2篇
您的检索式：作者名="Heekyoung Song"
|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Intra and extra pelvic multidisciplinary surgical approach of retroperitoneal sarcoma:Case series report显示文摘BACKGROUND Retroperitoneal sarcoma(RPS) is a rare malignancy arising from mesenchymal cells that most commonly presents as an abdominal mass and is associated with poor prognosis.Although several studies have assessed the survival benefits of wide excision,few have reported detailed methods for achieving wide excision in patients with RPS.AIM To describe our experience with multidisciplinary surgical resection of RPS using intra-and extra-pelvic approaches.METHODS Multidisciplinary surgery is an anatomical approach that combines intra-and extra-peritoneal access within the same surgery to achieve complete RPS removal.This retrospective review of the records of patients who underwent multidisciplinary surgery for RPS analyzed surgical and survival outcomes.RESULTS Eight patients underwent 10 intra-and extra-pelvic surgical resections,and their median mass size was 12.75 cm(range,6-45.5 cm).Using an intrapelvic approach,laparoscopy-assisted surgery was performed in four cases and laparotomy surgery in six.Using an extrapelvic approach,ilioinguinal and posterior approaches were used in four cases each,and the prone position and midline skin incision were shared in one.All patients’ RPS masses were removed completely,and four achieved R0 resection through intra-and extra-pelvic surgery.The median estimated blood loss was 2000 m L(range,300-20000 m L) and the median hospitalization was 12.6 d(range,9-69 d).Reoperation was needed in two patients(one for wound necrosis and the other for bowel perforation and wound necrosis).The median overall survival rate and median progression-free survival were 64.6 and 13.7 mo,respectively.CONCLUSION RPS is therapeutically challenging because of its location and high risk of recurrence.Therefore,intra-and extra-pelvic surgical approaches can improve the macroscopic security of the surgical margin. | Heekyoung Song Jung Hwan Ahn Yuyeon Jung Jae Yeon Woo Jimin Cha Yang-Guk Chung Keun Ho Lee | 2022 | World Journal of Clinical Cases2022，10，27： | 0 |
| 2 | Recurrent atypical leiomyoma in bladder trigone,confused with uterine fibroids:A case report显示文摘BACKGROUND Tumors originating from the posterior bladder wall can be challenging to diagnose because they may mimic a mass from the uterine cervix.Atypical leiomyoma of the bladder trigone is extremely rare,with few reported cases,and requires caution during surgery to avoid damage to the adjacent ureter.Diagnostic surgery and confirmational pathology are essential to assess whether the tumor is malignant and relieve clinical symptoms.Herein,we describe a case of recurrent leiomyoma with focal atypia in the bladder trigone.CASE SUMMARY A 29-year-old woman with a uterine fibroid incidentally found at a regular checkup was referred to our hospital.Based on magnetic resonance imaging,either urinary bladder leiomyoma or protrusion of pedunculated uterine cervical fibroid into the bladder was suspected.This leiomyoma in the trigone of the bladder was completely excised by laparotomy,and the patient was discharged without complication.Follow-up outpatient ultrasonography identified tumor recurrence after four years.As focal atypia was identified previously,laparotomy was performed to confirm the pathology.A round solid mass was resected from the posterior bladder wall without injuring either ureteric orifice.This tumor was pathologically diagnosed as a leiomyoma without atypia.Three-year follow-up ultrasonography has revealed no recurrence.CONCLUSION Atypical leiomyoma in bladder trigone is rare and could be easily mistaken for fibroid in the uterine cervix.To confirm histopathology,surgical excision is mandatory and regular follow-up is necessary to detect recurrence. | Jeonghwa Song Heekyoung Song Yong-Wook Kim | 2022 | World Journal of Clinical Cases2022，10，29： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员