Department of Surgical Oncology, Dr. B. Borooah Cancer Institute

14/09/2022

MCh Surgical Oncology Final Examination 2022

31/08/2022

The Department of Surgical Oncology (minus Head & Neck and Gynec Oncology) has successfully completed more than 900 major surgeries for cancer in last 8 months.

24/08/2022

27/05/2022

We performed 110 major surgeries for cancer in the month of April 2022. We are on track to surpass that number for the fourth consecutive time.

07/05/2022

Indocyanine Green used for sentinel node biopsy in cases of breast cancer and pe**le cancer and to check vascularity of bowel before anastomosis.

03/05/2022

A 52 year old post-menopausal nulliparous woman presented in OPD with lump in left breast for 4 months. On clinical examination both breasts were symmetrical, cup size B and non ptotic. The mass was 4*4cm located in LIQ just outside the NAC. It was not fixed to chest wall or skin. On core biopsy, it came to be IDC Grade 3, ER/PR positive and HER 2 NEU- Neg. Clinical staging T2N0.
Patient was planned for BCS with AICAP and SLNB.
Pre-operatively the tumor and inferior mammary fold were marked with skin marker in sitting position.
Patient underwent SLNB with methylene blue dye. An incision was given in inferior mammary fold and flap was raised to superiorly. The lump was excised with 1cm margin all around and sent for frozen section. Cavity was marked with clips after frozen section report confirmed margins to be negative. A crescent shape flap was raised based on internal mammary intercostal artery perforator. The flap was de-epithelialised and placed in the defect. The IMF was reconstructed. A suction drain was placed and wound closed in layers.

01/05/2022

Case capsule # 1: Pancreatic Neuroendocrine Cancer

A 60 year old lady with diabetes mellitus and bronchiectasis and bilateral lung fibrosis was diagnosed to have a neuroendocrine tumour of the distal pancreas (Ki67 of 2%). She had preoperative evaluation by a pulmonologist and was cleared for major surgery.

She underwent a radical antegrade modular pancreatosplenectomy (RAMPS) procedure alongwith a transverse colectomy and colo-colic anastomosis (in view of resection of the middle colic vessels which were encased by the tumour). The patient had dyspnea in the postoperative period and sputum examination revealed pulmonary tuberculosis. ATT was started and patient had an otherwise uneventful recovery with a total duration of hospital stay of 16 days and ICU stay of 5 days (isolation cabin). Patient has gone home and will return for a review with final histopathological report.

Points of interest:

1. Preoperative evaluation and optimisation
2. Immunizations to prevent OPSI
3. Use of ATT in the postoperative period
4. RAMPS procedure
5. Histological entity

DMG Gastrointestinal Surgery, Department of Surgical Oncology, BBCI

30/04/2022