A prospective study of Hickman/Broviac catheters and implantable ports in pediatric oncology patients

Intraparotid facial nerve schwannoma: A case report

Authors Moulima Banerjee, Gopinath Barui, Sanghamitra Mukherjee, Manisha Mahata, Sujata Sarangi, Tushar Kanti Das Department of Pathology, R.G.Kar Medical College, Kolkata-700004, West Bengal, India Corresponding Author Dr Moulima Banerjee Department Of Pathology, R.G.Kar Medical College and Hospital 1, Khudiram Bose Road, Kolkata-700004, West Bengal. India Phone Number9635972747, Email: moulimabanerjee16@gmail.com ABSTRACT Background: Breast cancer is the leading cancer affecting females of urban India. In recent times the multidisciplinary approach to this cancer has given us new insights about its biology. New modalities of treatment and early diagnosis due to increased awareness have significantly reduced cancer related deaths. This study aims at portraying the morphological diversity of breast cancer and comparing with recent WHO (2012) classification. The multitude of histopathological variations of breast cancer intrigues us histopathologists not only from academic point of view but also helps us to guide clinicians regarding treatment and prognoses. Material and Method: A cross sectional observational study conducted in the Department of Pathology from May 2015 to April 2017. Result: Total 168 cases of breast carcinoma were diagnosed during this time period out of which maximum cases were clustered in the 5 th decade of life. Most cases were stage T2 and showed lymphovascular invasion. The special histopathological subtypes encountered were Pleomorphic IDC, Lobular Carcinoma, Cribriform Carcinoma, Medullary Carcinoma, Mucinous Carcinoma, Invasive Papillary Carcinoma, Micropapillary Carcinoma, Apocrine Carcinoma, Secretory Carcinoma, Stromal Sarcoma, Malignant Phyllodes and Primary Lymphoma of breast. Keywordscarcinoma breast, WHO classification, rare histological subtype.

/pdf/a-study-on-diversity-of-malignant-breast-lesions-in-urban-19ne5wmklg.pdf

A Study on Diversity of Malignant Breast Lesions in Urban Population of Bengal – Two Year Experience in A Tertiary Care Centre

Implantable ports are used for intravenous infusion therapy and play an important role in management of oncology patients with malignant diseases. These ports are best suited for patients requiring long-term therapy (>4 weeks). Implanted ports provide reliable venous access; protect peripheral access; increase patients’ comfort through reducing repeated and difficult vein punctures; allow for safe and comfortable administration of concentrated solutions, vesicants or irritants with minimal risk of extravasations and chemical phlebitis; help patients avoid anxiety related to repeated vein puncture and provide a better quality of life. Implanted port systems and their needles are from a variety of types and materials. They are inserted with a surgical technique through an incision into subcutaneous tissue commonly in the upper chest wall. Implanted ports need some care including: flushing, locking, dressing, change of needle and minimizing the risk of contamination by scrubbing the access port with an appropriate antiseptic. The aim of this review is to provide evidence on managing port systems in order to improve practice, boost patient outcomes and reduce complications and health care costs. Keyword: Implanted port, care, chemotherapy. Introduction Over the last few decades, many management changes have occurred in oncology settings, particularly with respect to new chemotherapy combinations. Implantable port systems which resolve the problem of vascular access 1 have become an essential prerequisite for many chemotherapy protocols for solid tumors and hematological malignancies and are extensively used world-wide 2. Implantable ports which were first introduced in 1982 by Niederhuber are currently implanted with a high success rate and are routinely used in oncology, facilitating long-term chemotherapy and other procedures 3. They have definitely changed the quality of life among cancer patients 4. These ports are used for safe administration of chemotherapy, antibiotics, parenteral nutrition, frequent draw of blood for laboratory tests, transfusion of blood and blood products and contrast media injection 5; 6, 7; 8; 9; 10. These ports can be placed in chest, forearm or upper arm 5. Implantable port systems have some merits and disadvantages. Merits of using these kind of ports are being a more acceptable cosmetic option; allowing better bathing, swimming and playing 8; no need for external dressing; possibility of patient mobility and probably being less prone to infectious complications and minimizing the occlusion rate of the catheter compared to nontotally implantable catheters 4. They may appeal to patients concerned about the presence of the visible external part of non-implanted catheters, but they are more expensive to purchase; difficult to insert and remove; and also leave larger scars 11. Patients selection is an important criterion for placing a port. Malnourished patients are best to be avoided since the tissue will not hold the port and the skin over the port may get necrotic. Patients who have an infection or are suspected to have infection should be appropriately treated with antibiotics before placing the port. Ideally the blood lab test results should be near normal at the time of placing the port. For this reason it is IJBC 2013;3: 107-114 REVIEW ARTICLE D ow nl oa de d fr om ij bc .ir a t 9 :1 0 + 04 30 o n M on da y M ay 3 1s t 2 02 1

/pdf/how-to-care-for-implanted-ports-4vmigwnb7h.pdf

How to Care for Implanted Ports

Introduccion: Los schwannomas o neurilemomas son neoplasias benignas neuroectodermicas infrecuentes que se originan en la vaina de Schwann de los nervios craneales, perifericos y autonomicos. La localizacion intraparotidea es rara, correspondiendo al 0,2 a 1,5% del total de tumores que afectan esta glandula; aun mas inusual es su presentacion en el lobulo profundo. La clinica mas frecuente es la de una masa asintomatica, de larga data y sin compromiso del nervio facial, siendo su diagnostico preoperatorio un reto debido a la dificultad para diferenciarlo de otras patologias tumorales benignas, en especial del adenoma pleomorfo. La reseccion quirurgica es el tratamiento indicado. Objetivo: Presentar un caso de schwannoma intraparotideo en el lobulo profundo de la glandula izquierda. Diseno: Reporte de caso. Materiales y metodos: Se presenta el caso de una paciente de 62 anos tratada en la E.S.E Hospital Universitario del Caribe, Cartagena, consulto por masa asintomatica en cola de parotida de 2 anos de evolucion, sin compromiso del VII par. Se realizo reseccion mediante parotidectomia total con preservacion del nervio facial. Resultados: Mediante estudios histologicos y de inmunohistoquimica se diagnostico schwannoma intraparotideo. Conclusiones: A pesar de su rareza, la localizacion en los tejidos blandos de la region de cabeza y cuello ocupa casi el 50% de su presentacion en la economia corporal; es necesario tener la sospecha diagnostica y confirmar o descartar mediante estudio patologico. La localizacion intraparotidea del schwannoma en el lobulo profundo es excepcional y en general depende de ramas del VII par craneal.

Schwannoma intraparotideo del lobulo profundo. Reporte de caso clínico

Malignant schwanomma of parotid gland

https://www.apollohospitals.com/apollo_pdf/IMPLANTABLE%20PORTS%20IN%20PEDIATRIC%20ONCOLOGY%20PATIENTS.pdf

Implantable ports in pediatric oncology patients

3 cases of primary non Hodgkins lymphoma of the breast are described, seen over a period of 2 years among 199 cases of breast malignancies. All were diffuse large B cell type. Application of immunohistochemistry greatly aids in differentiating lymphoma from anaplastic carcinoma, with which it can easily be confused. Preoperative diagnosis on a trucut biopsy is an ideal diagnostic method since diagnosis on fine needle aspiration cytology or frozen section may not be possible. Primary breast lymphoma is a rare disease with reported incidence of 0.04-0.53% of all breast malignancies in most series. Accurate diagnosis is essential, so that appropriate treatment may be applied. Two cases were treated with CHOP chemotherapy and radiotherapy along with surgical excision. One case was treated with CHOP chemotherapy.

Primary lymphoma of the breast: a clinicopathological study.

Angiosarcoma of larynx

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Malignant schwanomma of parotid gland

Implantable ports in pediatric oncology patients

Primary lymphoma of the breast: a clinicopathological study.

Angiosarcoma of larynx