Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 10 de 10
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Kyobu Geka ; 76(2): 161-164, 2023 Feb.
Artigo em Japonês | MEDLINE | ID: mdl-36731854

RESUMO

Absence of the pericardium is generally asymptomatic rare congenital disorder. However, it may be life-threatening problem due to cardiac deviation or herniation after the pulmonary resection. We described a case of complete defect of the pericardium found at surgery for metastatic lung cancer. Since the left lower lobectomy was necessary, the pericardium was reconstructed with an ePTFE sheet. Postoperative course was uneventful without any symptoms at two years post-surgery.


Assuntos
Neoplasias Pulmonares , Pericárdio , Humanos , Pericárdio/cirurgia , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/cirurgia
2.
JCO Clin Cancer Inform ; 3: 1-7, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30860865

RESUMO

PURPOSE: The complexity of lung cancer treatment is rapidly increasing, necessitating the use of multidisciplinary approaches for improving outcomes. Although it is common for institutions to have their own tumor boards, tumor boards connecting several general hospitals, and therefore allowing for more diverse opinions, are not prevalent. MATERIALS AND METHODS: A tumor board connecting eight hospitals was formed to discuss patients for whom formulating a treatment strategy was difficult. Physicians and hospital staff accessed a high-security communication line via LiveOn ( Japan Media Systems Corporation, Tokyo, Japan), which is completely isolated from the Internet and password protected, that enables each hospital to share the electronic medical records and images of relevant patients at other hospitals on desktop computers in real time. The lung cancer tumor board began in April 2017 and has since been held every Tuesday evening for 1 hour. Preparatory records containing the age, sex, histology, TNM classification, background, and discussion points for each patient are created before each tumor board meeting. After the tumor board discussion, all conclusions and related articles used in the board are added to the minutes, which are finalized as Microsoft Word files, consolidated, and archived. These files can be retrieved later using key words. RESULTS: From April 2017 to June 2018, 202 patients were discussed. Although TNM classification was not changed for any patient, diverse opinions led to a change in the proposed strategy for 49 of 202 patients. CONCLUSION: The multidisciplinary tumor board was useful in obtaining various opinions from the perspectives of different experts. This should be evaluated in a prospective study.


Assuntos
Hospitais Gerais , Comunicação Interdisciplinar , Neoplasias Pulmonares/epidemiologia , Conselhos de Especialidade Profissional , Adulto , Idoso , Idoso de 80 Anos ou mais , Gerenciamento Clínico , Registros Eletrônicos de Saúde , Feminino , Humanos , Japão/epidemiologia , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , Masculino , Oncologia/métodos , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Medicina de Precisão/métodos , Tomografia Computadorizada por Raios X
3.
SAGE Open Med Case Rep ; 7: 2050313X19827749, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30746146

RESUMO

Thymomas are tumors originating from the thymus epithelial cells and are the most common tumors of the anterior mediastinum. They have been classified into types A, AB, B1, B2, and B3 by the World Health Organization. Type B3 thymoma is composed of epithelial cell sheets with mild to moderate atypia and scant lymphocytes. An association between thymic carcinoma and neuroendocrine differentiation has been observed by some authors. However, cases of type B3 thymoma with neuroendocrine differentiation are very rarely discussed in the literature. A 68-year-old woman was referred to our hospital with an abnormal shadow on a chest roentgenogram. Chest computed tomography showed that the lesion was located in the anterior mediastinum. She underwent surgery, and the tumor was diagnosed as a type B3 thymoma with neuroendocrine differentiation. An extremely rare case of a type B3 thymoma showing neuroendocrine differentiation is presented herein.

4.
Kyobu Geka ; 70(12): 1044-1047, 2017 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-29104208

RESUMO

A 79-year-old man had undergone endoscopic colorectal resection for colon cancer and partial resection of right S2 for lung cancer in 2007. Two years later, enlargement of a small nodule in the right S10 detected by chest computed tomography was noted. Partial lung resection was performed in April 2009, and the pathological diagnosis was localized nodular pulmonary amyloidosis.


Assuntos
Amiloidose/patologia , Pneumopatias/patologia , Neoplasias Pulmonares , Idoso , Amiloidose/diagnóstico , Amiloidose/cirurgia , Humanos , Pneumopatias/diagnóstico , Pneumopatias/cirurgia , Neoplasias Pulmonares/cirurgia , Masculino , Pneumonectomia , Toracoscopia
5.
Ann Thorac Surg ; 103(5): e393-e395, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28431708

RESUMO

Plasmacytomas are a localized proliferation of plasma cells in the bone marrow and soft tissue. Extramedullary plasmacytomas are rare and typically solitary plasma cell neoplasms originating from extraosseous organs and tissues. A 31-year-old woman was referred to our hospital with a rapidly growing abnormal shadow on a chest roentgenogram. Chest computed tomography showed that the lesion was located in the anterior mediastinum. She underwent surgery, and the tumor was diagnosed as an extramedullary plasmacytoma. She remains well 2 years postoperatively without recurrence. An extremely rare case of an anterior mediastinal extramedullary plasmacytoma is presented.


Assuntos
Neoplasias do Mediastino/diagnóstico por imagem , Plasmocitoma/diagnóstico por imagem , Adulto , Feminino , Humanos , Neoplasias do Mediastino/patologia , Mediastino/diagnóstico por imagem , Plasmócitos/patologia , Plasmocitoma/patologia , Radiografia , Tomografia Computadorizada por Raios X
6.
Masui ; 66(4): 463-469, 2017 Apr.
Artigo em Japonês | MEDLINE | ID: mdl-30382653

RESUMO

We report the development of a multi-center/multi- specialist perioperative team development training program about respiratory surgery. Participants were members of the team, including anesthesiologists, respiratory surgeons, and operation nurses. A ques- tionnaire survey was conducted prior to course partici- pation to clarify any questions team members had. The courses included a lecture and simulation training with scenario-based discussions or the use of a simulator. Scenarios included massive bleeding during pulmonary artery damage, intractable hypoxia during one lung ventilation, and severe hypotension accompanied with hypoxia after tracheal extubation. We also discussed the best method for preoperative smoking cessation for better surgery outcome. After each course, participants discussed problems associated with perioperative medi- cal safety of respiratory surgery in the context of each theme. Simulation-based perioperative team training with anesthesiologists, respiratory surgeons, and opera- tion nurses may serve as a vehicle to promote periop- erative obstetrics safety.


Assuntos
Corpo Clínico/educação , Equipe de Assistência ao Paciente , Assistência Perioperatória/educação , Humanos , Transtornos Respiratórios/cirurgia , Inquéritos e Questionários
7.
Gen Thorac Cardiovasc Surg ; 65(1): 59-62, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26994929

RESUMO

Although schwannomas are the most common neurogenic tumors found in the thorax, schwannomas of the mesoesophagus are extremely rare. We report a case of an 80-year-old man having a tumor in contact with the esophagus in the left posterior mediastinum. A preoperative follow-up computed tomography scan showed tumor displacement from the left to the right of the posterior mediastinum. The patient underwent surgery, and the tumor was diagnosed as a schwannoma of the mesoesophagus. The tumor might have been displaced from the left to the right of the posterior mediastinum because it was located in the mesoesophagus.


Assuntos
Neoplasias do Mediastino/diagnóstico por imagem , Neurilemoma/diagnóstico por imagem , Idoso de 80 Anos ou mais , Esôfago/diagnóstico por imagem , Humanos , Masculino , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/cirurgia , Neurilemoma/patologia , Neurilemoma/cirurgia , Tomografia Computadorizada por Raios X
8.
Surg Case Rep ; 2(1): 125, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27815921

RESUMO

Occurrence of bronchial artery aneurysm is rare, and it has been detected in less than 1 % of all selective bronchial arteriography cases. Here, we present a case of a bronchial artery aneurysm caused by a tracheal stent migration. A 59-year-old man was operated on for esophageal cancer, where an esophageal-tracheal fistula occurred 1 week after operation. Surgical repair of the esophageal-tracheal fistula was performed using a muscle flap, but this not results in fistula closure. Consequently, a self-expanding covered metallic tracheal stent was implanted for rescue, and this resulted in fistula closure. After 1 year, there was frequent hemoptysis caused by migration of the stent. He was referred to our hospital where removal of the stent was planned. A sudden occurrence of massive bleeding from trachea occurred, and extracorporeal membrane oxygenation (ECMO) was used. Although removal of tracheal stent was performed successfully, the patient subsequently died from multi-organ failure. Post-mortem autopsy revealed that the massive bleeding is originated from the rupture of a bronchial artery aneurysm.

9.
Ann Thorac Surg ; 100(2): 700-2, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26234841

RESUMO

Primary pulmonary lymphomas constitute up to 1% of all pulmonary malignancies. Patients with mucosa-associated lymphoid tissue (MALT) lymphoma represent approximately 90% of patients with primary pulmonary lymphoma. Most pulmonary MALT lymphomas are primary tumors. Pulmonary metastasis is extremely rare. A 65-year-old woman was diagnosed with a thyroid MALT lymphoma in 2008 and underwent total thyroidectomy, followed by chemotherapy. After 5 years of follow-up, she referred to our hospital with an abnormal shadow on a chest roentgenogram. She underwent video-assisted thoracoscopic surgery and was diagnosed with metastatic thyroid MALT lymphoma. Postoperatively, she was treated with chemotherapy, including rituximab, and is alive without recurrence.


Assuntos
Neoplasias Pulmonares/secundário , Linfoma de Zona Marginal Tipo Células B/patologia , Neoplasias da Glândula Tireoide/patologia , Idoso , Feminino , Humanos
10.
J Cardiothorac Surg ; 10: 86, 2015 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-26109198

RESUMO

Pulmonary sequestration (PS) is a rare congenital malformation. Right intra lobar PS with a feeding artery arising from the abdominal aorta is extremely rare. This case report describes a 30-year-old man with a history of mental deficiency and repeated pneumonia who was referred to our hospital for further work-up of PS. Three-dimensional enhanced computed tomography of the chest and aorta revealed right intra lobar PS with an aberrant systemic artery from the abdominal aorta. We resected the PS using lower lobectomy by video-assisted thoracic surgery (VATS). The patient was discharged 10 days later without complications.


Assuntos
Aorta Abdominal/diagnóstico por imagem , Sequestro Broncopulmonar/diagnóstico por imagem , Pneumonectomia/métodos , Artéria Pulmonar/anormalidades , Cirurgia Torácica Vídeoassistida/métodos , Tomografia Computadorizada por Raios X , Adulto , Sequestro Broncopulmonar/cirurgia , Humanos , Masculino , Malformações Vasculares/diagnóstico por imagem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...