scholarly journals A large solitary fibrous tumour of the pleura: a case report and review of the literature

2018 ◽  
Vol 46 (4) ◽  
pp. 1672-1677 ◽  
Author(s):  
Yong-Hao You ◽  
Rong-Ting Liu ◽  
Yi Zhang
Keyword(s):  
Wedge Resection ◽  
Left Lung ◽  
Lower Lobe ◽  
Good Health ◽  
Large Mass ◽  
Solitary Fibrous Tumour ◽  
Endotracheal Anaesthesia ◽  
Tumour Diagnosis ◽  
Local Tumour

We report a clinical case of a solitary fibrous tumour of the pleura (SFTP) in a 67-year-old female patient complaining of chest pain for 2 months. A localized large mass was found in the left inferior hemithorax by computed tomography scan. The patient underwent a thoracotomy at the left side with endotracheal anaesthesia. During surgical resection, the tumour was located in the left inferior hemithorax and was attached to the inferior lobe of the left lung and diaphragmatic pleura by a fibrous pedicle. A wedge resection of the left lower lobe was undertaken to completely remove the tumour. Diagnosis of the SFTP was confirmed by the surgical findings and subsequent histological and immunohistochemical examinations. At the 6-month follow-up, no signs of local tumour recurrence or metastasis were documented. After a 3-year follow-up, this patient remains in good health.

scholarly journals Intrapulmonary solitary fibrous tumour: a case report

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Akie Horikiri ◽  
Hiroyoshi Tsubochi ◽  
Natsuki Mizukoshi ◽  
Ryota Myobatake ◽  
Hidetaka Sakurai ◽  
...  
Keyword(s):  
Immunohistochemical Staining ◽  
Wedge Resection ◽  
Lower Lobe ◽  
Surgical Excision ◽  
Good Health ◽  
Solitary Fibrous Tumour ◽  
Thoracic Cavity ◽  
Solitary Fibrous Tumours ◽  
S 100 ◽  
The Right

Abstract Solitary fibrous tumours (SFTs) mainly originate from the visceral pleura and may protrude to the thoracic cavity, but intrapulmonary SFTs are extremely rare. We describe a rare case of SFT arising in the right lung of an 83-year-old man who underwent surgical excision. Chest computed tomography (CT) revealed a 10-mm tumour in the lower lobe of the right lung. The size of tumour gradually increased and reached 17 mm 2 years after the first radiologic examination. Considering the possibility of malignancy, wedge resection of the right lower lobe was performed via video-assisted thoracic surgery. Microscopically, the tumour consisted mainly of spindle-shaped cells. Immunohistochemical staining indicated the tumour was positive for CD34, STAT6, vimentin and bcl-2, but negative for cytokeratins, D2–40 and S-100. Based on the histological findings, the tumour was diagnosed as SFT. The patient has been in good health for 6 months since the surgery.

scholarly journals Pulmonary Gangrene - Severe And Rare Complication Of Pneumonia

2014 ◽  
Vol 7 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Guergana Petrova ◽  
Penka I. Perenovska ◽  
Dimitrinka Miteva ◽  
Radost T. Kabakchieva ◽  
Ognyan G. Brankov ◽  
...  
Keyword(s):  
Rare Complication ◽  
Left Lung ◽  
Lower Lobe ◽  
Good Health ◽  
Surgical Department ◽  
Intravenous Antibiotics ◽  
Histology Result ◽  
Severe Infections ◽  
The Right ◽  
Surgery Department

SummaryPneumonia is an inflammatory lung disorder characterized by consolidation due to presence of exudates in the alveolar spaces. Most pneumonias can be effectively treated with appropriate oral antibiotics, with intravenous antibiotics being reserved for those with severe infections. We present two cases of girls admitted in our clinic with pneumonia where our conventional therapy was not sufficient. Case 1: A 15-year-old girl with cystic fibrosis, with left lobular pneumonia, for which an aggressive conservative treatment was initiated. After significant improvement, sudden detorioration and pneumothorax of the left lung occurred. She was transferred to the surgical department for intervention. Due to failure to respond to initial drainage she underwent thoracotomy and resection of the left lower lobe of the lung. The histology result confirmed gangrene. Case 2: A four-year old girl was treated for pneumonia in the right lung with aggressive intravenous antibiotic. After temporary improvement sudden deterioration was observed. The patient was transferred to the surgery department, where pulmonary gangrene was confirmed. After the lower lobe of the right lung was resected, she was discharged in good health. The careful follow up, accurate diagnosis and correct medication choice are crucial for reducing the complications of “common” pneumonia.

scholarly journals A Case of Pulmonary Metastasis of Breast Cancer 23 Years after Surgery Accompanied with Non-Tuberculous Mycobacterium Infection

2020 ◽  
Vol 13 (3) ◽  
pp. 1357-1363
Author(s):  
Yuki Yabuuchi ◽  
Takayuki Nakagawa ◽  
Masaki Shimanouchi ◽  
Shingo Usui ◽  
Kenji Hayashihara ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Thoracoscopic Surgery ◽  
Mediastinal Lymph Node ◽  
Wedge Resection ◽  
Left Lung ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Mycobacterium Infection ◽  
Er Positive ◽  
Positive Breast Cancer

Recurrence of oestrogen receptor (ER)-positive breast cancer rarely occurs postoperatively after a long period. Breast cancer cells survive and settle in distant organs in a dormant state, a phenomenon known as “tumour dormancy.” Here, we present a 66-year-old woman with recurrence of ER-positive breast cancer in the left lung 23 years after surgery accompanied with non-tuberculous mycobacterium infection (NTM). At the age of 43 years, the patient underwent a right mastectomy and adjuvant hormonotherapy to completely cure breast cancer. Twenty-three years after the operation, when the patient was 66 years old, computed tomography presented nodular shadows in the lower lobes bilaterally with bronchiectasis and ill-defined satellite tree-in-bud nodules. <i>Mycobacterium intracellulare</i> was detected in cultured bronchoalveolar lavage fluid obtained from the left lower lobe by bronchoscopy. Rifampicin, ethambutol, and clarithromycin were started, which resulted in shrinkage of the nodule in the right lower lobe and satellite nodules; however, the nodule in the left lower lobe increased in size gradually. Wedge resection of the left lower lobe containing the nodule by video-assisted thoracoscopic surgery was performed, which demonstrated that the nodule was adenocarcinoma in intraoperative pathological diagnosis; therefore, a left lower lobectomy and mediastinal lymph node dissection were performed. The tumour was revealed to be consistent with recurrence of previous breast cancer according to its morphology and immunohistochemical staining. Furthermore, caseous epithelioid cell granulomas existed in the periphery of the tumour. It is reported that inflammatory cytokines induce reawakening of dormant oestrogen-dependent breast cancer and, in our case, NTM infection might have stimulated the dormant tumour cells in the lower lobe.

scholarly journals Cardiac manifestation of the huge pulmonary mass simulating ST-elevation myocardial infarction

2016 ◽  
Vol 3 (4) ◽  
pp. 84
Author(s):  
Nancy Wassef ◽  
Sarah Dorrington ◽  
George Pulikal
Keyword(s):  
Blood Pressure Measurement ◽  
Left Lung ◽  
Lower Lobe ◽  
Large Mass ◽  
Left Ventricular ◽  
St Segment Elevation ◽  
St Segment ◽  
Adjacent Structures ◽  
St Elevation ◽  
Cardiac Manifestation

A 77-year-old Caucasian female presented with central chest pain and an electrocardiogram showing anterior and inferior ST segment elevation. The patient had discrepancy of the blood pressure measurement and unequal radial pulses of the upper limbs. Urgent CT thorax and aorta showed no evidence of aortic dissection, but it showed a large mass in the left lung lower lobe, which involved the adjacent structures including the left ventricular. The patient refused to have a bronchoscopy or any further investigations and was discharged to the community with palliative care support.

scholarly journals Symptomatic pulmonary sclerosing hemangioma: a rare case of a solitary pulmonary nodule in a woman of advanced age

2019 ◽  
Vol 47 (5) ◽  
pp. 2302-2308 ◽  
Author(s):  
Zhu-Qing Yuan ◽  
Qian Wang ◽  
Min Bao
Keyword(s):  
Symptom Relief ◽  
Clinical Manifestations ◽  
Lower Lobe ◽  
Large Mass ◽  
Advanced Age ◽  
Case Presentation ◽  
Sclerosing Hemangioma ◽  
Pulmonary Sclerosing Hemangioma ◽  
History Of

Background Pulmonary sclerosing hemangioma (PSH) is a rare tumor that usually develops in middle-aged Asian women. PSH has four histological types (hemorrhagic, sclerotic, solid, and papillary) and often grows slowly in a lower lobe of the lung. Preoperative misdiagnosis frequently occurs because of the absence of specific clinical manifestations and imaging findings. Few reports have described PSH in women of advanced age. Case presentation: A 75-year-old woman presented to our hospital in China with a 5-day history of productive cough and intermittent hemoptysis. Computed tomography indicated bronchiectasis and a large mass in the left inferior lobe of the lung. Treatment of the bronchiectasis provided no symptom relief. The hemoptysis resolved following left lower pulmonary lobectomy, and PSH was pathologically diagnosed following surgery. At the time of this writing (after 6 months of follow-up), the tumor had not recurred, no metastases had been detected, and close follow-up was ongoing. Conclusions Both bronchiectasis and PSH can cause hemoptysis. This case demonstrates that PSH should be included as a differential diagnosis of hemoptysis in women of advanced age. For patients with chronic hemoptysis, the diagnosis of PSH should be considered if the therapeutic effect of bronchiectasis is poor.

scholarly journals Lung Adenocarcinoma Complicated with a Carcinoid Microtumor: A Case Report and Literature Review

2021 ◽  
Author(s):  
Yanzhao Xu ◽  
Ming he ◽  
Bokang Sun ◽  
Peng Su ◽  
Fan Zhang ◽  
...  
Keyword(s):  
Lung Adenocarcinoma ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Left Lung ◽  
Pulmonary Carcinoid ◽  
Case Presentation ◽  
Inferior Lobe ◽  
Superior Lobe ◽  
Missed Diagnosis

Abstract Background: Adenocarcinoma is the most common primary lung malignant tumor. However, pulmonary carcinoid tumorlets are rare neuroendocrine tumors, and the coexistence of adenocarcinoma and pulmonary carcinoid tumorlets is extremely rare. Herein, we describe a case of lung adenocarcinoma complicated with carcinoid tumorlets.Case presentation: A 71-year-old female patient was admitted to the hospital after physical examination, multiple micronodules were in the inferior lobe of the left lung and right lung for 2 years, and a tumor was in the superior lobe of the left lung for 1 month. The patient underwent resection of the superior lobe of the left lung and wedge resection of the inferior lobe of the left lung by Video-assisted Thoracoscopic Surgery(VATS). The pathology of the superior lobe of the left lung was adenocarcinoma (pathological stage pT1cN0M0, IA3 stage), and the pathology of the inferior lobe of the left lung was carcinoid tumorlets. The patient was discharged from the hospital one week after the operation and recovered well after follow-up without recurrence.Conclusions: The lack of understanding of carcinoid tumorlets in the clinic causes their misdiagnosis or missed diagnosis. At the same time, the lack of understand also suggests that we should pay attention not only to mass-type lung tumors but also to pulmonary micronodules.

scholarly journals Long-term follow-up of ciliated muconodular papillary tumor of the lung by computed tomography: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Ryohei Matsushima ◽  
Takeshi Mori ◽  
Sho Saeki ◽  
Hironori Hinokuma ◽  
Hidekazu Tanaka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Clinical Course ◽  
Wedge Resection ◽  
Lower Lobe ◽  
Papillary Tumor ◽  
Ct Findings ◽  
Preoperative Ct ◽  
The Right

Abstract Ciliated muconodular papillary tumor (CMPT) is an extremely rare pulmonary tumor and the clinical characteristics are still unknown. We report the preoperative long-term clinical course and changes in computed tomography (CT) findings of CMPT. A 60-year-old man underwent lower bilobectomy for squamous cell carcinoma in the right lower lobe 18 years before the surgery for CMPT. Twelve years before the surgery for CMPT, a 4-mm small ground glass nodule arose in the left lower lobe. The nodule gradually grew and became dense over time. Because it became mostly solid with central cavities, the patient underwent wedge resection and the tumor was diagnosed as CMPT. There were no recurrences 20 months after surgery. The preoperative CT findings of CMPT were similar to progressive preinvasive lesion, whereas it followed the benign clinical course. To the best of our knowledge, this is the first report on long-term preoperative follow-up of CMPT.

scholarly journals Nasal intubation with bronchial blocker in a patient with difficult airway for thoracoscopic surgery

2021 ◽  
Vol 9 (2) ◽  
pp. 629
Author(s):  
Deepak C. Koli ◽  
Aditi P. Kadakia ◽  
Prajakta D. Latkar ◽  
Hemant H. Mehta
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Left Lung ◽  
Mouth Opening ◽  
Lower Lobe ◽  
Bronchial Blocker ◽  
Fiberoptic Intubation ◽  
Open Approach

We describe a case report of a 49 years old male, a case of Carcinoma tongue with one finger mouth opening operated multiple times, currently presented with pleural based soft tissue lesion in lower lobe of left lung with query metastasis posted for video assisted thoracoscopy surgery (VATS) SOS open thoracotomy and wedge resection of the lesion. Considering difficult airway due to restricted mouth opening we opted for an awake nasal fiberoptic intubation followed by general anaesthesia. One lung ventilation was achieved with CoopdechTM bronchial blocker type A with standard cuff size in left main stem bronchus. Postoperative course of patient was uneventful. In this case report we highlight the importance of use of fiberoptic bronchoscope and bronchial blocker for lung deflation in the management of difficult airway in VATS, as incomplete deflation of the nondependent lung during VATS can lead to poor surgical exposure and inadequate space for surgical manipulation which in turn can compromise the success of the procedure, and may possibly lead to conversion into an open approach.

scholarly journals Askin's Tumor in an Adult: Case Report and Findings on 18F-FDG PET/CT

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Gonca Kara Gedik ◽  
Oktay Sari ◽  
Tamer Altinok ◽  
Lema Tavli ◽  
Bugra Kaya ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Wall ◽  
Wedge Resection ◽  
Left Lung ◽  
Lower Lobe ◽  
Standardized Uptake Value ◽  
Left Lobe ◽  
Pathology Report ◽  
Positron Emission

Primitive neuroectodermal tumor (PNET) of the chest wall or Askin's tumor is a rare neoplasm of chest wall. It most often affects children and adolescents and is a very rare tumor in adults. In this case report, we present an Askin's tumor occurred in a 73-year-old male. The patient was admitted with a history of 3-month lower back pain and cough. In computed tomography, there was a lesion with dimensions of70×40×65 mm in the superior segment of the lower lobe of the left lung. Positron emission tomography/computed tomography with 18F-flourodeoxyglucose revealed a pleural-based tumor in the left lung with a maximum standardized uptake value of 4.36. No distant or lymph node metastases were present. The patient had gone through surgery, and wedge resection of the superior segment of left lobe and partial resection of the ipsilateral ribs were performed. Pathology report with immunocytochemistry was consistent with PNET and the patient received chemotherapy after that.

scholarly journals Late Lung Metastasis in a Patient with a Clear Cell Chondrosarcoma: An Indication for a Life-Long Follow-Up?

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Paulien West ◽  
Celine Jacobs ◽  
Michael Saerens ◽  
David Creytens ◽  
Gwen Sys ◽  
...  
Keyword(s):  
Lung Metastasis ◽  
Clear Cell ◽  
Wedge Resection ◽  
Lung Nodule ◽  
Complete Removal ◽  
Good Health ◽  
Ct Guided ◽  
Clear Cell Chondrosarcoma ◽  
Lung Lobe

Background. Clear cell chondrosarcoma (CCCS) is a rare subtype of chondrosarcoma and comprises between 1.6% and 2.5% of all chondrosarcoma. They are known to be chemo- and radiotherapy resistant; surgical resection is therefore the therapy of choice. Methods. We present a 63-year-old woman with a progressive lung nodule 20 years after initial diagnosis and treatment of a clear cell chondrosarcoma of the right os naviculare. Results. On serial CT scans of the chest, an asymptomatic, slowly growing nodule in the left upper lung lobe was detected. CT-guided transthoracic biopsy of this nodule confirmed the diagnosis of a chondrosarcoma lung metastasis. Video-assisted thoracoscopic wedge resection was performed with complete removal of the nodule. The patient recovered well from surgery and remains in good health during further follow-up. Conclusion. Given the tendency of clear cell chondrosarcoma to recur and metastasize after extended periods of time, a long-term, possibly life-long follow-up and clinical surveillance is advisable in these patients.

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