study of contractility of proximal surgical margin in esophageal cancer

The marginal length from main tumor in esophageal cancer is a considerable issue regarding surgical management and adjuvant treatment, so we decided to study the contractility effect on the proximal surgical margin after immersing it in 10% buffered formalin as a fixative. The proximal marginal length of ten sequential patients with esophageal cancer who underwent transhiatal esophagectomy were studied, on the operating table as fresh specimens, immediately after resection, and next 24, 48 and 72 hours after immersing in 10% buffered formalin. The contraction continued through the day 3, the mean contractility after one day was about 27%, after two days was 33% and after three days was 38%. This study shows how the proximal esophageal margin can vary by the time, after immersing in 10% buffered formalin and should be considered in every settings and reporting documents by pathologists

Simultaneous gastric adenocarcinoma and gastrointestinal stromal tumor of the stomach: a case report

Simultaneous a collision tumor of stomach consisting of adenocarcinoma and Gastrointestinal Stromal Tumor [GIST] is very rare based on our knowledge. This coexistence has rarely been reported in literatures. We report a case of 64-year-old woman who has diagnosed with prepyloric poorly-differentiated diffuse signet-ring cell type adenocarcinoma and has undergone an elective D2 total gastrectomy. During operation another mass in fundic body region has found. The pathologic examination of the mass has shown GIST. Immunohistochemical staining for CD117 and Desmin was positive whilst that for S100 was negative. This case reports the simultaneous two tumors development of different histotypes and natures in the same organ

Abdominal tuberculosis presenting with peritonitis and enteroliths: report of a rare case and literature review

We are presenting a case of abdominal tuberculosis who had peritonitis and two large enteroliths were removed from the small intestine during laparotomy. Following a full course of medical treatment, she developed small bowel obstruction and treated by laparotomy and enterolysis but showed no evidence of stricture. We had a diagnostic and management challenge which will be discussed along with a review of the literature