SUMMARYPrimary primitive neuroectodermal tumour (PNET) and extraskeletal Ewing's sarcoma belongs to the Ewing's family of tumours. Primary tumours arising from breast are very rare. There are only a few case reports published on primary extraskeletal Ewing's sarcoma and PNET arising from breast. We present an extremely rare case of an inoperable primary Ewing's sarcoma arising from left breast with contralateral breast, lymphatic and lung metastasis.
BACKGROUND
Results: Pancreatic resections were performed in 193 male (76.6%) and 59 female patients (23.4%) with a median age of 53.2 years. A total of 175 pancreatic head resections (69.4%), 37 distal pancreatectomies (14.7%), 23 total pancreatectomies (9.1%) and 18 other pancreatic resections (7.1%) were performed within our study period. Postoperative complications > Clavien II occurred in 94 patients (37.3%). 21 patients (8.3%) developed clinically relevant postoperative pancreatic fistula (grade B and C), while postoperative mortality occurred in 5 patients (2.0%). Final histological examination of the operation specimen revealed an incidental pancreatic adenocarcinoma in 18 out of the 252 patients (7.1%). Conclusion: The results of our study demonstrate that pancreatic resections for chronic pancreatitis may nowadays be considered as technically feasible and safe. Especially the high incidence of incidental pancreatic adenocarcinoma underlines the necessity for an early surgical therapy approach in these patients.
The mean observation period was longer for the LCJ group than for the OCJ group (31.6 vs. 25.3 months, p = 0.03). The incidence of postoperative cholangitis tended to be higher (16.9% vs. 8.2%, p = 0.061) and the incidence of intrahepatic stone was significantly higher in the LCJ group (8.4% vs. 1.9%, p = 0.035). The proportion of patients who required invasive intervention for anastomotic stenosis, such as endoscopic or percutaneous stenting or surgical reanastomosis, was significantly higher in the LCJ group (11.7% vs. 1.9%, p = 0.005). Conclusions: Although LCJ using continuous suture had been standardized within the study period, it is more likely to cause anastomotic stenosis than OCJ using interrupted suture.
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