No abstract

HighlightsEpithelioid hemangioendothelioma (EH) is a rare tumour of derived from endothelial cells.The initial presentations can be confused with an advanced ovarian cancer.Only Histological exam confirms the definitive diagnosis.Most patients are candidates for liver transplantation.

Introduction Advanced ovarian cancer surgery (AOCS) frequently results in serious postoperative complications. Because managing AOCS is difficult, some standards need to be established that allow surgeons to assess the quality of treatment provided and consider what aspects should improve. This study aimed to identify quality indicators (QIs) of clinical relevance and to establish their acceptable quality limits (i.e., standard) in AOCS. Materials and methods We performed a systematic search on clinical practice guidelines, consensus conferences, and reviews on the outcome and quality of AOCS to identify which QIs have clinical relevance in AOCS. We then searched the literature (from January 2006 to December 2018) for each QI in combination with the keywords of advanced ovarian cancer, surgery, outcome, and oncology. Standards for each QI were determined by statistical process control techniques. The acceptable quality limits for each QI were defined as being within the limits of the 99.8% interval, which indicated a favorable outcome. Results A total of 38 studies were included. The QIs selected for AOCS were complete removal of the tumor upon visual inspection (complete cytoreductive surgery), a residual tumor of < 1 cm (optimal cytoreductive surgery), a residual tumor of > 1 cm (suboptimal cytoreductive surgery), major morbidity, and 5-year survival. The rates of complete cytoreductive surgery, optimal cytoreductive surgery, suboptimal cytoreductive surgery, morbidity, and 5-year survival had quality limits of < 27%, < 23%, > 39%, > 33%, and < 27%, respectively. Conclusion Our results provide a general view of clinical indicators for AOCS. Acceptable quality limits that can be considered as standards were established.

HighlightsStruma ovarii is a rare and asymptomatic ovarian tumor and is usually diagnosed by the pathologist.Struma ovarii malignancy is from thyroid origin and usually associated with thyroid tumors.Management and follow up is not well established.

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HighlightsRadical vulvectomy is a very agressive surgery.Deshiscence of vulvar wound is one of the most feared complications.Negative wound pressure therapy could be incorporate in the management of this complications.

An amendment to this paper has been published and can be accessed via the original article.

The primary vaginal T-cell non-Hodgkin lymphoma is a rare form of lymphoma. Most of the previously published cases were about B-cell non-Hodgkin lymphomas. We present the case of a vaginal mass in an 82-year-old patient presenting vaginal bleeding. The results of the immunohistological studies of the mass revealed the presence of a cytotoxic T-cell non-Hodgkin lymphoma, which is the least common subtype.