Surgical Oncology

Correction to: Desk of the Editor Vol. 9 Issue 4 Due to an unfortunate error in the email address of the corresponding author, this correction paper is being published.

Donut Mastopexy Lumpectomy Abstract Advancements in oncoplastic techniques have enhanced commitment to restore shape and, hence, has improved cosmetic outcomes. Donut mastopexy lumpectomy is one such technique and is best utilized in a setting of a malignancy not extending to the skin or the nipple-areolar complex. As a potential alternative to standard lumpectomy, it has many advantages including restriction of scar to the periareolar region, ease and rapidity of surgery, retention of nipple-areolar sensation, and the possibility of performing augmentation mammoplasty. A mini breast lift is also provided without ugly and visible scars. This report provides an insight into the technical details and utility of donut mastopexy lumpectomy (DML) in breast oncoplasty.

Correction to: Assessment Awareness of Public About Breast Cancer and its Screening Measurements in Asir Region, KSA With the author(s)' decision to step back from Open Choice, the copyright of the article changed on April 2019 to © Indian Association of Surgical Oncology 2019 and the article is forthwith distributed under the terms of copyright.

Isolated Midbrain Metastasis from Breast Cancer: a Classic Spotter Diagnosis Abstract Isolated midbrain metastasis from breast cancer is a rare occurrence. We present a classical clinical image of a woman who presented with breast cancer with synchronous isolated midbrain metastasis.

A Leiomyosarcoma of Inferior Vena Cava Presenting as a Liver Metastasis Mass in a Patient with History of Transitional Cell Carcinoma Abstract The most probable diagnosis for a newly detected mass in the cancer patients is secondary metastasis. However, the multiple primary tumors should not be off the table of diagnoses. In this study, a 70-year-old man with the history of transitional cell carcinoma (TCC) was reported who had been referred due to a newly detected mass in the hepatic segment one which adhered to the inferior vena cava (IVC). Although the most probable diagnosis according to the patient's medical history was secondary metastasis, the biopsy revealed a leiomyosarcoma (LMS) tumor. Therefore, a mass biopsy can be determinative for confirming the diagnosis and further management of cancer patients with a newly detected mass.

Primary Malignant Peripheral Nerve Sheath Tumor of the Trachea: a Case Report with Brief Review of Literature Abstract Malignant schwannoma, also called malignant peripheral nerve sheath tumor (MPNST), is a rare and aggressive tumor arising from the nerve sheath. We describe a rare case of endotracheal malignant peripheral nerve sheath tumor occurring in a middle-aged male who presented with asthma-like symptoms for 6 months with progressively increasing dyspnea. A computed tomogram (CT) scan of the thorax revealed near complete luminal obstruction of the trachea by a mass lesion at the level of the second and third tracheal rings. Microlaryngotracheoscopy revealed a fleshy pedunculated growth arising from the left side of the second and third tracheal rings and obliterating almost the entire tracheal lumen. Intraluminal complete excision of the mass was done. Later, he underwent excision of the 2nd and 3rd rings after the histopathology revealed MPNST. Patient after 28 months of follow-up is free of disease.

Late Presentation of Chronic-Organised Biloma Masquerading as Gallbladder Fossa Mass Years After Cholecystectomy: a Diagnostic Enigma

Papillary Carcinoma in Thyroglossal Cyst: an Unusual Case Abstract Malignancy developing in thyroglossal cysts is very rare. Papillary carcinoma is the most common histopathological type of carcinoma encountered in thyroglossal cysts followed by squamous cell carcinoma. A 50-year-old male presented with a midline neck swelling. After ultrasonography and fine needle aspiration cytology, he underwent Sistrunk operation for removal of the thyroglossal cyst. The histopathology was reported as papillary carcinoma of the thyroid. So, he underwent total thyroidectomy, which showed foci of papillary microcarcinoma. Clinical awareness of this rare condition is essential for proper management. Possibility of malignancy arising in thyroglossal cysts should be considered in elderly patients.

Laparoscopic Ovarian Transposition in Rectal Cancer: More than Just Oncological Outcomes Abstract Locally advanced rectal cancer (LARC) is treated with neoadjuvant chemoradiotherapy which down stages tumor and improves complete resection rates thus reducing local recurrences. Pelvic radiotherapy improves oncological outcomes; however, it is associated with ovarian irradiation and premature menopause. This has a consequence to fertility and hormone preservation in young women diagnosed with locally advanced rectal cancer. Laparoscopic ovarian transposition is an established method to preserve ovarian function. This review discusses the technique, indications, and limitations of laparoscopic ovarian transposition in young women requiring pelvic radiotherapy.

Swallowing Skills and Aspiration Risk Following Treatment of Head and Neck Cancers Abstract Surgical resection and chemoradiation are common modalities of treatment in head and neck cancers. Dysphagia is one of the common complications following these interventions. The severity of dysphagia depends on various factors, site and extent of resection, and radiation therapy to highlight a few. Thirty-five head and neck cancer patients treated with surgical and/or chemoradiation were assessed for parameters of swallowing. Extent of resection was statistically associated with swallowing symptoms phase wise. The results revealed a strong association between the presence of aspiration with resection of the tongue base and radiation therapy (p < 0.01). Oral preparatory and oral phase abnormalities were present in all the cases with varying severity especially in cases where the mandible and body of tongue were compromised (p < 0.05). These findings provide a specific profile which has high clinical utility.

ALEXANDROS SFAKIANAKIS ANAPAFSEOS 5 AGIOS NIKOLAOS CRETE 72100 GREECE +306932607174 +302841026182