Aetiology, evaluation and management of rectovaginal fistula: A rare entity and a major surgical challenge

Sargedi, K.; Ntzeros, Konstantinos; Mazis, D.; Artopoulos, A.; Vassiliou, P

doi:10.1007/s13126-014-0101-5

Cited by 4 publications

(1 citation statement)

References 62 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, fortunately, it is rare to find metastases (1% -5%) and this usually happens haematologically to the lungs and bones [14]. In these cases, the mortality rate is high.…”

Section: Discussionmentioning

confidence: 99%

Dermatofibrosarcoma Protuberans—An Atypical Breast Tumor

Cho¹,

Munksdorf²,

Rose³

2023

CRCM

View full text Add to dashboard Cite

A 49-year-old woman was referred to the Department of Plastic and Breast Surgery under suspicion of breast cancer after a mammogram revealed a self-discovered tumor in the lower part of her left breast. Clinical examination, mammography, and histopathological examination revealed that the original tumor in the left breast was benign, and an incidental malignant tumor, a dermatofibrosarcoma protuberans (DFSP), was found in the contralateral breast. DFSP is a rare and highly malignant entity that is often silent and difficult to diagnose, making a biopsy essential. Surgical treatment must be aggressive due to the high risk of recurrence, which constitutes a technical challenge. The patient underwent surgery using an oncoplastic approach with a volume-reducing technique to achieve the best possible therapeutic and aesthetic results. Therapeutic breast reduction was performed on the right breast and the tumor was removed within the resected tissue. A contralateral symmetrizing mammoplasty was also performed simultaneously. The patient was discharged without major complications, and no recurrence of the tumor was seen during the 30-month follow-up period. The surgical approach included alternative solutions in addition to conventional lumpectomy or mastectomy. A multidisciplinary, open-minded, and creative approach resulted in a satisfying outcome for this patient.

show abstract

“…However, fortunately, it is rare to find metastases (1% -5%) and this usually happens haematologically to the lungs and bones [14]. In these cases, the mortality rate is high.…”

Section: Discussionmentioning

confidence: 99%

Dermatofibrosarcoma Protuberans—An Atypical Breast Tumor

Cho¹,

Munksdorf²,

Rose³

2023

CRCM

View full text Add to dashboard Cite

show abstract

The Use of Magnetic Resonance Imaging in Radiation Therapy Treatment Simulation and Planning

McGee,

Cao,

Das

et al. 2024

Magnetic Resonance Imaging

View full text Add to dashboard Cite

Ever since its introduction as a diagnostic imaging tool the potential of magnetic resonance imaging (MRI) in radiation therapy (RT) treatment simulation and planning has been recognized. Recent technical advances have addressed many of the impediments to use of this technology and as a result have resulted in rapid and growing adoption of MRI in RT. The purpose of this article is to provide a broad review of the multiple uses of MR in the RT treatment simulation and planning process, identify several of the most used clinical scenarios in which MR is integral to the simulation and planning process, highlight existing limitations and provide multiple unmet needs thereby highlighting opportunities for the diagnostic MR imaging community to contribute and collaborate with our oncology colleagues.Evidence Level5Technical EfficacyStage 5

show abstract

Evaluation of genitourinary fistulas in pelvic malignancies with etiopathologic correlation: role of cross sectional imaging in detection and management

Mandava

Koppula

Sharma

et al. 2020

The British Journal of Radiology

View full text Add to dashboard Cite

Objective: Genitourinary fistulas in pelvic malignancies are abnormal communications occurring due to either locally advanced tumours invading the surrounding organs or post-therapeutic complications of malignancies. In this article we review and describe the role of cross-sectional imaging findings in the management of genitourinary fistulas in pelvic malignancies. Methods: A retrospective study, for the period January 2012 to December 2018, was undertaken in patients with pelvic malignancies having genitourinary fistulas. The cross-sectional (CT and MRI) imaging findings in various types of fistulas were reviewed and correlated with the primary malignancy and the underlying etiopathology. Results: Genitourinary fistulas were observed in 71 patients (6 males, 65 females). 11 types of fistulas were identified in carcinomas of cervix, rectum, ovary, urinary bladder, sigmoid colon, vault, endometrium and prostate. The commonest were rectovaginal and vesicovaginal fistulas. 13 patients had multiple fistulas. The sensitivity, specificity, positive and negative predictive values of CT and MRI are 98%, 100%, 66%, 98% and 95%, 25%, 88% and 50% respectively. Contrast-enhanced CT with oral and rectal contrast is more sensitive and specific than MRI in the evaluation of genitourinary fistulas. Conclusion: Imaging findings significantly influence the management and outcome of genitourinary fistulas in pelvic malignancies. Contrast-enhanced CT is the imaging modality of choice in the evaluation of pelvic fistulas associated with malignancies and MRI is complimentary to it. Advances in knowledge: To our knowledge, this study is the first of its kind wherein the mean duration of occurrence of fistulas in pelvic malignancies is correlated with the underlying etiopathology.

show abstract

Aetiology, evaluation and management of rectovaginal fistula: A rare entity and a major surgical challenge

Cited by 4 publications

References 62 publications

Dermatofibrosarcoma Protuberans—An Atypical Breast Tumor

Dermatofibrosarcoma Protuberans—An Atypical Breast Tumor

The Use of Magnetic Resonance Imaging in Radiation Therapy Treatment Simulation and Planning

Evaluation of genitourinary fistulas in pelvic malignancies with etiopathologic correlation: role of cross sectional imaging in detection and management

Contact Info

Product

Resources

About