ABSTRACT
We present the case of a female patient age 32, with no medical history, presenting with chest pain and asthenia. Chest X-ray and CT scan revealed multiple nodular shadows in both lungs, suggesting lung metastasis. Bronchoscopy and broncho-alveolar lavage didn't reveal any malignant cells. Clinical examination and lab examinations didn't find any primitive extra-pulmonary tumor. Open lung biopsy was performed, revealing sarcoidosis. Patient received oral steroids, with significant radiologic improvement after only 1 month.
Subject(s)
Sarcoidosis, Pulmonary/diagnosis , Adult , Anti-Inflammatory Agents/therapeutic use , Biopsy , Female , Humans , Lung/pathology , Lung Neoplasms/diagnosis , Prednisone/therapeutic use , Sarcoidosis, Pulmonary/drug therapy , Treatment OutcomeABSTRACT
Tracheal tumors of malignant or benign origin are very rare. The symptoms may mimic asthmatic crisis, dyspnea at rest or light efforts appear only when the tumor obstructs 60% of the tracheal diameter. We present the case of a 50 year old patient, ex-smoker with symptoms present 5 years before admittance with dyspnea and small hemoptysis. Diagnosis was based on bronchoscopic examination, CT scan and histological examination of the resection sample revealing a rare benign tracheal tumor: a hemangioma. The sequential treatment of the disease is presented: interventional endoscopy and surgical resection. The excellent postoperative evolution emphasized the diagnostic and therapeutic value of bronchoscopy as well as surgery in benign tracheal tumors.
Subject(s)
Hemangioma/surgery , Laser Therapy , Tracheal Neoplasms/surgery , Anastomosis, Surgical , Bronchoscopy , Hemangioma/diagnosis , Humans , Male , Middle Aged , Tracheal Neoplasms/diagnosis , Tracheotomy , Treatment OutcomeABSTRACT
The emergence of a secondary pulmonary neoplasm at some time after the primary one raises diagnostic and therapeutic issues especially in patients with functional respiratory capacities at the limits of resectability. We present the case of a 53 years old patient which suffered a right upper lobectomy three years before for a moderately differentiated squamous carcinoma and in which a second cancer was discovered in the right main bronchus. Para-clinic explorations demonstrated the lack of local and systemic invasion of the second cancer. The optimal therapeutic way is presented and its result, discussing also the means for long term follow-up of the patients operated for non-small cell lung cancer.
Subject(s)
Bronchial Neoplasms/surgery , Carcinoma, Squamous Cell/surgery , Neoplasms, Second Primary/surgery , Pneumonectomy , Bronchial Neoplasms/diagnosis , Bronchoscopy , Carcinoma, Squamous Cell/diagnosis , Humans , Lung Neoplasms/surgery , Male , Middle Aged , Neoplasms, Second Primary/diagnosis , Treatment OutcomeABSTRACT
Bronchial resection and anastomosis represents an alternative to the pneumonectomy in patients with severe impairment of pulmonary function and/or other diseases which make such radical surgery too risky. The authors present two clinical cases of right upper lobe lung cancer (a squamous-cell carcinoma and an adenocarcinoma) admitted in the Thoracic Surgery Department of the National Institute of Pulmonology "Marius Nasta" from Jan-March 2001, in which they could not perform pneumonectomy because of unacceptable high risks. In both patients a right upper lobectomy with "sleeve" resection was done, with the anastomosis of right main bronchus to the intermediary one. The clinical, bronchoscopic and functional results were excellent. The literature review also shows very good results of this technique in the surgical treatment of lung cancer. For these reasons, the authors recommend this procedure in all the cases in which it can be technically applied; more than that, the survival rate is similar with other more radical techniques, but without any complications.
