1,721,417 research outputs found
Tracheal resection and reconstruction for malignant disease
No full textMalignant tracheal neoplasms are rare diseases, mostly represented by squamous cell carcinoma (SCC) and adenoid cystic carcinoma (ACC). Symptoms presentation is often misleading and diagnosis may be delayed for months or years, so clinical suspicion plays a fundamental role. Corner stones in the diagnostic pathway are represented by rigid endoscopy and computed tomography (CT) scan, necessary to correctly stage the patients and identify the optimal surgical candidate. When appropriate, surgical resection and reconstruction is still the best opportunity to achieve a long-term survival with a good quality of life, but this kind of surgery is always a very challenging procedure and a wide experience with an in-depth knowledge of every technical detail, from selection of patient, to choice of surgical approach to reconstruction techniques, are needed and recommended
Impact of lymph node occult metastases in stage I non-small cell lung cancer (NSCLC): What is the evidence?
No full textCarcinoma of the lung involving the thoracic wall.
No full textCarcinoma of the lung involving the chest wall causes severe pain. An unusual type of chest wall tumour is Pancoast's carcinoma, also called "the superior sulcus tumour". The long tumour involving the chest wall is considered a T3 lesion and hence stage IIIa. Reconstruction of the chest wall is generally achieved with autogenous tissue; The treatment of a superior sulcus tumour consists of preoperative radiotherapy followed by radical surgical resection of the lung, involving chest wall nerve endings. In Pancoast's tumour 5-year survival is reported as between 23% and 40% with combined irradiation and operation for T3-NO lesions
Video assisted thoracic surgery (VATS) for recurrent thymoma
No full textBetween 10-30% of patients that undergo a radical operation for thymoma develop a recurrence in a variable range of time. The surgical treatment of thymoma relapses is an established and effective therapeutic approach, particularly for a single intrathoracic recurrence; however, no agreement has been reached on the best surgical approach and the extent of surgical resection, particularly in the most common event of pleural relapses. In the era of minimally invasive approach for most thoracic pathologies, the role of the video assisted thoracic surgery (VATS) approach for thymoma recurrence resection is still unclear and controversial: to date, only few authors have reported in their series a thoracoscopic resection of pleuro-pulmonary relapses, mostly when a single lesion was present. Furthermore, a thoracoscopic approach for mediastinal recurrence has been rarely reported after a previous sternotomy to resect the primary tumor. It is likely that in the future, the role of VATS for thymic recurrence resection will be better defined and extensively studied
Prosthetic azygo-atrial bypass for palliation of superior vena cava syndrome.
No full textWe report a case of locally advanced excavated non-small cell lung cancer with superior vena cava (SVC) syndrome that underwent four cycles of induction chemotherapy. Due to early treatment failure and the impossibility applying radical radiotherapy, a decision was made to perform surgery. The patient underwent right intrapericardial pneumonectomy with en-bloc resection of the SVC, azygos vein and mediastinal lymph nodes. Prosthetic azygo-atrial bypass was then performed. The patient enjoys one year progression-free survival with patent graft and symptomatic relief of SVC syndrome
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