Pseudomyxoma of the pleural and peritoneal cavities.

Pseudomyxoma peritonei is a rare clinical manifestation of mucin producing adenocarcinomas. An extensively metastased adenocarcinoma developed a pseudomyxoma that affected not only the peritoneal cavity but also the pleura.

[Pseudomyxoma of the pleura and peritoneum]. / Pseudomiksom pleure i peritoneuma.

A case is presented of 41 year old patient with a very rare form of clinical manifestation of adenocarcinoma with a large mucinous ascites with abdominal distention and a massive left hemithoracic content with same characteristics. Two years prior the patient suffered from acute abdomen and underwent apendectomy with slow wound healing and a stomach edema 6 months later with a finding of smaller changes on the left side of the thorax. The patient was hospitalized when he already had an advanced stage of the disease. The diagnosis of adenocarcinoma was reached with percutaneous thoracic biopsy and finding of mucinous malignant cells. Gelatinoid ascites was confirmed on CT an echography with the same finding in the thorax. Systemic chemotherapy was initiated without major effect followed by intrapleural and intraabdominal instillation of hyaluronidase in combination with cytostatics. The course of the disease and treatment effects were followed echographically and on CT. According to available literature this is the first case report of a patient with mucinous adenocarcinoma and a presentation of pseudomyxoma of the thoracic and abdominal cavities.

[Analysis of hospitalized tuberculosis patients at the Institute for Pulmonary Diseases and Tuberculosis in Belgrade, Serbia during 1988]. / Analiza hospitalizovanih tuberkuloznih bolesnika u Institutu za plucne bolesti i tuberkulozu SR Srbije u Beogradu u toku 1988. godine.

The report presents the analysis of TB patients treated at the Institute for lung diseases and tuberculosis of SR of Serbia during 1988--a total of 567 or 10.18% of discharged patients. There were 77% TB patients from Belgrade and 23% from the province. Tuberculosis retains the characteristics of a social disease with a morbidity peak in the fourth decade of age. There were 93% of cases discovered due to disease symptoms. In 82% of patients it was a case of newly discovered specific process, 7.5% had a recurrent disease and 10.5% of patients had a chronic form of the disease. The patients had almost all forms of the specific process: primary tuberculosis 0.35%, postprimary phthisis 84.4%, specific pleuritis 10.6%, tuberculom 1.9%, miliary tuberculosis 1.8%, lymphoglandular tuberculosis 0.9%, while 1.4% had extrathoracic specific lesions associated with pulmonary lesions. Cavernous tuberculosis was observed in 89% of TB patients and extensive phthisis in 14% of cases. Atypical forms of parenchymal specific process were observed in 12% patients. Bacteriological or histological confirmation of tuberculosis existed for 82%. In 13% of patients treatment lasted longer than 3 months. Six or 1% of patients died due to pulmonary tuberculosis.