Subject(s)
Laryngeal Neoplasms/psychology , Acute Disease , Humans , Laryngeal Neoplasms/complications , Male , Middle Aged , Neurotic Disorders/etiology , Neurotic Disorders/psychology , Postoperative Complications/etiology , Postoperative Complications/psychology , Psychopathology , Psychotic Disorders/etiology , Psychotic Disorders/psychologyABSTRACT
A 42 years old man with evident distortion in the lower 2/3 of the right hemithorax, area in which he presents a compression syndrome and radiologically a bulky opacity with tumoral aspect that shifts the heart and mediastinum to the left, is presented. The thoracotomy reveals a giant cystic formation containing approximatively 7 l. of rough magma into which hair, cartilaginous and bone tissue are identified. After their removal the cystic wall (1 cm thick) is excised except for an implantation area of 4/8 cm adherent to the large vessels and pericardium. The postoperative evolution is uneventful. The histopathological examination confirms the diagnostis of MCD identifying derivatives from all 3 embryonic sheets.
Subject(s)
Dermoid Cyst/pathology , Mediastinal Neoplasms/pathology , Adult , Bronchoscopy/methods , Dermoid Cyst/diagnostic imaging , Dermoid Cyst/surgery , Diagnosis, Differential , Humans , Male , Mediastinal Neoplasms/diagnostic imaging , Mediastinal Neoplasms/surgery , Radiography , Treatment OutcomeABSTRACT
On the basis of 20 observations of tumours of the small bowel a series of diagnostic, therapeutic and prognosis of these lesions are discussed. Malignant tumours of the small bowel (10 adenocarcinomas and 2 sarcomas in the present statistics) represent 1,9 per cent of the total number of malignant tumours of the small bowel. The patients were hospitalized following an acute complication occlusion, haemorrhage, perforation). Four of the patients benefited from a curative treatment, in 5 only a derivation was possible, and in 9 only exploratory laparotomy and bioptic sampling. Eight of the tumours were benign and consisted in : 3 fibromas; 2 neurogenic tumours; 2 adenomatous polyps, and one lipoma. All were discovered in the course of emergency surgery for occluding syndrome or haemorrhage, and benefited from a radical treatment. Two deaths were recorded in the entire series (one following embolism in the 10-th day after surgery and another in the 3-rd day with occluding shock). Both patients were in a condition of severe hydroelectrolytic imbalance.
