Cholangiocarcinoma are rare tumors with different imaging presentations, but the diagnosis is difficult to be made even with CT scan or MRI. Endoscopic ultrasound (EUS) can offer supplementary information in detection and staging, but little is known if increased hepatic enzymes can add something for the diagnosis. Aim: To determine the accuracy of EUS in staging of cholangiocarcinoma and wheth...

BACKGROUND Surgery is the cornerstone for clinical management of patients with borderline ovarian tumors (BOT). As these patients have an excellent overall prognosis, perioperative morbidity is the critical point for decision making when the treatment strategy is developed and the primary surgical approach is defined. METHODS Clinical and surgical parameters of patients undergoing surgery for...

conclusions most patients are referred for restaging and demonstrate evidence of regional or distant metastasis with significant value for further treatment planning. providing insurance coverage and familiarizing referring physicians about appropriate indications of this relatively new diagnostic modality will be to the best interest of head and neck cancer patients in long term. methods we re...

While previous studies did indeed advance novel treatment methods for NSCLC, the team in Bangkok Hospital found it curious that even in a recent study published in April 2012, the most advanced staging evaluation methods used were mediastinoscopy or mediastinotomy (following bronchoscopy, bone scan, computed tomography (CT) scan of the chest) to acquire biopsy samples from lymph nodes. A random...

Thymomas are unusual tumors, representing no more than 1% of all malignancies. However, thymomas are the most common epithelial tumors of the anterior mediastinum. Unfortunately, there is no general agreement regarding the best parameters to use to predict clinical behavior in these tumors.This review considers the status of the different histological classifications thus far presented for thym...

Sentinel node biopsy (SNB) has largely replaced axillary lymph node dissection (ALND) as the standard-ofcare for nodal staging in invasive breast cancer. Preoperative imaging-based staging of the axilla using ultrasound with selective ultrasound-guided needle biopsy (UNB) is moderately-sensitive and identifies approximately 50% of patients (pooled estimate from meta-analysis 50%; 95% confidence...

background: today the use of laparoscopy before laparotomy is an effective method for decision-making in patients with gastric adenocarcinoma. the reliance on ct scans for decision-making purposes is not only unhelpful, yet also misleading . nonetheless, indications for laparoscopy and its application are changing daily. the low quality of diagnostic tools and epidemiological situation in our c...

Survival of all non-small cell lung cancer (NSCLC) patients is disappointing, with a 5-year survival of 18%. Staging NSCLC patients is crucial because it determines the choice of treatment and prognosis. Clinical staging is a complex process that comes with many challenges and with low accuracy between the clinical and pathological stage. Treatment modalities for stage I-III NSCLC consist of su...