INTRODUCTION A liposarcoma is a rare cancer of connective tissues that resemble fat cells under light microscopy. CASE HISTORY A 73-year old female patient presented to our tertiary cancer centre with an eight-year history of a large, slowgrowing painless mass in the right axilla. Magnetic resonance imaging showed a lipomatous, well-circumscribed mass of dimension 30 Â 16 Â 10cm extending towards the right clavicle and causing deformation to the right chest wall and right breast. Surgery revealed a large tumour that had stretched all three cords of the brachial plexus. Histopathology was consistent with a diagnosis of a low-grade liposarcoma. After a period of neuropraxia, the patient returned to normal activities 4 months after surgery. CONCLUSIONS Although extremely rare, low-grade liposarcomas of the brachial plexus should be considered in the differential diagnosis of a slow-growing axillary mass. Referral to a tertiary sarcoma centre is essential for an appropriate diagnosis, adequate treatment, and long-term follow-up.
Simultaneousinvolvement of the supraclavicular and axillary lymphatic basins is known to occur in metastatic skin cancers. We present the case of a 35-year-old male with metastatic melanoma present in the right neck and axillary lymph nodes. He underwent a combined, in-continuity dissection of both basins using intraoperative ultrasound to ensure full clearance of lymph nodes from the cervicoaxillary canal, which otherwise would have been impossible to achieve without clavicle osteotomy. This allowed us to avoid a division of the clavicle and related morbidity. Postoperative imaging confirmed no residual disease, and no local recurrence subsequently. We conclude that intraoperative use of ultrasound can help guide surgeons trying to achieve clearance of metastatic disease in anatomically complex regions, avoiding unnecessary morbidity. Melanoma Res 33: 149-151
The first virtual mid-year conference organised by the British Association of Physicians of Indian Origin (BAPIO) was held on the 19 September 2020 hosted by the BAPIO North-West regional chapter. The conference digital platform used was Gurukul Education (https://gurukuleducation.online/). There were 736 registrations and 178 attended through the virtual conference hall and 803 attended the live streaming viewing facility. The conference was focused on aspects of Covid-19, from the current status in the UK and India, public health aspects of the pandemic, vulnerability of Black, Asian and Minority Ethnic (BAME) population, initiatives taken to reduce the impact on general practice or mental health services and routine non-Covid care. Strategies on the reduction of risk in the workplace, formal risk assessments, promotion of a healthy lifestyle and wider societal education initiatives were incorporated. The need for ongoing research in differential adverse outcomes in BAME population was evident, as well as in prevention measures such as vaccination.
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