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Left ovary preserved and Put out of pelvis Radiotherapy appreciation

Male 52 y monophasic synovial sarcoma right leg Ifosfamide and adriamycin pre operative Poor response 18 cm Necrosis 60% Mitosis grade: 8/10 high magnification field Bleeding a lot Right Leg amputation with posterior flaps No lung metastasis

Squamous cell carcinoma of the penis Male 35 y Partial amputation and left inguinal lymphadenectomy Invasion of lamina propria and corpus spongiosum G1 35 mm Free margins Negative angio lymphatic and perineural invasion T2 12 lymph nodes negatives Request p16 search

Scheduled right inguinal lymphadenectomy in 3 weeks

Male 82 y Squamous Cells carcinoma Oropharynx ( primary ) Right cervical surgical rescue After exclusive radical radiotherapy and chemotherapy 02 positives /12 lymph nodes(levels 1, 2 and 3—supraomohyoid neck dissection) Muscular invasion Free margins

Male 74 y acral melanoma

Fem 54 y. low-grade mucinous tumor of the appendix no rupture, removed in endobag Laparoscopic appendectomy

Colorectal metastasis seg 2 Hepatic resection parenchyma-sparing Free margins Sigmoid cancer t3 n2 6 months before Folfox adjuvant 6 cicles

Male 75 y Superior rectal cancer with Bladder invasion intestinal subocclusion rectosigmoidectomy with partial cystectomy Adenocarcinoma T4b N2b M1( liver) synchronic metastasis G2. Free margins; Budding low grade Size lesion :4,5 cm 11 nodes + /60 Angio lymphatic inv:+

Fem 74 Adenocarcinoma antrum gastric Intestinal type 5 cm Bormann 3 T3 n2 mo ec 3 5 lymph nodes positives / 30 Angio lymphatic and perineural invasion positives Free margins Negative cytology ( peritoneal lavage) Subtotal gastrectomy with d2 lymphadenectomy

Male 75 y SCC lower third esophagus Smoking and alcoholism Pacemaker. Hipertension Cross trial Neo adjuvant qt e rxt Transhiatal esophagectomy Disease persistence ( residual squamous cell carcinoma) T3 n0 14 lymph nodes negatives Free margins

Male 69 y tubular adenocarcinoma of the antrum restricted to mucosa 25 mm Subtotal gastrectomy d1 plus station 7 Free margins 27 negative lymph nodes Grade 1 Subtype intestinal (lauren) ( no option for mucosectomy!!!!)

Male 80 y Prostatic cancer previously synchronic gastric and sigmoid cancer Pet ct uptake in stomach / lymph nodes and sigmoid Subtotal Gastrectomy with D2 lymphadenectomy t3 n3 a m0 g3 (9 lymph nodes + / 78) Rectosigmoidectomy t2 n 0 m 0 g1 24 lymph nodes negatives

Male 61 Superior retal adenocarcinoma 60 mm Surgery upfront Total excision of mesorectum T2N0M0( invasion Superficial muscles) G1 Free margins( proximal , distal or radial) 104 lymph nodes negatives No budding No angiolymphatic ou peri neural invasion

Male 51 years Adenocarcinoma esophagogastric junction siewert 2 3,2x 2,1 cm G2 Esophagectomy 03 fields T3 n2 Muscular Invasion to adventitia 05 lymph nodes+ / 7 esophageal 11 lymph nodes+/ 14 gastric 03 lymph nodes negatives carinal Pre op ( ct scan ) no visible lesions

Left parotidectomy Facial nerve(seventh cranial nerve) pleomorphic adenoma

Male 79 y tubular adenocarcinoma with mucinous differentiation of the cecum Anemia ( investigation) 6,5 cm T3 n1 m0. G1 01 limph node positive /26 No budding ;no angiolymphatic or perineural invasion Adipose tissue infiltration Laparoscopic right colectomy

Fem 66 y Sub total gastrectomy D2 Early invasion gastric carcinoma Mixed subtype( tubular with loosely cohesive cells) T1b n0m0 g3 5 cm :extension Free margins( prox 5cm,distal 2 cm) Peritoneal lavage :neg Submucosal invasion ( sm1) Angio lymphatic /perineural :+ 26 nodes neg

Male 47 Tubular adenocarcinoma Retossigmoidectomy wit total mesorectal excision Up front surgery (double stapling) T3n0m0 g1 51 lymph nodes negatives Free margins (4 cm distal) NO tumor budding No angiolymphatic or perineural infiltration requested microsatellite instability

Male ,59 y Pain Bleeding Big Cec g3 back High mitotic index , necrosis No angio lymphatic or perineural invasion Free margins