RESUMO
Two patients with pulmonal Echinococcosis are presented by the authors. Contact with cestoda carrier animals cannot be revealed. At the first patient, who was without any complaints, the two round shadows in her chest X-ray were detected accidentally by screening examination and before the operation only eosinophilia, many eosinophil granulocytes in the pleural effusion and the positive complement binding reaction were related to the Echinococcosis, which was proved by the histological examination of the intraoperative biopsy. The other patient had complaints during months. In this case the Echinococcus granulosus broke into the bronchus and emptied in the sputum. Postoperative histological diagnosis can be obtained by help of the excision from the intraluminal alteration which was visible during bronchoscopy. The authors summarize the etiology, the clinical signs, the diagnose and the therapy of Echinococcosis. They call attention to the incidence of this mainly tropical disease in Hungary and to the rare soliter pulmonal manifestation of the Echinococcosis.
Assuntos
Equinococose Pulmonar , Adulto , Biópsia , Equinococose/diagnóstico , Equinococose/etiologia , Equinococose/cirurgia , Equinococose Pulmonar/diagnóstico por imagem , Equinococose Pulmonar/patologia , Equinococose Pulmonar/cirurgia , Feminino , Humanos , Hungria , Período Intraoperatório , Programas de Rastreamento , Radiografia TorácicaRESUMO
An 19 year old male patient with cystic fibrosis is reported. The clinical, pathogenetic, anatomical features and literature data are reviewed. Attention is called to recent diagnostic facilities.
Assuntos
Fibrose Cística/diagnóstico , Adulto , Fatores Etários , Fibrose Cística/classificação , Fibrose Cística/diagnóstico por imagem , Humanos , Masculino , Suor/química , Tomografia Computadorizada por Raios XRESUMO
A case of solitary plasmacytoma of the lung in a 64 year old woman is reported. The anatomical and clinical features of this exceedingly rare form are discussed. Stress is laid on the 'fact that diagnostic certainty can only be obtained by immunohistochemistry. It is also necessary that patients be subjected to periodical radiological and immunological studies in the postoperative period to detect the possible occurrence of multiple myeloma.