Surgical outcomes after performing a lymph node dissection in locally advanced RCC: A retrospective analysis There is still controversy whether to perform a lymph node dissection (LND) in patients with locally advanced renal cell carcinoma (RCC) due to limited available literature which failed to demonstrate an overall survival benefit. In case of uncertain benefit, safety should be assessed to be able to make a recommendation. A retrospective analysis was performed in patients with locally advanced RCC who received a radical nephrectomy (RN) with or without LND between 2010 and 2020 at Ghent University Hospital. 17 patients (15%) experienced a high-grade postoperative complication (need for re-intervention, intensive care or death). Performing a LND was associated with a significantly higher risk of high-grade postoperative complications (26% vs 9% without lymph node dissection, p=0.028).
Carpal tunnel syndrome: an atypical presentation In this report, we present a case of distinct dermatological lesions in a patient with a new diagnosis of polymyalgia rheumatica (PMR) who developed a bilateral carpal tunnel syndrome (CTS). There are rare reports of dermatological signs of CTS in literature with inconclusive pathogenic theories. The unique aspect of this patient is hyperhidrosis and vasomotor reactions of the skin localized to one particular area: the innervation area of the palmar cutaneous branch of the median nerve (PCBm). The PCBm travels partially through the carpal tunnel, and then crosses the retinaculum to the surface. Additionally, up to 56% of patients with CTS have abnormal sensory conduction of the PCBm. Electromyography was performed, showing a bilateral CTS, and also a significant delay in the sensory nerve conduction of the PCBm. To our knowledge, this is the first report of involvement of the PCBm causing dermatological signs associated with CTS.
