RESUMO
INTRODUCTION: Bronchial carcinoid tumours (CT), divided into typical carcinoid (TC) or atypical carcinoid (AC), are rare tumours whose therapeutic management remains unspecified. METHODS: Retrospective study collecting cases of bronchial CT operated at the thoracic surgery department of Abderrahmane-Mami hospital of Ariana and recruited from the pneumology departments of Northern Tunisia, during a 12-year period. RESULTS: Ninety patients were collected (74 cases of TC and 16 cases of AC). The mean age was 45 years and the sex ratio H/F=0.5. The chest X-ray was normal in 11 cases, as well as flexible bronchoscopy in seven cases. The tumour was classified: stage IA (10 cases), IIA (28 cases), IIB (31 cases), IIIA (15 cases) and IIIB (six cases). Surgery resulted in a complete resection in 78 patients, an extensive resection in six patients, and a conservative resection in six patients. Adjuvant chemotherapy was given in 10 patients. The survival was 84% at five years and 42% at 10 years. CONCLUSION: The prognosis of CT depends directly on the histological subtype. It is excellent for TC after complete resection, unlike ACs that are similar to well-differentiated bronchial carcinomas.
Assuntos
Neoplasias Brônquicas , Tumor Carcinoide , Neoplasias Brônquicas/diagnóstico , Neoplasias Brônquicas/epidemiologia , Neoplasias Brônquicas/cirurgia , Broncoscopia , Tumor Carcinoide/diagnóstico , Tumor Carcinoide/epidemiologia , Tumor Carcinoide/cirurgia , Humanos , Pessoa de Meia-Idade , Pneumonectomia , Estudos RetrospectivosAssuntos
Neoplasias Ósseas/diagnóstico por imagem , Fibroma/diagnóstico por imagem , Displasia Fibrosa Óssea/diagnóstico por imagem , Achados Incidentais , Costelas/diagnóstico por imagem , Adulto , Neoplasias Ósseas/patologia , Diagnóstico Diferencial , Fibroma/patologia , Displasia Fibrosa Óssea/patologia , Humanos , Masculino , Radiografia Torácica , Costelas/patologiaRESUMO
The chest wall is an uncommon localization for hydatid disease even in countries where echinococcosis is endemic. Only isolated sporadic cases have been reported in the literature. We reviewed retrospectively 15 patients who underwent surgery for chest wall hydatid disease. Various imaging techniques were used for diagnosis of our cases. These included chest radiograph, thoracic ultrasonography, computed tomography and magnetic resonance imaging. Hydatid cyst involved soft tissues (n=5), ribs and vertebrae (n=5), ribs (n=4) and sternum (n=1). Imaging techniques were of value for diagnosis (radiographs and sonography) and for evaluation of the extent of involvement (CT and MRI). Chest wall hydatidosis requires surgical treatment but recurrence is frequent.
Assuntos
Equinococose/diagnóstico , Imageamento por Ressonância Magnética , Doenças Torácicas/diagnóstico , Doenças Torácicas/parasitologia , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Idoso , Equinococose/diagnóstico por imagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Doenças Torácicas/diagnóstico por imagem , UltrassonografiaAssuntos
Infecções Bacterianas/tratamento farmacológico , Infecções Respiratórias/tratamento farmacológico , Roxitromicina/uso terapêutico , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Bacterianas/epidemiologia , Infecções Bacterianas/microbiologia , Criança , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Respiratórias/epidemiologia , Infecções Respiratórias/microbiologia , Roxitromicina/administração & dosagem , Roxitromicina/efeitos adversos , Tunísia/epidemiologiaAssuntos
Diafragma , Neoplasias do Mediastino/diagnóstico , Mesenquimoma/diagnóstico , Adulto , Biópsia , Broncoscopia , Humanos , Masculino , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/cirurgia , Mesenquimoma/patologia , Mesenquimoma/cirurgia , Prognóstico , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Primary malignant melanoma of the lower airways is very rare. 24 cases have been collected over the past century. Our case was a patient of 52 years of age who had been discovered to have a tracheal tumour which was found to be a malignant melanoma and was treated with a Laser. The major problem is to establish that the tumour is primary. The combination of clinical evidence, paraclinical, subsequent outcome and in certain cases the autopsy enables the diagnosis of a primary tumour to be retained without having absolute certainty because a cutaneous melanoma can disappear after having metastasised.