European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
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Review Case Reports
Breast cancer, Cowden disease and PTEN-MATCHS syndrome.
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Comparative Study
Locoregional recurrence of retroperitoneal soft tissue sarcoma: second chance of cure for selected patients.
Locoregional recurrence of a retroperitoneal soft tissue sarcoma (RSTS) may offer a second chance of curative surgical treatment. In a population-based study the proportion of patients developing isolated locoregional recurrences (LR) was determined and the outcome of these patients was analysed. ⋯ After a median follow-up of 7 years following radical treatment of a primary RSTS, 42% of the patients had developed isolated locoregional recurrences. A complete resection of recurrent disease, lipomatous histomorphology and the absence of multifocal growth influenced prognosis favourably.
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In breast surgery the challenge for good cosmesis needs to be met in the management of benign or malignant disease. With tumours this must be balanced against good clearance with safe and adequate margins. For excision of benign lesions obvious deforming scars are unacceptable while with breast preserving cancer surgery a badly placed scar reduces reconstructive choices. The peri-areolar incision has a role in skin sparing mastectomy (SSM) and in breast conserving surgery. This paper describes the application of this incision in breast surgery. ⋯ The peri-areolar incision provides good cosmesis while allowing for future or immediate reconstruction and without reducing the range of options.
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Comparative Study
A long-term review of the treatment of patients with Ewing's sarcoma in one institution.
The treatment of patients suffering from Ewing's sarcoma has changed over the last three decades. We report the analyses, significant prognostic factors, interdisciplinary approach and development of therapy in one institution in Austria. ⋯ The most effective treatment of Ewing's sarcoma is chemotherapy.