ABSTRACT
The authors report on a series of 255 thymomas and the associated diseases most often auto-immune, myasthenia is the disease most frequently encountered (61% of cases). Next, but with a much reduced frequency of around 2%, come other diseases such as hypogammaglobulinaemia, erythroblastopenic anaemia, and disseminated lupus erythematosis. The authors analyse the effect of ablating the thymoma on the associated disease; those with myasthenia are the principal beneficiaries of thymic ablation, 83% in this series experiencing a good response. Besides myasthenia only erythroblastopenic anaemia obtained some benefit from thymic ablation; in all the other cases surgery to the thymic tumour had no benefit on the associated disease. In the light of their own experience the authors made a review of the literature of the different diseases associated with thymomas and made the point of the efficacy of thymectomy in the different diseases.
Subject(s)
Thymoma/complications , Thymus Neoplasms/complications , Agammaglobulinemia/complications , Anemia, Aplastic/complications , Autoimmune Diseases/complications , Humans , Myasthenia Gravis/complications , Thymectomy , Thymoma/surgery , Thymus Neoplasms/surgerySubject(s)
Bronchial Neoplasms , Carcinoma, Squamous Cell , Neoplasms, Multiple Primary , Otorhinolaryngologic Neoplasms , Adult , Aged , Bronchial Neoplasms/pathology , Bronchial Neoplasms/surgery , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Female , Humans , Male , Middle Aged , Neoplasms, Multiple Primary/pathology , Neoplasms, Multiple Primary/surgery , Otorhinolaryngologic Neoplasms/pathology , Otorhinolaryngologic Neoplasms/surgery , Prognosis , Time FactorsSubject(s)
Anemia, Hemolytic, Autoimmune/complications , Mediastinal Neoplasms/complications , Teratoma/complications , Anemia, Hemolytic, Autoimmune/immunology , Child , Coombs Test , Female , Humans , Immunoglobulin G/analysis , Mediastinal Neoplasms/immunology , Mediastinal Neoplasms/surgery , Teratoma/immunology , Teratoma/surgeryABSTRACT
From 1979 to 1986, we replaced the superior vena cava with polytetrafluoroethylene grafts in 13 patients to enable resection of malignant mediastinal or pulmonary tumors. Five prostheses could be interposed between a tumor-free proximal superior vena cava and right atrium while eight required separate innominate anastomoses (Y grafts constructed intraoperatively). There were no deaths. Phlebograms obtained 15 to 30 days after the operation demonstrated patency in 12 of 13 patients. Long-term (average 24 months) patency was evident in eight. Five patients are alive at 1, 3, 40, 49, and 60 months, a cumulative survival rate of 27% at 3 years.
Subject(s)
Blood Vessel Prosthesis , Lung Neoplasms/surgery , Mediastinal Neoplasms/surgery , Polytetrafluoroethylene/therapeutic use , Vena Cava, Superior/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Vascular PatencyABSTRACT
Surgery has few indications in the treatment of small lung carcinoma. It is currently being evaluated for combined radiotherapeutic/chemotherapeutic treatment strategies.
Subject(s)
Carcinoma, Small Cell/surgery , Lung Neoplasms/surgery , Carcinoma, Small Cell/drug therapy , Carcinoma, Small Cell/mortality , Carcinoma, Small Cell/pathology , Combined Modality Therapy , Humans , Lung Neoplasms/drug therapy , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Neoplasm Staging , PrognosisSubject(s)
Pleural Neoplasms/pathology , Adult , Aged , Female , Humans , Male , Middle Aged , Neoplasm Recurrence, Local , Pleural Neoplasms/diagnosis , Pleural Neoplasms/surgery , Prognosis , ReoperationSubject(s)
Esophageal Neoplasms/diagnosis , Leiomyoma/diagnosis , Adult , Female , Humans , Male , Middle AgedSubject(s)
Bile Duct Diseases/congenital , Biliary Fistula/congenital , Fistula/congenital , Tracheal Diseases/congenital , Adult , Age Factors , Bile Duct Diseases/surgery , Biliary Fistula/diagnostic imaging , Biliary Fistula/surgery , Female , Fistula/diagnostic imaging , Fistula/surgery , Humans , Radiography , Tracheal Diseases/diagnostic imaging , Tracheal Diseases/surgeryABSTRACT
The authors report a case of pulmonary metastasis which exceptionally occurred 19 years after hysterectomy for uterine choriocarcinoma. They use this opportunity to take stock of our present knowledge concerning this subject by reviewing a vast literature. This case is of interest, as it provides a new element to the theoretical study of carcinogenesis.