ABSTRACT
The case of a 25-year-old woman with recurring and metastasizing clear cell sarcoma of soft parts (CCS) is presented. The clinical setting and pathological appearance were in agreement with the original cases described. This report serves to highlight the clinico-pathological features of this rare and aggressive malignancy with specific reference to prognostic markers and treatment.
Subject(s)
Adult , Female , Humans , Soft Tissue Neoplasms , Sarcoma, Clear Cell/pathology , Soft Tissue Neoplasms , Immunohistochemistry , Predictive Value of Tests , Prognosis , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Sarcoma, Clear Cell/drug therapyABSTRACT
Pulmonary barotrauma is a well-known but rarely seen complication of mechanical intermittent positive pressure ventilation. It is thought to be related to raised pressures within alveoli which lead to their eventual rupture and the subsequent development of respiratory embarrassment. Mishaps related to faulty one-way valves in the self-inflating, bag-ventilation devices commonly used in cardiopulmonary resuscitation (CPR) can, although rarely, lead to severe barotrauma. In this report, we describe a case of pulmonary barotrauma that appeared to be related to the "locking" of the "Ambu" bag's one-way valve in the inspiratory position during routine CPR.