conventional imaging technology and (ii) its exquisite sensitivity enabling high spatial and temporal resolution. Herein, we (i) review the basics of clinical NIR fluorescence imaging, (ii) survey the literature on clinical application of investigational devices using ICG fluorescent contrast, (iii) provide an update of non-invasive dynamic lymphatic imaging conducted with our FDPM device, and finally, (iv) comment on the future NIR fluorescence imaging for non-invasive and intraoperative use given recent demonstrations showing capabilities for imaging following microdose administration of contrast agent.</p>","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"2 2","pages":"12-25"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424734/pdf/nihms219991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30858985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low-Grade Extranodal Marginal Zone B Cell Lymphoma of Malt in the Kidney","authors":"Y. Jeon, J. Ku","doi":"10.2174/1876504100901010012","DOIUrl":"https://doi.org/10.2174/1876504100901010012","url":null,"abstract":"Primary renal lymphomas are very rare since renal involvement by the disease is most often a manifestation of disseminated disease. We report an 88-year-old man with low-grade extranodal marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (MALT) (MALT lymphoma) arising in the kidney. After the workup, the patient was thought to have renal cell carcinoma and underwent partial nephrectomy. The pathologic evaluation showed a MALT lymphoma. No additional treatment was given, and the patient was disease free during the follow-up.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"1 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2009-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68142748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. V. Johnson, A. Osunkoya, K. Delman, D. Baumgarten, V. Master
{"title":"Novel Case of Metastatic Testicular Immature Teratoma Invading the Duodenum","authors":"T. V. Johnson, A. Osunkoya, K. Delman, D. Baumgarten, V. Master","doi":"10.2174/1876504100901010016","DOIUrl":"https://doi.org/10.2174/1876504100901010016","url":null,"abstract":"We present the first report of an immature teratoma arising from a germ cell testicular cancer invading the duodenum. While other seminomatous and non-seminomatous germ cell tumors are known to metastasize to the duodenum, this is the first such case involving an immature teratoma directly invading the duodenum from a metastatic retroperitoneal mass.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"1 1","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2009-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68143088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kulkarni, Vijay Ramachandran, N. Dash, S. Pal, P. Sahni, T. Chattopadhyay
{"title":"Isolated Scapular Metastasis in a Patient with Gallbladder Carcinoma: Case Report","authors":"M. Kulkarni, Vijay Ramachandran, N. Dash, S. Pal, P. Sahni, T. Chattopadhyay","doi":"10.2174/1876504100901010010","DOIUrl":"https://doi.org/10.2174/1876504100901010010","url":null,"abstract":"Carcinoma of the gallbladder is considered a disease with grim prognosis owing to frequent locoregional recurrence despite surgery and poor disease specific and overall survival. It can spread directly, transperitoneally as well as via lymphatics, vessels and nerves. Distant spread to almost every organ is described and indicates a very late stage in the course of disease. Hence, evaluation for distant spread is not routinely considered if the disease is confined to locoregional area. We report a case of apparently locally confined Carcinoma gallbladder which manifested with osseous metastasis.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"1 1","pages":"10-11"},"PeriodicalIF":0.0,"publicationDate":"2009-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68142737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retroperitoneal Tumour Masquerading as Mesenchymal Neoplasm of the Liver","authors":"Vijay Ramachandran, G. Ramesh, B. Vydehi","doi":"10.2174/1876504100901010008","DOIUrl":"https://doi.org/10.2174/1876504100901010008","url":null,"abstract":"Retroperitoneal tumours usually attain large size until they present with symptoms of lump in the abdomen or with features of adjacent organ involvement. Occasionally, by virtue of their location, they may mimic pathologies of organs in their vicinity. We report a case of Retroperitoneal Leiomyosarcoma which masqueraded as Primary Liver Schwannoma.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"1 1","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2009-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68142727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Qiang, H. Shinchi, H. Kurahara, Yuko Mataki, K. Maemura, S. Natsugoe, S. Takao
{"title":"CD44 and CD133 Expressions in Primary Tumor Cells Correlate to Survival of Pancreatic Cancer Patients","authors":"S. Qiang, H. Shinchi, H. Kurahara, Yuko Mataki, K. Maemura, S. Natsugoe, S. Takao","doi":"10.2174/1876504100901010001","DOIUrl":"https://doi.org/10.2174/1876504100901010001","url":null,"abstract":"Background: Recent studies have suggested that CD44 and/or CD133 expressing pancreatic cancer cells have potential abilities of self-renewal, tumorigenesis and tumor metastasis. The aim of this study was to investigate whether CD44 and CD133 expressions in primary tumor cells correlate to the survival and clinicopathological findings of pancre- atic cancer patients. Methods: Pancreatic head carcinoma specimens from 80 patients who underwent surgical resection were immunohisto- chemically assessed for CD44 and CD133 expressions. Results: Of the 80 specimens, 34 (42.5 %) and 48 (60%) specimens were immunohistochemically positive for CD44 and CD133 expression, respectively. CD44 was expressed on the cell surface and CD133 expression was observed in the cy- toplasm of the positive cells, which were located at the peripheral adenocarcinoma glandular structures. There was no sig- nificant difference in the 5-year survival rate of patients based on CD44 expression, but the 5-year survival rate of CD133-positive patients was significantly lower than that of CD133-negative patients (P = 0.0002). Multivariate analysis revealed that CD44-positive and CD133-negative expression was a favorable prognostic indicator (P = 0.0424). Conclusions: CD44 and CD133 expressions are association with survival and malignant behavior in pancreatic cancer pa- tients.","PeriodicalId":89705,"journal":{"name":"Open surgical oncology journal (Online)","volume":"1 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2009-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68143225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}