ABSTRACT
The role of arthroscopic synovectomy in Rheumatoid arthritis is still in discussion. The evaluation of the available scientific data out of the literature should give a contribution to this discussion. The review of the studies done in only small numbers of patients demonstrates good clinical results for a short or middle lasting follow-up time. The evaluation showed a lot of differences and problems in the study design, amount of usable datas and results. For the scientific rating of the results of arthroscopic synovectomies it is necessary to have prospective studies with sufficient and reliable data on activity of the disease, the pre-, post- and intraoperative findings, standardized surgical procedures and longer lasting follow-up times.
Subject(s)
Arthritis, Rheumatoid/surgery , Arthroscopy , Endoscopy , Synovectomy , Arthritis, Rheumatoid/pathology , Follow-Up Studies , Humans , Synovial Membrane/pathology , Treatment OutcomeABSTRACT
In a 51 year old male patient with tracheobronchopathia osteochondroplastica a mucodermoid carcinoma of the middle lobe of the lung was diagnosed. Tracheobronchopathia osteochondroplastica is a rare condition which is occasionally diagnosed by fiberoptic bronchoscopy. More frequently, however, it is only found at autopsy. Mucoepidermoid carcinomas derive from the glands of the bronchial tree and are divided in low-grade and high-grade tumors. The tumor should be locally resected, adjuvant radio- or chemotherapy is ineffective.
Subject(s)
Bronchial Diseases/complications , Carcinoma, Mucoepidermoid/complications , Lung Neoplasms/complications , Ossification, Heterotopic/complications , Tracheal Diseases/complications , Bronchi/pathology , Bronchial Diseases/pathology , Bronchial Diseases/surgery , Bronchoscopy , Carcinoma, Mucoepidermoid/pathology , Carcinoma, Mucoepidermoid/surgery , Humans , Lung/pathology , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Middle Aged , Ossification, Heterotopic/pathology , Ossification, Heterotopic/surgery , Trachea/pathology , Tracheal Diseases/pathology , Tracheal Diseases/surgeryABSTRACT
Pneumonia of the middle lobe that had been diagnosed by x-ray in a male patient of 51 years of age did not recede completely despite antibiotic treatment. CT showed a space-occupying growth in the middle lobe of about 1.5 cm size, with consecutive atelectasis. Bronchoscopy revealed a pronounced pattern of tracheobronchopathia osteochondroplastica, but it was not possible to confirm the middle lobe syndrome (Brock's syndrome) by histological examination. A mucoepidermoid carcinoma of the middle lobe was histologically established by thoracotomy besides the tracheobronchopathia osteochondroplastica. 9 months post-operatively there is no pointer to any recurrence or metastasising.
