***CAUTION***

The following links contain surgical images and are intended to show educational tips. Therefore, watching it is not recommended for non-specialists and non-physicians

***هشدار***

لینک های زیر حاوی تصاویر جراحی بوده و به منظور نمایش نکات آموزشی است.لذا تماشای آن به افراد غیرمتخصص و غیر پزشک توصیه نمی شود.

CASE 27

Sixteen y girl with right leg Synovial Sarcoma
Extremity soft tissue sarcoma presents usually as a painless hard mass; albeit may be painful or even ulcerative at late stages

CASE 26

Kaposi sarcoma (KS) is an angio-proliferative spindle-cell tumor derived from endothelial and immune cells infected with human herpes virus type 8 (HHV8), mostly treat with non-surgical therapies.
This case is an old age man with refractory locally advanced KS, candidate of Limb amputation

CASE 25

This interesting Mammogram shows Nipple retraction and areolar thickening in left breast Paget’s disease

CASE 24

This young man with Neck involvement from Metastatic BCC of temple as a rare case, underwent Superficial Parotidectomy enblock with Modified neck dissection.
Three cranial nerves (7, 11,12) were explored and preserved exept for cervical and marginal mandibular branches of facial nerve which were sacrificed due to apparent involvement by tumor

.1Common carotid a

.2Ansa cervicalis n

.3Internal jugular v

.4Accessory n

.5Posterior belly of digastric m

.6Facial n

.7Hypoglossal n

CASE 23

Omental involvement (omental cake) of Pseudomyxoma Peritonei

CASE 22

Primary SCC of left parotid (blue mark), and It’s metastasis to Neck level2 Lymph node (yellow mark).
(The patient underwent Superficial Parotidectomy with facial nerve preservation and Radical neck dissection including resection of internal jugular vein due to apparent involvement by malignant lymph nodes.!)

case 21

Right Femoral nerve compression by retroperitoneal Mixoid liposarcoma. It was saved fortunately

case 20

Right Superficial Parotidectomy and Modified Neck Dissection in a case of Scalp Melanoma.
Look at the facial nerve branches, also Internal jugular vein and posterior belly of digastric muscle

CASE 19

The old man with huge but resectable abdominal mass, needed urgent operation; no enough time for biopsy; the tumor was resected completely!
What do you think about Histopathologic result?!!
I will announce just here when achieving the result




Histopathologic Guesses & final result

case 18

Tumor vascularization is a mechanism of tumor growth and metastasis, so antiangiogenetic agents are an approach for cancer therapy.
Interesting view of neovascularizatin in a peritoneal recurrent liomyosarcoma

case 17

Male Breast Cancer!
About 1 out of every 100 breast cancer diagnosed is found in a man

case 16

The product of en bloc resection of huge retroperitoneal liposarcoma with splenectomy, segmental colectomy and resection of small bowel. Look at the segment of colon under pressure by tumor just mid part of Specimen.
The largest tumor I have ever operated..!
The patient has fortunately been disease free for about 4 years so far.

case 15

Exploration and preservation of Sciatic nerve during resection of large metastatic melanoma deep seated in bottock

case 14

Let’s see an extensive locally advanced SCC of intergluteal skin arising in chronic untreated pilonidal sinus!
Vacuum dressing was performed waiting for permanent pathologic assessment to do reconstruction

case 13

Recurrent Retroperitoneal Liposarcoma Surrounding and encasing right Kidney; like swallowing it

case 12

A nice message from my patient’s son, 3 years after surgery and HIPEC for extensive pseudomyxoma Peritonei.
A satisfying experience with no alternative

case 11

Thick Ulcerated Melanoma of Scalp with multiple satellite lesions; Was operated with wide excision, skin graft and ipsilateral Neck SLNB

case 10

Neglected leg SCC

case 9

Krukenberg tumor; Bilateral ovarian metastases of gastric cancer

case 8

CarcinoSarcoma of left breast; A rare entity
Treated with Radical Mastectomy and latissimus flap reconstruction

case 7

Undifferentiated Pleomorphic Sarcoma (UPS) of left thoracoabdominal wall; treated with radical resection including three involved ribs and reconstruction using mesh, Latissimus muscular flap and skin rotational flap; after neoadjuvant chemoradiation

case 6

Large Retroperitoneal Solid-Cystic Tumor in a young man displacing lt kidney, spleen, pancreas, stomach and bowel loops؛ Operative finding in favor of Lt adrenal origin

case 5

Neglected DFSP (Dermatofibrosarcoma protuberance); A teaching case with typical appearance albeit advanced

case 4

Invasive Ductal Carcinoma of breast with intraductal component, presented with nipple-areolar ulcerative lesion. See mammogram (Right MLO) and note calcifications started just beneath the nipple

case 3

A young lady with malignant breast mass, suspicious calcification and axillary metastasis.
She underwent NAC-Sparing mastectomy with DTI reconstruction, Axillary Dissection, Contralateral breast mastopexy.
# A collaboration of Oncologic and plastic surgeon

case 2

MPNST in a case of NeuroFibromatosis

case 1

Reconstruction of Full thickness cheek defect of SCC resection using neck rotational flap with mucosal surface skin graft coverage