ABSTRACT
Swyer-James-MacLeod Syndrome [SJMS] is a rare disease characterized with unilateral hyperlucency and hypovascularity in pulmonary radiology. The basic pathology is the constrictive bronchiolitis developing depending on recurrent respiratory tract infections in babyhood. The majority of the patients receive diagnoses of recurrent respiratory tract infections in childhood or in young adulthood periods. SJMS may be easily skipped in discriminative diagnosis if the radiology is not inspected carefully in patients who have obstructive air flow in respiration function tests and who have past smoking history. High-resolution computer tomography [HRCT] of the lungs is the basic imaging method used today for diagnosis. We are presenting a 57-year-old female patient who was misdiagnosed with chronic obstructive pulmonary disease [COPD] for many years
ABSTRACT
Objective[s]: To discuss the features of pulmonary hydatid cysts in male and female patients in terms of clinical, radiological, and surgical approaches
Design: Retrospective study
Setting: Thoracic surgery clinics of two universities in Turkey
Subjects: Comparison of pulmonary hydatid cysts between men and women
Intervention[s]: Over the last 10 years, surgery was performed on 84 patients with pulmonary hydatid cyst [62 female and 22 male]
Main outcome measure[s]: The patients in both groups were analyzed according to clinical, radiological, surgical, and postoperative characteristics
Results: In this study, the number of female patients who underwent surgery due to pulmonary hydatid cysts was significantly higher than males. In our study, cyst diameter was found to be greater in men than women [respectively, 7.018 cm and 4.560 cm; p = 0.003]. When women and men were compared with respect to the rate of total complications, they were found to be higher in men than in women [p = 0.043]. Length of hospital stay after surgery was also longer in men [15.29 d] than in women [6.90 d; p = 0.0001]
Conclusion[s]: In our study, cyst diameter was found to be greater in men than women. Perhaps it may be related to lung and thorax volume being 20 - 25% smaller in women than in men. In order to reveal the differences between women and men for pulmonary hydatid cysts, there is a need for studies covering both large numbers of cases and large endemic areas