Hamartoma condromatoso de parede torácica: relato de caso / Chondromatous chest wall hamartoma: case report

"O hamartoma condromatoso (HC) é um tipo raro de tumor benigno de cartilagem que se origina nos primeiros anos de vida. Na maioria das vezes seu sítio primário é o gradil torácico e pode ou não ter sintomatologia. Suas características histológicas mostram proliferação do tecido conjuntivo cartilaginoso associado a cistos de células ósseas. É de difícil diagnóstico devido sua apresentação histológica. Neste trabalho é relatado um caso de HC e sua evolução"

"Chondromatous hamartoma (HC) is a rare type of benign cartilage tumor that originates in the first years of life. Most of the time its primary site is the thoracic bar and may or may not have symptoms. Its histological characteristics show proliferation of cartilaginous connective tissue associated with bone cell cysts. It is difficult to diagnose due to its histological presentation. This work reports a case of HC and its evolution"

Application of video-assisted mini-thoracectomy for the diagnosis and treatment of peripheral pulmonary nodules / 中国微创外科杂志

Objective To evaluate the reliability of video-assisted mini-thoracectomy(VAMT) for the diagnosis and treatment of patients with pulmonary peripheral nodules.Methods A total of 55 patients with pulmonary peripheral nodules(1 case of multiple nodules and 54 cases of solitary nodule) underwent VAMT.The surgery included wedge resection in 23 patients and lobectomy with lymph node dissection in 32 patients(The lobectomy was performed by using conventional combined with thoracoscopic instruments.A self-made lymph node clamp was applied for lymph node dissection).Results The operation was successfully accomplished under thoracoscopy in all the 55 patients.The operation time was 35~180 min(mean,109 min) and the intraoperative blood loss was 50~400 ml(mean,122 ml).No blood transfusion was required.Postoperative complications included air leakage in 1 patient(discharge on the 32 postoperative day) and delayed wound healing in 1 patient(discharge on the 19 postoperative day).The length of postoperative hospital stay of the other 53 patients was 4~11 days(mean,8.3 days).Final pathological diagnosis showed 15 cases of benign lesions,38 cases of primary lung carcinoma,1 case of atypical adenomatous hyperplasia,and 1 case of metastatic lung cancer.The benign lesions were cured by wedge resection.Anatomic lobectomy with lymph node dissection was performed in 32 patients with primary lung cancer.Of other 6 patients with terminal lung cancer,4 patients were conservatively treated because of an extensive dissemination and 2 patients received a palliative wedge resection because of poor pulmonary functions.Conclusions Video-assisted mini-thoracectomy is helpful for the diagnosis and treatment of pulmonary peripheral nodules.Its long-term effects for clinical early-stage lung cancer need further follow-up investigations.