ABSTRACT
Three cases which presented with clinical and radiological features consistent with a diagnosis of lung neoplasm and eventually turned out to be due to a foreign body are described. Their management and outcome was different in each case. The value of making a firm histological diagnosis in bronchoscopically visible lesions prior to thoracotomy is emphasised. Multiple bronchoscopic examinations and biopsies may be needed to achieve a histological diagnosis.
Subject(s)
Foreign Bodies/diagnosis , Lung Neoplasms/diagnosis , Lung , Aged , Bronchoscopy , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
Mediastinal teratomas are known to adhere to and penetrate the pericardium, but perforation and tamponade are uncommon. We present a patient who developed a life-threatening pericardial tamponade and pleural effusion, whose life was saved by timely surgery. We believe this to be the third successfully treated patient and the first to be reported from Great Britain.
Subject(s)
Cardiac Tamponade/etiology , Mediastinal Neoplasms/complications , Pleural Effusion/etiology , Teratoma/complications , Adult , Female , Humans , Mediastinal Neoplasms/surgery , Teratoma/surgery , ThoracotomyABSTRACT
Bronchography results were studied in 110 cases between the ages of 14 and 68 years. In each case the mucolytic agent Carbocysteine was used to increase the effectiveness of postural drainage prior to bronchography. Insufficient filling of the bronchial tree occurred in only one case. These results suggest that Carbocysteine increases the effectiveness of postural drainage prior to bronchography and indicates the need for further careful controlled studies.
Subject(s)
Bronchography , Carbocysteine/therapeutic use , Cysteine/analogs & derivatives , Drainage , Expectorants/therapeutic use , Posture , Adolescent , Adult , Aged , Carbocysteine/administration & dosage , Expectorants/administration & dosage , Humans , Middle Aged , Retrospective StudiesABSTRACT
A carcionoma at the orifice of the left main bronchus is generally considered inoperable. Since 1963, in six patients, we have mobilised the transverse aortic arch and, working above the aortic arch, cut the left main bronchus off the trachea and closed the stump. The operation is completed as a pneumonectomy; it is referred to as a supra-aortic pneumonectomy. The indications, technique, and results are described.
Subject(s)
Bronchial Neoplasms/surgery , Adult , Aorta, Thoracic , Bronchi/surgery , Carcinoma/surgery , Carcinoma, Squamous Cell/surgery , Humans , Middle Aged , Pneumonectomy/methodsABSTRACT
Ffity-five patients suffering from second primary lung carcinoma, 10 synchronous and 45 after resection for lung carcinoma (metachronous), have been observed from 1400 resections. The first manifestation of a second carcinoma in this series has always been the appearance of a new shadow in the follow-up radiograph. In our experience, second primary lung carcinoma is a disease affecting only heavy cigarette smokers. Heavy cigarette smokers suffering from squamous-cell carcinoma are at special risk. The results of re-operation, the significance of the time interval between the original operation and the appearance of the second primary carcinoma, and the slow growth rate of some second primaries are briefly discussed. No clear-cut methods exist for distinguishing a second primary from a metastasis from the original carcinoma.
