[Extended lymphadenectomy for left NSLC--case report]. / Limfadenectomie extinsa in cancerul non small cells stâng--prezentare de caz.

The paper brings up a topical issue in the surgical treatment of non small lung cancer, namely optimal lymphadenectomy for tracking left, considering the anatomical features of specific drainage. This can be achieved by various methods recently introduced in the classical arsenal left lung cancer diagnosis. It's presented in detail a case of extended lymphadenectomy for lung cancer non small left to right paratraheal approach without ligament arterial section. The method allowed a correct staging and reporting of the case more accurate prognosis. The immediate goal of the authors is to discuss on this surgical technique and for long term to achieve a lot with statistical significance in order to assess the value of this method.

[Pulmonary vein anomaly in a patient with pulmonary aspergillosis]. / Anomalie venoasa pulmonara la un pacient cu aspergilom pulmonar.

Vein pulmonary anomalies are seldom met. They have a prevalence of 0.4-0.7% of the cases (according to the American authors). The case under discussion is a 68-year-old patient, who was admitted in the hospital for hemoptysis in low quantity but recurrent, physical asteny, fever and weight loss. The onset had been two months before admission to the hospital. The thoracic X-ray shows opacity at the left apex with marked subcostal and costal intensity, with a homogenous area of 5/6 cm. The thoracic CT exam shows multiple bilateral fibronodular images and the left upper lobe shows a cavitary image with regular and thin walls; intracavitary there is an oval formation with mixed densities of approximate 3.5/4/4.5 cm, which suggests a lung aspergilloma. Surgery will be performed--left upper lobectomy associated with atypical resection from the left Fowler segment. During the surgery it is noticed that the left upper pulmonary vein is abnormaly in the left pulmonary hilum. It has a cranial trajectory, runs in parallel with the left phrenic nerve on the mediastinal surface of the left upper lobe then goes in the mediastinum and pours into the left vein branchocefalic trunk. The post-surgery recovery was slowly favourable with complete pulmonary re-expansion, but with the persistence of the aerial losses which imposed pleural drainage for a period of over 2 weeks.

[Superior vena cava syndrome--surgical solution--case report]. / Sindromul de vena cava superioara--varianta terapeutica.

The patient of 52-year-old smoker was admitted in emergency with headaches, dyspnea, oedema and cyanosis of the cephalic extremity and of the superior members. This signs and symptoms suggest a superior vena cava sindrom. Thoracic CT scan shows the thrombosis of the superior vena cava and a tumor localized in the Bariety's Lodge of about 30/40 mm witch is around the right lateral wall of the traheea.This tumor is also tangent to the superior the superior vena cava. The patient was operated by total median sternotomy. By this approach we performed a complete excision of the mediastinal tumor mass. After that we effected a longitudinal cavotomy, we took out the endoluminal clot and we sutured the superior vena cava. The histological diagnosis of the mediastinal tumor was adenocarcinoma tubular-papillary moderately differentiated. The evolution post operative period was favorable the superior vena cava sindrom was a complet remission. The thoracic CT scan control after 9 months later didn't show a local relapse and blood flow was normally throw the superior vena cava.

[Mycobacterial drug resistance in patients with pulmonary tuberculosis]. / Aspecte ale rezistentei micobacteriilor la medicamente la bolnavii de tuberculoza pulmonara.

The drug resistance of 1,860 human mycobacterial strains was analysed. Of these 987 were isolated from new cases and 873 from cases who underwent a treatment for pulmonary tuberculosis. The investigation lowered 3 years (1986-1988). It resulted that the frequency of primary resistance was of 23.8% and that of secondary resistance was of 47.6%. As part of primary and secondary resistance, mono-resistance to SN and bi-resistance to SN and INH were the most common.

[Current aspects of drug resistance of the Koch bacillus in the area of one district]. / Aspecte actuale ale chimiorezistentei bacilului Koch în teritoriul unui judet.

Some aspects were analyzed, of drug resistance of primary and secondary type in mycobacteria strains from patients with pulmonary tuberculosis in a district area, between 1975 and 1979. The results were compared with those obtained in a similar study performed in 1971--1974. While the primary resistance has persisted at an approximately similar level under the aspects of frequency and incidence in the two periods (11% and 13,6%, and 4,0-- and 4,5% respectively), the secondary resistance has marked a significant decrease (36% and 12,3 per 100 000 inhabitants in 1979). The intensive use in the recent years of rifampicin and etambutol in the therapy of tuberculosis explains the new aspects noted in the structure of the primary and of the secondary drug resistance. Thus, an increase was noted in resistance to rifampicin, which, between 1977 and 1979 was above the values recorded for primary resistance to streptomycin.