RESUMO
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Assuntos
Humanos , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/terapia , Broncoscopia , Biópsia por Agulha , Neoplasias Pulmonares/diagnóstico por imagem , Tomografia por Emissão de Pósitrons , Qualidade de VidaRESUMO
El carcinoma pulmonar no microcítico estadio IV con diseminación pleural es considerado una enfermedad incurable con una supervivencia del 23 y 10% a 24 y 60 meses cuando se trata con quimioterapia sistémica. Con la intención de mejorar la supervivencia de estos pacientes, se han llevado a cabo estudios que exploran la posibilidad de ofrecer un tratamiento consistente en cirugía radical asociado o no a quimioterapia intrapleural hipertérmica obteniendo resultados favorables en pacientes seleccionados. El objetivo de esta publicación es realizar una revisión de la literatura para evaluar la viabilidad del tratamiento con quimioterapia intrapleural hipertérmica en el cáncer de pulmón con diseminación pleural (AU)
Stage IV non-small cell lung carcinoma with pleural dissemination is considered an incurable disease with 23 and 10% survival at 24 and 60 months when treated with systemic chemotherapy. With the intention of improving the survival of these patients, studies have been carried out that explore the possibility of offering a treatment consisting of radical surgery associated or not with hyperthermic intrapleural chemotherapy, obtaining favorable results in selected patients. The objective of this publication is to conduct a review of the literature to evaluate the feasibility of treatment with hyperthermal intrapleural chemotherapy in lung cancer with pleural dissemination (AU)
Assuntos
Derrame Pleural , Neoplasias Pleurais/cirurgia , Cavidade Pleural/citologia , Neoplasias Pleurais/tratamento farmacológico , Nódulo Pulmonar Solitário , Adenocarcinoma/cirurgia , Neoplasias PulmonaresRESUMO
Los simuladores quirúrgicos son una gran herramienta para la formación, desarrollo y práctica de nuevas técnicas quirúrgicas en un ambiente de seguridad. En este artículo se revisan los diferentes modelos descritos, realizando para ello una lectura y análisis de las publicaciones aparecidas hasta la fecha. Existen múltiples dispositivos para la simulación quirúrgica en cirugía torácica, incluyendo tanto modelos biológicos como virtuales. Aunque todos los modelos tienen algún tipo de limitación, los estudios demuestran la importancia de los simuladores en la formación y la enseñanza. No hay ningún modelo a considerar superior, pero sí un desarrollo cada vez mayor de modelos virtuales
Surgical simulation devices are a useful resource in training, development and new surgical techniques training, all of them in a safe environment. In this paper we have reviewed the different models described, by searching and analyzing several articles published so far. There are several devices for surgical simulation in Thoracic Surgery, and include both biological and virtual models. Though all models are somehow limited, studies show us their relevance for training and teaching. There is still not a clearly superior model, but virtual devices are getting a huge development
Assuntos
Humanos , Exercício de Simulação , Doenças Torácicas/cirurgia , Cirurgia Torácica/educação , Simulação por Computador , Educação Médica/métodos , Modelos AnatômicosRESUMO
Lung cancer is the most frequent cause of cancer death worldwide and its global incidence has been steadily increasing during recent decades. A third of patients with newly diagnosed non-small-cell lung cancer (NSCLC) present with locally advanced disease. There is not a single widely accepted standard of care for these patients because of the wide spectrum of presentation of the disease. Although feasible and safe in experienced hands, evidence that surgical resection after induction treatment improves overall survival (OS) is lacking. For resectable or potentially resectable stage III, the findings of two phase III trials suggest that surgical resection should not be considered a standard of care but rather reserved for selected patients after critical multidisciplinary assessment, in whom surgery improves survival after downstaging if pneumonectomy can be avoided or in some T4N0-1 resectable tumours. For unresectable stage III NSCLC the standard of care is a combination of chemotherapy and radiotherapy. In those patients with good performance status and minimal weight loss, the concurrent approach has resulted in a statistically significant improvement in OS rates compared with a sequential approach in randomised clinical trials, although several questions remain unresolved (AU)
Assuntos
Humanos , Masculino , Feminino , Carcinoma Pulmonar de Células não Pequenas/patologia , Carcinoma Pulmonar de Células não Pequenas/terapia , Terapia Combinada/métodos , Terapia Combinada/estatística & dados numéricos , Comunicação Interdisciplinar , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/terapia , /organização & administração , /tendências , Estadiamento de Neoplasias/métodos , Estadiamento de Neoplasias/tendências , Estadiamento de Neoplasias , Equipe de Assistência ao Paciente , Pneumonectomia/métodos , PneumonectomiaRESUMO
We report a case of carcinoma following 42 years of chronic empyema in a patient who underwent surgery for a hydatid cyst at the age of 3. At the time of diagnosis, an esophageal fistula was observed and treated with cyanoacrylate. We hypothesize that chronic inflammation of the pleura, caused by decades of empyema, associated with the presence of heterotopic squamous epithelium due to a long-standing esophago-pleural fistula, led to neoplastic transformation.
Assuntos
Carcinoma de Células Escamosas/etiologia , Equinococose Pulmonar/complicações , Empiema/etiologia , Fístula Esofágica/etiologia , Neoplasias Pleurais/etiologia , Doença Crônica , Cianoacrilatos/uso terapêutico , Equinococose Pulmonar/cirurgia , Empiema/cirurgia , Fístula Esofágica/tratamento farmacológico , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonectomia/efeitos adversos , Reoperação , Fatores de Tempo , Adesivos Teciduais/uso terapêuticoRESUMO
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