[Anesthetic Management of Cesarean Section in a Pregnant Woman with Advanced Tongue Cancer].

It is very difficult to decide the best time to deliver the baby for a pregnant woman with advanced cancer. We experienced the perioperative and perinatal management of a 39-year-old pregnant woman with advanced tongue cancer. The cancer had already metastasized to the lung and lymph nodes. Furthermore a recurrent thumb-sized tumor was found in her mouth. She had firmly desired to discontinue all anticancer treatment for protecting the fetus. On the other hand, her family could not accept her determination yet. Therefore the medical team was organized with doctors and co-medicals from multiple departments such as gynecology, pediatrics, radiology, oncology, midwife, psychotherapy and anesthesiology. After several conferences including herself and family, finally cesarean section was scheduled for the 30th gestational week. Prepared for unexpected emergency delivery, airway stenosis was ruled out by fiberoptic laryngoscopy and the consent for emergency tracheostomy was obtained. The operation was performed successfully under spinal anesthesia without any severe troubles. Medical care as a team from early phase enabled elaborate observation and preparation through the perioperative and perinatal period. Furthermore, it was efficient to provide satisfaction to the patient and her family as well.

Pleural bronchogenic cysts: imaging findings.

Bronchogenic cysts occur most frequently in the middle mediastinum; almost all the remainder is present in the lungs. In this report, we describe 2 cases of bronchogenic cysts, which arose from the parietal and visceral pleura. Pathologically, each cyst showed an attachment with a small stalk to the parietal or visceral pleura. We suggest that bronchogenic cyst should be included in the differential diagnosis of cystic lesions in the pleural cavity.