A man in his 60s presents with back pain and chest discomfort. Imaging reveals a mass in the left mediastinum abutting the lateral vertebral body and aorta. Is resection possible without major aortic bleeding?
This case suggests that an aggressive, multimodal approach may be appropriate for carefully selected patients who have soft-tissue sarcoma of the chest wall.
In October 2020, a 39-year-old woman presented to Cleveland Clinic Cancer Center with a recurrence of advanced rectal adenocarcinoma. The year before, her disease was diagnosed at another institution as stage III (T3N2M0); it was treated with chemotherapy, chemoradiation and surgery but unfortunately the cancer recurred very quickly. The patient’s first treatment regimen included eight … Read More
Tumor recurrence is suspected in a 30-year-old with chronic osteomyelitis and ulceration of the naso-/oropharynx due to extensive chemoradiation for embryonal rhabdomyosarcoma. What could make surgical resection a viable option?
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A 3.5-year-old boy has explosive onset of epilepsy marked by aura, left version, and right frontal elements on ictal and interictal EEG. While these findings suggest a role for epilepsy surgery, his MRI is presumed normal and most epileptiform discharges are generalized. How best to proceed?
A patient with macrolide-resistant nontuberculous mycobacterial (NTM) infection improves after lingulectomy.
Invasive cardiopulmonary exercise testing helps uncover the true cause of dyspnea in a 51-year-old man.
The case of a 30-something woman illustrates why this infrequently used operation is a valuable alternative to aortic valve replacement in young patients, particularly those with prior heart surgeries.
This operational case study profiles how we helped an affiliated hospital revise its process for elective surgery evaluation and admission. Results include more-satisfied patients and reduced costs.
Patients with a nonmalignant tumor near the optic nerve are at risk of vision loss but are often told they have no safe treatment options. This 65-year-old benefited from endoscopic endonasal surgery that restored her vision to near normal.