Teratomas account for 8-13% of all mediastinal tumors. A 27-year-old patient presented with chest pain and dyspnea of prolonged evolution. A chest X-ray revealed near total opacification of the right hemithorax. On a tomography scan of the chest, a collection of heterogeneous fluid, with irregular borders and 10.1 x 11.7 cm in size, was seen in the pleura of the lower two-thirds of the right hemithorax but was not encroaching on any of the adjacent structures. Based on the hypothesis that these findings represented a benign mediastinal teratoma, an exploratory thoracotomy was performed, during which such a teratoma was found and completely excised. The post-operative evolution was favorable. The atypical presentation and considerable growth of the tumor hindered the pre-operative diagnosis.
Os glicocorticoides são um grupo de medicamentos amplamente utilizados no tratamento de várias condições inflamatórias e autoimunes. No entanto, pacientes que estão em uso crônico ou agudo desses medicamentos podem apresentar desafios específicos durante o período perioperatório. Este artigo científico tem como objetivo revisar as considerações importantes no manejo do paciente cirúrgico que está em uso de glicocorticoides, incluindo a avaliação pré-operatória, o planejamento anestésico, os cuidados intraoperatórios e o manejo pós-operatório.
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.