1,721,057 research outputs found
Surgical Treatment of a rare case of tracheal inflammatory pseudotumor in pediatric age.
No full textTracheal inflammatory pseudotumor (IPT) is a rare solid lesion with an unpredictable biological course. Treatment can vary and surgical resection may sometimes be necessary, even in pediatric age. We report the case of a 12-year-old male patient who presented to our institution with sudden dyspnoea after some months of wheezing and cough, wrongly considered and treated as asthma. Neck-chest CTscan and fiberbronchoscopy showed an intraluminal tracheal mass, originating from the left antero-lateral wall at the level of the 5th
cartilagineous tracheal ring, involing three rings, that was removed by rigid bronchoscopy. Histopathology revealed a tracheal IPT. Due to rapid tendency to recurrence of the lesion, two more endoscopic recanalizations were performed, but a new recurrence appeared, with CT evidence of transmural involvement of the tracheal wall. Resection of the three involved tracheal rings and termino-terminal tracheal anastomosis were successfully performed through cervicotomy and sternal split. CT-scan and fiberbronchoscopy at 17 months from surgery
show a stable tracheal lumen without signs of recurrence. A tracheal IPT should be suspected in any pediatric patients with tracheal mass and asthmatic symptoms. After radical removal prognosis is generally excellent and recurrences after tracheal resection are rare
Surgical Treatment of Spontaneous Extrapleural Haemorrhage and Pulmonary Hernia: a case report.
No full textSurgical treatment of a rare case of epithelioid hemangioendothelioma of the azygos vein
No full textClinical experience with peripherally inserted central catheters in patients undergoing lung resections
Full text linkObjective: In the general thoracic surgery department peripherally inserted central catheters (PICCs) may be an alternative option to standard central and peripheral venous catheters for patients undergoing surgical procedures and possible candidates to adjuvant chemotherapy. We report the results of our experience with PICCs in patients undergoing lung resections. Materials and Methods: We retrospectively reviewed data of 54 PICCs inserted in adult patients who underwent lung resection. Rate of complications at insertion and during maintenance were recorded. Each patient was followed from the implant to the removal of the device (median 20 days, range 10-370 days). In 23 cases PICCs were also used for adjuvant chemotherapy. Results: Insertion was successful in 98% of cases. There were no major complications and 15% minor complications (local hematoma, repeated punctures of the vein, difficulty in progression of the catheter and malposition) at insertion. During maintenance there were no episodes of catheterrelated bloodstream infection; two (3,7%) episodes of symptomatic thrombosis occurred during the chemotherapy period, associated to deep vein thrombosis of the legs, treated with medical therapy. Accidental removal of the catheter was observed in one patient. Removal of the catheter was never required because of complications. Conclusion: PICCs are a useful and safe device for patients undergoing lung resections. Their insertion is successful in 98% of cases and is not associated with significant risks, even in patients with coagulation disorders. Their maintenance is associated with an extremely low rate of infectious and non-infectious complications
Un insolito caso di mesotelioma pleurico benigno recidivante a presentazione multicentrica: una storia senza fine.
No full textIl tumore fibroso solitario della pleura è una rara neoplasia primitiva ad origine dalla sierosa pleurica. In letteratura sono descritti pochi casi di lesioni multiple sincrone o metacrone. Riportiamo il caso di un paziente affetto da lesioni nodulari multiple, con le stesse caratteristiche macroscopiche, istologiche ed immunoistochimiche di un tumore fibroso solitario della pleura viscerale omolaterale radicalmente asportato per due volte, tre e sei anni prima, con accesso toracotomic
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