Feasibility of oncoplastic techniques in the surgical management of locally advanced breast cancer

Background: Locally advanced breast cancer (LABC) is still common in developing countries. The association between neoadjuvant chemotherapy (NC) and oncoplastic surgery (OS) might provide an oncological treatment with satisfactory aesthetic results.Purpose: The goal was to demonstrate if oncoplastic surgical techniques can be utilized to treat LABC which was submitted to neoadjuvant chemotherapy.Methods: This prospective clinical trial included breast cancer patients, clinical stage III, who underwent established NC regimen. All patients underwent preoperative planning to control the tumor size and to define the surgical technique. A detailed analysis of the pathological specimen was performed.Results: 50 patients were assessed and surgically treated. Tumor size ranged from 3.0 to 14.0 cm (median 6.5 cm). Pathologic response was rated as stable, progressive, partial response, and complete response in 10%, 8%, 80% and 2% of the cases, respectively. Seventeen (34%) patients were submitted to OS. No patient had positive margins. Skin involvement was presented in 36% of pathologic specimen.Conclusions: Oncoplastic surgical techniques for selected patients decrease the rates of radical surgery despite large tumors. (www.clinicaltrials.gov, NCT00820690). (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Cold Renal Ischemia: Comparison of Efficacy Between Two Techniques of Cooling, in a Swine Model

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Comparison of techniques for tibial dyschondroplasia assessment in broiler chickens

This study was carried out at Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista, Botucatu, SP, Brazil, with the objective of evaluating the efficacy of four techniques in the assessment of tibial dyschondroplasia lesions in broiler chickens. Four hundred Cobb male chicks were reared from 1 to 39 days of age. At 39 days, forty birds were selected and tibial dyschondroplasia status was assessed by four different techniques: evaluation using the lixiscope, macroscopic examination, histological examination and bone mineral density assessment using optical radiographic densitometry. The efficacy of each technique to assess dyschondroplasia lesions in the tibial growth plate was determined in comparison to histology, which was considered to be 100% efficient. The correlation results between lixiscope analysis and histology were poor. Macroscopic scores and densitometry readings were highly correlated with histology scores, and it is considered that these techniques reliably reproduce the status of the growth plate.