The British journal of surgery
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Few studies have been conducted on patterns of recurrence after resection for distal cholangiocarcinoma (DCC). The aim of this study was to investigate the incidence and pattern of recurrence after resection of DCC, and to evaluate prognostic factors for time to recurrence and recurrence-free survival (RFS). ⋯ More than half of patients with DCC experienced recurrence after R0 resection, usually within 5 years. Perineural invasion, pancreatic invasion and positive nodal involvement are risk factors for recurrence.
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Biography Historical Article
The Osteology Lesson of Sebastiaen Egbertszn (1619).
In 1619 the Amsterdam Guild of Surgeons commissioned a recognized Dutch painter to make a group portrait of the governors. This masterpiece is known as The Osteology Lesson of Sebastiaen Egbertszn. Egbertszn, praelector anatomiae (lecturer in anatomy), is depicted while demonstrating the human bones using the skeleton of an English pirate. ⋯ Sebastiaen Egbertszn, who was the praelector anatomiae (lecturer in anatomy) at that time, is depicted demonstrating human bone anatomy using the skeleton of an executed pirate. Egbertszn died during a plague epidemic only 2 years after the painting was delivered and the identity of the artist remains contentious to this day. It is exhibited in the Amsterdam Museum in Amsterdam, The Netherlands.