Among the pneumonectomies performed for NSCLC, the causes of postoperative morbidity were multifactorial, however, multivariate analysis did not show any significant factor affecting the mortality, related to this procedure.
Cardiac hydatid cyst is an uncommon disease, mostly involving the myocardium. Involvement of the pericardium or isolated pericardial hydatid cysts are extremely rare and therefore can mimic other pericardial cystic diseases. Herein we present the radiological and surgical findings of an asymptomatic isolated pericardial hydatid cyst
We present here a technique for VATS decortication in patients with stage 3 empyema. It was undertaken with satisfactory outcomes in a limited number of patients. In our technique, the fibrous peel at the surface of the lung is completely removed via two or three incisions without parietal decortication. We believe that our technique will be improved with increased experience and may be an alternative to open thoracotomy and decortication in a selected group of stage 3 empyema patients.
Tracheal bronchus is a rare congenital anomaly of the bronchial tree, in which an aberrant bronchus originates in the trachea anywhere above the carina, but usually within 2 cm of it. Lung neoplasms that develop from tracheal bronchus have been identified only rarely. We present a case of tracheal bronchus that included a malignancy of the affected right upper lobe. The post-surgical histological stage was T4N0M0 stage IIIA. The patient was in good condition 24 months after the operation, and there was no evidence of recurrence. Before 2012, 14 cases of lung cancer that developed from tracheal bronchus had been reported.
Blunt traumatic diaphragmatic injuries (BTDIs) can be misdiagnosed. Careful evaluation of associated injuries in BTDI is important. In this study, we evaluated treatment options and difficulties in the diagnosis of patients with BTDI. We evaluated ten patients retrospectively with BTDI admitted to our departments, between January 2004 and 2015. Age, gender, trauma type, symptoms, radiological findings, diagnosis time, location and grade of the diaphragmatic injury, surgical type of repair, associated injuries and pericardial rupture, and morbidity and mortality rates were recorded. The mean age of the patients was 46.7 years, and all were males. Ninety percent of BTDI was left sided, and 10 % was on the right side. The diagnosis was confirmed with chest radiograph in 50 % and computed tomography in 70 %. Radiological examination revealed hemothorax in 80 %, the loss of diaphragmatic shadow in 60 %, and visceral organ herniation to the thorax in 60 %. Multiple organ injuries were present in 90 % of cases. Pericardial rupture seen in 30 % was remarkable. Early surgery was performed for eight patients and late surgery for two patients. There were six patients with grade 4 or 5 central diaphragmatic injuries (CDIs). Multiorgan injury was present in all patients developing acute CDI. Multiple organ injury is much higher in patients with severe acute blunt trauma with CDI. Pericardial rupture rate is high in cases with acute BTDI and CDI. Proper diagnosis and early surgical management reduce morbidity and mortality.
Fibrous histiocytoma is a benign tumoral lesion consisting of fibroblastic and histiocytic cells, accompanied by varying numbers of inflammatory cells, foamy histiocytes and siderophages, and has sheet-or short fascicle-type histomorphology. These tumors are generally localized in the dermis or the superficial subcutaneous tissue. Fibrous histiocytoma of the lung is an extremely rare tumor. This study presents a case that appeared as a nodular opacity in the posteroanterior (PA) lung graphy, which was then considered malignant after computerized tomography and PET-CT scans and operated on. The case was finally reported as primary benign fibrous histiocytoma of the lung after pathological examination.
Objective The aim of this study was to evaluated the effectiveness of computed tomography(CT) guided transthorasic fine needle aspiration biopsy in the diagnosis of lung mass lesions. (Sakarya Med J 2019, 9(3):513-521). Materials and Methods In this study, we are presenting 354 CT guided TTFNAB materials. The 348 of aspirations were performed from lung directly and 6 of them were performed from masses with mediastinal location. After the lesion was localized by CT, aspiration biopsy was performed by thoracic surgeon with 20-22 gauge Chiba needle by using 20 ml. If TTFNAB material is sufficient, it was divided into two equal parts for conventional smear cytology and the cell block technique. The results were classified in following catogories: 1. Benign/non-neoplastic, 2. suspicious of malignancy, 3. neoplastic-diagnostic, 4. inadequate for interpretation. Results Among the 220 patients who underwent TTFNAB (354 aspiration biopsy), 163 (46.04%) were diagnosed as tumor, 74(20.90%) as suspicious lesion, 71 (20.05) as benign lesion and 46 (12.99%) as aspirate nondiagnostic. 140 (39.54%) aspirata cell blocks were applied to 134 cases. Immunohistochemical and histochemical studies were performed in these cases and type differentiation could be made in tumor. Suspicious for neoplasia and neoplastic cases formed major group with 237 cases (66.94%). Among 163 (46.04%) neoplastic aspirates; there were the diagnoses of EC in 58 (35.58%) aspirates, NSSC/non-specific in 54 (33,12 %) aspirates, AC in 23 (14.11%) aspirates, SCC in 14 (8.58%), malignant tumor in 8 aspirates, neuroedocrine tumor in 3 aspirates, thymoma in 1 aspirate, plasmacytoma in 1 aspirate and schwannoma in 1 aspirate. Conclusion TTFNAB-CB in expert hands and experienced pathologists is fairly accurate for lung masses and can be regarded as an acceptable procedure for early diagnose and treatment planning purposes in most lung lesions. Keywords lung; computed tomography; transthoracic fine needle aspiration biopsy; cell block Öz Amaç Bu çalışmanın amacı, akciğer kitle lezyonlarının tanısında bilgisayarlı tomografi (BT) kılavuzluğunda transtorasik ince iğne aspirasyon biyopsisinin (TTİİAB) etkinliğini değerlendirmektir.
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