Subject(s)
Echinococcosis, Hepatic/complications , Thoracic Diseases/parasitology , Adult , Animals , Diaphragm , Echinococcosis, Hepatic/diagnostic imaging , Echinococcus granulosus/isolation & purification , Fistula/diagnostic imaging , Humans , Male , Radiography , Thoracic Diseases/diagnostic imagingABSTRACT
Endobronchial lipoma is a very rare benign tumor. The most frequent clinical presentation is caused by airway obstruction. A computed tomography finding of a homogeneous mass with fat density not enhanced by intravenous contrast material is considered diagnostic of this kind of tumor. The definitive diagnosis is given by bronchoscopy and biopsy. The treatment of choice is endoscopic resection, although open resection is sometimes required. We present a case of endobronchial lipoma that involved the left main bronchus and extended through the bronchial carina. Endoscopic treatment was initially attempted. However, open resection through superior lobectomy with carinal resection and a bronchoplastic procedure were required to avoid left pneumonectomy.
Subject(s)
Bronchial Neoplasms/surgery , Lipoma/surgery , Humans , Male , Middle AgedABSTRACT
El lipoma endobronquial es un tumor benigno extremadamente raro. La presentación clínica más habitual se debe a la obstrucción de la vía aérea. El hallazgo en la tomografía computarizada (TC) de una masa homogénea de densidad grasa y que no capta contraste se considera diagnóstico de este tipo de tumores. El diagnóstico definitivo es aportado por la broncoscopia y la biopsia. El tratamiento de elección es la resección por vía endoscópica, aunque hay casos en los que es necesaria una resección por vía abierta. Presentamos un caso de lipoma endobronquial que afectaba al bronquio principal izquierdo y que continuaba por la carina de división bronquial. En un primer momento se intentó un tratamiento endoscópico, pero finalmente fue necesario realizar una resección por vía abierta mediante lobectomía superior izquierda, reglada con resección carinal más broncoplastia, lo cual evitó la neumonectomía izquierda (AU)
Endobronchial lipoma is a very rare benign tumor. The most frequent clinical presentation is caused by airway obstruction. A computed tomography finding of a homogeneous mass with fat density not enhanced by intravenous contrast material is considered diagnostic of this kind of tumor. The definitive diagnosis is given by bronchoscopy and biopsy. The treatment of choice is endoscopic resection, although open resection is sometimes required. We present a case of endobronchial lipoma that involved the left main bronchus and extended through the bronchial carina. Endoscopic treatment was initially attempted. However, open resection through superior lobectomy with carinal resection and a bronchoplastic procedure were required to avoid left pneumonectomy (AU)
Subject(s)
Male , Middle Aged , Humans , Lipoma/surgery , Pneumonectomy/methods , Bronchial Neoplasms/surgery , Lipoma/pathology , Bronchial Neoplasms/pathologyABSTRACT
Malignant disease is present in the pericardium of 1.5% to 20.6% of patients dying of malignant diseases as was examined postmortem. We present a case of a 57-year-old man with a history of Hodgkin's disease and a sarcoma of gluteus who presented with tachypnea, generalized weakness, and anasarca for 7 days. The echocardiogram revealed the presence of a significant pericardial thickening and localized pericardial effusion resulting from a tricuspid stenosis. A right anterior thoracotomy was performed, and a pericardiectomy (4 x 4 cm) was done. The histologic examination of the pericardium revealed the presence of a metastatic dissemination from a sarcoma. The cause for the clinical presentation and the treatment of malignant pericardial disease are discussed.
