[Neurinoma of the tongue]. / Il nuerinoma della lingua.

The authors describe one case of neurinoma of the tongue, recently come to their observation, and offer a clinical and anatomopathological presentation of this heteroplasia. In the light of a careful search of existing literature they estimate the incidence of this tumor both versus neurinoma located elsewhere in the body versus pathological processes located in the tongue. In particular, they call attention to problems of differential diagnosis posed by neurinoma in clinical terms and in the pathologist's laboratory, in relation to other tumors and infectious processes observed in the tongue.

Cardiac herniation following intrapericardial pneumonectomy.

Cardiac herniation is a rare, highly lethal complication of intrapericardial pneumonectomy, demanding urgent treatment. The condition presents in the immediate or early postoperative period. Cardiovascular collapse is invariably present. Elevation of the jugular venous pressure and cyanosis in the drainage area of the superior vena cava are frequently noted. ECG may demonstrate the abnormal position and some ischemia of the heart. The effects of cardiac herniation are due to a combination of cardiac malposition, with subsequent torsion of the great vessels, obstruction to the outflow of blood from the heart and strangulation of the prolapsed ventricles by the borders of the pericardial defect. The diagnosis rests on an awareness of this condition, its clinical manifestations and radiological examination. Urgent reduction of the herniated heart gives the only possibility of survival. Prevention of possible recurrence must be considered.