Seudotumor inflamatorio pulmonar: presentación de 2 casos y revisión de la literatura / Pulmonary inflammatory pseudotumour: two case report and review of theliterature

Primary lung tumours in children are rare, the most common lesions seen in clinical practice are metastatic disease. The majority of children who present with a primary or secondary pulmonary malignancy will present coincidentally while seeking attention for another medical problem, or with non-specific abnormalities such as cough with collapse or consolidation on the chest x-ray. Primary malignant tumours of the lung are the most common, this group is made up of carcinoid tumours, bronchogenic carcinoma and pleuropulmonary blastoma. Benign primary pulmonary tumours are inflammatory pseudotumour or plasma cell granuloma and hamartoma. Often, the possibility of a primary or secundary pulmonary tumour is considered only when radiographic abnormalities or symptoms persist or fail to respond to therapy, many children are asymptomatic until they have advanced disease, which delays diagnosis even further. The aim of this article is show our experience of two patients with inflammatory pseudotumour and literature review.

Los tumores pulmonares primarios en niños son muy poco frecuentes, siendo más reportadas las lesiones metátasicas. La mayoría de los pacientes que presentan un tumor pulmonar ya sea primario o secundario, son hallazgos de algún examen generalmente imagenológico, como parte del estudio de otras causas o en presencia de síntomas inespecíficos como tos asociada a atelectasia o condensación. Los tumores pulmonares primarios malignos son los más frecuentes, comprenden el tumor carcinoide, carcinoma broncogénico y blastoma pleuropulmonar. Los tumores pulmonares primarios benignos son el seudotumor inflamatorio (sTi) o granuloma de células plasmáticas y el hamartoma. Se debe tener un alto índice de sospecha en el diagnóstico de tumor pulmonar primario o secundario, frente a la persistencia de síntomas o si presenta una lesión en la radiografía de tórax que no se modifica o invade localmente a otros tejidos adyacentes a pesar del tratamiento. El objetivo de este artículo es mostrar nuestra experiencia de 2 pacientes portadores de sTi y hacer una revisión de la literatura.

Evaluation of the changes in microcirculation of the pulmonary cancers before and after interventional therapy by DSA / 介入放射学杂志

Objective According to the changes of microcirculation in the pulmonary cancers, the treatment effect was evaluated after the vascular interventional therapy.Methods Angiography of 138 primary pulmonary carcinomas, and the feeding arteries were performed. Areas of mass blush were measured for 81 cases before and after therapy. The tumour blush was considered to be the imaging appearance of the microcirculation of the lung carcinoma. The angiographic images were collected by digital image system (DSA and movie). Results (1) The rate of the tumour blush appearance was 88.8% in this group. (2) The areas of the lung carcinoma blush in 81 cases before and after therapy were (941.4?73.2)mm 2 and (427.9? 93.8 )mm 2( P

Single-working pore treat pulmonary peripheral,isolated lesion in thoracoscopic surgery / 重庆医科大学学报

Objective:To explore the Clinical feasibility of single-working pore in VATS for treatment pulmonary peripheral,isolated lesion.Methods:From june 2008 to December 2009,22 patients with Pulmonary Peripheral,isolated lesion performed operation in VATS.Diseases include Pulmonary benign tumour,lung cancer(need wedge pulmonary resections).The incision for operation was 1.5～3.0 cm at lateral position of the fourth rib of anterior axillary line,while the incision for observation located at lateral position of the seventh rib of middle axillary line.Results none of patients need converse to transit-assisted small incision in chest.operative time was 30 ～ 100 min,an average of 55min.Intraoperative blood loss 10 ml ～ 200 ml,an average of 50ml.5-7 days for hospitalization,an average of 5.5 days.Conclusion:In accordance with the way of single-working pore in VATS for treatment pulmonary peripheral,isolated lesion.We minimize the trauma and ensure safety of operation.