Human anatomic variations: common, external iliac, origin of the obturator, inferior epigastric and medial circumflex femoral arteries, and deep femoral artery course on the medial side of the femoral vessels

Rusu, Mugurel Constantin; Ilie, A C; Brezean, Iulian

doi:10.1007/s00276-017-1863-6

Cited by 16 publications

(17 citation statements)

References 6 publications

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“…However, a limited number of cases will be diagnosed in presumed early stages of the disease. However, up to 15% of these cases prove to have positive lymph nodes, which will significantly influence the long-term prognosis [2]; in the meantime, routine performance of extended pelvic and para-aortic lymph node dissection in presumed early stage ovarian cancer will lead to an unnecessary surgical procedure in up to 80% of cases who have otherwise negative lymph nodes [3][4][5][6]. Moreover, performing such procedures will increase the risk of developing perioperative complications, which might significantly influence the quality of life [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, performing such procedures will increase the risk of developing perioperative complications, which might significantly influence the quality of life [7,8]. Therefore, identifying cases which present retroperitoneal para-aortic lymph node metastases will enable the oncologist to provide a better selection of cases that will benefit from adjuvant chemotherapy [2,3,[9][10][11]. The aim of the current paper is to investigate the risk factors for developing para-aortic lymph node metastases in cases diagnosed with a presumed early stage of disease.…”

Section: Introductionmentioning

confidence: 99%

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The Risk of Para-Aortic Lymph Node Metastases in Apparent Early Stage Ovarian Cancer

et al. 2020

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Background and objectives: To identify the risk factors for para-aortic lymph node metastases in cases with presumed early stage ovarian cancer. Materials and methods: Between 2014 and 2019, 48 patients with apparent early stage ovarian cancer were submitted to surgery. In all cases, pelvic and para-aortic lymph node dissection was performed for staging purposes. Results: Among the 48 cases we identified nine cases with positive pelvic lymph nodes and 11 cases with positive para-aortic lymph nodes. The positivity of the retrieved lymph nodes was significantly correlated with the histopathological subtype represented by serous histology (p = 0.02), as well as with the degree of differentiation (p = 0.004). Conclusions: Patients with serous ovarian carcinomas in association with a poorer degree of differentiation are at risk of associated lymph node metastases even in presumed early stages of the disease. Therefore, lymph node dissection should be performed in such cases in order to provide adequate staging and tailoring of further treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Risk of Para-Aortic Lymph Node Metastases in Apparent Early Stage Ovarian Cancer

et al. 2020

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“…However, if surgery with radical intent is proposed, attention should be focused on the anatomical particularities of patients presenting a pelvic kidney [15,16]. Therefore, in such cases, the renal pedicle as well as the ureter can be situated in close contact with the iliac vessels, particular attention being needed in order to perform the pelvic lymph node dissection [17][18][19]. The single case series that has been published so far on this theme originates from India and included three such cases.…”

Section: Discussionmentioning

confidence: 99%

Total Exenteration En Bloc with a Nephrectomy for Locally Advanced Cervical Cancer Invading a Pelvic Kidney—A Case Report and Literature Review

Bacalbaşa

Bălescu²,

Vîlcu

et al. 2020

Medicina

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Introduction: Extended pelvic resection might be the option of choice in patients presenting locally advanced cervical cancer. However, the possibility of a co-existence of an ectopic, pelvic kidney that is invaded by such a tumor is extremely rare. Case Presentation: A 54-year-old female patient, diagnosed with locally advanced cervical cancer in the presence of a pelvic kidney, was submitted to surgery with curative intent. A large, abscessed cervical tumor invading the urinary bladder and the rectum was found, so a total exenteration was planned. Intraoperatively, tumor invasion of the left kidney, which was found in an ectopic, pelvic position was also encountered; therefore, total pelvic exenteration in association with a left nephrectomy was successfully performed. Conclusions: The presence of an ectopic, pelvic disposition of the kidney makes it susceptible to be invaded by locally advanced pelvic tumors; in such cases, a nephrectomy might also be needed.

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“…Similar to other solid tumors, it seems that in vulvar cancer the preoperative levels of serum albumin significantly influence the short-term outcomes (12,13). More specifically, a lower level of preoperative albumin caused by malnutrition and albumin synthesis suppression as a consequence of a systemic inflammatory response is responsible for a higher rate of postoperative morbidity (14)(15)(16)(17). In a recent study conducted by Bekos et al in 2019, the authors included 103 patients submitted to vulvar cancer surgery, nine of whom presented with preoperative hypoalbuminemia (18).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Postoperative Complications After Vulvar Surgery

Bacalbaşa

Bălescu

Vîlcu

et al. 2019

In Vivo

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Background/Aim: Although the trends of surgical treatment in vulvar cancer patients are towards less extended resections, a significant number of cases are still diagnosed with locally advanced diseases imposing performing extended resections. The aim of this paper is to identify the prognostic factors for the development of early postoperative complications following vulvar surgery. Patients and Methods: Between 2017 and 2019, 145 patients with vulvar cancer were submitted to surgery with a curative intent. Results: Among these cases there were 93 cases diagnosed with early stages of the disease and 52 cases diagnosed with advanced stages. The risk of postoperative complications was significantly influenced by: i) the stage of the disease, ii) the preoperative levels of serum albumin, iii) the status of the resection margins, iv) previous history of irradiation, v) length of hospital stay and vi) association of comorbidities. Conclusion: Vulvar cancer surgery for locally advanced disease is still associated with high rates of postoperative complications, and an attentive selection of cases submitted to surgery is mandatory.

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Human anatomic variations: common, external iliac, origin of the obturator, inferior epigastric and medial circumflex femoral arteries, and deep femoral artery course on the medial side of the femoral vessels

Cited by 16 publications

References 6 publications

The Risk of Para-Aortic Lymph Node Metastases in Apparent Early Stage Ovarian Cancer

The Risk of Para-Aortic Lymph Node Metastases in Apparent Early Stage Ovarian Cancer

Total Exenteration En Bloc with a Nephrectomy for Locally Advanced Cervical Cancer Invading a Pelvic Kidney—A Case Report and Literature Review

Risk Factors for Postoperative Complications After Vulvar Surgery

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