Late reaction indicate modern and permanent changes caused by ischemic changes of this abdominal mucosa. Serious situations need a surgical treatment, which will be difficult due to serious adhesions and a higher risk of suture failure. In inclusion, the postoperative training course may be unfavorable in many cases. We performed surgery for 4 radiation enteritis instances; nonetheless, the postoperative course had been unfavorable in 2 instances because of impaired absorption and ileus of the staying brief bowel. These patients could maybe not eat acceptably after release; consequently, we had a need to clarify while making them understand the benefits and drawbacks of radiation treatment.Five patients with gastric metastasis from cancer of the breast had been treated within our hospital. In regards to the histopathological types of major cancer of the breast, 4 clients had been invasive ductal carcinomas and 1 had been unpleasant lobular carcinoma. One patient had been discovered by gastrointestinal fiberscopy for an in depth study of her high CEA, 2 for stenosis, 1 for hemorrhaging and 1 for epigastralgia. After the diagnosis IDN-6556 cost of gastric metastasis, 2 clients had been addressed with chemotherapies, 1 with hormones treatment and 2 with palliative remedies. One of them had been addressed with gastroduodenal stenting for pyloric stenosis, but she ended up being died by hemorrhaging from gastric lesion. On the basis of the results, constriction and bleeding with gastric metastasis is regarded as is severe condition in the treatment of freedom from biochemical failure metastatic breast cancer.This is the case of a 72-year-old guy in whom multiple colorectal cancers including rectal and appendiceal types of cancer and synchronous S3 liver metastases were noticed in 2014, and resection was performed in 2 stages. In 2017, a single recurrence was based in the liver S8, and he underwent a liver S8 sub-segmental resection. Implantation of a CV port for postoperative chemotherapy was prepared. During the time of insertion, the catheter ended up being punctured from the outside portion of the left subclavian vein to avoid the pinch-off syndrome wherein the catheter is crushed amongst the clavicle in addition to very first rib. Later, FOLFOX therapy had been begun, nonetheless it was stopped because of allergic symptoms, which appeared throughout the 3rd program. 2 yrs following the CV interface had been implanted, a catheter break was found on a chest X-ray performed during a frequent aquatic antibiotic solution visit. Since the detached catheter didn’t belong to the vein, it absolutely was possible to remove the slot under fluoroscopy. Whenever a catheter is implanted, also under ultrasound assistance, it is considered vital that you always keep in mind the alternative of a catheter break also to identify and answer it early.When the principal breast cancer vanishes by neoadjuvant chemotherapy, it is difficult to identify it through the breast preserving surgery. Before neoadjuvant chemotherapy, preoperative nipple-side HydroMARK-marking, that was made from titanium coil and hydrogel, was a really of good use and efficient method due to its fine recognition by ultrasonography. We report an incident of 51-year-old female with all the triple negative breast cancer(TNBC). At first, the HydroMARK was inserted between the breast additionally the tumor. Its distance was about 10 mm toward the breast. EC therapy accompanied by docetaxel was done for half a year as neoadjuvant chemotherapy. From then on, her left TNBC(T1N0M0, Stage Ⅰ, invasive ductal carcinoma, ER[-], PgR[-], HER2[-])was vanished in every imagings and resected in August 2018. The HydroMARK ended up being obviously detected by intraoperative ultrasonography and her right breast preserving surgery had been entirely carried out. Its pathological choosing ended up being pCR(pathological complete response).A 52-year-old lady experienced correct breast pain and detected a mammary cyst 6 months ago. She then noticed rapid growth of this tumor, that has been suspected is a borderline cancerous phyllodes tumor. The tumor dimensions ended up being around 15 cm and presented with skin congestion but without infiltration. The cyst revealed internal heterogeneous echo and rich blood flow signals on breast ultrasonography. Ultrasonography additionally showed swelling of the axillary lymph node. Lymph node cytology revealed the presence of atypical cells into the lymph node, and CT scan showed lymph node metastasis in the correct axilla with no distant metastases. We performed mastectomy with lymph node sampling. Pathological examination of the specimens confirmed a malignant phyllodes tumor and a metastatic lymph node. 30 days later, a subcutaneous size and multiple pulmonary nodules had been identified on a chest CT scan. Chest wall surface irradiation(45 Gy)and chemotherapy were carried out, nevertheless the quantity of pulmonary nodules, pleural effusion, and measurements of the subcutaneous mass continued to boost. Although she underwent another chemotherapeutic treatment, she died 5 months following the surgery. Therefore, we report an instance of a malignant phyllodes cyst with an exceptionally uncommon lymph node metastasis, which quickly progressed and even though multimodal therapy was performed.A 70-year-old man had been admitted to your medical center with acute stomach discomfort. Abdominal CT showed a 6-cm-sized cyst nearby the third portion of the duodenum, and a duodenal GIST was suspected. Even though the abdominal pain was intense in addition to tumefaction ended up being suspected to be ruptured, the important indications were stable; therefore, we initially planned to perform an elective surgery. However, because the discomfort could not be managed, the surgery was carried out in the 6th day’s hospitalization. The tumor appeared as if a duodenal GIST since it had been pulling the third portion of the duodenum inwards. It had a strong inclination to infiltrate the encompassing organs; consequently, pushed resection for the right colon, which is the encompassing organ, ended up being carried out.