strategy of wide local excision followed by postoperative radiotherapy in adult rhabdomyosarcoma: is it worthwhile?

This study was done on 20 patients with adult rhabdomyosarcoma of lower extremities. They were subjected to careful history taking, general and local examination. Investigations were done to confirm the diagnosis and to be sure that there was no distant metastasis. They included biopsy [Tru-Cut, incision and excision], plain X-ray chest, computed tomography [CT] chest, bone scan and magnetic resonance imaging [MRI] on the tumor area. The preoperative investigations included complete blood picture, liver functions, serum creatinine, blood sugar and ECG. Operation was done in the form of wide local excision [conservative surgery or limb salvage technique]. Radiotherapy was applied at the tumor area after surgery in the form of 6000 rad divided on six doses over six weeks. A long-term follow up for two years was done regarding local recurrence, distant metastasis and other complications

Peripheral vascular malformations: favorable outcome

In the period from May 1999 and January 2003, 45 patients were presented with arteriovenous malformations. All patients were subjected to thorough history taking, clinical examination and investigation with recent modalities techniques. A surgical excision was done in all cases; wide surgical excision of hemangioma and preliminary ligation of the feeding vessels was done in case of arteriovenous communication. Residual lesions were subjected to a further excision or injection sclerotherapy with ethanol. An excellent outcome was obtained in most of the patients, with only residual lesions in seven patients who were treated by a further excision or injection sclerotherapy with ethanol. There was no major complication in the postoperative period, e.g. DVT and PE. There was no recurrence in the study