No abstract

PURPOSE:The rat has long been regarded as the standard microsurgery research and training model. Anastomotic patency and thrombosis has since been a central focus in related studies. However, extensive literature indicates that rat microvessels are resilient and can remain patent despite clinically unacceptable technical errors. A design flaw in these studies is that they were oftentimes created by one or two experienced surgeons in a precise and standardized manner with only one technical error committed, which is not a typical representation of the clinical world. Therefore, this study aimed to investigate the effects of multiple errors committed by numerous surgeons on rat microvascular patency in an observational manner.

A solitary fibrous tumor of the pleura (SFTP) presenting with an aberrant arterial supply from the abdominal aorta is extremely rare, and it may be difficult to distinguish from intralobar sequestration (ILS). We report the case of a 38-year-old woman who presented with acute chest pain and was subsequently found to have a 17.5-cm intrathoracic mass. After preoperative arterial embolization of its feeding vessel, this presumed ILS was resected. However, the intraoperative findings revealed a benign SFTP. Here we discuss a unique presentation of a large SFTP radiographically mimicking an ILS, and we propose a safe management strategy for this entity.

Key Clinical MessageBasal cell carcinoma is the most common skin cancer, but may present as anatomically and pathologically unique variants. A careful understanding of the pathophysiology, meticulous preoperative planning, and the use of unique reconstructive techniques to preserve function and cosmesis are key in achieving a satisfactory oncologic result.