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Patients with peritoneal metastasis have an uncertain, but often grim, prognosis, but heated intraperitoneal chemoperfusion—or HIPEC—offers hope for some. This story explores the genesis of UC San Diego's HIPEC program, profiles the Surgery Department's HIPEC "A-team," and highlights new research, including a clinical trial of laparoscopic HIPEC, and genetic studies to understand the molecular basis of cancers that spread to the peritoneal surfaces, among others.
Chest masses in female patients raise immediate consideration for breast cancer. Although very common, breast cancer is not the only pathology that can be encountered, with other entities requiring consideration. One such entity is granular cell tumor (GCT) of the breast. Here Drs. Chris Reid, Zach Collier, and Anne Wallace present the first reported case of recurrent breast GCT with malignant transformation and metastases in juxtaposition to an occipital nerve stimulator. A possible novel pathophysiologic mechanism was identified as well as reinforcement of importance of complete oncologic treatment for GCTs.
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The Center for the Future of Surgery, situated in the Medical Education and Telemedicine Building in La Jolla, offers medical simulation training. It is dedicated to educating surgeons and testing new operating room equipment, procedures and techniques. Under the leadership of Santiago Horgan, MD, Division Chief for Minimally Invasive Surgery, the Center strives to continually improve and expand surgery options using emerging technology so that patients experience less pain and achieve better outcomes.
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