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Tsoumakidou G, Mandralis K, Hocquelet A, Duran R, Denys A. Salvage Lymph-Node Percutaneous Cryoablation: Safety Profile and Oncologic Outcomes. Cardiovasc Intervent Radiol 2019; 43:264-272. [DOI: 10.1007/s00270-019-02341-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 09/06/2019] [Indexed: 12/14/2022]
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Luo X, He W, Long X, Fang G, Li Z, Li R, Xu K, Niu L. Cryoablation of cardiophrenic angle lymph node metastases: a case report. J Med Case Rep 2017; 11:223. [PMID: 28803547 PMCID: PMC5554983 DOI: 10.1186/s13256-017-1313-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 05/06/2017] [Indexed: 11/17/2022] Open
Abstract
Background Cardiophrenic angle lymph node metastases are relatively rare. Surgical resection is the main treatment for cardiophrenic angle lymph node metastasis, but it is not always possible. Case presentation Here, we report our initial experience with cryoablation of a cardiophrenic angle lymph node metastasis from liver cancer. As the cardiophrenic angle lymph node metastasis was located close to the heart, about 200 mL of 0.9% saline was injected into the pericardium to separate the heart from the target area. The cardiophrenic angle lymph node metastasis was successfully ablated, without any complications. Conclusions Cryoablation may be a suitable alternative treatment for cardiophrenic angle lymph node metastasis.
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Affiliation(s)
- Xiaomei Luo
- Medical College, Jinan University, Guangzhou, 510632, Guangdong Province, China
| | - Weibing He
- Department of Oncology, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Xinan Long
- Department of Oncology, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Gang Fang
- Department of Surgery and Anesthesia, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Zhonghai Li
- Department of Radiology, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Rongrong Li
- Department of Ultrasound, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Kecheng Xu
- Department of Oncology, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China
| | - Lizhi Niu
- Department of Surgery and Anesthesia, Fuda Cancer Hospital, Jinan University School of Medicine (Guangzhou Fuda Cancer Hospital), Guangzhou, 510665, China. .,Guangzhou Fuda Cancer Hospital, School of Medicine, Jinan University, No. 2, Tangdexi Road, Tianhe District, Guangzhou, 510665, Guangdong Province, China.
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Yoo HJ, Lim MC, Song YJ, Jung YS, Kim SH, Yoo CW, Park SY. Transabdominal cardiophrenic lymph node dissection (CPLND) via incised diaphragm replace conventional video-assisted thoracic surgery for cytoreductive surgery in advanced ovarian cancer. Gynecol Oncol 2013; 129:341-5. [DOI: 10.1016/j.ygyno.2012.12.023] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2012] [Revised: 12/10/2012] [Accepted: 12/12/2012] [Indexed: 02/02/2023]
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Eguchi T, Takasuna K, Nakayama A, Ueda N, Yoshida K, Fujiwara M. Cardiophrenic angle lymph node metastasis from a fallopian primary tumor. Asian Cardiovasc Thorac Ann 2012; 20:74-6. [PMID: 22371950 DOI: 10.1177/0218492311422756] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Isolated cardiophrenic angle node metastases are relatively rare, as are primary fallopian tube carcinomas. We describe a case of a cardiophrenic angle node metastasis from such a tumor, with no peritoneal involvement. A 52-year-old woman, who had been previously diagnosed with fallopian tube carcinoma, was referred with a right cardiophrenic angle mass. A thoracoscopic resection was performed. The pathological diagnosis was lymph node metastasis from the primary lesion.
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Affiliation(s)
- Takashi Eguchi
- Department of Thoracic Surgery, Ina Central Hospital, Ina, Japan.
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Abstract
Diagnostic radiology does not have objective benchmarks for acceptable levels of missed diagnoses. Until now, data collection of radiological discrepancies has been very time consuming. The culture within the specialty did not encourage it. However, public concern about patient safety is increasing. There have been recent innovations in compiling radiological interpretive discrepancy rates which may facilitate radiological standard setting. However standard setting alone will not optimise radiologists' performance or patient safety. We must use these new techniques in radiological discrepancy detection to stimulate greater knowledge sharing, targeted instruction and teamworking among radiologists. Not all radiological discrepancies are errors. Radiological discrepancy programmes must not be abused as an instrument for discrediting individual radiologists. Discrepancy rates must not be distorted as a weapon in turf battles. Radiological errors may be due to many causes and are often multifactorial. A systems approach to radiological error is required. Meaningful analysis of radiological discrepancies and errors is challenging. Valid standard setting will take time. Meanwhile, we need to develop top-up training, mentoring and rehabilitation programmes.
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FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol 2005; 15:1760-7. [PMID: 15726377 DOI: 10.1007/s00330-005-2662-8] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2004] [Revised: 12/17/2004] [Accepted: 12/27/2004] [Indexed: 02/07/2023]
Abstract
Diagnostic radiology does not have objective benchmarks for acceptable levels of missed diagnoses. Until now, data collection of radiological discrepancies has been very time consuming. The culture within the specialty did not encourage it. However, public concern about patient safety is increasing. There have been recent innovations in compiling radiological interpretive discrepancy rates which may facilitate radiological standard setting. However standard setting alone will not optimise radiologists' performance or patient safety. We must use these new techniques in radiological discrepancy detection to stimulate greater knowledge sharing, targeted instruction and teamworking among radiologists. Not all radiological discrepancies are errors. Radiological discrepancy programmes must not be abused as an instrument for discrediting individual radiologists. Discrepancy rates must not be distorted as a weapon in turf battles. Radiological errors may be due to many causes and are often multifactorial. A systems approach to radiological error is required. Meaningful analysis of radiological discrepancies and errors is challenging. Valid standard setting will take time. Meanwhile, we need to develop top-up training, mentoring and rehabilitation programmes.
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