This is due to the limited vision of the cutting area for huge lesions with difficulty in assessing the correct deeper submucosal tissue plane during the resection from the margins to the centre of the lesion.
To reduce the risk of complications, different devices and technical advances have been proposed with conflicting results and, still, ESD en bloc resections of huge lesions are associated with increased complications.
Here, we describe the case of a 65-year-old woman who presented with a huge cystic lesion in the liver.
This one may be said by your doctor as they try to not raise their eyebrows or shake their head in dismay at the huge, scary lesion you are presenting in the office.
Pathologic fracture of the mandible sometimes occurs after surgical removal of these lesions; in particular, the bone defect resulting from marginal resection of malignant tumors or huge benign lesions (e.g., ameloblastoma, keratocystic odontogenic tumors) may be enough to promote development of pathologic fracture [8 10].
37 Tumors that involve the contralateral recess, bilateral extradural lesions, huge neoplasms with scalloping of vertebrae, easily bleeding tumors spreading to both sides, lesions with unclear borders, and intramedullary neoplasms may be difficult to manage using this approach.
Adjuvant treatment including radiation or chemotherapy was performed only for huge masses, recurrent lesions, or inoperable cases.
CT shows a huge fat-containing mass lesion around the gastric wall, excluding the lesser curvature (red triangle).
However, panoramic radiography revealed a huge well-defined radiolucent lesion, and teeth displacement from #36 to #45 was observed.
When the lesion is huge (more than 5 cm), or axial, the probability of malignancy is higher.
