Challenging Cases

Breast Conservation and Sentinel Node Biopsy

Breast Conservation Surgery & Sentinel Node Biopsy The standard of care for Early Breast Cancer Introduction Breast Conservation Surgery has been the standard of care for more than twenty years; with local control rates and overall survival being equivalent to Mastectomy. With recent advances in imaging techniques such as MR Mammography and development of Breast …

Limb Salvage Surgery for Bone Sarcomas

Sarcomas that most often start in bones, include osteosarcomas in adolescents, Ewing’s sarcomas in young children and chondrosarcomas in adults. The most common site of origin are bones of the lower limb around the knee joint and upper arm. The diagnosis of bone sarcoma is confirmed with a bone biopsy and MRI to asses local …

Oligometastatic Breast Cancer

Is Metastatic Breast Cancer Curable? Metastatic breast cancer is no longer considered incurable. It is now classified as oligometastatic and poly-metastatic disease. There have been major advances with improved survival even in oligometastatic disease. ‘Oligos’ is Greek word for ‘few’, and the term oligometastasis typically refers to less than five metastases, usually limited to a …

Total Maxillectomy with ALT Free Flap

Total Maxillectomy with ALT Free Flap is done by Dr. Ashish Goel. Microvascular Flap Reconstruction is now a necessary component of post maxillectomy defects. We present a case of Maxillary Osteoma treated by Total Infrastructure Maxilectomy with Microvascular ALT flap. A 29 year old lady presents with a recurrent bony swelling in her cheek …

Surgery for Retrosternal Thyroid Tumor

Surgery for Retrosternal Thyroid Tumor: Retrosternal goitre is defined as enlargement of thyroid gland with a major portion of its mass located in the upper chest. Surgical removal is the treatment of choice and, in most cases, it can be done by a cervical approach. We present a case of a 56-year-old lady who presented …

Sentinel Node Biopsy for Early Breast Cancer

Sentinel Node Biopsy for Early Breast Cancer: Patients with early breast cancer without any palpable glands in the armpit may avoid complete axillary dissection by undergoing sentinel node biopsy. The sentinel node is defined as the first node in the armpit which may harbor any cancer cells. These patients are subjected to breast scintigraphy on …

Stereotactic Localization & Wide Excision of Non Palpable Breast Lesions

A 54 year old post menopausal lady presented with a small 1.5 cm size suspicious BIRADS IV lesion in breast on routine screening mammography (Fig -1). US Guided Biopsy was reported as ductal hyperplasia. US guided FNAC was suggestive of papillary neoplasm. The lesion was small and deep seated and could not be felt on …