Edorium Journal of

Surgery

 
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Original Article
 
Congenital anomalies in surgical oncology practice
Shanmugam Subbiah1, Rajaraman2, Noushad Navin3
1Professor of Surgical oncology, Govt. Royapettah hospital, Chennai, TN, India.
2Professor & HOD, Surgical Oncology, Govt. Royapettah hospital, Chennai, TN, India.
3Senior Resident, Surgical Oncology, Govt. Royapettah hospital, Chennai, TN, India.

Article ID: 100010S05SS2015
doi:10.5348/S05-2015-10-OA-8

Address correspondence to:
S. Navin Noushad
No: 111, YMCA- roypetth, West cott road, Royapettah
Chennai, Tamil Nadu
India, 600014

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How to cite this article
Subbiah S, Rajaraman, Navin N. Congenital anomalies in surgical oncology practice. Edorium J Surg 2015;2:29–36.


Abstract
Aims: Congenital anomalies are defects present at birth. The etiology is frequently multi factorial with interaction between genetic and environmental factors. Most anomalies are innocuous but some assume clinical significance that includes cancer risks, diagnostic dilemmas or surgical challenges. In this article, we present our experience with congenital anomalies, and review their embryological basis with emphasis on clinical significance and overcoming surgical challenges posed.
Methods: Case records of 12,538 patients attending surgical oncology department were screened for congenital anomalies. Those with obvious congenital malformations and others with anatomical variations documented at surgery were included in the study.
Results: Overall 21 anomalies were noted with a prevalence rate of less than 1%. The genitourinary system was the most affected 42% (n = 8) and multiple neurofibromatosis the most common disorder (n = 4). Pelvic kidney was the most common anomaly. In 57% (n = 12) patients, the defect was recognized at surgery, a preoperative suspicion based on imaging was possible only in two cases (pelvic kidney and situs inversus).
Conclusion: Congenital Anomalies are rare, but present diverse problems to the oncologist. A majority are anatomical variations noticed at surgery an awareness and early recognition prevents surgical morbidity.

Keywords: Clinical outcomes, Congenital anomaly, Surgical oncology


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Author Contributions:
Shanmugam Subbiah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajaraman – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Noushad Navin – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Shanmugam Subbiah et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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