Surgery, Gastroenterology and Oncology

Background: Hemorrhoids are among the most common anorectal diseases, significantly affecting patients’ quality of life. Currently, laser hemorrhoid surgery has been widely adopted worldwide due to its advantages of being minimally invasive, reducing postoperative pain, accelerating recovery, and lowering complication rates. At Hanoi Medical University Hospital, this technique has been routinely performed since September 2023. Objective: To evaluate the preliminary outcomes of laser hemorrhoidoplasty (LHP) at Hanoi Medical University Hospital.

Introduction: Hemorrhoids are the most common benign anorectal condition, significantly impairing patients’ quality of life. When medical treatment fails, surgery becomes necessary. In recent years, minimally invasive techniques have gained attention and been increasingly applied in clinical practice. Objective: This study aimed to evaluate the outcomes of TND’s Vertical Ligation-Mucopexy (TVLM) in the treatment of circumferential hemorrhoids at Hanoi Medical University Hospital.

Methods: A retrospective study was cond....[more]

Toxoplasma gondii is a parasitic infection widespread worldwide, being the prerogative of AIDS patients. We present a case of reactivated T. gondii in a 30-year-old, HIV-positive patient who presented with secondary partial and generalized seizures, hepatitis C virus infection, hematological abnormalities. MRI examination identifies a 14/12 mm left paramedian cortico-subcortical lesion with intense peripheral contrast uptake and associated edema. The importance of cerebral radiographic examination in HIV patients is discussed in this paper.

Toxoplasm....[more]

Neuroendocrine tumors of the pancreas (NETP) are rare malignancies that originate from pancreatic neuroendocrine cells and may be functional in nature through the clinical picture secondary to hormonal hypersecretion. These tumors can be detected incidentally by imaging in patients presenting with specific syndromes or as a result of the mass, volumetric effect of metastases and primary tumors. This article presents two cases diagnosed with NETP, of two men aged 58 and 77 years respectively in the Hospital, detected by CT and subsequently confirmed histopathologically, who present....[more]

Cutaneous squamous cell carcinoma is the second most common skin cancer. Cemiplimab, an antiPD-1 monoclonal antibody, is the first immunotherapy approved for patients with locally advanced cSCC. Phase I and II studies showing high antitumor activity and good tolerability of cemiplimab. However, very little data is available on cemiplimab in real life and in frail, elderly and immunocompromised patients. We report the case of an elderly patient (84 years old) affected by metastatic cSCC. The patient performed 16 cycles of treatment with cemiplimab with complete pathological respons....[more]