Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 5 de 5
Filtrar
1.
Artículo en Inglés | MEDLINE | ID: mdl-38722173

RESUMEN

Benign endobronchial tumors are rare clinical entities characterized by considerable variability in etiology and clinical presentation. The authors report four cases of endobronchial hamartomas treated and followed up from 2018 to 2023. Three of these cases, with identical endobronchial localization in the right lower lobe, were radically treated in flexible bronchoscopy with the only use of biopsy forceps. Another case with a different localization in the left main bronchus was treated with a laser through rigid bronchoscopy. In addition, the authors outline the main interventional pulmonological strategies for the treatment of benign tumors with endobronchial growth based on the existing literature.

2.
Monaldi Arch Chest Dis ; 92(3)2021 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-34865457

RESUMEN

A 59-year-old female ex-smoker with 40 pack year smoking history and a 5-year current e-cigarette (EC) use history, presented with progressive dyspnea on exertion and daily cough for 2 months. A CT scan showed a consolidation area with air bronchogram in the middle lobe and non-calcific bilateral nodules, which could be attributed to community-acquired pneumonia. The patient was treated with empiric antibiotics and systemic steroids for 10 days. Infectious, neoplastic and autoimmune pathologies were excluded, whereas a broncho-alveolar lavage revealed an accumulation of lipids in the cytoplasm of the alveolar macrophages. Despite the recommendation of vaping cessation, the patient continued to use EC. A new CT exam, carried out after 18 months, showed reversed halo sign (RHS), patchy ground-glass opacity (GGO), pleuro-parenchymal bands, and indeed perilobular pattern, suggestive of organizing pneumonia (OP). The final diagnosis was E-cigarette, or vaping, product use Associated Lung Injury (EVALI)- related OP.


Asunto(s)
Sistemas Electrónicos de Liberación de Nicotina , Lesión Pulmonar , Médicos , Neumonía , Vapeo , Femenino , Humanos , Lesión Pulmonar/inducido químicamente , Lesión Pulmonar/diagnóstico por imagen , Persona de Mediana Edad , Neumonía/diagnóstico por imagen , Neumonía/etiología , Radiólogos , Vapeo/efectos adversos
3.
Toxicol Ind Health ; 33(6): 537-546, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28162043

RESUMEN

OBJECTIVES: Exposure to asbestos fibers can lead to different lung diseases, such as pleural thickening and effusion, asbestosis, mesothelioma, and lung cancer. These diseases are expected to peak in the next few years. The aim of the study was to validate ultrasonography (US) as a diagnostic tool in the management of lung diseases in subjects with a history of occupational exposure to asbestos. METHODS: Fifty-nine retired male workers previously exposed to asbestos were enrolled in the study. Chest US was performed in all the subjects. The US operator was blinded to earlier performed computed tomography (CT) scan reports and images. The sonographic pathological findings were pleural thickening (with or without calcifications), peripheral lung consolidation, and focal sonographic interstitial syndrome and diffuse pneumogenic sonographic interstitial syndrome (pulmonary asbestosis). Significant US findings were recorded, stored, and subsequently compared with CT scans. RESULTS: With some patients falling into more than one category, on CT scan, pleural thickening was reported in 33 cases (56%, 26 with calcifications), focal interstitial peripheral alterations in 23 (39%), asbestosis in 6 (10%), and peripheral lung consolidation in 13 cases (22%). Comparing each pathological condition to CT scan reports, US findings had high levels of sensitivity, specificity, positive, and negative predictive values. US did not prove effective for the detection of central lung nodules or diaphragmatic pleural thickenings. Chest US was considered to be the best technique to detect minimal pleural effusions (six subjects, 10%). CONCLUSIONS: Chest US might be considered an additional tool to follow up subjects occupationally exposed to asbestos who have already undergone CT scan examination and whose pathology is detectable by US as well.


Asunto(s)
Amianto/toxicidad , Asbestosis/diagnóstico por imagen , Pulmón/diagnóstico por imagen , Exposición Profesional/efectos adversos , Anciano , Anciano de 80 o más Años , Índice de Masa Corporal , Estudios de Cohortes , Humanos , Pulmón/efectos de los fármacos , Masculino , Persona de Mediana Edad , Sensibilidad y Especificidad , Tomografía Computarizada por Rayos X , Ultrasonografía
4.
Int J Surg Case Rep ; 20S: 1-4, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26923475

RESUMEN

Cushing's syndrome occurred in 1-5% of cases of bronchial carcinoids. In this paper we describe a case of typical bronchial carcinoid in a nonsmoker young male with clinical manifestations mimicking a Cushing's syndrome. The patient performed chest radiograph and computed tomography. Fiberoptic bronchoscopy revealed the presence of an endobronchial mass occluding the bronchus intermedius. A rigid bronchoscopy was necessary for the conclusive diagnosis and for partial resection of the intraluminal tumor. Despite of the presence of Cushingoid features, the normal blood levels of ACTH and cortisol excluded the coexistence of a Cushing's syndrome.

5.
Asian Cardiovasc Thorac Ann ; 23(9): 1106-9, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26045491

RESUMEN

We report tracheal-bronchial migration of a covered esophageal self-expanding metal stent used to relieve dysphagia in a patient with advanced esophageal cancer. The stent eroded the trachea and completely occluded the main left bronchus. Surgery was contraindicated due to her poor clinical condition, and insertion of another stent in the trachea, esophagus, or both was contraindicated due to extension of the fistula. Esophageal exclusion with a combination of cervical esophagostomy and an enteral feeding tube was the only feasible treatment to minimize spoilage by aspirated saliva and provide enteral nutrition.


Asunto(s)
Adenocarcinoma/complicaciones , Fístula Bronquial/etiología , Trastornos de Deglución/terapia , Neoplasias Esofágicas/complicaciones , Esófago/fisiopatología , Migración de Cuerpo Extraño/etiología , Fístula del Sistema Respiratorio/etiología , Stents/efectos adversos , Enfermedades de la Tráquea/etiología , Adenocarcinoma/patología , Fístula Bronquial/diagnóstico , Fístula Bronquial/terapia , Broncoscopía , Deglución , Trastornos de Deglución/diagnóstico , Trastornos de Deglución/etiología , Trastornos de Deglución/fisiopatología , Endoscopía del Sistema Digestivo , Nutrición Enteral/instrumentación , Neoplasias Esofágicas/patología , Esofagostomía , Esófago/diagnóstico por imagen , Femenino , Migración de Cuerpo Extraño/diagnóstico , Migración de Cuerpo Extraño/terapia , Humanos , Persona de Mediana Edad , Estadificación de Neoplasias , Cuidados Paliativos , Fístula del Sistema Respiratorio/diagnóstico , Fístula del Sistema Respiratorio/terapia , Tomografía Computarizada por Rayos X , Enfermedades de la Tráquea/diagnóstico , Enfermedades de la Tráquea/terapia , Resultado del Tratamiento
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA