Articles: surgery.
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Sarcoma rarely metastasizes to the brain, and there are no specific treatment guidelines for these tumors. The recursive partitioning analysis (RPA) classification is a well-established prognostic scale used in many malignancies. In this study we assessed the clinical characteristics of metastatic sarcoma to the brain and the validity of the RPA classification system in a subset of 21 patients who underwent surgical resection of metastatic sarcoma to the brain ⋯ This analysis is the first to support the prognostic utility of the Radiation Therapy Oncology Group RPA classification for sarcoma brain metastases and may be used as a treatment guideline tool in this rare disease.
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Granulomatous mastitis (GM) is a rare breast disease with unknown etiology. Clinical management strategies for GM include surgery, antibiotics, and steroid treatments. ⋯ The patient showed no sign of recurrence for 11 months. This case provides useful information on both the underlying mechanisms and clinical management of GM.
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Journal of anesthesia · Dec 2014
Case ReportsPulsed radiofrequency under ultrasound guidance for the tarsal tunnel syndrome: two case reports.
Tarsal tunnel syndrome (TTS) is a compression neuropathy that results from entrapment of the posterior tibial nerve or its branches. TTS may be treated either by conservative measures, including physical therapy, medications, and steroid injections, or by surgical decompression. Despite a variety of treatments, a few cases of TTS will relapse, and many cases of recurrent TTS will require re-operation. ⋯ We applied ultrasound-guided PRF to the affected posterior tibial nerve in each patient, and both had significantly reduced pain intensity scores and analgesic requirements without any complications. Ultrasound-guided PRF for intractable TTS relieved severe foot pain. It may supersede surgery as a reliable treatment for intractable TTS.
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To evaluate objectively the anatomic areas of the cranial base exposed by a three-dimensional (3D) endoscope-assisted far lateral approach. ⋯ Use of a 3D endoscope allows for minimal resection of the condyle and jugular tubercle, better visualization of the surgical compartments toward the midline, and better in-depth surgical exploration of each intradural compartment. However, the 3D probe is still too large and restricts surgical maneuverability.