In the past few years, there were reports of energetic resection or lasting survival with anti-cancer drug treatment even yet in recurrent situations, including the current case. However, the sign and method of anti-cancer treatment tend to be uncertain and could need the buildup of several more situations.Surgical resection is considered the most efficient treatment plan for liposarcoma, a retroperitoneal malignant soft muscle tumor, and a reliable unfavorable margin is necessary due to the high-risk of neighborhood recurrence. We reported an instance of pelvic liposarcoma that could be resected by laparoscopic and transsacral hybrid strategy. A 60′s-man had a mixed liposarcoma occupying suitable back of the pelvis in the colon. The procedure had been preceded by a laparoscopic procedure, and also the correct inner iliac artery and vein as well as the superior rectal artery had been dissected. The cyst ended up being separated along the correct pelvic wall surface. The oral anus ended up being transected as well as the colon ended up being elevated by the extraperitoneal route. After transformation to the Jackknife position, the anterior sacrum had been exfoliated because of the right transsacral approach, the coccyx had been resected, while the rectal anus, tumor, and surrounding adipose tissue were removed as an en bloc fasion. Histopathological evaluation showed mixed type of liposarcoma and negative margin regarding the stump. The individual is alive without recurrence 8 months following the surgery.A 55-year-old man whining of trouble in defecation had been described our medical center. A digital evaluation and abdominal CT led to an analysis of intussusception as a result of tumor of this sigmoid colon. The intussusception was successful decreased by enema. After colonoscopy and abdominal improved CT, a sigmoid colon cancer(cT3, cN1b, cM0, cStage Ⅲb)was detected. A laparoscopic sigmoidectomy and lymph node dissection had been carried out on 23 days following the hospitalization. Postoperative course ended up being uneventful. Preoperative reduction of the intussusception in this case allowed us to execute an elective surgery. We report this case with analysis the relevant literature.An 80-year-old woman went to a previous hospital complaining of a lump when you look at the right axillary region. Because it was suspected of accessory cancer of the breast from the results of image examination, she was introduced for surgery. Predicated on mammography and ultrasonography, both bilateral mammary glands had been reported normal, but an irregular mass had been found in the right axillary region. Resection biopsy showed adenocarcinoma like unpleasant ductal carcinoma. In inclusion, ER and PgR were positive. With a preoperative diagnosis of accessory cancer of the breast, she underwent large regional resection for the right axillary area with lymph-node dissection(amount Ⅰ), and neighborhood pedicle flap formation. Histopathological findings unveiled that the tumefaction Lab Equipment was composed of unpleasant ductal carcinoma. The middle of cyst had been contained ductal tissue infection of a synthetic vascular graft discontinuous with normal mammary gland. So, a diagnosis of accessory cancer of the breast in the correct axillary region had been verified. She’s currently in recurrence-free survival. Accessory breast cancer is fairly unusual. We report a case of accessory breast cancer in the axillary area with a few report about the literary works. The clinical efficacy of nivolumab has been shown as a third-line treatment for advanced gastric cancer tumors; but, nivolumab sometimes Akt inhibitor triggers immune-related bad events(irAEs). We retrospectively examined the medical features and influence on therapy in instances of irAEs after nivolumab treatment. The occurrence of irAEs was 23.2%(10/43), and Grade 3 or more irAEs included interstitial pneumonia, hypoadrenalism, Stevens- Johnson syndrome(SJS), and kind 1 diabetes. Three customers showed long-term illness control after irAE onset. Meanwhile, SJS prevented customers from continuing treatment for gastric cancer. Nivolumab works well in certain patients with gastric cancer tumors, while irAEs made subsequent treatment difficult. Trifluridine/tipiracil or irinotecan may also be known to be efficient as therapeutic medications after third-line therapy for gastric cancer tumors as well as nivolumab; consequently, the option of the third-line medication and management of irAEs due to specific cases are considered desirable. Long-lasting effectiveness is anticipated with nivolumab, however it might be essential to notice that the start of serious irAEs will make subsequent treatment hard.Long-term effectiveness is expected with nivolumab, however it are required to notice that the start of serious irAEs might create subsequent treatment difficult.The client was a 73-year-old guy who was regarded our hospital for increasing bilateral lung nodules. Video-assisted left S9-10 segmentectomy and right S1, S3 limited resection had been performed independently for suspect of synchronous dual lung disease. Colonoscopy ended up being performed because left lung tumor ended up being difficult to differentiate between major lung disease and metastatic lung cancer. Colonoscopy didn’t discover advanced cancer tumors lesion. We diagnosed the remaining lung tumor as pT1b, cN0, cM0, Stage ⅠA2 abdominal adenocarcinoma. The proper lung tumor was identified as pT1c, cN0, cM0, Stage ⅠA3 papillary adenocarcinoma. Intestinal adenocarcinoma is an unusual structure subtype of lung adenocarcinoma and colonoscopy pays to modality for ruling completely metastatic colorectal cancer.Granulomatous mastitis is a chronic inflammatory disease of unknown factors that types a breast size that will be difficult to distinguish from breast cancer on imaging studies. The individual ended up being a lady in her 50′s. Needle biopsy had been carried out for a mass in the upper outer quadrant for the correct breast and revealed granulomatous mastitis. Breast magnetic resonance imaging showed that the tumor was cancerous.