T1N0 No evidence of lymphovascular invasion Well-differentiated to moderately differentiated tumor Tumor < 3 cm in diameter Involved < 30 % circumference of rectal wall Posterior Approach The approach to locally resect rectal cancer…
Clinical presentation Diagnosis Malignant potential Location in the pancreas Localization studies Insulinoma Symptoms of hypoglycemia Whipple’s triad Hypoglycemia Fasting glucose <40 mg/dl Symptomatic relief with glucose Glucose <45 mg/dl (no sulfonylurea)…
Fig. 14.1 A patient with benign bilateral adrenal lesions. He has a symptomatic left adrenal myelolipoma and underwent a left adrenalectomy. The 5 cm asymptomatic lesion on the right side…
Fig. 20.1 Distribution of colorectal cancer cases (Courtesy of Quyen D. Chu, MD, MBA, FACS) Lynch Syndrome The most common form of heritable CRC is Lynch syndrome, which accounts for…
Type of cancer Incidence rate Common site Risk factors 5-year survival Carcinoid 37–44 % Ileum (44 %) MEN1a 60–75 % Adenocarcinoma 33–36 % Duodenum (55 %), jejunum (30 %), ileum…
Fig. 9.1 EGD picture of a 51-year-old man with a large gastric fundus adenocarcinoma (Courtesy of Quyen D. Chu, MD, MBA, FACS) While an EGD confirms the pathologic diagnosis in…
Fig. 2.1 A superficial basal cell carcinoma (BCC) with a characteristic raised, “pearly” appearance is depicted (a, yellow circle, c). A locally advanced infiltrative BCC is shown on the left…
Fig. 16.1 Fearon and Vogelstein proposed genetic model of colorectal carcinogenesis. CRC is the result of accumulated mutations of multiple genes that are involved with cell growth and differentiation Dietary…
Fig. 19.1 Multidisciplinary approach for CLM (Adapted from Ref. [8]. With permission from Elsevier) Pre-therapeutic Imaging Evaluation Adequate imaging is essential for patients with suspected CLM for diagnosis, staging, treatment…
Fig. 11.1 (a) The gallbladder (green) is contiguous with segments 4b and 5 of the liver. Segment 1 (caudate lobe) is not shown. (b) Couinaud classification of the liver divides…
