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The American Society of Breast Surgeons.
Annals of Surgical Oncology

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Volume 26, Number 11 / October, 2019

ASO Author Reflections

ASO Author Reflections: The American Society of Breast Surgeons Definition of Oncoplastic Surgery

Abhishek Chatterjee MD, MBA, Juliann Reiland MD
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ASO Author Reflections: Routine Radiologic Staging of Distant Metastases Must Be Recommended as a Binding Guideline After Diagnosis of Local Breast Cancer Recurrence

Uwe Güth MD
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ASO Author Reflections: Distant Metastatic Parathyroid Carcinoma—Has the “Train Left the Station?”

Elliot A. Asare MD MS, Nancy D. Perrier MD
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Breast Oncology

Oncoplastic Breast Surgery: From Oblivion to Mainstream

Melvin J. Silverstein MD
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Axillary Lymphatic Evaluation: A Solution to a Complex Problem

Daniela A. Ochoa MD FACS
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Restaging Patients With Locoregional Relapse: Is There Any Benefit? : Commentary on “Radiological Staging for Distant Metastases in Breast Cancer Patients with Confirmed Local and/or Locoregional Recurrence: How Useful are Current Guideline Recommendations?” by Elfgen, Constanze et al.

Virgilio Sacchini MD
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Invited Editorial: “Enhanced Recovery Minimizes Opioid Use and Length of Stay in Patients Undergoing Mastectomy with Reconstruction”

Sarah M. DeSnyder MD, Matthew M. Hanasono MD
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A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons

Abhishek Chatterjee MD, MBA, Jennifer Gass MD, Krishnabhai Patel MD, Dennis Holmes MD, Katherine Kopkash MD, Lashan Peiris MBBS (Lon), Anne Peled MD, Jessica Ryan MD, Mahmoud El-Tamer MD, Julie Reiland MD
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Identification and Preservation of Arm Lymphatic System in Axillary Dissection for Breast Cancer to Reduce Arm Lymphedema Events: A Randomized Clinical Trial

Qianqian Yuan MD, Gaosong Wu MD, PhD, Shu-Yuan Xiao MD, Jinxuan Hou MD, Yuqi Ren MD, Hongying Wang MD, Kun Wang MD, Dan Zhang MD
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Radiological Staging for Distant Metastases in Breast Cancer Patients with Confirmed Local and/or Locoregional Recurrence: How Useful are Current Guideline Recommendations?

Constanze Elfgen MD, Seraina Margaretha Schmid MD, Christoph Johannes Tausch MD, Giacomo Montagna MD, Uwe Güth MD
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Enhanced Recovery Minimizes Opioid Use and Hospital Stay for Patients Undergoing Mastectomy with Reconstruction

Caroline J. McGugin MD, MSPH, Suzanne B. Coopey MD, Barbara L. Smith MD, PhD, Bridget N. Kelly BA, Carson L. Brown MS, Michele A. Gadd MD, Kevin S. Hughes MD, Michelle C. Specht MD
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Breast Density in a Contemporary Cohort of Women With Ductal Carcinoma In Situ (DCIS)

Jessica C. Gooch MD, Jennifer Chun MPH, Elianna Kaplowitz MPH, Emma Kurz BS, Amber Guth MD, Jiyon Lee MD, Freya Schnabel MD
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Clinical Management of Mucocele-Like Lesions of the Breast with Limited or no Epithelial Atypia on Core Biopsy: Experience from Two Institutions

Tanya W. Moseley MD, Sejal S. Shah MD, Christopher V. Nguyen MD, Juliana Rosenblat MD, Erika Resetkova MD, PhD, Nour Sneige MD, Kathy R. Brandt MD, Lei Huo MD, PhD
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Practitioner Opinion on Contralateral Prophylactic Mastectomy: How Do We Steer a Patient-Driven Discussion?

Angela E. Schellenberg MD, Amanda Stypulkowski BSc, Erin Cordeiro MD, Claire M. B. Holloway MD, Andrea Eisen MD, Adena S. Scheer MD
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The Changing Role of Gene-Expression Profiling in the Era of De-escalating Adjuvant Chemotherapy in Early-Stage Breast Cancer

J. E. C. van Steenhoven MD, A. Kuijer MD, PhD, K. Schreuder PhD, S. G. Elias MD, PhD, P. J. van Diest MD, PhD, E. van der Wall MD, PhD, S. Siesling PhD, T. van Dalen MD, PhD
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Prognostic Significance of Residual Axillary Nodal Micrometastases and Isolated Tumor Cells After Neoadjuvant Chemotherapy for Breast Cancer

Stephanie M. Wong MD, MPH, Nora Almana MD, Jungeun Choi MD, Jiani Hu MPH, Haley Gagnon MD, Kelsey Natsuhara MD, Abra H. Shen SB, Stephen DeSantis BSc, Laura Dominici MD, Mehra Golshan MD, Anna Weiss MD, Jennifer Bellon MD, Elizabeth A. Mittendorf MD, PhD, Tari A. King MD
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SentimagIC: A Non-inferiority Trial Comparing Superparamagnetic Iron Oxide Versus Technetium-99m and Blue Dye in the Detection of Axillary Sentinel Nodes in Patients with Early-Stage Breast Cancer

Michael D. Alvarado MD, Elizabeth A. Mittendorf MD, Mediget Teshome MD, Alastair M. Thompson MD, Richard J. Bold MD, Mark A. Gittleman MD, Peter D. Beitsch MD, Sarah L. Blair MD, Kaisa Kivilaid MS, Quentin J. Harmer PhD, Kelly K. Hunt MD
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Surgical Management of the Axilla in Clinically Node-Positive Patients Receiving Neoadjuvant Chemotherapy: A National Cancer Database Analysis

Stephanie M. Wong MD, Anna Weiss MD, Elizabeth A. Mittendorf MD, Tari A. King MD, Mehra Golshan MD, MBA
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Colorectal Cancer

Influence of Molecular Status on Recurrence Site in Patients Treated for a Stage III Colon Cancer: a Post Hoc Analysis of the PETACC-8 Trial

M. Bruzzi MD, E. Auclin MD, R. Lo Dico MD, PhD, T. Voron MD, M. Karoui MD, PhD, E. Espin MD, PhD, F. Cianchi MD, J. Weitz MD, PhD, A. Buggenhout MD, R. Malafosse MD, F. Denimal MD, K. Le Malicot MS, D. Vernerey PhD, R. Douard MD, PhD, J. F. Emile MD, PhD, C. Lepage MD, PhD, P. Laurent-Puig MD, PhD, J. Taieb MD, PhD
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Quality of Life After Total Mesorectal Excision and Rectal Replacement: Comparing Side-to-End, Colon J-Pouch and Straight Colorectal Reconstruction in a Randomized, Phase III Trial (SAKK 40/04)

Karin Ribi PhD, Walter R. Marti MD, Jürg Bernhard PhD, Felix Grieder MD, Michael Graf MD, Beat Gloor MD, Gaudenz Curti MD, Markus Zuber MD, Nicolas Demartines MD, Christiane Andrieu PhD, Martin Bigler MSc, Stefanie Hayoz PhD, Heinz Wehrli MD, Christoph Kettelhack MD, Bruno Lerf MD, Fabrizio Fasolini MD, Christian Hamel MD
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Endocrine Tumors

Primary Gallbladder Neuroendocrine Tumors: Insights into a Rare Histology Using a Large National Database

Reed I. Ayabe MD, Michael Wach MD, Samantha Ruff MD, Sean Martin MD, Laurence Diggs MD, Timothy Wiemken PhD, MPH, Leslie Hinyard PhD, MSW, Jeremy L. Davis MD, Carrie Luu MD, Jonathan M. Hernandez MD
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Distinct Clinical Manifestations of Thyroid Cancer After Hematopoietic Stem Cell Transplantation

Tae Yoon Lee MD, Sohee Lee MD, PhD, Ja Seong Bae MD, PhD, Woo-Chan Park MD, PhD, Sung-Soo Park MD, PhD, Sung-Eun Lee MD, PhD, Jong Wook Lee MD, PhD, Seong Koo Kim MD, Bin Cho MD, PhD, Chan Kwon Jung MD, PhD
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Risk of Distant Metastasis in Parathyroid Carcinoma and Its Effect on Survival: A Retrospective Review from a High-Volume Center

Elliot A. Asare MD, MS, Angelica Silva-Figueroa MD, Kenneth R. Hess PhD, Naifa Busaidy MD, Paul H. Graham MD, Elizabeth G. Grubbs MD, Jeffrey E. Lee MD, Michelle D. Williams MD, Nancy D. Perrier MD
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Gastrointestinal Oncology

Additional Patient Factors may Predict Survival in Esophageal Cancer Better than TMN Alone After Esophagectomy

Johnathon Aho MD, PhD, Janani Reisenauer MD
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Characteristics and Survival of Gastric Cancer Patients with Pathologic Complete Response to Preoperative Therapy

Alexander P. Stark MD, Naruhiko Ikoma MD, MS, Yi-Ju Chiang MSPH, Jeannelyn S. Estrella MD, Prajnan Das MD, MPH, Bruce D. Minsky MD, Mariela M. Blum MD, Jaffer A. Ajani MD, Paul Mansfield MD, Brian D. Badgwell MD, MS
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Obstruction-Free Survival Following Operative Intervention for Malignant Bowel Obstruction in Appendiceal Cancer

Joel M. Baumgartner MD, MAS, Rebecca Marmor MD, Athena Hsu BS, Jula Veerapong MD, Kaitlyn J. Kelly MD, Andrew M. Lowy MD
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Impact of ypT, ypN, and Adjuvant Therapy on Survival in Gastric Cancer Patients Treated with Perioperative Chemotherapy and Radical Surgery

Felipe José Fernández Coimbra MD, Victor Hugo F. de Jesus MD, Héber S. C. Ribeiro MD, Alessandro L. Diniz MD, André Luís de Godoy MD, Igor Correia de Farias MD, Tiago Felismino MD, Celso A. L. Mello MD, PhD, Maria Fernanda Almeida MD, Maria Dirlei F. S. Begnami MD, PhD, Emmanuel Dias-Neto PhD, Rachel S. P. Riechelmann MD, PhD, Wilson L. da Costa Jr. MD, PhD
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Short- and Long-Term Outcomes of Patients Requiring Gastrectomy During Cytoreductive Surgery and Intraperitoneal Chemotherapy for Lower-Gastrointestinal Malignancies: A Propensity Score-Matched Analysis

Bhavneet Singh MBBS, Oliver M. Fisher MD, PhD, Gurkirat Singh MBBS, Joshua Lansom MBBS, Michael Bock MBBS, Mathew Kozman MBBS, MS, FRACS, Nayef Alzahrani MBBS, SBGS, Winston Liauw MBBS, MMEDSCI, MP&Pol, FRACP, David L. Morris MBChB, FRCS, MD, PhD, FRACS
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Is Additional Surgery Always Sufficient for Preventing Recurrence After Endoscopic Submucosal Dissection with Curability C-2 for Early Gastric Cancer?

Waku Hatta MD, PhD, Takuji Gotoda MD, PhD, FASGE, FACG, FRCP, Tsuneo Oyama MD, PhD, Noboru Kawata MD, Akiko Takahashi MD, Shiro Oka MD, PhD, Shu Hoteya MD, PhD, Masahiro Nakagawa MD, PhD, Masaaki Hirano MD, PhD, Mitsuru Esaki MD, Mitsuru Matsuda MD, PhD, Ken Ohnita MD, PhD, Ryo Shimoda MD, PhD, Motoyuki Yoshida MD, Osamu Dohi MD, PhD, Jun Takada MD, PhD, Keiko Tanaka MD, Shinya Yamada MD, PhD, Tsu
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Utility of Intraoperative Margin Assessment by Frozen Section in Gastric Cancer

Malcolm H. Squires III MD, MS, Shishir K. Maithel MD, Ryan C. Fields MD
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Reply to “Utility of Intraoperative Margin Assessment by Frozen Section in Gastric Cancer”

Koki Nakanishi MD, Shinji Morita MD, Hirokazu Taniguchi MD, Sho Otsuki MD, Takeo Fukagawa MD, Hitoshi Katai MD
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Head and Neck Oncology

Tumor Depth of Invasion (Tumor > 4 cm/Depth > 10 mm and Depth > 20 mm) and Through Cortex/Skin Invasion are Both Valid Criteria for Classifying Tumors as pT4a in AJCC 2018 Oral Cavity Cancer Staging System

Chun-Ta Liao MD, Li-Yu Lee MD, Chuen Hsueh MD, Chien-Yu Lin MD, Kang-Hsing Fan MD, Hung-Ming Wang MD, Chia-Hsun Hsieh MD, Shu-Hang Ng MD, Chih-Hung Lin MD, Chung-Kan Tsao MD, Chung-Jan Kang MD, Tuan-Jen Fang MD, Shiang-Fu Huang MD, Kai-Ping Chang MD, Li-Ang Lee MD, Ku-Hao Fang MD, Yu-Chien Wang MD, Wan-Ni Lin MD, Li-Jen Hsin MD, Lan Yan Yang PhD, Tzu-Chen Yen MD
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Surgery or Radiotherapy of the Primary Tumor in T1–2 Head and Neck Squamous Cell Carcinoma with Resectable N3 Nodes: A Multicenter GETTEC Study

Florent Carsuzaa MD, Juliette Thariat MD, PhD, Philippe Gorphe MD, Christian Righini MD, PhD, Alain Cosmidis MD, Sébastien Thureau MD, PhD, Maximilien Roge MD, Erwan De Mones MD, PhD, Stéphanie Servagi-Vernat MD, PhD, Denis Tonnerre MD, Sylvain Morinière MD, PhD, Amaury Dugas MD, Olivier Malard MD, PhD, François Pasquier MD, Sébastien Vergez MD, PhD, Julia Salleron MSc, Xavier Dufour MD, PhD
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Health Services Research and Global Oncology

Requiem for Robotic Cancer Surgery? Not So Fast

John D. Seigne MD, Ilana Cass MD, Sandra L. Wong MD, MS
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Inpatient Opioid Use After Pancreatectomy: Opportunities for Reducing Initial Opioid Exposure in Cancer Surgery Patients

Timothy E. Newhook MD, Whitney L. Dewhurst MS, Timothy J. Vreeland MD, Xuemei Wang MS, Jose Soliz MD, B. Bryce Speer DO, Shannon Hancher-Hodges MD, Chun Feng MA, Morgan L. Bruno MS, Michael P. Kim MD, Thomas A. Aloia MD, Jean-Nicolas Vauthey MD, Jeffrey E. Lee MD, Matthew H. G. Katz MD, Ching-Wei D. Tzeng MD
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Hepatobiliary Tumors

Resection of the Dorsal Sector of the Liver: The Anterior Transhepatic Approach

Heithem Jeddou MD, Stylianos Tzedakis MD, Laurent Sulpice MD, PhD, Karim Boudjema MD, PhD
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Fibrinogen–Albumin Ratio Index (FARI): A More Promising Inflammation-Based Prognostic Marker for Patients Undergoing Hepatectomy for Colorectal Liver Metastases

Yan-Yan Wang MD, Zhen-Zhen Liu MD, Da Xu MD, Ming Liu MD, Kun Wang MD, Bao-Cai Xing MD
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Prognosis After Resection of Barcelona Clinic Liver Cancer (BCLC) Stage 0, A, and B Hepatocellular Carcinoma: A Comprehensive Assessment of the Current BCLC Classification

Diamantis I. Tsilimigras MD, Fabio Bagante MD, Kota Sahara MD, Dimitrios Moris MD, PhD, J. Madison Hyer MS, Lu Wu MD, Francesca Ratti MD, Hugo P. Marques MD, Olivier Soubrane MD, Anghela Z. Paredes MD, MS, Vincent Lam MD, George A. Poultsides MD, Irinel Popescu MD, Sorin Alexandrescu MD, Guillaume Martel MD, Aklile Workneh MD, Alfredo Guglielmi MD, Tom Hugh MD, Luca Aldrighetti MD, Itaru Endo MD,
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Melanoma

Indocyanine Green Fluorescence Imaging with Lymphoscintigraphy for Sentinel Node Biopsy in Melanoma: Increasing the Sentinel Lymph Node-Positive Rate

Rebecca Knackstedt MD, PhD, Rafael A. Couto MD, Jennifer Ko MD, PhD, Cagri Cakmakoglu MD, Daisy Wu BS, Brian Gastman MD
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Pancreatic Tumors

Better Defining the Role of Total Neoadjuvant Radiation: Changing Paradigms in Locally Advanced Pancreatic Cancer

Roberto J. Vidri MD, Anne O. Vogt MS, Dougald C. Macgillivray MD, FACS, Ian J. Bristol MD, Timothy L. Fitzgerald MD, FACS
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Extended Laparoscopic Central Pancreatectomy with Clamping of the Mesentericoportal Vein and Resection of the Splenic Vessels for a Large Solid Pseudopapillary Tumor

Safi Dokmak MD, PhD, Béatrice Aussilhou MD, Marco Paci MD, Fadhel Samir Ftériche MD, Jérome Cros MD, Frédérique Maire MD, Olivier Soubrane MD, PhD, Alain Sauvanet MD
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Peritoneal Surface Malignancy

Development of a Geriatric Prognostic Scoring System for Predicting Survival After Surgery for Elderly Patients With Gastrointestinal Cancer

Makoto Yamasaki MD, PhD, Yoshihiro Maekawa MD, PhD, Ken Sugimoto MD, PhD, Tsunekazu Mizushima MD, PhD, Hidetoshi Eguchi MD, PhD, Toshio Ogihara MD, PhD, Ayumi Shintani PhD, Hiromi Rakugi MD, PhD, Masaki Mori MD, PhD, Yuichiro Doki MD, PhD
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Standard Operating Procedures for Anesthesia Management in Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Improve Patient Outcomes: A Patient Cohort Analysis

Dominique Fichmann MMed, Lilian Roth MD, Dimitri A. Raptis MD, PhD, Marie-Elisabeth Kajdi MD, Philippe Gertsch MD, René Vonlanthen MD, MHA, Olivier de Rougemont MD, Julio Moral MD, Beatrice Beck-Schimmer MD, Kuno Lehmann MD, PhD
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Sarcoma

When Is Watchful Waiting Warranted? Advances in Soft Tissue Sarcoma—An Editorial Commentary

Carolyn Nessim MSc, MD, FRCSC, FACS
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Watch and Wait Approach for Re-excision After Unplanned Yet Macroscopically Complete Excision of Extremity and Superficial Truncal Soft Tissue Sarcoma is Safe and Does Not Affect Metastatic Risk or Amputation Rate

Gauthier Decanter MD, Eberhard Stoeckle MD, Charles Honore MD, PhD, Pierre Meeus MD, Jean Camille Mattei MD, PhD, Pascale Dubray-Longeras MD, Gwenael Ferron MD, Sébastien Carrere MD, Sylvain Causeret MD, Jean-Marc Guilloit MD, Magali Fau MD, Philippe Rosset MD, PhD, Jean-Christophe Machiavello MD, Jean Baptiste Delhorme MD, PhD, Nicolas Regenet MD, François Gouin MD, PhD, Jean-Yves Blay MD, PhD, J
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Intraperitoneal Invasion of Retroperitoneal Sarcomas: A Risk Factor for Dismal Prognosis

Eran Nizri MD, Marco Fiore MD, Francesco Barretta MD, Chiara Colombo MD, Stefano Radaelli MD, Dario Callegaro MD, Roberta Sanfilippo MD, Claudia Sangalli MD, Paola Collini MD, Silvia Stacchiotti MD, Paolo G. Casali MD, Rosalba Miceli MD, Alessandro Gronchi MD
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Assessing the Role of Neoadjuvant Chemotherapy in Primary High-Risk Truncal/Extremity Soft Tissue Sarcomas: An Analysis of the Multi-institutional U.S. Sarcoma Collaborative

Mohammad Y. Zaidi MD, MS, Cecilia G. Ethun MD, MS, Thuy B. Tran MD, George Poultsides MD, Valerie P. Grignol MD, J. Harrison Howard MD, Meena Bedi MD, Harveshp Mogal MD, Jennifer Tseng MD, Kevin K. Roggin MD, Konstantinos Chouliaras MD, Konstantinos Votanopoulos MD, Brad Krasnick MD, Ryan C. Fields MD, Shervin Oskouei MD, Nickolas Reimer MD, David Monson MD, Shishir K. Maithel MD, Kenneth Cardona
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Thoracic Oncology

Thyroid and Parathyroid Functions After Pharyngo-Laryngo-Esophagectomy for Cervical Esophageal Cancer

Yoshiyuki Saito MD, PhD, Hirofumi Kawakubo MD, PhD, Hiroshi Takami MD, PhD, Junya Aoyama MD, Shuhei Mayanagi MD, PhD, Tomoyuki Irino MD, PhD, Kazumasa Fukuda MD, PhD, Koichi Suda MD, PhD, Rieko Nakamura MD, PhD, Norihito Wada MD, PhD, Yuko Kitagawa MD, PhD
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Risk Prediction of Postoperative Pneumonia After Subtotal Esophagectomy Based on Preoperative Serum Cholinesterase Concentrations

Mitsuro Kanda MD, FACS, Masahiko Koike MD, Chie Tanaka MD, Daisuke Kobayashi MD, Masamichi Hayashi MD, FACS, Suguru Yamada MD, FACS, Kenji Omae PhD, Yasuhiro Kodera MD, FACS
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Prognostic Significance of Skeletal Muscle Loss During Early Postoperative Period in Elderly Patients with Esophageal Cancer

Keita Takahashi MD, Masayuki Watanabe MD, PhD, FACS, Ryotaro Kozuki MD, Tasuku Toihata MD, Akihiko Okamura MD, PhD, Yu Imamura MD, PhD, Shinji Mine MD, PhD, Naoki Ishizuka PhD
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Long-Term Outcomes of Thoracoscopic Esophagectomy in the Prone versus Lateral Position: A Propensity Score-Matched Analysis

Susumu Miura MD, Tetsu Nakamura PhD, MD, Yukiko Miura MD, Gosuke Takiguchi PhD, MD, Nobuhisa Takase PhD, MD, Hiroshi Hasegawa PhD, MD, Masashi Yamamoto PhD, MD, Shingo Kanaji PhD, MD, Yoshiko Matsuda PhD, MD, Kimihiro Yamashita PhD, MD, Takeru Matsuda PhD, MD, Taro Oshikiri PhD, MD, Satoshi Suzuki PhD, MD, Yoshihiro Kakeji PhD, MD
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Translational Research and Biomarkers

Exosomal PD-L1 Retains Immunosuppressive Activity and is Associated with Gastric Cancer Prognosis

Yibo Fan MD, PhD, Xiaofang Che MD, PhD, Jinglei Qu MD, Kezuo Hou MD, Ti Wen MD, PhD, Zhi Li MD, PhD, Ce Li PhD, Shuo Wang MD, Ling Xu MD, PhD, Yunpeng Liu MD, PhD, Xiujuan Qu MD, PhD
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Genetic Variant of Notch Regulator DTX1 Predicts Survival After Lung Cancer Surgery

Jang Hyuck Lee MS, Kyung Min Shin MD, Shin Yup Lee MD, PhD, Mi Jeong Hong PhD, Jin Eun Choi PhD, Hyo-Gyoung Kang PhD, Sook Kyung Do MS, Won Kee Lee PhD, Eung Bae Lee MD, PhD, Yangki Seok MD, PhD, Ji Yun Jeong MD, Seung Soo Yoo MD, PhD, Jaehee Lee MD, PhD, Seung Ick Cha MD, PhD, Chang Ho Kim MD, PhD, Sukki Cho MD, PhD, Sanghoon Jheon MD, PhD, Young Chul Kim MD, PhD, In Jae Oh MD, PhD, Kook Joo Na M
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Urologic Oncology

4-miRNA Score Predicts the Individual Metastatic Risk of Renal Cell Carcinoma Patients

Joana Heinzelmann PhD, Madeleine Arndt, Ramona Pleyers MD, Tobias Fehlmann, Sebastian Hoelters PhD, Philip Zeuschner MD, Alexander Vogt, Alexey Pryalukhin MD, Elke Schaeffeler PhD, Rainer M. Bohle MD, PhD, Mieczyslaw Gajda MD, Martin Janssen MD, Michael Stoeckle MD, PhD, Kerstin Junker MD, PhD
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Long-Term Oncologic Outcomes of Laparoscopic Versus Open Radical Nephroureterectomy for Patients with T3N0M0 Upper Tract Urothelial Carcinoma: A Multicenter Cohort Study with Adjustment by Propensity Score Matching

Keisuke Shigeta MD, Eiji Kikuchi MD, PhD, Takayuki Abe MD, PhD, Masayuki Hagiwara MD, PhD, Koichiro Ogihara MD, Tadanori Anno MD, Kota Umeda MD, Yuto Baba MD, Tansei Sanjo MD, Kazunori Shojo MD, Ryuichi Mizuno MD, PhD, Mototsugu Oya MD, PhD
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