A retrospective study compared minimally invasive (MIS) and open surgery for treating small intestinal neuroendocrine neoplasms. Out of 65 patients, 54% underwent MIS and 46% underwent open surgery. The study found no significant difference in the frequency of successful resections or the number of lymph nodes removed between the two groups. However, a post-operative paralytic […]
Category: Sarcoma & rare tumors
Surgical Management Guidelines for Gastrointestinal Neuroendocrine Neoplasms Provide Individualized Approach
Surgical oncologists face the challenge of managing gastrointestinal midgut neuroendocrine neoplasms (NENs), particularly neuroendocrine tumors (NETs). While guidelines offer valuable insights, they rely on expert opinions and retrospective evidence. This review outlines recent recommendations for managing midgut NETs, emphasizing the need for individualized approaches based on tumor behavior, endocrine syndrome association, and prognosis. Staying updated […]
Endoscopic Resection Shows Promising Results in Treating Gastric Gastrointestinal Stromal Tumors
Endoscopic resection (ER) has shown to be an effective and safe method for treating gastric gastrointestinal stromal tumors (GISTs), as suggested by a retrospective study in a large tertiary hospital in China. With a sample size of over 300 patients and a follow-up period longer than 45 months, the study found an en bloc resection […]
Frequent Surveillance Imaging for Low-Risk Gastrointestinal Stromal Tumors Yields Little and Incurs High Costs
This study assessed the utility and costs of surveillance imaging for low- and very low-risk gastrointestinal stromal tumors. The researchers reviewed the surveillance strategy in 60 patients and found that frequent imaging studies were performed with little yield and at substantial cost. No recurrences were detected, and the mean number of surveillance images per patient […]
Optimal Surgical Management and Outcomes of Abdominal Catastrophes Secondary to Intestinal Lymphomas
A systematic review was conducted to assess the presentation, diagnosis, optimal surgical approach, and post-operative outcomes of abdominal catastrophes secondary to intestinal lymphomas. A total of 95 patients were identified, with Burkitt’s lymphoma and diffuse large B-cell lymphoma being the most common types. Small bowel resections had a 25% complication rate and a 13.8% 30-day […]
Classification of GIST and Other Benign Gastric Tumors for Minimally Invasive Surgery
The study aimed to propose a new surgical classification for non-malignant gastrointestinal mesenchymal tumors (GMTs) based on their location and guide minimally invasive surgical strategies. The classification divided the tumors into two groups (exophytic and transmural/intragastric) and further subdivided them based on location. The study included 42 patients distributed into each subgroup. Encouraging perioperative outcomes […]
Management and Prognosis of Gastric Neuroendocrine Tumors
Gastric neuroendocrine tumors (G-NETs) are rare tumors originating from the gastric mucosa, classified into three subtypes based on their characteristics and behavior. Type 1 and 2 are typically multifocal and associated with elevated serum gastrin levels. Type 2 causes symptoms like abdominal pain and diarrhea. Type 3, sporadic and solitary, has the most aggressive phenotype. […]
Primary tumor resection does not impact event-free survival in patients with metastatic small bowel neuroendocrine tumors
The study investigated the impact of primary tumor resection on the development of disease-specific complications in patients with metastatic well-differentiated small bowel neuroendocrine tumors (SBNETs). The retrospective analysis of 180 patients showed that rates of event-free survival did not differ based on primary tumor management. Patients who underwent medical management first had a 23% complication […]
Advancements in the treatment of soft tissue sarcomas: A comprehensive update
Emerging innovations and advancements in the treatment of extremity and truncal soft tissue sarcomas are explored in this special edition update. The study covers classifications, emerging technologies, prognostic tools, radiation schemas, and treatment disparities. The results emphasize the importance of enhancing local control and reducing complications through innovative imaging, surgical guidance, and hypofractionated radiation. Additionally, […]
Surgical Principles for Small Bowel Neuroendocrine Tumor Resection
Small bowel neuroendocrine tumors (SB-NETs) are increasingly identified and have become the most frequent entity among small bowel tumors. Surgical treatment goals include control of tumor volume, endocrine secretion, and prevention of locoregional complications. The study presents eight steps for systematic surgical planning and execution of resection. The role of primary tumor resection in the […]