RESUMO
Bronchial carcinoid tumors are rare neuroendocrine neoplasms that arise from the Kulchitsky cells of the bronchial epithelium. These tumors can manifest as central carcinoid tumors, pulmonary carcinoid tumorlets, or peripheral carcinoid tumors. Occasionally, the peripheral carcinoid tumors produce corticotropin and result in Cushing's syndrome. Herein we report the first case of Cushing's syndrome associated with a peripheral pulmonary carcinoid tumor that was excised by video-assisted thoracoscopy. After excision, the patient had complete remission. Video-assisted thoracoscopy may be ideal for resecting a peripheral pulmonary carcinoid, especially in patients with debilitation but no evidence of metastasis.
Assuntos
Hormônio Adrenocorticotrópico/metabolismo , Tumor Carcinoide/cirurgia , Síndrome de Cushing/etiologia , Neoplasias Pulmonares/cirurgia , Toracoscopia/métodos , Idoso , Tumor Carcinoide/complicações , Tumor Carcinoide/metabolismo , Feminino , Humanos , Neoplasias Pulmonares/complicações , Neoplasias Pulmonares/metabolismo , Gravação em VídeoRESUMO
Bronchogenic cysts (BCs) are uncommon congenital anomalies. Due to the inherent complications, the mere presence of a BC should warrant surgical therapy. Partial excision of these structures leads to recurrence. Complete surgical excision using a thoracotomy or video-assisted thoracic surgery is the goal. We report a case of recurrent bronchogenic pseudocyst 24 years after initial excision. This case supports the argument for complete surgical excision of BCs at the time of diagnosis.
Assuntos
Cisto Broncogênico/diagnóstico por imagem , Cisto Broncogênico/cirurgia , Idoso , Humanos , Masculino , Recidiva , Fatores de Tempo , Tomografia Computadorizada por Raios XRESUMO
Thymic tumors are classified as epithelial neoplasm, thymic carcinoids, and thymic carcinoma. Differentiation between benignity and malignancy of thymic epithelial tumors is determined on the basis of local tissue invasion. Surgery is the treatment of choice for locally invasive disease without signs of metastasis. We present a patient who underwent en bloc tumor excision with reconstruction of the mediastinal venous confluence using pericardium.
Assuntos
Mediastino/irrigação sanguínea , Timoma/cirurgia , Neoplasias do Timo/cirurgia , Veias/cirurgia , Animais , Veia Ázigos/cirurgia , Veias Braquiocefálicas/cirurgia , Bovinos , Feminino , Humanos , Mediastino/cirurgia , Pessoa de Meia-Idade , Pericárdio/transplante , Flebografia , Radiografia Torácica , Timoma/diagnóstico por imagem , Neoplasias do Timo/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Veia Cava Superior/cirurgiaRESUMO
Plication of the diaphragm in symptomatic patients with phrenic nerve paralysis provides excellent relief of excertional dyspnea and significantly increases arterial oxygen tension, and all lung volumes except residual volume. We report diaphragmatic plication using the minimally invasive technique of VATS. This procedure provides excellent relief of symptoms with minimal morbidity and short hospitalization.