Uncommon Tumors

Dail, David H.

doi:10.1007/978-1-4757-3935-0_33

Cited by 22 publications

(44 citation statements)

References 698 publications

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“…Combined treatment modalities, including laser resection, stent implantation and endobronchial radiotherapy, were applied in this patient with good results until he died 7 months later of unrelated conditions. As described in other cases, external beam radiation was also effective in our patient [1].…”

Section: Discussionsupporting

confidence: 85%

“…Adenoid cystic carcinoma of the bronchial system can be divided into three histological subtypes, as in the salivary glands: a tubular-trabecular; an intermediate cribriform-microcystic; and a poorly differentiated type [1]. The latter has the largest solid component.…”

Section: Discussionmentioning

confidence: 99%

“…the trachea or main-stem bronchi [1]. It appears to be unrelated to smoking, with an equal distribution in males and females.…”

mentioning

confidence: 90%

“…Eur Respir J., 1996Respir J., , 9, 1560 Adenoid cystic carcinoma of the bronchial system is a rare malignancy usually located in the central airways, i.e. the trachea or main-stem bronchi [1]. It appears to be unrelated to smoking, with an equal distribution in males and females.…”

mentioning

confidence: 99%

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Twenty two year survival after incomplete resection of advanced adenoid cystic bronchogenic carcinoma

Schoenfeld

Rahn²,

Loddenkemper³

1996

European Respiratory Journal

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In 1972, a 42 year old patient underwent thoracotomy for adenoid cystic carcinoma of the left main-stem bronchus. Pneumonectomy was performed, but the resection was not complete as the tumour had invaded the aortic and tracheal wall. The patient did not receive postoperative radiotherapy.In 1993, the patient was readmitted with severe respiratory insufficiency due to complete endobronchial tumour obstruction of the intermediate bronchus and extensive tumour growth in the mediastinum. Endobronchial laser treatment followed by stent implantation led to immediate symptomatic relief. The tumour then responded well to combined endobronchial and percutaneous radiotherapy. The patient died 7 months after readmission from ileus due to pancreatitis.We conclude that patients with advanced adenoid cystic carcinoma may profit from palliative surgery with respect not only to symptoms but also to duration of life. Eur Respir J., 1996Respir J., , 9, 1560 Adenoid cystic carcinoma of the bronchial system is a rare malignancy usually located in the central airways, i.e. the trachea or main-stem bronchi [1]. It appears to be unrelated to smoking, with an equal distribution in males and females. The tumour most often infiltrates the adjacent structures in continuity. Metastases to regional lymph nodes or distant sites are less common. Long-term survival has been reported for patients when the tumour has been resected [2,3], but local recurrences of tracheal tumours have been recorded even after 25 and 30 yrs [4]. Case reportA 42 year old male nonsmoker was admitted in December 1971 with almost complete atelectasis of the left lung. Bronchoscopy revealed an obstructing tumour in the proximal left main-stem bronchus. Thoracotomy showed that the tumour had grossly invaded peribronchial structures, including the aortic wall and the tracheal wall. Numerous enlarged lymph nodes were found. Pneumonectomy was performed, but residual tumour remained in the aortic wall and the bronchial surgical margins.Histologically, adenoid cystic carcinoma was diagnosed. The tumour showed trabecular and tubular structures filled with alcian blue-and periodic-acid-Schiff (PAS)-positive mucin. The surgical margins were positive, but none of the enlarged lymph nodes were involved by the tumour (tumour, node, metastasis classification (TNM) stage pT4N0M0 [5]). As an additional finding, epi-thelioid cell granulomatas with necrosis were detected within the resected lung, suggesting pulmonary tuberculosis. Antituberculosis treatment with isoniazid and ethambutol was given for 18 months; sputum cultures remained negative. The patient did not receive postoperative radiotherapy.In May 1993, the patient was readmitted with a 2 week history of severe respiratory insufficiency at rest. Bronchoscopy revealed complete tumour obstruction of the whole length of the intermediate bronchus, and extrabronchial compression of the right main-stem bronchus. Histologically, the tumour was again identified as adenoid cystic carcinoma of tubular subtype ( fig. 1). Compu...

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

“…the trachea or main-stem bronchi [1]. It appears to be unrelated to smoking, with an equal distribution in males and females.…”

mentioning

confidence: 90%

mentioning

confidence: 99%

See 2 more Smart Citations

Twenty two year survival after incomplete resection of advanced adenoid cystic bronchogenic carcinoma

Schoenfeld

Rahn²,

Loddenkemper³

1996

European Respiratory Journal

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“…A variety of uncommon primary tumors and pseudotumors may sporadically affect the lung, although they represent less than 1% of all lung neoplasms. These rare pulmonary tumors can be either benign or malignant and have a broad spectrum of mesenchymal, epithelial, lymphoreticular, and vascular causes [1][2][3]. Primary leiomyoma of the lung is benign in nature and is one of the rarest tumors of mesodermal origin [4].…”

Section: Introductionmentioning

confidence: 99%

Primary Pulmonary Leiomyoma in a Male

2016

Ann Clin Anal Med

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ÖzetAkciğerin primer pulmoner leiomiyomu benin natürlüdür ve en nadir mezodermal kökenli tümörlerdendir. Rutin göğüs röntgeni çekimlerinin artması ile birlikte bu lezyonlarla daha sıklıkla karşılaşılmağa başlanmıştır. Tedavisi parankim koruyucu rezeksiyondur ve prognozu oldukça iyidir. Otuz yaşında, öksürük, balgam çıkarma ve gece terlemesi şikâyetleri ile başvuran bir erkek hastanın görüntüleme tetkiklerinde sol alt lobda kitle saptanması üzerine yapılan rezeksiyon sonucu primer pulmoner leiomiyom tanısı alan olguyu sunduk. Anahtar KelimelerPrimer; Pulmoner; Leiomiyom AbstractPrimary pulmonary leiomyoma of the lung is benign in nature and is one of the rarest tumors of mesodermal origin. Because of the increasing number of routine chest roentgenograms, these lesions are being discovered more frequently.Treatment is by conservative surgical resection and carries a favorable prognosis.We presented a 30-year-old patient with expectoration cough and night sweats who undergone resection due to a mass in left lower lobe and diagnosed primary pulmonary leiomyoma.

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