ABSTRACT
Endotracheal metastases (ETM) from non-lung cancer are seldom seen. Their main clinical symptoms are cough, haemoptysis and dyspnoea, although occasionally an incidental finding is made during a bronchoscopy. Breast, colon and kidney adenocarcinoma might be associated with ETM, lung cancer being the most frequent cause. Its finding is associated with advanced disease but survival will depend on the primary origin, patient status and comorbidity. Therefore, treatment should be individual for each patient. In our centre we recommend pre-surgery bronchoscopy to exclude metastatic endotracheal lesions in patients with metastatic colon adenocarcinoma disease, as this might affect the final outcome and therefore management of the disease.
Subject(s)
Adenocarcinoma/secondary , Colonic Neoplasms/pathology , Tracheal Neoplasms/secondary , Adenocarcinoma/diagnosis , Aged , Bronchoscopy , Fatal Outcome , Female , Humans , Tracheal Neoplasms/diagnosisABSTRACT
No disponible
Subject(s)
Female , Adult , Humans , Mycobacterium xenopi/pathogenicity , Mycobacterium Infections, Nontuberculous/diagnosis , Hemoptysis/etiology , BronchoscopyABSTRACT
Surgical resection of pulmonary metastasis is appropriate provided the general principals of oncological surgery are followed. Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality. We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement. In both cases, complete excision required left pneumonectomy by sternotomy with extracorporeal circulation. The outcomes were favorable, no perioperative complications were reported, and the patients remained free of disease at 14 and 17 months after surgery. In conclusion, we believe that the cases presented confirm that extended pneumonectomy with extracorporeal circulation if necessary is a valid approach for complete resection of pulmonary metastasis.
Subject(s)
Bronchial Neoplasms/secondary , Bronchial Neoplasms/surgery , Extracorporeal Circulation , Lung Neoplasms/secondary , Lung Neoplasms/surgery , Osteosarcoma/secondary , Osteosarcoma/surgery , Pneumonectomy/methods , Adult , Antineoplastic Agents/therapeutic use , Arm , Bronchial Neoplasms/diagnostic imaging , Chemotherapy, Adjuvant , Combined Modality Therapy , Femoral Neoplasms/drug therapy , Femoral Neoplasms/pathology , Femoral Neoplasms/surgery , Heart Atria/pathology , Heart Atria/surgery , Humans , Lung Neoplasms/diagnostic imaging , Male , Osteosarcoma/diagnostic imaging , Osteosarcoma/drug therapy , Pericardiectomy/methods , Pericardium/pathology , Pericardium/surgery , Pleura/pathology , Pleura/surgery , Pulmonary Veins/pathology , Pulmonary Veins/surgery , Sarcoma/pathology , Sarcoma/radiotherapy , Sarcoma/surgery , Thoracic Wall/pathology , Thoracic Wall/surgery , Tomography, X-Ray ComputedABSTRACT
La resección quirúrgica de las metástasis pulmonares es un tratamiento aceptado si se mantienen los principios generales de la cirugía oncológica, y la exéresis completa de las metástasis se asocia a una supervivencia a largo plazo y una mortalidad perioperatoría baja. Presentamos 2 casos de metástasis pulmonar única de osteosarcoma con infiltración cardíaca, que requirió para su exéresis completa neumonectomía izquierda por esternotomía, con utilización de circulación extracorpórea. El resultado fue favorable, sin que hubiera complicaciones perioperatorias y los pacientes permanecen indemnes a los 14 y 17 meses de la intervención quirúrgica. En conclusión, consideramos que en casos seleccionados la neumonectomía ampliada, con utilización de circulación extracorpórea si se precisa, para poder realizar la exéresis completa de metástasis pulmonares es un procedimiento válido
Surgical resection of pulmonary metastasis is appropriate provided the general principals of oncological surgery are followed. Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality. We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement. In both cases, complete excision required left pneumonectomy by sternotomy with extracorporeal circulation. The outcomes were favorable, no perioperative complications were reported, and the patients remained free of disease at 14 and 17 months after surgery. In conclusion, we believe that the cases presented confirm that extended pneumonectomy with extracorporeal circulation if necessary is a valid approach for complete resection of pulmonary metastasis
Subject(s)
Humans , Pneumonectomy/methods , Lung Neoplasms/surgery , Extracorporeal Circulation , Osteosarcoma/surgery , Cardiopulmonary Bypass , Postoperative Complications/epidemiology , Neoplasm Metastasis/pathology , Lung Neoplasms/secondaryABSTRACT
No disponible
