Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report

Primary fallopian tube carcinoma is very rare. Diagnosis is challenging. The description of our case concerns an asymptomatic 71-year-old patient who came for a routine gynecological examination. Imaging of the pelvis revealed the presence of a two-chambered cystic formation in the anatomical position of the right ovary. It was decided to investigate the disease by laparotomy. Examination of the frozen section from the site of the cystic lesion was negative for malignancy. An abdominal total hysterectomy was performed with bilateral salpingo-oophorectomy. Serous carcinoma of the fallopian tube was diagnosed postoperatively by histological examination of the surgical preparation. Immediately after surgery, the patient’s health was good.The patient was referred to an oncology center and was monitored. Chemotherapy based on platinum and taxane was recommended. Six months after the operation the patient is in good health. The possibility of a second surgery to treat fallopian tube cancer with pelvic lymph node dissectionis under discussion and is expected to be decided by oncologists and gynecologists-oncologists. In this article, after describing the case report, a brief review of this rare entity disease’s diagnostic and therapeutic approach is attempted

One-Stage Implant-Based Breast Reconstruction With Polyurethane-Coated Device: Standardized Assessment of Outcomes

Background: Nipple-sparing mastectomies (NSM) and implant-based breast reconstructions (IBR) have evolved from two-stage reconstructions with tissue expansion (TE) and implant exchange, to direct-to-implant (DTI). In this study, we tested safety and efficacy of Polyurethane based implants according to standard assessment tools. Objectives: This study aims to test safety and feasibility of polyurethane coated implants using standardized assessment with internationally acknowledge evaluation criteria. Methods: Cases of nipple sparing mastectomies followed by breast reconstruction in one stage with immediate pre-pectoral polyurethane coated implants placement were retrospectively reviewed. Pre-operative characteristics of the population Adherence to quality assurance criteria or ABS-BAPRAS was verified. Complications were assessed using the Clavied-Dindo classifications modified for breast. Rippling, implant rotation and malposition were also evaluated. Results: Sixty-three consecutive patients underwent 74 nipple-sparing mastectomies (NSM) and immediate breast reconstruction with micro-polyurethane foam-coated anatomic implants. In five cases we had an unplanned re-admission with return to theatre under general anaesthesia (6.7%) and implant loss within 3 months from breast reconstruction (5 implants 6.7%). Post-operative complications according to Clavien Dindo were grade 1 in 6 cases (8.1%), grade 2 in 3 (4%) and 3b in 5 cases (6.7%). Conclusions: Polyurethane coated implants may prevent rotation and malposition and capsular contracture in the short term. Unplanned re-admission rates and implant loss rates in the short term may be slightly higher