ABSTRACT
Thoracic hematogenic endometriosis is a rare pathology. A clinical course hasn't pathognomic symptoms, because of it, the diagnosis is established due to histological study. The article presented two cases of female patients, who were suffering from thoracic endometriosis. They were hospitalized to the department of thoracic surgery of Municipal multifield hospital No 2 in Saint-Petersburg. The first patient had a posterior mediastinum tumor with asymptomatic disease course. The second patient was with recurrent catamenial pneumothorax.
Subject(s)
Endometriosis , Pneumothorax , Thoracic Diseases , Thoracic Surgery, Video-Assisted/methods , Adult , Endometriosis/complications , Endometriosis/diagnosis , Endometriosis/physiopathology , Endometriosis/surgery , Female , Humans , Mediastinum/pathology , Middle Aged , Pneumothorax/etiology , Pneumothorax/surgery , Thoracic Diseases/complications , Thoracic Diseases/diagnosis , Thoracic Diseases/physiopathology , Thoracic Diseases/surgery , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
PET with 18F-FDG was administered to 46 patients with different morphological types of neuroendocrine tumors. The method appeared to be highly sensitive in the diagnosis of atypical carcinoids as well as neuroendocrine large-cell lung cancer and small-cell lung cancer. At the same time its imaging capabilities in the detection of typical carcinoids were limited. The sensitivity of PET in these patients was 66.7%. However, the absence of 18F-FDG hyperfixation in typical carcinoids had strong evidence in favor of conditional benign process.
Subject(s)
Fluorodeoxyglucose F18 , Lung Neoplasms/diagnostic imaging , Neuroendocrine Tumors/diagnostic imaging , Positron-Emission Tomography , Radiopharmaceuticals , Small Cell Lung Carcinoma/diagnostic imaging , Adult , Aged , Carcinoid Tumor/diagnostic imaging , Diagnosis, Differential , Female , Humans , Lung Diseases/diagnostic imaging , Lung Neoplasms/pathology , Male , Middle Aged , Neuroendocrine Tumors/pathology , Positron-Emission Tomography/methods , Sensitivity and SpecificityABSTRACT
A retrospective analysis of medical history of 1489 patients with spontaneous pneumothorax was made. The patients were hospitalized to the department of thoracic surgery in municipal hospital No 2. According to the data, the incidence rate of primary spontaneous pneumothorax was noted in men during last decade in Saint-Petersburg. The number of patients with secondary spontaneous pneumothorax didn't considerably increase in spite of the growth of incidence of chronic obstructive lung disease. The secondary spontaneous pneumothorax took place in female population two times more, than in male.
Subject(s)
Pneumothorax , Pulmonary Disease, Chronic Obstructive , Adolescent , Age Factors , Aged, 80 and over , Comorbidity , Female , Hospitalization/statistics & numerical data , Humans , Male , Middle Aged , Pneumothorax/epidemiology , Pneumothorax/etiology , Pneumothorax/physiopathology , Pneumothorax/therapy , Pulmonary Disease, Chronic Obstructive/complications , Pulmonary Disease, Chronic Obstructive/epidemiology , Recurrence , Risk Factors , Russia/epidemiology , Sex FactorsABSTRACT
Results of examination and treatment of 62 patients with spontaneous pneumothorax which appeared against the background of chronic obstructive pulmonary disease during the period from 1998 to 2009 were analyzed retrospectively. Emergent drainage of the pleural cavity was made to all the patients at admission to hospital. Surgical intervention was fulfilled in 28 (45%) patients. Complications at the postoperative period were noted in 54% of the patients. An assessment of occurrence of complications did not reveal their regular increasing along with the degree of bronchial obstruction. Differential approach and selection of high risk patients is considered to be necessary.
