Case Studies

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

A 29 year old lady presents with a recurrent bony swelling in her cheek bone for last 14 years. She underwent curettage of bony tumor earlier. She underwent total removal of maxilla with reconstruction of her palate with micro vascular anterolateral thigh flap. A skin island with underlying muscle cuff from the thigh was taken …

Limb Salvage Surgery for Bone Sarcomas

Bone sarcomas can undergo surgical resection with limb salvage surgery i.e. no need for amputation of the limb. This procedure involves resection of the part of the bone with a tumor with a replacement of the resected bone with a modular prosthesis. Replacement with prosthesis allows preservation of the limb with normal mobility at the …

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 with a large swelling in …

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 the day of surgery after injecting radioactive …

Wire Localization of Non Palpable Breast Lesions

A 54 year old post menopausal lady presented with a small 1.5 cm size suspicious lesion in breast on routine screening mammography (Fig -1). US guided FNAC was suggestive of papillary neoplasm. The lesion was small and deep seated and could not be felt on breast examination. On the day of surgery a radiopaque wire …