Fibroxanthomatous pseudotumour of the lung

The clinical, radiological and pathological features of fibroxanthomatous pseudotumour of the lung in a 17-year-old Jamaican female Negro are described. The patient was symptom-free 4 years after treatment by conservative surgery. The condition is extremely rare. Its aetiology and pathogenesis are discussed. (Summary)

Intralobar pulmonary sequestration in association with bilateral systemic arterialization of the lungs

Over 250 cases of intralobar pulmonary sequestration have now been reported (Ranniger and Valvassori, 1964). The diagnosis which may be suscepted on the clinical, plain radiograph and bronchographic findings, depends on the angiographic or operative demonstration of an aberrant systemic arterial supply to the affected segment. The preoperative angiographic visualization of this pulmonary systemic arterialization arising from the thoracic or abdominal aorta either as a single large vessel (McDowell, Robb, and Indyk, 1955) or as multiple small arteries (Turk and Lindskog, 1961) to a large extent eliminates the operative hazards (Harris and Lewis, 1940). This paper reports an unusual case of pulmonary intralobar sequestration in association with bilateral aberrant systemic arteries. The angiographic and operative findings suggest that this may be a case of bilateral pulmonary sequestration (Summary)

Radiological presentation of bronchogenic carcinoma in Jamaica

Bronchogenic carcinoma is not an uncommon disease in Jamaica and usually presents radiologically as a hilar mass, collapse and/or consolidation, a peripheral shadow opacity of one hemi-thorax. Comparison of the radiological appearances with those of other series shows that the main difference is the presence of those cases with complete opacity of one hemi-thorax. This radiological appearance indicates an advanced stage of the disease due to the fact that patients seek medical advice at a late stage. The relative frequency of peripheral and central cases in the Jamaican series is similar to that found in the United States of America and the United Kingdom and France, suggesting that on the basis of the radiological appearance, bronchogenic carcinoma in Jamaica is similar to the disease in other parts of the world (AU)

A case of tracheo-bronchomegaly presenting as cystic bronchiectasis: radiological case report

A case of tracheo-bronchomegaly is reported which, on the basis of the radiological appearances, was associated with congenital cystic disease of the lungs. The value of bronchography in the investigation of cystic disease of the lungs is stressed (AU)

Endobronchial teratoma associated with bronchiectasis and bronchiolectasis

A teratoma in a young West Indian of Negro race is reported. The teratoma presented radiologically in the left upper lobe as an ill-defined shadow which contained a cresent-shaped translucent area and simulated a mycetoma. In addition, the left lung showed widespread nodular shadows. The left lung was resected and the teratoma was found to be endobronchial in position. This is a very rare site for a teratoma as only one of the 15 previously reported intrapulmonary teratomata may have been endobronchial. The remainder of the left lung remote from the tumour showed generalized bronchiectasis both radiologically and pathologically. The bronchiectasis was of follicular type and in addition there was widespread bronchiolectasis. The inflammatory reaction associated with the latter was responsible for the nodular shadows. The significance of these changes in relation to the teratoma is discussed. (AU)