Simultaneous occurrence of tuberculosis and lymphoma is a rare combination. A primary malignant disease such as Hodgkin's disease (HD) can cause inhibition of cell-mediated immunity, which predisposes to concomitant tuberculosis infection. A congenital and acquired immune deficiency, the presence of autoimmune diseases suggests the development of tuberculosis. There is a close link between infectious mononucleosis caused by the Epstein-Barr virus and the development of Hodgkin's disease. We are describing a patient, aged 52 with simultaneous occurrence of tuberculosis combined with Hodgkin's lymphoma in a single cervical lymph node material developed with bilateral malignant pleural effusions and ascites, as the Hodgkin's disease has been determined at IV stage according to the Ann Arbor criteria.
The objective is to present diagnostic capabilities of virtual bronchoscopy (vB) and fiberoptic bronchoscopy (fB) for determining the localization and shape of stenoses in patients with central lung carcinoma. A systematic study was performed on 220 patients aged 11-83 (54.36±17.24) years with endobronchial disease using the fB and vB methods during the 2013-2017 period. Central carcinoma of the lung was found on vB in 130 patients and on fB in 120 patients. Other nosologic diseases were found in 22 patients. right localization of central carcinoma prevailed over left localization in both sexes. A significant difference in the localization criterion was found in female patients examined by vB (u-test, p=0.01). vB and fB yielded 86.5% vs. 91.60% precision and 85% vs. 94.5% sensitivity. in conclusion, vB was found to be a successful noninvasive method for determining the localization of lung tumors and shape of stenoses, which are essential in the diagnosis of malignant processes.
OBJECTIVE:The purpose of this study is to answer the question whether the treatment of these patients leads to control of respiratory failure by relieving and eliminating dyspnea and preserving the patients' ability to care for themselves, as well as achieving reduction of the number of hospitalizations of patients with unsuccessful pleurodesis and effusion persistence. MATHERIAL AND METHODS: 165 patients with malignant pleural effusions were treated in the Clinic of Thoracic Surgery for the period 01 January 2013 -31 May 2016. 70 patients underwent surgeries with single-port VATS, 66 patients were operated on with conventional VATS, while 29 patients were treated with thoracocentesis and drainage. RESULTS: Of all 165 alone 5 patients, constituting 3.03% of the total number of patients, had to be admitted to the hospital for a second time due to reaccumulation of pleural effusion within the next 30 days. Satisfactory dyspnea control was established, allowing the patients to take care of themselves.
CONCLUSION:The surgical procedures -single-port and conventional VATS surgeries, thoracocentesis, drainage and placement of long-term pleural catheter with, or without, pleurodesis constitute part of the procedures achieving control over dyspnea in patients with MPE.
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