Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma
Arsalane Adil,
Zidane Abdelfetah,
Tourabi Khalid,
Ktaibi Abderahman,
Rharrassi Issam,
Mssougar Yacine
Issue:
Volume 3, Issue 6, November 2017
Pages:
67-69
Received:
30 January 2017
Accepted:
21 February 2017
Published:
28 November 2017
Abstract: Secondary lesions to the sternum are uncommon and occur more commonly in patients with lung and breast cancer. Only a few cases of sternal metastasis arising from a follicullar thyroid carcinoma have been reported in the literature. The management of this kind of metastasis remains controversial. We describe a case of a sternal mass treated by radical surgery and Iodine radiation, which ultimately proved to be a solitary metastasis from a follicular carcinoma of the thyroid, appearing 20 years after subtotal thyroidectomy. A review of the literature was also performed to evaluate the characteristics of reported cases of sternal thyroid cancer metastases treated with surgical resection. According to the results we recommend surgical resection of the metastasis, not only as a curative or palliative measure but also to maximize the effect of subsequent radioiodine treatment.
Abstract: Secondary lesions to the sternum are uncommon and occur more commonly in patients with lung and breast cancer. Only a few cases of sternal metastasis arising from a follicullar thyroid carcinoma have been reported in the literature. The management of this kind of metastasis remains controversial. We describe a case of a sternal mass treated by radi...
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Thoracoplasty in the Management of Chronic Empyema: Experience of a Sub Saharan African Country
Assane Ndiaye,
Souleymane Diatta,
David Douglas Banga Nkomo,
Papa Salmane Ba,
Modibo Doumbia,
Adama Sawadogo,
Magaye Gaye,
Fokalbo Zephanie Kobe,
Momar Sokhna Diop,
Ndeye Fatou Sow,
Gabriel Amadou Ciss,
Pape Adama Dieng,
Mohamadou Lamine Fall,
Mouhamadou Ndiaye
Issue:
Volume 3, Issue 6, November 2017
Pages:
70-74
Received:
3 August 2017
Accepted:
11 August 2017
Published:
6 December 2017
Abstract: Introduction: The current main indication of thoracoplasty is empyema following or not lung resection, when the other surgical methods such as thoracic drainage, pleurostomy and/or pulmonary decortication have failed or are not useful. The authors report the role of thoracoplasty in the management of chronic empyema. Method: Between 2004 and 2015, eight male patients underwent thoracoplasty, in the Department of Thoracic Surgery at the University Hospital of Fann, Dakar, Senegal. The mean age was 40 years old. In all cases, the first step of the treatment was thoracic drainage with Heimlich valve in an ambulatory patient, associated with antibiotic according to the result of bacterial culture. In three patients, thoracostomy was indicated to control local infection before thoracoplasty. Results: Indications for thoracoplasty were refractory post resectionnal lung empyema in 6 cases and chronic primary apical empyema in 2 cases. Bronchopleural fistula was found in 5 patients. We performed three superior partial thoracoplasty, and five enlarged thoracoplasty. A myoplasty, using latissimus dorsi to fill the empyema space, was associated with thoracoplasty in five cases. Bronchopleural fistula cure consisted of a direct X form suture in two cases and of intercostal muscle apposition on the fistula in others ones. Partial scapulectomy, by resection of the inferior third part of the scapula was done in three patients. After a mean follow up of one year, no patient presented with persistence or recurrence of empyema. Then we concluded that they were healed. Conclusion: Thoracoplasty is an efficient procedure for the management of chronic empyema. So it is necessary for each team to established define criteria that will allow a patient to undergo thoracoplasty in order to do not use it for any desperate case of refractory chronic empyema.
Abstract: Introduction: The current main indication of thoracoplasty is empyema following or not lung resection, when the other surgical methods such as thoracic drainage, pleurostomy and/or pulmonary decortication have failed or are not useful. The authors report the role of thoracoplasty in the management of chronic empyema. Method: Between 2004 and 2015, ...
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Idiopathic Asymptomatic Aneurysms of Pulmonary Artery and Ascending Aort: A Case Report
Mihriban Yalcin,
Gonul Zeren
Issue:
Volume 3, Issue 6, November 2017
Pages:
75-77
Received:
26 January 2017
Accepted:
4 March 2017
Published:
18 December 2017
Abstract: The dilatation of pulmonary artery is a rare condition and called as pulmonary artery aneurysm. Aneurysm of both the pulmonary trunk and the ascending aorta is even rarer. Symptoms are due to aneurysm compression in adjacent anatomical structures. The main indicator of treatment is the pulmonary artery pressure. The prognosis and treatment of pulmonary artery aneurysm is unclear. Herein we present a case of a main pulmonary artery and ascending aortic aneurysms without underlying pathology. Because our case was asymptomatic, without a initiative cardiac lesion and/or pulmonary hypertension; we decided to follow-up him without operation and he was stable at 24-month follow-up.
Abstract: The dilatation of pulmonary artery is a rare condition and called as pulmonary artery aneurysm. Aneurysm of both the pulmonary trunk and the ascending aorta is even rarer. Symptoms are due to aneurysm compression in adjacent anatomical structures. The main indicator of treatment is the pulmonary artery pressure. The prognosis and treatment of pulmo...
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Malignant Pleural Mesothelioma: An Update on the Role of Surgery
Maria Kalliopi Konstantinidou,
Christos Kakos,
Dimitrios Kyparissopoulos
Issue:
Volume 3, Issue 6, November 2017
Pages:
78-85
Received:
29 October 2017
Accepted:
4 December 2017
Published:
26 December 2017
Abstract: Mesothelioma is a rare type of cancer which can occur in various sites, such as the peritoneum, the pericardium and tunica vaginalis testis; but malignant pleural mesothelioma is the most common type. Malignant pleural mesothelioma commonly affects older males that have been exposed to asbestos 20-40 years ago. The disease is difficult to be treated and has an overall survival expectancy of about 1 year. Histological subtypes include epithelioid, sarcomatoid and biphasic or mixed. Diagnosing this type of cancer is rather challenging and as a result it is usually diagnosed in most patients in progressed stages. Surgery with minimal procedures is applied to reach the diagnosis, with the Video Assisted Thoracoscopic procedure being considered to be the “gold standard”. Patients with malignant pleural mesothelioma should be managed by experienced multidisciplinary teams, as treatment options include surgery, radiation therapy and /or chemotherapy. Extrapleural pneumonectomy and pleurectomy/decortication are the preferred procedures in the treatment of this malignancy, but whether they prolong life expectancy or improve quality of life of the patients still remains a controversial issue. In any case, careful assessment before surgery is of paramount importance. Multimodality approaches, which include surgery for patients who are fit, are often chosen in order to increase survival rates in clinical trials.
Abstract: Mesothelioma is a rare type of cancer which can occur in various sites, such as the peritoneum, the pericardium and tunica vaginalis testis; but malignant pleural mesothelioma is the most common type. Malignant pleural mesothelioma commonly affects older males that have been exposed to asbestos 20-40 years ago. The disease is difficult to be treate...
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