Cushing’s Disease and Syndrome
Fig. 2.1 Contrast-enhanced CT scan in a patient with Cushing’s syndrome demonstrating a left primary adrenal tumor and a synchronous metastasis in the right lobe of the liver Medical Management…
Adrenocortical Carcinoma and Open Adrenalectomy
Histological criteria assessed for the Weiss score High mitotic rate Atypical mitoses High nuclear grade Low percentage of clear cells Necrosis Diffuse architecture of tumor Capsular invasion Sinusoidal invasion Venous…
Adrenal Tumors
Hereditary Tumor Syndrome Manifestation of Tumor Gene (chromosomal locus) Syndrome Prevalence of ACT Li-Fraumeni TP53 (17p13), hCHK2 (22q12.1), lq23 Soft tissue sarcoma, osteosarcoma, breast cancer, brain tumor, leukemia, ACC ACC,…
Pancreatic Cystic Tumors
Injury-related and inflammation-related cysts (30%) • Pseudocyst • Paraduodenal wall cyst • Infection-related cysts Neoplastic cysts (60%) Ductal lineage Mucinous type (30%) • Intraductal papillary mucinous…
Non-invasive and Invasive Breast Cancer
Fig. 14.1 Possible intraductal and discontinuous peritumoral spread of DCIS These issues warrant thorough preoperative assessment (usually breast MRI). Most DCIS are non-palpable lesions (mostly microcalcifications) so careful preoperative localization…
Pancreatic Adenocarcinoma
Fig. 6.1 Axial contrast-enhanced arterial phase MDCT demonstrates dilatation of the distal common bile duct (*) due to isoattenuating adenocarcinoma (arrow) of the pancreatic head. The main pancreatic duct of…
Hepatobiliary Cancer
Fig. 5.1 A large HCC in a 75-year-old HCV-positive patient treated by selective internal radiation treatment (SIRT). (a) Angiographic image during SIRT. (b) CT after SIRT. (c) The specimen after…
Pulmonary Malignancies
Fig. 15.1 The da VinciTM robotic system (courtesy of Surgical Intuitive, Inc., Sunnyvale, CA, USA) Instruments EndoWrist instruments are designed to provide surgeons with natural dexterity and a full range…
Hematologic Malignancies of Surgical Interest and Splenic Tumors
Fig. 11.1 The four temperaments—(from left to right) choleric, melancholic, sanguine and phlegmatic— on the wall of a house at the corner of Am Dornbusch and Eschersheimer Landstraße in Dornbusch,…
New Knowledge in the Diagnosis and Medical Treatment of Pancreatic Neuroendocrine Tumors
Fig. 9.1 Pancreatic neuroendocrine tumors: stage at diagnosis Histological Features and World Health Organization (WHO) Classification 2010 Neuroendocrine tumors (NETs) are considered to be epithelial neoplasms with neuroendocrine differentiation. However,…
