Presacral tumor, experience of two cases in Mexico and review of the literature

Presacral or retrorectal tumors are rare, they can present different histologic strains and they can also be benign or malignant. These tumors represent a challenge for the surgeon due to their location in the presacral space and due to the low incidence and written information. Various surgical approaches have been described. We present the case of two patients who were diagnosed with presacral tumors (hamartoma and schwannoma) and who underwent a posterior approach for the removal of the tumors. There are several approaches for the treatment of presacral tumors, but in our experience, the posterior approach has shown adequate results without recurrence in the medium-term follow-up. The purpose of the manuscript is to document our experience in the management of two patients.

Health; Well-Being and Wellness: an Anthropological Eco-Systemic Approach

More than two decades ago; Fritjof Capra commended - and indeed advocated - a paradigm shift in health science and care. In his book The Turning Point (1982) he talks of a major shift from the preoccupation with micro-organisms to a careful study of the `host organism and its environment'; of `significant attempts to develop a unified approach to the mind/body system' in Western medicine; of `a new holistic paradigm' (as opposed to `the old biomedical paradigm') regarding the problem of health and healing; of `a holistic and humanistic approach to primary care'; and of `a holistic therapy' as opposed to `the traditional biochemical practice of associating a physical disease with a specific physical cause'. Our concern in this article is with the paradigm shift advocated by Capra in this book and the progress that has since been made

Right-Sided Recurring Catamenial Pneumothorax Complicated by a Diaphragmatic Hernia

No diaphragmatic hernia was reported with a catamenial pneumothorax. We report herein a case of right-sided recurring catamenial pneumothorax complicated by a latent diaphragmatic hernia

Giant Primary Liposarcoma of the Thoracic Esophagus

Primary liposarcomas of the mediastinum are unusual tumors. We report herein a case of a 64 year-old man; who presented a liposarcoma involving the mediastinum and the neck. A complete resection was performed and we had a free-disease survival result of eighteen months

Aspects cliniques et therapeutiques des tumeurs mediastinales observees au Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona d'Antananarivo

Objectif: Les tumeurs mediastinales posent souvent un probleme diagnostique et therapeutique. La demarche diagnostique doit aboutir a la topographie et a la nature de la lesion pour mieux adapter le traitement. A travers une revue de litterature; notre objectif est de presenter les aspects diagnostiques et therapeutiques des tumeurs mediastinales par rapport a notre experience .Patients et methode: Notre etude porte sur 28 patients (24 hommes et 4 femmes) presentant une tumeur mediastinale; vus dans le service de chirurgie thoracique du Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU/JRA) d'Antananarivo (Madagascar) sur une periode de huit ans. Resultats: Les tumeurs mediastinales occupent 5des tumeurs observees dans notre service. Dans 85;71des cas; les patients sont ages de moins de 50 ans. Le syndrome mediastinal est rencontre dans 53;57des cas. La chirurgie etait pratiquee dans 39;29des cas et avait permis d'avoir la nature histologique. Conclusion: Dans notre contexte de pays en developpement; la chirurgie reste une alternative interessante pour obtenir la nature histologique des TM en vue d'une prise en charge multidisciplinaire adaptee