RESUMO
Phyllodes tumors are rare fibroepithelial tumors that make up less than 1% of all breast tumors. Malignant phyllodes tumors are associated with a 25% incidence of distant metastasis, which is invariably fatal within 24 months. We report successful resection of a solitary pulmonary metastasis in the left chest in a 50-year-old woman 7 years after a right-sided mastectomy for malignant phyllodes tumor.
Assuntos
Neoplasias da Mama/patologia , Neoplasias Pulmonares/secundário , Neoplasias Pulmonares/cirurgia , Tumor Filoide/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Tumor Filoide/secundárioRESUMO
Carcinoid syndrome is quite a rare presentation in bronchial carcinoid. A review of the literature suggests a figure of 2% to 7% in various series. This is usually associated with recurrent carcinoid tumor in the presence of hepatic metastasis. We discuss a patient who presented with flushing attacks 13 years after a left pneumonectomy. Further investigation found that the patient had recurrence at the pneumonectomy stump and in subcarinal lymph nodes.
Assuntos
Neoplasias Brônquicas/complicações , Tumor Carcinoide/complicações , Rubor/etiologia , Recidiva Local de Neoplasia/complicações , Neoplasias Brônquicas/diagnóstico por imagem , Neoplasias Brônquicas/patologia , Neoplasias Brônquicas/cirurgia , Tumor Carcinoide/diagnóstico por imagem , Tumor Carcinoide/patologia , Tumor Carcinoide/cirurgia , Feminino , Humanos , Metástase Linfática , Pessoa de Meia-Idade , Pneumonectomia , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
Reoperative surgery through a previous pneumonectomy space focuses on the management of postpneumonectomy empyemas and bronchopleural fistulae. There are reports of elective tracheal resections done through the pneumonectomy space. We report two cases of successful excision of recurrent tumours (leiomyosarcoma and carcinoid) performed through the previous pneumonectomy space 2 and 13 years, respectively, after the primary surgical resection.
Assuntos
Tumor Carcinoide/cirurgia , Leiomiossarcoma/cirurgia , Neoplasias Pulmonares/cirurgia , Recidiva Local de Neoplasia/cirurgia , Adulto , Neoplasias Brônquicas/diagnóstico por imagem , Neoplasias Brônquicas/cirurgia , Tumor Carcinoide/diagnóstico por imagem , Feminino , Humanos , Leiomiossarcoma/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/diagnóstico por imagem , Pneumonectomia , Reoperação , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Pulmonary hamartomas are usually an incidental finding and range in size from 1 cm to 8 cm in diameter in various series. We report a case of a massive pulmonary hamartoma (size 25.5 x 17.5 x 6.5 cm and weighing 1134 g) in a 61 year old male who presented with a short history of breathlessness. The tumour was arising from the medial border of the right lung and occupying most of the right chest extending in to the anterior mediastinum. The tumour was compressing the right lung and there was no evidence of infiltration into the surrounding structures. It was successfully treated by surgical resection and final histology was pulmonary hamartoma with predominantly adipose and leiomyomatous differentiation.
