Stephen P Povoski

Summary

Affiliation: The Ohio State University
Country: USA

Publications

  1. ncbi Sentinel lymph node mapping and biopsy for breast cancer at a rural-based university medical center: initial experience with intraparenchymal and intradermal injection routes
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, The Arthur G James Cancer Hospital and Richard J Solove Research Institute, The Ohio State University, N 924 Doan Hall, 410 West 10th Avenue, Columbus, Ohio 43210 1228, USA
    Breast Cancer 9:134-44. 2002
  2. ncbi Sentinel lymph node mapping and biopsy for malignant melanoma at a rural-based university medical center
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital, Columbus, Ohio, USA
    W V Med J 98:194-7. 2002
  3. ncbi Prospective randomized clinical trial comparing intradermal, intraparenchymal, and subareolar injection routes for sentinel lymph node mapping and biopsy in breast cancer
    Stephen P Povoski
    Section of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, 43210, USA
    Ann Surg Oncol 13:1412-21. 2006
  4. ncbi Intraoperative detection of ¹⁸F-FDG-avid tissue sites using the increased probe counting efficiency of the K-alpha probe design and variance-based statistical analysis with the three-sigma criteria
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, Columbus 43210, OH, USA
    BMC Cancer 13:98. 2013
  5. ncbi Multimodal imaging and detection strategy with 124 I-labeled chimeric monoclonal antibody cG250 for accurate localization and confirmation of extent of disease during laparoscopic and open surgical resection of clear cell renal cell carcinoma
    Stephen P Povoski
    Department of Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA
    Surg Innov 20:59-69. 2013
  6. ncbi Mammary tuberculosis -- importance of recognition and differentiation from that of a breast malignancy: report of three cases and review of the literature
    Mufide Nuran Akcay
    Department of General Surgery, Ataturk University Medical Faculty, Erzurum, Turkey
    World J Surg Oncol 5:67. 2007
  7. ncbi A comprehensive overview of radioguided surgery using gamma detection probe technology
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA
    World J Surg Oncol 7:11. 2009
  8. ncbi A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome(R) system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, 43210, USA
    World J Surg Oncol 5:83. 2007
  9. ncbi Re-emphasizing the concept of adequacy of intraoperative assessment of the axillary sentinel lymph nodes for identifying nodal positivity during breast cancer surgery
    Stephen P Povoski
    Section of Surgical Oncology of the Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio 43210, USA
    World J Surg Oncol 5:18. 2007
  10. ncbi Standardized and reproducible methodology for the comprehensive and systematic assessment of surgical resection margins during breast-conserving surgery for invasive breast cancer
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, 43210, USA
    BMC Cancer 9:254. 2009

Collaborators

Detail Information

Publications44

  1. ncbi Sentinel lymph node mapping and biopsy for breast cancer at a rural-based university medical center: initial experience with intraparenchymal and intradermal injection routes
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, The Arthur G James Cancer Hospital and Richard J Solove Research Institute, The Ohio State University, N 924 Doan Hall, 410 West 10th Avenue, Columbus, Ohio 43210 1228, USA
    Breast Cancer 9:134-44. 2002
    ..The aim of this study was to review our initial experience with IP and ID injection for SLN mapping and biopsy at our rural-based university medical center...
  2. ncbi Sentinel lymph node mapping and biopsy for malignant melanoma at a rural-based university medical center
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital, Columbus, Ohio, USA
    W V Med J 98:194-7. 2002
    ..5%) RLNB biopsied and six of 46 (13.0%) patients. Our initial experience with SLNMB was encouraging and holds promise for rural-based practices by sparing added morbidity and inconvenience of more extensive surgery...
  3. ncbi Prospective randomized clinical trial comparing intradermal, intraparenchymal, and subareolar injection routes for sentinel lymph node mapping and biopsy in breast cancer
    Stephen P Povoski
    Section of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, 43210, USA
    Ann Surg Oncol 13:1412-21. 2006
    ..The aim of this study was to compare localization by ID, IP, and SA injection routes based on preoperative lymphoscintigraphy and intraoperative identification...
  4. ncbi Intraoperative detection of ¹⁸F-FDG-avid tissue sites using the increased probe counting efficiency of the K-alpha probe design and variance-based statistical analysis with the three-sigma criteria
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, Columbus 43210, OH, USA
    BMC Cancer 13:98. 2013
    ....
  5. ncbi Multimodal imaging and detection strategy with 124 I-labeled chimeric monoclonal antibody cG250 for accurate localization and confirmation of extent of disease during laparoscopic and open surgical resection of clear cell renal cell carcinoma
    Stephen P Povoski
    Department of Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA
    Surg Innov 20:59-69. 2013
    ....
  6. ncbi Mammary tuberculosis -- importance of recognition and differentiation from that of a breast malignancy: report of three cases and review of the literature
    Mufide Nuran Akcay
    Department of General Surgery, Ataturk University Medical Faculty, Erzurum, Turkey
    World J Surg Oncol 5:67. 2007
    ..While tuberculosis of the breast is an extremely uncommon entity seen in western populations, it accounts for up to 3% of all treatable breast lesions in developing countries...
  7. ncbi A comprehensive overview of radioguided surgery using gamma detection probe technology
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA
    World J Surg Oncol 7:11. 2009
    ..In the current review, we have attempted to comprehensively evaluate the history, technical aspects, and clinical applications of radioguided surgery using gamma detection probe technology...
  8. ncbi A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome(R) system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, 43210, USA
    World J Surg Oncol 5:83. 2007
    ..abstract:..
  9. ncbi Re-emphasizing the concept of adequacy of intraoperative assessment of the axillary sentinel lymph nodes for identifying nodal positivity during breast cancer surgery
    Stephen P Povoski
    Section of Surgical Oncology of the Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio 43210, USA
    World J Surg Oncol 5:18. 2007
    ..The aim of the current study was to assess when metastatic disease was first identified within consecutively harvested SLN candidates for invasive breast cancers demonstrating a positive SLN...
  10. ncbi Standardized and reproducible methodology for the comprehensive and systematic assessment of surgical resection margins during breast-conserving surgery for invasive breast cancer
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, 43210, USA
    BMC Cancer 9:254. 2009
    ..In this regard, the aim of the current paper was to describe a standardized and reproducible methodology for comprehensive and systematic assessment of surgical resection margins during BCS...
  11. ncbi The utilization of an ultrasound-guided 8-gauge vacuum-assisted breast biopsy system as an innovative approach to accomplishing complete eradication of multiple bilateral breast fibroadenomas
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA
    World J Surg Oncol 5:124. 2007
    ..abstract:..
  12. ncbi Comprehensive evaluation of occupational radiation exposure to intraoperative and perioperative personnel from 18F-FDG radioguided surgical procedures
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA
    Eur J Nucl Med Mol Imaging 35:2026-34. 2008
    ..The purpose of the current study was to comprehensively evaluate occupational radiation exposure to all intraoperative and perioperative personnel involved in radioguided surgical procedures utilizing (18)F-fluorodeoxyglucose ((18)F-FDG)...
  13. ncbi Persistent left superior vena cava: review of the literature, clinical implications, and relevance of alterations in thoracic central venous anatomy as pertaining to the general principles of central venous access device placement and venography in cancer
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University Medical Center, Columbus, Ohio 43210, USA
    World J Surg Oncol 9:173. 2011
    ..e., to the right atrium or to the left atrium) in any patient suspected of PLSVC prior to initiation of use of their central venous access device...
  14. ncbi Multimodal imaging and detection approach to 18F-FDG-directed surgery for patients with known or suspected malignancies: a comprehensive description of the specific methodology utilized in a single-institution cumulative retrospective experience
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital, The Ohio State University Medical Center, Columbus, Ohio 43210, USA
    World J Surg Oncol 9:152. 2011
    ....
  15. ncbi Ultrasound-guided diagnostic breast biopsy methodology: retrospective comparison of the 8-gauge vacuum-assisted biopsy approach versus the spring-loaded 14-gauge core biopsy approach
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio 43210, USA
    World J Surg Oncol 9:87. 2011
    ..The aim of the current study was to compare and contrast the 8-gauge vacuum-assisted biopsy approach and the spring-loaded 14-gauge core biopsy approach...
  16. ncbi Antigen-directed cancer surgery for primary colorectal cancer: 15-year survival analysis
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, The Ohio State University Medical Center, Columbus, OH, USA
    Ann Surg Oncol 19:131-8. 2012
    ....
  17. ncbi Multimodality approach of perioperative 18F-FDG PET/CT imaging, intraoperative 18F-FDG handheld gamma probe detection, and intraoperative ultrasound for tumor localization and verification of resection of all sites of hypermetabolic activity in a case of
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA
    World J Surg Oncol 6:1. 2008
    ....
  18. ncbi 124I-HuCC49deltaCH2 for TAG-72 antigen-directed positron emission tomography (PET) imaging of LS174T colon adenocarcinoma tumor implants in xenograft mice: preliminary results
    Peng Zou
    Division of Pharmaceutics, College of Pharmacy, The Ohio State University, and Department of Surgery, Arthur G James Cancer Hospital, Columbus, Ohio 43210, USA
    World J Surg Oncol 8:65. 2010
    ....
  19. ncbi Radioimmunoguided surgery (RIGS), PET/CT image-guided surgery, and fluorescence image-guided surgery: past, present, and future
    Duxin Sun
    Division of Pharmaceutics, College of Pharmacy, The Ohio State University, Columbus, OH 43210, USA
    J Surg Oncol 96:297-308. 2007
    ..PET/CT image-guided surgery only detects later stage disease. Fluorescence image-guided surgery using anti-TAG-72 antibodies may provide opportunities for intraoperative cancer detection of both gross and occult tumors...
  20. ncbi Combined use of preoperative 18F FDG-PET imaging and intraoperative gamma probe detection for accurate assessment of tumor recurrence in patients with colorectal cancer
    Ismet Sarikaya
    Division of Nuclear Medicine, Section of PET, Department of Radiology, The Ohio State University, Columbus, OH 43210, USA
    World J Surg Oncol 5:80. 2007
    ....
  21. ncbi Perioperative (18)F-fluorodeoxyglucose-guided imaging using the becquerel as a quantitative measure for optimizing surgical resection in patients with advanced malignancy
    Douglas A Murrey
    Department of Radiology, The Ohio State University, Columbus, OH, USA
    Am J Surg 198:834-40. 2009
    ..Herein, we evaluate the becquerel (Bq) as a potential novel quantitative PET measure for application of surgical specimen imaging...
  22. ncbi Near-infrared fluorescence labeled anti-TAG-72 monoclonal antibodies for tumor imaging in colorectal cancer xenograft mice
    Peng Zou
    Department of Pharmaceutical Sciences, College of Pharmacy, The University of Michigan, 428 Church Street, Ann Arbor, Michigan 48109, USA
    Mol Pharm 6:428-40. 2009
    ..In summary, the Cy7 labeled murine CC49 and HuCC49deltaCH2 demonstrate tumor-targeting capabilities in living colorectal cancer xenograft mice and provide an alternative modality for tumor imaging...
  23. ncbi Fatigue and herpesvirus latency in women newly diagnosed with breast cancer
    Christopher P Fagundes
    Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, Columbus, OH 43210, USA
    Brain Behav Immun 26:394-400. 2012
    ..Prior work has suggested that fatigue may be related to inflammation and its associated sickness behaviors; accordingly, our findings may be tapping into this same physiological substrate...
  24. ncbi A prospective pilot clinical trial evaluating the utility of a dynamic near-infrared imaging device for characterizing suspicious breast lesions
    Ronald X Xu
    Biomedical Engineering Department, The Ohio State University, Columbus, OH 43210, USA
    Breast Cancer Res 9:R88. 2007
    ..The currently available application of near-infrared imaging technology for the breast, however, is compromised by low spatial resolution, tissue heterogeneity, and interpatient variation...
  25. ncbi FDG-PET scan in patients with clinically and/or radiologically suspicious colorectal cancer recurrence but normal CEA
    Ismet Sarikaya
    Division of Nuclear Medicine, Section of PET, Department of Radiology, The Ohio State University, Columbus, OH 43210, USA
    World J Surg Oncol 5:64. 2007
    ..We aimed to review PET scans of patients with clinically and/or radiologically suspicious tumor recurrence but normal CEA...
  26. ncbi Synthesizing and binding dual-mode poly (lactic-co-glycolic acid) (PLGA) nanobubbles for cancer targeting and imaging
    Jeff S Xu
    Department of Biomedical Engineering, The Ohio State University, 270 Bevis Hall, 1080 Carmack Road, Columbus, OH 43210, USA
    Biomaterials 31:1716-22. 2010
    ..Our research demonstrated the technical feasibility of using the dual-mode NB contrast agent for cancer targeting and simultaneous fluorescence/US imaging...
  27. ncbi Novel perioperative imaging with 18F-FDG PET/CT and intraoperative 18F-FDG detection using a handheld gamma probe in recurrent ovarian cancer
    David E Cohn
    The Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH 43210 1228, USA
    Gynecol Oncol 110:152-7. 2008
    ..We describe an innovative approach for intraoperative tumor localization and verification of tumor resection utilizing (18)F-FDG for perioperative PET/CT imaging and intraoperative gamma probe detection in ovarian cancer...
  28. ncbi Patterns of recurrence after sentinel lymph node biopsy for breast cancer
    Brian D Badgwell
    Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital, and Richard J. Solove Research Institute, The Ohio State University, Columbus, Ohio 43210, USA
    Ann Surg Oncol 10:376-80. 2003
    ..This supports the use of SLNB as the sole axillary staging procedure in SLN-negative patients...
  29. ncbi A novel approach to positron emission tomography in lung cancer
    Susan D Moffatt-Bruce
    Division of Cardiothoracic Surgery, Department of Surgery, Arthur G James Cancer Hospital Columbus, Ohio, USA
    Ann Thorac Surg 86:1355-7. 2008
    ....
  30. ncbi Dynamic schema for near infrared detection of pressure-induced changes in solid tumors
    Bei Wang
    Department of Biomedical Engineering, Ohio State University, Columbus, OH 43210, USA
    Appl Opt 47:3053-63. 2008
    ..Characteristic differences were observed between the premortem tumor and the postmortem tumor in terms of pressure-induced tumor structural and functional changes...
  31. ncbi Radiofrequency ablation of invasive breast carcinoma followed by delayed surgical excision
    William E Burak
    Department of Surgical Oncology, Arthur G James Cancer Hospital and Richard J Solove Research Institute, The Ohio State University Medical Center, Columbus, Ohio 43210, USA
    Cancer 98:1369-76. 2003
    ..The current study was undertaken to determine the feasibility of treating small breast malignancies with RFA and to evaluate the postablation magnetic resonance imaging scans (MRI) and histologic findings...
  32. ncbi PET/CT imaging of clear cell renal cell carcinoma with I labeled chimeric antibody
    Eamonn E Bahnson
    Department of Radiology, The Ohio State University, Columbus, OH 43210, USA
    Ther Adv Urol 1:67-70. 2009
    ....
  33. ncbi Fabrication of indocyanine green encapsulated biodegradable microbubbles for structural and functional imaging of cancer
    Ronald X Xu
    The Ohio State University, Department of Biomedical Engineering, 270 Bevis Hall, 1080 Carmack Road, Columbus, Ohio 43210, USA
    J Biomed Opt 14:034020. 2009
    ....
  34. ncbi Advances in the surgical management of early stage invasive breast cancer
    William E Burak
    Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, USA
    Curr Probl Surg 41:882-935. 2004
  35. ncbi Social support and socioeconomic status interact to predict Epstein-Barr virus latency in women awaiting diagnosis or newly diagnosed with breast cancer
    Christopher P Fagundes
    Institute for Behavioral Medicine Research, The Ohio State University, College of Medicine, 460 Medical Center Drive, Columbus, OH 43210, USA
    Health Psychol 31:11-9. 2012
    ..This study assessed the joint impact of SES and social support on the expression of a latent herpesvirus, Epstein-Barr virus (EBV), in a group of highly stressed women...
  36. ncbi Pilot study of rosiglitazone therapy in women with breast cancer: effects of short-term therapy on tumor tissue and serum markers
    Lisa D Yee
    Division of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, Ohio, USA
    Clin Cancer Res 13:246-52. 2007
    ..The purpose of this study was to test the hypothesis that PPARgamma ligand therapy might inhibit tumor growth and progression in human breast cancer...
  37. ncbi Comparison of intraoperative frozen section analysis for sentinel lymph node biopsy during breast cancer surgery for invasive lobular carcinoma and invasive ductal carcinoma
    James W Horvath
    Department of Pathology, The Ohio State University, Columbus, Ohio 43210, USA
    World J Surg Oncol 7:34. 2009
    ..In the current report, we present a comparison of intraoperative frozen section analysis for confirming the presence of metastatic disease within SLNs during breast cancer surgery for ILC and IDC...
  38. ncbi Development of a handheld near-infrared imager for dynamic characterization of in vivo biological tissue systems
    Ronald X Xu
    Department of Biomedical Engineering, The Ohio State University, and Division of Surgical Oncology, Arthur G James Cancer Hospital and Richard J Solove Research Institute and Comprehensive Cancer Center, Columbus 43210, USA
    Appl Opt 46:7442-51. 2007
    ....
  39. ncbi Combined approach of perioperative 18F-FDG PET/CT imaging and intraoperative 18F-FDG handheld gamma probe detection for tumor localization and verification of complete tumor resection in breast cancer
    Nathan C Hall
    Section of PET, Division of Nuclear Medicine, Department of Radiology, The Ohio State University, Columbus, OH, 43210, USA
    World J Surg Oncol 5:143. 2007
    ..abstract:..
  40. ncbi An unusual case of cat-scratch disease from Bartonella quintana mimicking inflammatory breast cancer in a 50-year-old woman
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, Arthur G James Cancer Hospital and Richard J Solove Research Institute, Ohio State University, Columbus, Ohio 43210 1228, USA
    Breast J 9:497-500. 2003
    ..This report describes a very unusual case of cat-scratch disease of the breast caused by Bartonella quintana in which the clinical and radiographic presentation mimicked that of inflammatory breast cancer...
  41. ncbi Selective use of preoperative venous duplex ultrasound and intraoperative venography for central venous access device placement in cancer patients
    Stephen P Povoski
    Section of Surgical Oncology, Department of Surgery, Robert C Byrd Health Science Center, West Virginia University, Morgantown, WV, USA
    Ann Surg Oncol 9:493-9. 2002
    ..Central venous access in cancer patients is often challenging. A history of access is common. Appropriate indications for venous imaging studies are not clearly defined...
  42. ncbi Diffuse optical imaging and spectroscopy for cancer
    Ronald X Xu
    The Ohio State University, Assistant Professor, Department of Biomedical Engineering, 270 Bevis Hall, 1080 Carmack Road, Columbus, OH 43210, USA
    Expert Rev Med Devices 4:83-95. 2007
    ..Limitations include low spatial resolution and limited reproducibility. This paper reviews the currently available state-of-the-art technologies for diffuse optical imaging and spectroscopy and their applications in cancer research...
  43. ncbi Pancreatic cancer in West Virginia: results from a rural academic medical center
    Alice Yu
    Department of Surgery, West Virginia, University School of Medicine, Morgantown, USA
    W V Med J 98:146-8. 2002
    ..The social and economic advantages of local patient care are supported by these results and warrant further study...
  44. ncbi Axillary lymph node metastasis following resection of abdominal wall laparoscopic port site recurrence of gallbladder cancer
    Stephen P Povoski
    Division of Surgical Oncology, Department of Surgery, The Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, N-924 Doan Hall, 410 West 10th Avenue, 43210-1228, Columbus, OH, USA
    J Hepatobiliary Pancreat Surg 11:197-202. 2004
    ..These unique sequelae of the interval development of nodal metastases to the axillary lymph nodes demonstrated in both cases has not been previously reported...