Usunięcie regionalnych węzłów chłonnych jest ważnym elementem w radykalnym leczeniu nowotworów. Następstwem regionalnej limfadenektomii jest powstawanie chłonkotoku, który u większości operowanych ustępuje samoistnie. Jednak u 12-32% chorych przestrzeń, w której gromadzi się treść chłonna, przekształca się w torbiel limfatyczną. Postępowanie diagnostyczno-lecznicze w tych przypadkach uzależnione jest od wielkości i położenia torbieli limfatycznej. W pracy przedstawiono 74-letnią chorą, u której rozpoznano i zaplanowano leczenie torbieli limfatycznej przestrzeni zaotrzewnowej. W oparciu o objawy kliniczne i wyniki badań obrazowych chorą zakwalifikowano do usunięcia torbieli limfatycznej przez laparotomię. Ocena śródoperacyjna potwierdziła słuszność decyzji przedoperacyjnej. Zabieg i okres pooperacyjny przebiegły bez powikłań. Prezentacja powyższego opisu przypadku wydaje się interesująca z uwagi na fakt, iż nawet po okresie 10 lat od operacji pierwotnej możliwe jest powstanie torbieli chłonnej, co należy brać pod uwagę w czasie prowadzenia badań kontrolnych u chorych onkologicznych. A enormous retroperitoneal lymphatic cyst in 10 years after lymphadenectomyThe removal of regional lymph nodes is an important part of the radical treatment of certain cancers. In the majority of regional lymphadenectomies the consequence is the emergence of spontaneous lymphorrhoea. However, for 12-32% of patients, we observed that in the area of the lymphadenectomy, the content of the collected seroma is converted into a lymphatic cyst. Diagnosis and treatment in these cases is dependent on the size and location of the lymphatic cyst. This case report describes a 74 year-old patient who was diagnosed with, and received treatment for, a retroperitoneal lymphatic cyst. On the basis of both clinical symptoms and imaging results, the patient was classified to receive removal of a lymphocele by laparotomy. Intraoperative evaluation further confirmed the validity of the preoperative decision. Both surgery and the postoperative period were uneventful. It is interesting that 10 years after the operation, primary absorbent cyst formation occurred in this patient's surgical area, a phenomena which should be considered as a possible outcome during the postoperative observation of oncological patients.
Surgery is the treatment of choice for squamous cell esophageal cancer. Complete resection of the esophagus with reconstruction of the digestive tract is performed for tumors located in the chest or cardia. The aim of the report is to present the case of a complete esophageal and gastric resection complicated by colon graft necrosis. The patient was a 45-year-old woman diagnosed with cancer of the cardia infiltrating the distal section of the esophagus and the body and fundus of the stomach. The initial surgical procedure included the opening of three body cavities followed by resection of the thoracic esophagus, stomach, and a portion of the left hepatic lobe. Right colon interposition was performed to restore digestive tract continuity. On the 8th day, a leak was observed in the esophagointestinal anastomosis. Management consisted in two surgical procedures, one of which ended in the removal of the colon patch. The fourth and final procedure was conducted after 10 months.
The co-existence of a chondrosarcoma of the chest wall and a desmoid tumor in the gastrointestinal tract is rare. In both Polish and global literature, cases of chest wall chondrosarcomas are presented in the form of case reports. Desmoids of the gastrointestinal tract are more common; notwithstanding, their incidence in Europe is estimated at approximately 2 cases per 1 million inhabitants per year.We present the case of a 62-year-old female patient who suffered from both a chest wall chondrosarcoma and a desmoid tumor of the intestine; both neoplasms were operated on simultaneously.The former tumor was located in the region of the right costal margin, whereas the latter was located in the mesojejunum. The surgery was performed with two independent surgical incisions. The postoperative period was uneventful. The case is noteworthy in view of the extremely rare synchronous occurrence of the described tumors and due to the fact that any such operation requires an individualized surgical approach.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.