difficulties in laparoscopic retroperitoneal lymph node dissection

... demonstrating bilateral severe pleural effusions and right pleural chest drain insertion In this case, the patient was managed in a conservative fashion However, insertion of an abdominal drain was ... pigtail drainage catheter was inserted under ultrasound guidance on postoperative day 22 into the abdominal cavity, immediately producing 11 litres of chylous fluid Shortly after a drain was inserted, ... remain good once these rare postoperative sequelae are recognized and if treatment is commenced in a timely fashion Abbreviation RPLND, retroperitoneal lymph node dissection Consent Written informed...

Ngày tải lên: 11/08/2014, 14:20

... Wolmark N: Sentinel -lymph- node resection compared with conventional axillary -lymph- node dissection in clinical node- negative patients with breast cancer: overall survival findings from NSABP ... formation included BMI, tumor size, number of involved nodes, total drainage before drain removal and time to drain removal [38] This is the first investigation in an American institution, evaluating ... Costantino JP, Wolmark N, National Surgical Adjuvant Breast and Bowel Project: Technical outcomes of sentinel -lymph- node resection and conventional axillarylymph -node dissection in patients with clinical...

Ngày tải lên: 09/08/2014, 02:20

... N-ratio in minimizing stage migration phenomenon in gastric cancer patients with insufficient number or level of lymph node retrieved: results from a Chinese mono-institutional study in 2159 ... cancer increases with the number of lymph nodes removed [7] Number of patients Lymph nodes Anastomosis Although previous studies have indicated that the lymphnode ratio (LNR), which is defined ... was based on limited lymph node dissection and could lead to an increase in the likelihood of understaging Many studies have indicated that the number of metastatic nodes in patients with radically...

Ngày tải lên: 09/08/2014, 04:21

... helpful in establishing a diagnosis of a regressed testicular germ cell tumor include, apart from the scar formation, intratubular calcifications, lymphoplasmacytic infiltrate, hemosiderincontaining ... compressing the left renal vein Figure Retroperitoneal mass with seminomatous germ cells (hematoxylene-eosine, ×40) and inflammatory areas The neoplastic cells had lymphoplasmacytic and eosinophilic ... cellular infiltrate in primary regressing and non-regressing malignant melanoma J Invest Dermatol 1991, 97:197-202 Lehmann D, Muller H: Analysis of the autoimmune response in an in situ’ carcinoma...

Ngày tải lên: 11/08/2014, 14:20

... immunoglobulins in bovine milk and afferent lymph increase shortly after antigen stimulation [3-5] and injected soluble antigen in tissue has been found to reach the local draining lymph node already ... Veterinaria Scandinavica 2008, 50:26 between nodes in different regions Since a significant function of the lymph node is to provide a meeting place for antigen-cell interactions in the initiation ... the lymph nodes Ig concentrations in milk increased more slowly than in any of the lymph fluids post-infusion, the highest values not being observed until PIH In principal, the Igs in milk are...

Ngày tải lên: 12/08/2014, 18:22

... carcinomas in lymph nodes Chirurg 2000, 71:410-6 24 Rosenberg R, Hoos A, Mueller J, Nekarda H: Impact of cytokeratin-20 and carcinoembryonic antigen mRNA detection by RT-PCR in regional lymph nodes ... H&E staining and OSNA None of the LN was HE+/OSNA- and of the 63 LN were HE-/OSNA+, resulting in upstaging of two patients [25] The aspect of upstaging was not the main focus of this investigation ... the lymph nodes should be harvested by pathologists from the resected specimen This could cause a major change during clinical practise Therefore an interdisciplinary dialogue and planning is indispensable...

Ngày tải lên: 18/06/2014, 16:20

... work-up of all tumor blocks (searching for specialized intestinal metaplasia) and Cdx-2 staining performed in addition, which has a 70% sensitivity for staining intestinal metapasia [19] Of note, the ... Bovine Serum, 100 units/ml of penicillin and 100 μg/ml of streptomycin Cytospins of the OE-33 cell line were fixed in acetone and dried for 10 minutes Rehydration, blocking, and the staining ... Adjacent normal tissue stained negative for MMP-1 (asterisk) Single staining of MMP-1 in BE was confirmed by immunohistochemical double staining (c), showing Cdx-2 (nuclear staining pattern, Fast red)...

Ngày tải lên: 18/06/2014, 16:20

... tumors of lymph nodes [3] However, in fact, lymph node hemangiomas are rare, and only 20 cases of intranodal hemangioma, including ours, have been reported in the literature [1-6] The lymph node sites ... Figure Histological findings of a pulmonary hilar lymph node A, The lymph node exhibits residual nodal tissue and replacement by a vascular tumor (hematoxylin-eosin staining) B, The lesion is ... palpable lymph node, or they may be an incidental finding [4] A few examples of nodal hemangioma have been reported, which have occurred within nodes of sites draining malignant tumors In addition...

Ngày tải lên: 09/08/2014, 01:24

... lymph nodes Total N0 Total N2 64.3% 35.7% 100% Count 5 16 % within Pre NACT lymph node Pre NACT lymph nodes N2 % within Pre NACT lymph node N1 N1 37.4% 31.3% 31.3% 100% Count 15 10 30 % within ... sentinel node/ s (blue node/ s) was mapped and isolated after raising the flaps (the average time taken for the dissection of sentinel node was 10 minutes after injection of the dye) Only nodes ... Demonstrating the accuracy of SLNB in this setting can help a proportion of initially node positive patients that have been down staged to N0 by avoiding the morbidity of routine axillary lymph node dissection...

Ngày tải lên: 09/08/2014, 01:24

... stromal invasion Furthermore, having less than 0.5 cm of stromal invasion increases the incidence of sentinel lymph node metastases [15,16] As a result, many investigators insist that sentinel lymph ... IDC-predominant invasive breast cancer had positive sentinel lymph nodes Therefore, the risk of lymph node metastasis was significantly lower in the pure DCIS group than in the IDC-predominant invasive-lesion ... survival in invasive breast cancers [24] In conclusion, we found that the incidence of sentinel lymph node metastasis in cases of pure DCIS was 0.39% This incidence was lower than that in IDC-predominant...

Ngày tải lên: 09/08/2014, 03:21

... mixed type in four, transitional in three, anaplastic in one and squamous in one patient Discussion Lymphadenectomy is a routine part of surgical staging in epithelial ovarian carcinomas [8] ... Fujimoto T, Todo Y, Ebina Y, Watari H, Yamamoto R, Minakami H, Sakuragi N: Lymphatic mapping and sentinel node identification as related to the primary sites of lymph node metastasis in early stage ... ≤35 IU/L in 12 patients (36.4%), between 35-500 in 17 patients (51.5%) and ≥500 in the remaining four patients (12.1%) Tumor histology was serous in seven patients (22.1%), mucinous in eight...

Ngày tải lên: 09/08/2014, 03:23

... data including the assessment of lymph nodes and differentiation grade The lymph node ratio (LNR) was calculated as the quota between metastasis positive nodes and number of assessed lymph nodes ... prognostic information in the lymph node data We believe that this material shows that there is information of importance in the node assessment even in stage IV and that the data should be requested Interestingly, ... survivors were mainly from LNR-group The lymph node ratio can be seen and used as a prognostic indicator In our opinion a high quota can indicate a high risk that there is more of a disseminated disease...

Ngày tải lên: 09/08/2014, 07:22

... presentation is a painless firm lymphadenopathy confined to one chain of nodes, most commonly cervical Other physical manifestations include low-grade fever, hepatosplenomegaly, and skin rash Our patient ... histological findings In an otherwise healthy person who is not pregnant, as in this case, treatment is not indicated Symptoms will usually resolve within a few weeks [2] If toxoplasmosis is acquired in ... was indeterminate (C3) but showed numerous monotonous lymphocytes in a background containing lymphogranular bodies suggestive of granulomatous inflammation such as toxoplasmosis There were no malignant...

Ngày tải lên: 10/08/2014, 23:22

... thyroid carcinoma can arise in the thyroglossal duct [1] Figure thyroglossal cyst Papillary1carcinoma evolving from a TGDC, confined to the Papillary carcinoma evolving from a TGDC, confined to the ... carcinoma accounts for 80% of cases, with the rest being squamous cell carcinoma [5-7] Only one case with both concomitant histologic findings has been reported [8] Excluding medullary carcinoma, ... mediastinum during childhood or adolescence sholud also arouse suspicion of carcinoma [1] Malignant tumors developing from the thyroglossal duct have two origins: thyrogenic carcinoma arising from...

Ngày tải lên: 11/08/2014, 10:23

... estimate of the node s draining capacity [22] Real time indocyanine green near-infrared (ICG-NIR) lymphatic imaging, a clinically validated approach to map sentinel lymph nodes during tumor resection ... The lymphatic draining function of PLN and ILN in these mice was quantified independently by ICG-NIR imaging 30 minutes and 10 minutes after injection respectively by determining the signal intensity ... NE: Lymph draining from foot joints in rheumatoid arthritis provides insight into local cytokine and chemokine production and transport to lymph nodes Arthritis Rheum 2001, 44:541-549 Halin C,...

Ngày tải lên: 12/08/2014, 17:22

... radiotherapy following primary excision Details of patients developing local recurrence are shown in Table and of those developing lymph node metastasis in Table Lymph node metastasis occurred in two patients ... patient an inguinal and iliac lymph node dissection was performed In this patient the lymph node metastasis occurred early, before radiotherapy was instituted Local recurrence occurred in seven ... nodes contain intratumoural lymphatics [12]; intratumoural lymphatics were found to be present in all epithelioid sarcomas and a number of other sarcomas including leiomyosarcoma Lymph node metastasis...

Ngày tải lên: 13/08/2014, 15:21

... tissues 15 1.3.2.3 Lymphangiogenesis in lymph nodes 16 1.3.2.4 Lymphangiogenesis in tertiary lymphoid structures 1.4 13 22 Lymphotoxin β receptor signaling 23 iv 1.4.1 Lymphotoxins and their receptors ... to the induction of lymphangiogenesis in the LNs However, the molecular mechanism underlying the remodeling of lymphatic vessels in the LNs during inflammation is still in its infancy Of interest ... IFN interferon Ig immunoglobulin IGF insulin-like growth factor IL interleukin JAK Janus kinase KLH keyhole limpet hemocyanin LEC lymphatic endothelial cell LIGHT lymphotoxin-like, exhibits inducible...

Ngày tải lên: 10/09/2015, 09:29

... plasma, lymph and lymph node is essential to egress This requirement has been demonstrated in experimental studies where the inhibition of S1PL in lymph nodes resulted in an increase in lymph node ... al., 2009; Sinha et al., 2009; Wei et al., 2005) 1.7.4 Determinants of lymphocyte entry into cortical sinuses during lymph node egress T cell entry into the cortical sinus during lymph node egress ... positioning of the lymph nodes at various locations in the body Lymph nodes are positioned at the convergent points of afferent lymphatic vessels that drain antigen containing tissue fluid (lymph) ...

Ngày tải lên: 02/10/2015, 17:14

... helpful in teaching final voiced consonants If the students are having difficulties in voicing final stops, they will probably have difficulties with final voiced fricatives also 17 Problem : Initial ... the interviewees were asked nine same questions in the structured interview: Do you find that your students have difficulties in learning English pronunciation? In your opinion, what are the main ... main problems, as stated in the Findings, were word-ending sounds, stress and intonation 5.2 Suggestions for pronunciation teaching in upper secondary schools In accordance with the above findings,...

Ngày tải lên: 07/11/2012, 15:04

... - Deducing the meaning and use of unfamiliar lexical items - Understanding the meaning of explicitly stated information - Recognizing indicators in discourse - Interpreting texts by going outside ... going outside it - Identifying the main point or important information in a piece pf discourse - Distinguishing the main ideas from supporting details - Extracting salient points to summarize the ... Previewing Previewing can be previewing title of the reading text, previewing the picture provided in the course book, previewing the question and information provided in the prereading phase in...

Ngày tải lên: 10/04/2013, 10:36