Assuntos
Brônquios , Empiema Pleural/etiologia , Corpos Estranhos/complicações , Derrame Pleural/etiologia , Infecções Estafilocócicas/etiologia , Staphylococcus epidermidis , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/etiologia , Broncoscopia , Diagnóstico Diferencial , Empiema Pleural/diagnóstico , Corpos Estranhos/diagnóstico , Granuloma de Corpo Estranho/diagnóstico , Granuloma de Corpo Estranho/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pleural/diagnóstico , Infecções Estafilocócicas/diagnósticoRESUMO
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.
Assuntos
Broncopatias/complicações , Carcinoma Mucoepidermoide/complicações , Neoplasias Pulmonares/complicações , Ossificação Heterotópica/complicações , Doenças da Traqueia/complicações , Brônquios/patologia , Broncopatias/patologia , Broncopatias/cirurgia , Broncoscopia , Carcinoma Mucoepidermoide/patologia , Carcinoma Mucoepidermoide/cirurgia , Humanos , Pulmão/patologia , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Ossificação Heterotópica/patologia , Ossificação Heterotópica/cirurgia , Traqueia/patologia , Doenças da Traqueia/patologia , Doenças da Traqueia/cirurgiaRESUMO
In 158 patients with histologically confirmed intrathoracic sarcoidosis the T4/T8 quotient was checked in broncho-alveolar lavage (BAL) for its informative value with regard to activity and prognosis of the disease. In asymptomatic patients with x-ray type I and normal lung function, in radiological remissions of x-ray types I and improvement in the course of disease in patients whose disease had initially been classified acute, we found statistically significantly higher T4/T8 quotients than in the other patient groups; we did not observe any deterioration in the course of the disease. High T4/T8 quotients will thus not generally point to an active or progressing disease; the information conveyed by these data is of limited clinical usefulness in individual cases only.
Assuntos
Líquido da Lavagem Broncoalveolar/imunologia , Relação CD4-CD8 , Pneumopatias/diagnóstico , Sarcoidose/diagnóstico , Adulto , Idoso , Feminino , Seguimentos , Humanos , Pneumopatias/imunologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Testes de Função Respiratória , Sarcoidose/imunologiaRESUMO
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.
Assuntos
Carcinoma/complicações , Neoplasias Pulmonares/complicações , Osteocondrodisplasias/complicações , Doenças da Traqueia/complicações , Carcinoma/diagnóstico por imagem , Carcinoma/patologia , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Osteocondrodisplasias/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Doenças da Traqueia/diagnóstico por imagemRESUMO
Bronchoalveolar lavages (BAL) were performed in 19 patients in whom fibrotising alveolitis had been detected and confirmed. The patients were then followed up and controlled clinically for more than 12 months. The courses of the diseases did not reveal any group-specific behaviour (taking lymphocytic and granulocytic lavages into consideration) and were not predictable on the basis of the lavage patterns. With a BAL lymphocytosis, 40% of the patients showed clinical improvement and in 30% the disease became stable whereas in another 30% there was a deterioration. If more than 10% BAL granulocytes were present, 50% of the patients showed clinical deterioration, whereas the course became stable in 37.5% and clinical improvements were recorded in 12.5% of the patients.
Assuntos
Líquido da Lavagem Broncoalveolar/citologia , Linfocitose/patologia , Fibrose Pulmonar/patologia , Adulto , Idoso , Biópsia , Feminino , Seguimentos , Humanos , Contagem de Leucócitos , Pulmão/patologia , Masculino , Pessoa de Meia-IdadeRESUMO
The presented patient suffered of seizures during childhood and exhibited the typical skin lesions of tuberous sclerosis. However, the diagnosis was not made until the patient was 26 years old. He had involvement of the central nervous system, the skin, the kidneys, and the lungs. After he developed renal failure he underwent hemodialysis for 57 months and suffered an intracerebral hemorrhage followed by cardiorespiratory arrest age 36.
Assuntos
Falência Renal Crônica/etiologia , Pneumopatias/complicações , Esclerose Tuberosa/complicações , Adulto , Hemorragia Cerebral/etiologia , Parada Cardíaca/etiologia , Humanos , Falência Renal Crônica/complicações , Pneumopatias/diagnóstico por imagem , Masculino , Tomografia Computadorizada por Raios XRESUMO
In 27 patients with roentgenologically suspected interstitial pulmonary disease, bronchoscopy was carried out with the rigid bronchoscope. The examination material obtained (BAL fluid, transbronchial lung biopsy, perbronchial lymph node biopsy, mucosal biopsy) was submitted to a histological and cytological work-up. The established cell distribution in the BAL fluid confirmed the findings reported in the literature. In sarcoidosis, irrespective of the roentgenological stage, a 30 to 35% lymphocytosis was observed. The combination of BAL, perbronchial lymph node biopsy, transbronchial lung biopsy and bronchial mucosal biopsy permitted confirmation of the sarcoidosis in more than 90% of the cases. The -hit rate- of the perbronchial lymph node biopsy was 90.6% in stage 1, 85% in stage 2, and 77% in stage 3.