INTRODUCTION: In esophageal cancer, surgical resection and its corresponding lymphadenectomy remains the only therapeutic strategy that offers a possibility of cure. Despite the fact that a minimally invasive approach allows for an adequate lymphadenectomy with less associated morbidity, its high technical complexity means that many centers still do not perform it routinely. OBJECTIVE: Systematization...
Introduction: The use of perioperative chemotherapy (CT) in patients with advanced gastric carcinoma increases their overall survival. This therapy may also increase the number of patients with R0 resection. Potential drawbacks of this therapy, besides its toxicity, include increased surgical morbidity. Methods: We retrospectively evaluated the records of patients undergoing gastrectomy with curative intent, fo...
Aim: This study sought to determine the recurrence pattern of adenocarcinoma of the esophagogastric junction (AEG) after radical resection. Patients and Methods: We retrospectively analyzed the clinical database that was propectively updated of 108 consecutive patients with Siewert type I, I/II, and II AEGs who underwent curative resection (R0) at the Institute of Portuguese Oncology in Lisbon. Results: Recurre...
Vídeo: http://www.youtube.com/watch?v=mxbwOHBHp24; A neoplasia do esófago é a sexta causa de morte neoplásica a nível mundial e a sua incidência tem vindo a aumentar. A cirurgia com correspondente linfadenectomia é o único tratamento com intenção curativa. A linfadenectomia mediastínica superior aborda os gânglios do grupo 105, 106 recR e L, 106 tbR e tbL e 106 pre. A linfadenectomia destes territórios est...
There is no indication for lymph node staging in patients with DCIS. However a significant number of core-needle biopsy (CNB)- diagnosed ductal carcinoma in situ (DCIS) operative specimens have invasive carcinoma, demanding further surgery for lymph node staging. The objectives of our study are to find predictive factors of invasive carcinoma and lymph node metastases in patients with pre-operative diagnosis of...