Anterior spinal artery syndrome after thoracic surgery.

Spinal cord infarction is a rare complication following thoracic surgery. We present a case who developed paraplegia on the first postoperative day of thoracotomy. A 76-year-old man with a history of atherosclerotic cardiovascular disease was operated for bronchial carcinoma. An epidural infusion of ropivacaine and sufentanil was used for postoperative pain. Eight hours after the surgery, he had an episode of hypotension and respiratory depression. One hour later, he described paraplegia and Ischemia of the spinal cord was found on MRI. There was no recovery during the follow-up.

[Case report: Dermatofibrosarcoma protuberans metastatic to lung without local recurrence]. / Lokal rekürens bulunmaksizin akciger metastazi gösteren dermatofibrosarkom protüberans.

Dermatofibrosarcoma protuberans is a rare skin tumor which constitutes 6% of soft tissue sarcomas. Typically, it has a superficial location and a locally aggressive character. Although it has a relatively high recurrence rate, the rate of distant metastasis is about 3%. Furthermore, it rarely metastasizes without local recurrence. Here we present a case with dermatofibrosarcoma protuberans with distant metastasis occurring seven years after the local excision of the primary tumor and without any local recurrence.