ABSTRACT
ABSTRACT Objective: Minimally invasive techniques are used increasingly by virtue of advancements in technology. Surgery for prostate cancer, which has high morbidity, is performed with an increasing momentum based on the successful oncological and functional outcomes as well as cosmetic aspects. Materials and methods: Sixty two patients underwent robot-assisted perineal radical prostatectomy (R-PRP) surgery at our clinic between November 2016 and August 2017. Six pelvimetric dimensions were defined and measured by performing multiparametric magnetic resonance imaging (mpMRI) prior to operation in all patients. In light of these data, we aimed to investigate the effect of pelvimetric measurements on surgery duration and surgical margin positivity. Results: By using this technique in pelvic area, we observed that measurements only representing surgical site and excluding other pelvic organs had a significant effect on surgery duration, and pelvic dimensions had no significant effect on surgical margin positivity. Conclusion: In R-PRP technique, peroperative findings and oncological outcomes can vary depending on several variable factors, but although usually not taken into account, pelvimetric measurements can also affect these outcomes. However, there is a need for randomised controlled trials to be conducted with more patients.
Subject(s)
Humans , Male , Prostatectomy , Prostatic Neoplasms , Robotics , Robotic Surgical Procedures , Margins of ExcisionABSTRACT
Aims: Metastases of leukemia and lymphoma to both breasts were very rare. We have aimed to report a rare and interesting case that presented with metastases of leukemia and lymphoma to both breasts. Case Report: A thirty-year-old woman has applied to our department with a four month story of painless masses in both of breasts. We have performed tru-cut biopsies to both breasts after clinical examination. Histological and immuno-histochemical profile analysis have revealed bilateral acute B - cell lymphoblastic lymphoma and acute B - cell lymphoblastic leukemia metastases. A positive response was observed after treating the patient with adjuvant systemic chemotherapy and consolidated radiation therapy. On the sixth month follow-up, no evidence of disease recurrence was identified. Discussion: In patients presenting with bilateral breast masses, considering that other tumors may metastasize to the breast, the details of this rare case may aid clinicians treating similar patients, and highlight the importance of this situation. Conclusion: This finding emphasizes the need to accurately identify these tumors as metastases in order to avoid unnecessary procedures and treatments in these patients.