Case Studies
Real clinical cases demonstrating surgical precision, innovation, and successful patient outcomes.
Breast Cancer • Fluorescence Guided Surgery
Sentinel lymph node biopsy was performed in a patient with early breast cancer using a dual-tracer technique with Indocyanine Green (ICG) and Methylene Blue dye. ICG fluorescence imaging helped in real-time mapping of lymphatic drainage and accurate identification of sentinel lymph nodes. The mono fluorescence mode highlights lymphatic channels clearly, while the pseudo-color mode enhances visual contrast for precise localization during surgery. This technique allows targeted removal of only the first draining lymph nodes, helping avoid unnecessary axillary lymph node dissection. The approach reduces surgical trauma, lowers the risk of arm swelling (lymphedema), and improves postoperative recovery while maintaining oncological safety.
Uncommon Site • Non-Metastatic
Intermediate-grade pleomorphic soft tissue sarcoma at an uncommon elbow location. PET-CT confirmed a non-metastatic disease, with the tumor involving the overlying skin while sparing the bone. A wide local excision was performed with clear margins confirmed on frozen section. Both radial and ulnar nerves were carefully preserved to maintain limb function. The post-excision defect was reconstructed using a pedicled radial artery forearm flap, ensuring good coverage and functional recovery.
Mandible Reconstruction • Free Fibula Flap
A 32-year-old female presented with recurrent ameloblastoma after undergoing curettage five years earlier. Due to the aggressive recurrence, a segmental mandibulectomy was planned to achieve complete tumor clearance. The jaw was reconstructed using a free fibula flap to restore facial contour, speech, and chewing function. The procedure achieved good oncological safety along with functional and aesthetic rehabilitation.
A 55-year-old woman presented with right-sided abdominal pain. CECT and PET-CT scans revealed an appendiceal mass associated with a cystic lesion and pelvic fluid. FNAC confirmed the presence of mucin, suggesting a low-grade appendiceal mucinous neoplasm. Further evaluation indicated pseudomyxoma peritonei arising from the appendiceal tumor. The patient underwent extensive cytoreductive surgery, including right hemicolectomy, omentectomy, peritonectomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, and Glisson’s capsule resection. Following complete cytoreduction, HIPEC with cisplatin was administered using the open Coliseum technique. The procedure was completed successfully, and the patient had an uneventful recovery. She was discharged in stable condition and remains under follow-up.