ABSTRACT
A patient underwent a subtotal resection of the tracheobronchial carina for an obstructing endobronchial lesion. Preoperative biopsies of the lesion were not diagnostic. After resection, the histological examination of the specimen removed demonstrated an extramedullary plasmacytoma infiltrating the bronchial wall. Immunohistochemical studies showed monoclonality for kappa light chains. The postoperative course was uneventful and the screening for multiple myeloma was negative. No adjuvant treatment was given and the patient is currently alive and free of disease 63 months after the resection. Primary endobronchial plasmacytoma is a very rare disease: it is unclear which is the best treatment for endobronchial plasmacytoma. However, complete surgical resection has allowed a long-term survival, free of disease.
Subject(s)
Bronchial Neoplasms , Plasmacytoma , Aged , Bronchial Neoplasms/metabolism , Bronchial Neoplasms/pathology , Bronchial Neoplasms/surgery , Humans , Immunoglobulin Light Chains/metabolism , Immunohistochemistry , Male , Plasmacytoma/metabolism , Plasmacytoma/pathology , Plasmacytoma/surgeryABSTRACT
The paper describes problems related to axillo-femoral (AF) revascularization of the lower limbs on the basis of personal experience of axillo-femoral by-passes performed from 1971 to 1987. The indications to this technique are limited to high-risk patients. The long-term results are analyzed. The paper stresses the difficulties connected with the choice of the level of the proximal and distal anastomoses, as well as the type of prosthesis to be used.
