Os cães possuem quatro pares de glândulas maiores (parótidas, sublinguais, zigomáticas e submandibulares) e, também, contêm inúmeras glândulas salivares menores distribuídas ao longo de toda a cavidade oral, como os lábios, bochecha, língua, palato, faringe e esôfago. Dá-se o nome mucocele para o acúmulo anormal de saliva nas glândulas salivares, formando uma dilatação da glândula no local podendo levar a comprometimento respiratório do animal acometido. Distúrbios nas glândulas salivares não são frequentes em cães, apresentam baixa incidência, de aproximadamente 0,3%. Os sinais clínicos associados com a mucocele salivar dependem da sua localização, podendo apresentar diferentes sintomatologias, dependendo da glândula afetada. A resolução é cirúrgica, é o método mais adequado para a redução do problema e com melhores resultados sem ocorrência de recidivas.O objetivo deste trabalho foi realizar uma revisão de literatura sobre a mucocele faríngea em cães.
receiving salvage SBRT, met inclusion criteria (median follow up of 21 months). No significant differences (p¼0.77) were observed between maximum point doses to BP, SCV, and SCA. Within one year post-SBRT, two patients (3%) developed BPX (grade 2); both patients had exceeded 32 Gy to the BP and were treated with salvage SBRT. No patient treated with definitive SBRT (91%) developed BP, despite 17 of these exceeding recommended maximum doses. Conclusion: No BPX was observed for patients that exceeded a maximum dose of 32 Gy to the BP, unless they were treated as salvage SBRT. This suggests higher doses to the BP may be considered when clinically required for definitive SBRT. However, salvage SBRT may require more conservative BP constraints than used in the definitive setting.
VATS. This study analyzed the lymphadenectomy by surgical approach and applied the International Association of the Study of Lung Cancer (IASLC) criteria of lobe-guided lymphadenectomy. Method: We performed a retrospective review of patients with stage I or II NSCLC who underwent lobectomy via thoracotomy (2003-2007, n¼408) or VATS (2014-2017, n¼754) at our institution. We compared the lymph node stations dissected by lobe-specific and the outcomes between the two approaches. Result: VATS was equal or superior to thoracotomy for dissection of all lymph node stations except stations 8R (p¼0.0018) and 8L (p¼0.0002) and was superior for subcarinal lymphadenectomy (p¼<.0001). When examined by lung lobe(s), VATS was superior for lymphadenectomy during right upper lobectomies (p¼<.0001) and at least equal to thoracotomy for all other lobes. Additionally, VATS was associated with less blood loss (p¼<.0001), pneumonia (p¼0.0008) and acute respiratory distress syndrome (p¼0.0082), fewer air leaks (p¼<.0001) and lower 30-day mortality (p¼0.0308). Conclusion: At our institution, the transition from thoracotomy to VATS lobectomy for early-stage NSCLC did not negatively impact the quality of the lymph node dissection. Moreover, VATS significantly improved surgical outcomes. Keywords: non smal cell lung cancer, lobe-guided lymphadenectomy, early stage lung cancer Background: Adenocarcinoma has become the most frequently diagnosed histotype of Non-Small cell Lung Cancer (NSCLC). Nevertheless, the latest classification of lung adenocarcinoma issued by IASLC/ATS/ ERS identified different subtypes with different prognostic impact; concurrently, different subtypes might mingle influencing biological features and behavior. We focused on surgically treated stage I and II predominantly acinar lung adenocarcinoma analyzing outcomes and prognostic factors according to the second main histological pattern. Method: We retrospectively collected all lung adenocarcinoma with a predominant acinar histological pattern operated on between October 2012 and September 2017 in our institution. We selected all patients in pathological stage I A-B and II A-B with full preoperative staging procedures performed at our institution. All clinical and pathological features were registered. We analyzed outcomes according to the histological sub pattern and we focused on main prognostic factors. Result: During the study period we performed 153 lung resections for patients affected by NSCLC. Among them we found 93 adenocarcinoma and 55 had a predominant acinar pattern. Among selected patients, there were 33 female and the mean age was 68.2 (SD±9.3) years. The histology report showed a solely acinar pattern in 11 cases (20.0%), while a second main sub-pattern was seen in the remaining cases: papillary or micropapillary in 7 cases (12.7%); lepidic in 27 cases (49.1%) and solid in 10 (18.2%). Mean Overall Survival (OS) and Disease-Free Survival (DFS) of all the cohort of patients were 66.1 (CI 95% 59.7-72.4) and 51.9 (CI 95% 42.7-61.2) months respectively. Acco...
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