Beta ‐hCG–producing malignant phyllodes tumour
AbstractPhyllodes tumours (PTs) of the breasts are rare fibroepithelial tumours accounting for less than 1% of all breast tumours. They have a wide range of presentations, ranging from benign-natured tumours that behave similarly to fibroadenomas, to aggressive malignant tumours that can rapidly advance both locally and distally. Histologically, PTs are classified into benign, borderline, or malignant based on a combination of the following five features: degree of stromal cellularity, stromal cell atypia, mitotic activity, infiltrative or circumscribed margins, and presence or absence of stromal overgrowth. Malignant tumo...
Source: Surgical Practice - May 4, 2024 Category: Surgery Authors: Lok Wa Laura Leung, Monalyn Marabi, Yee Kee Violet Tsoi Tags: CASE REPORT Source Type: research

Management of giant colorectal polyps ( ≥3 cm) by endoscopic submucosal dissection (ESD) versus surgery: a propensity score–based analysis
ConclusionsESD is a safe and effective treatment for giant colonic polyps with ESD size ≥3 cm. It has the advantage of lower complication rates, shorter length of hospital stays, and lower re-admission rates compared with surgical resection. (Source: Surgical Practice)
Source: Surgical Practice - April 30, 2024 Category: Surgery Authors: Lo Hau Ching Michelle, Poon Chi Ming Michael Tags: ORIGINAL ARTICLE Source Type: research

Transurethral water vapour therapy (Rez ūm) for catheter‐dependent men secondary to benign prostatic hyperplasia: A retrospective study in a Hong Kong population
ConclusionRez ūm was shown to be effective and safe in catheter-dependent Chinese men with BPH. (Source: Surgical Practice)
Source: Surgical Practice - April 27, 2024 Category: Surgery Authors: Henry Chow, Chi Ho Ip, Yiu Chung Lam Tags: ORIGINAL ARTICLE Source Type: research

Massive peritoneal inclusion cyst with secondary abscessation
AbstractPeritoneal inclusion cysts are rare intra-abdominal cystic lesions of controversial pathogenesis and nomenclature. Postulated to be of neoplastic or reactive origin, they are characterised by progressive expansion and variable symptomatology in classically reproductive-aged females. Local recurrence is frequent while malignant transformation is plausible. Herein, we review a presentation of a massive peritoneal inclusion cyst with secondary abscessation and septic shock in a 58-year-old female, reviewing the available literature to highlight the potential acuity of this pathology, the standard of surgical care, and...
Source: Surgical Practice - April 24, 2024 Category: Surgery Authors: Christian P. Pappas, Zhengchao Xu, Gabrielle Hicks, Mina Sarofim, Ruwanthi Wijayawardana, David L. Morris Tags: CASE REPORT Source Type: research

Buttressed pancreaticogastrostomy for a soft pancreas and/or small pancreatic duct in pancreaticoduodenectomy: A retrospective cohort study
ConclusionButtressing PG represents a simple and safe reconstruction technique following PD, particularly for patients with a soft pancreas and/or small pancreatic duct. This approach is associated with a low incidence of POPF. However, prospective randomised trials with large sample sizes are required to confirm these results. (Source: Surgical Practice)
Source: Surgical Practice - April 23, 2024 Category: Surgery Authors: Mostafa M. Sayed, Mohamad Raafat, Abdallah M. Taha Tags: ORIGINAL ARTICLE Source Type: research

Surgical insights: Assessing acute appendicitis in a fifth ‐wave COVID‐19 cluster—A retrospective cohort analysis
(Source: Surgical Practice)
Source: Surgical Practice - April 11, 2024 Category: Surgery Authors: Ahmed Gawash, David F. Lo Tags: LETTER TO THE EDITOR Source Type: research

Issue Information
(Source: Surgical Practice)
Source: Surgical Practice - April 11, 2024 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

Surgical Practice February 2024 CME for Fellows
(Source: Surgical Practice)
Source: Surgical Practice - April 11, 2024 Category: Surgery Tags: CME Page Questions Source Type: research

Surgical Practice November 2023 CME for Fellows
(Source: Surgical Practice)
Source: Surgical Practice - April 11, 2024 Category: Surgery Tags: CME PAGE ANSWERS Source Type: research

Clinical governance revisited
(Source: Surgical Practice)
Source: Surgical Practice - April 11, 2024 Category: Surgery Authors: Paul B. S. Lai Tags: EDITORIAL Source Type: research

Comparing the safety and effectiveness of surgical approaches in thymectomy
ConclusionsOur results suggest that with a shorter LOS, robotics, subxiphoid and LVATS thymectomies are safe. Larger size studies are required to compare R0 resection rates between these less invasive surgical approaches. (Source: Surgical Practice)
Source: Surgical Practice - April 9, 2024 Category: Surgery Authors: Rebecca Lau, Katherine Aw, Sami Aftab Abdul, Caitlin Anstee, Sebastien Gilbert, Daniel Jones, Andrew J. E. Seely, R. Sudhir Sundaresan, Patrick J. Villeneuve, Donna E. Maziak Tags: ORIGINAL ARTICLE Source Type: research

Use of surgical procedure manager to standardise operation steps and monitor surgeon performance in open repair of inguinal hernia
ConclusionsThe use of SPM did not significantly prolong the operation time and produce comparable operative outcomes in open hernia repair. It provided the additional advantage of standardising operation steps and monitoring the performance of surgical trainees during their training. (Source: Surgical Practice)
Source: Surgical Practice - April 5, 2024 Category: Surgery Authors: Yue Sun Cheung, Hon Ting Lok, Andrew Kai Yip Fung, Paul Bo San Lai Tags: ORIGINAL ARTICLE Source Type: research

Melanoma beyond the skin: A case of anorectal melanoma
(Source: Surgical Practice)
Source: Surgical Practice - March 22, 2024 Category: Surgery Tags: Correction Source Type: research

Diabetic mastopathy: A case report and literature review on a mimic of breast carcinoma in patients with diabetes
AbstractDiabetic mastopathy is a rare benign breast condition that mimics breast carcinoma in patients with diabetes. Clinicians must differentiate it from malignant causes because of differences in prognosis and management. This paper presents a case report of an 87-year-old lady with type 2 diabetes and diabetic mastopathy. We also review the literature on the pathogenesis, clinical presentation, diagnostic workup and management of diabetic mastopathy. (Source: Surgical Practice)
Source: Surgical Practice - March 20, 2024 Category: Surgery Authors: Wai Si Crystal Li, Shun Yan Chan Tags: CASE REPORT Source Type: research

Colonoscopy combined with laparoscopy can improve post ‐operative quality of life in patients with colon cancer
ConclusionsColonoscopy combined with laparoscopic radical resection for colon cancer had only a little effect on immune function and inflammatory response. It can shorten the recovery time of patients and reduce post-operative complications, which is worthy of further clinical promotion. (Source: Surgical Practice)
Source: Surgical Practice - March 19, 2024 Category: Surgery Authors: Suyan Ding, Buluan Zhu, Tiantian Sun, Lili Qu Tags: ORIGINAL ARTICLE Source Type: research