ABSTRACT
INTRODUCTION: Bronchial carcinoid tumours (CT), divided into typical carcinoid (TC) or atypical carcinoid (AC), are rare tumours whose therapeutic management remains unspecified. METHODS: Retrospective study collecting cases of bronchial CT operated at the thoracic surgery department of Abderrahmane-Mami hospital of Ariana and recruited from the pneumology departments of Northern Tunisia, during a 12-year period. RESULTS: Ninety patients were collected (74 cases of TC and 16 cases of AC). The mean age was 45 years and the sex ratio H/F=0.5. The chest X-ray was normal in 11 cases, as well as flexible bronchoscopy in seven cases. The tumour was classified: stage IA (10 cases), IIA (28 cases), IIB (31 cases), IIIA (15 cases) and IIIB (six cases). Surgery resulted in a complete resection in 78 patients, an extensive resection in six patients, and a conservative resection in six patients. Adjuvant chemotherapy was given in 10 patients. The survival was 84% at five years and 42% at 10 years. CONCLUSION: The prognosis of CT depends directly on the histological subtype. It is excellent for TC after complete resection, unlike ACs that are similar to well-differentiated bronchial carcinomas.
Subject(s)
Bronchial Neoplasms , Carcinoid Tumor , Bronchial Neoplasms/diagnosis , Bronchial Neoplasms/epidemiology , Bronchial Neoplasms/surgery , Bronchoscopy , Carcinoid Tumor/diagnosis , Carcinoid Tumor/epidemiology , Carcinoid Tumor/surgery , Humans , Middle Aged , Pneumonectomy , Retrospective StudiesSubject(s)
Bone Neoplasms/diagnostic imaging , Fibroma/diagnostic imaging , Fibrous Dysplasia of Bone/diagnostic imaging , Incidental Findings , Ribs/diagnostic imaging , Adult , Bone Neoplasms/pathology , Diagnosis, Differential , Fibroma/pathology , Fibrous Dysplasia of Bone/pathology , Humans , Male , Radiography, Thoracic , Ribs/pathologyABSTRACT
The chest wall is an uncommon localization for hydatid disease even in countries where echinococcosis is endemic. Only isolated sporadic cases have been reported in the literature. We reviewed retrospectively 15 patients who underwent surgery for chest wall hydatid disease. Various imaging techniques were used for diagnosis of our cases. These included chest radiograph, thoracic ultrasonography, computed tomography and magnetic resonance imaging. Hydatid cyst involved soft tissues (n=5), ribs and vertebrae (n=5), ribs (n=4) and sternum (n=1). Imaging techniques were of value for diagnosis (radiographs and sonography) and for evaluation of the extent of involvement (CT and MRI). Chest wall hydatidosis requires surgical treatment but recurrence is frequent.
Subject(s)
Echinococcosis/diagnosis , Magnetic Resonance Imaging , Thoracic Diseases/diagnosis , Thoracic Diseases/parasitology , Tomography, X-Ray Computed , Adolescent , Adult , Aged , Echinococcosis/diagnostic imaging , Female , Humans , Male , Middle Aged , Retrospective Studies , Thoracic Diseases/diagnostic imaging , UltrasonographySubject(s)
Bacterial Infections/drug therapy , Respiratory Tract Infections/drug therapy , Roxithromycin/therapeutic use , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Bacterial Infections/epidemiology , Bacterial Infections/microbiology , Child , Female , Hospitalization , Humans , Male , Middle Aged , Respiratory Tract Infections/epidemiology , Respiratory Tract Infections/microbiology , Roxithromycin/administration & dosage , Roxithromycin/adverse effects , Tunisia/epidemiologySubject(s)
Diaphragm , Mediastinal Neoplasms/diagnosis , Mesenchymoma/diagnosis , Adult , Biopsy , Bronchoscopy , Humans , Male , Mediastinal Neoplasms/pathology , Mediastinal Neoplasms/surgery , Mesenchymoma/pathology , Mesenchymoma/surgery , Prognosis , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Primary malignant melanoma of the lower airways is very rare. 24 cases have been collected over the past century. Our case was a patient of 52 years of age who had been discovered to have a tracheal tumour which was found to be a malignant melanoma and was treated with a Laser. The major problem is to establish that the tumour is primary. The combination of clinical evidence, paraclinical, subsequent outcome and in certain cases the autopsy enables the diagnosis of a primary tumour to be retained without having absolute certainty because a cutaneous melanoma can disappear after having metastasised.