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1.
Indian J Chest Dis Allied Sci ; 2003 Oct-Dec; 45(4): 261-3
Article Dans Anglais | IMSEAR | ID: sea-30298

Résumé

A 46-year-old Saudi male underwent excision of right anterior upper chest wall lesions. On histopathological examination, the lesion was thought to be dermatofibroma. Nine years later, he presented with a recurrence at the site of excision. Review of previous studies and histopathological examination of the recurrent lesion was suggestive of dermatofibrosarcoma protuberans. He underwent wide excision with satisfactory results.


Sujets)
Dermatofibrosarcome/anatomopathologie , Humains , Mâle , Adulte d'âge moyen , Récidive tumorale locale/anatomopathologie , Tumeurs cutanées/anatomopathologie , Paroi thoracique/anatomopathologie
2.
Indian J Chest Dis Allied Sci ; 1998 Oct-Dec; 40(4): 281-5
Article Dans Anglais | IMSEAR | ID: sea-30507

Résumé

A 37-year-old Filipino woman presented with a post road-traffic accident fracture of dorsal spine 12. Chest radiograph revealed evidence of loops of small bowel in the left lung field. She admitted to symptoms of respiratory insufficiency since birth and treatment for tuberculosis in childhood. A pre-operative diagnosis of left traumatic diaphragmatic hernia was not confirmed at laparotomy which revealed typical left congenital Bochdalek hernia with smooth edges and herniation of small bowel and spleen into the left pleural cavity. Following reduction and repair of the hernia, the patient made an uneventful recovery. Chest radiograph remains normal till now, eight years post-operatively.


Sujets)
Accidents de la route , Adulte , Diagnostic différentiel , Femelle , Hernie diaphragmatique/congénital , Hernie diaphragmatique traumatique/diagnostic , Humains , Laparotomie/méthodes , Complications postopératoires/chirurgie , Radiographie thoracique , Fractures du rachis/diagnostic , Résultat thérapeutique
3.
Indian J Chest Dis Allied Sci ; 1997 Oct-Dec; 39(4): 221-7
Article Dans Anglais | IMSEAR | ID: sea-29837

Résumé

Clinical presentation, pathology, surgical management and follow-up of ten bronchial carcinoid tumour (BCT) patients are described. There were five male and five female patients with age range between 5 to 85 years (mean 39.2 +/- 21.5, SD). Pathology revealed BCT on the right side in seven and on left side in three patients. The tumour was an incidental finding in four while the other six had respiratory symptoms. Cough was present in all of the later group and hemoptysis was present in four patients. Recurrent chest infections were seen in two patients. Symptoms ranged from 1 week to 15 years. Successful surgical resection was done in nine with the longest follow-up of 80 months (mean: 23 months +/- 26.3, SD) without recurrence or metastasis. Histopathological examination of these tumours revealed classical morphological features in all but one case. Grimelius stain positivity for argyrophilia confirmed the diagnosis in all the patients in this study. Electron microscopic examination was done in patient no. 9 which showed atypical morphological features and neurosecretory granules. BCT may present like pneumonias or bronchial asthma. Although BCTs have low-grade malignancy, early diagnosis and surgical resection yield curative results almost in all cases.


Sujets)
Adolescent , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Tumeurs des bronches/diagnostic , Tumeur carcinoïde/diagnostic , Enfant , Enfant d'âge préscolaire , Pays en voie de développement , Survie sans rechute , Femelle , Humains , Incidence , Mâle , Adulte d'âge moyen , Facteurs de risque , Arabie saoudite/épidémiologie , Taux de survie
4.
Indian J Chest Dis Allied Sci ; 1997 Jan-Mar; 39(1): 51-7
Article Dans Anglais | IMSEAR | ID: sea-29984

Résumé

Two patients with unusual presentation of injury to the bronchi are discussed. The first had a gun shot wound of the anterior left chest with the bullet ricocheting across to the right hemithorax and puncturing the right mainstem bronchus resulting in right massive pneumothorax and subcutaneous emphysema. The second suffered a blunt thoracic trauma from a road traffic accident and presented with bilateral rib fractures and bilateral pneumothoraces treated with bilateral closed thoracostomy tube drainage. Bronchofiberscopy revealed complete transection of the left mainstem bronchus.


Sujets)
Accidents de la route , Adolescent , Adulte , Bronches/traumatismes , Humains , Mâle , Blessures du thorax/diagnostic , Plaies par arme à feu/diagnostic , Plaies non pénétrantes/diagnostic
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