scholarly journals Herniation of Packing Material into a Bronchopleural Fistula after Right Pneumonectomy and Clagett Window

2018 ◽  
Vol 8 ◽  
pp. 17
Author(s):  
Iclal Ocak ◽  
Gideon Bollino ◽  
Diane Strollo
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Bronchopleural Fistula ◽  
Packing Material ◽  
Advanced Lung Cancer ◽  
Chest Cavity ◽  
Open Chest ◽  
Important Clue

Diagnosis of a bronchopleural fistula (BPF) can be challenging in patients after pneumonectomy and Clagett window. Herein, we present a case of pneumonectomy for advanced lung cancer complicated by a BPF. Herniation of packing material from the open-chest cavity into the fistula and airways on computed tomography was an important clue to making the diagnosis.

scholarly journals The usefulness of transesophageal echocardiography in the staging of locally advanced lung cancer

2016 ◽  
Vol 67 (1) ◽  
Author(s):  
U. Caterino ◽  
G. Dialetto ◽  
F.E. Covino ◽  
G. Mazzarella ◽  
E. Grella ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Ct Scan ◽  
Transesophageal Echocardiography ◽  
Advanced Nsclc ◽  
Locally Advanced ◽  
Advanced Lung Cancer ◽  
Mediastinal Staging ◽  
Locally Advanced Nsclc ◽  
Great Vessels

Background. The pre-operative staging of locally advanced non-small cell lung cancer (NSCLC) is an important clinical and radiological issue. Computed tomography (CT) scan cannot always provide sufficient information about resectability and some patients may undergo unnecessary thoracotomy. The purpose of this study was to evaluate the utility of transesophageal echocardiography (TEE) in distinguishing T3 from T4 lesions in patients with lung cancer possibly involving cardiovascular structures and to compare its findings with those of computed tomography and, whenever possible, of surgical samples. Methods. Between January 1998 and December 2001, sixteen patients were referred to our pulmonology unit for evaluation of locally advanced NSCLC possibly involving the heart or great vessels. All patients underwent mediastinal staging with both contrast enhancement CT scan and TEE. Results. The mediastinal staging by CT scan classified eleven patients as T4N0M0 and five patients as T3N0M0. TEE suggested mediastinal extension of the tumour in nine out of sixteen patients, who were eventually classified as T4; the remaining seven patients had no mediastinal involvement according to TEE and were therefore classified as T3. The pathologic staging confirmed clinical TEE staging in all of the ten patients who subsequently underwent surgery. The remaining six patients were excluded from surgery either because of major coexistent illnesses or because refused to be operated on. Conclusion. TEE is a useful diagnostic tool in the staging of patients with locally advanced NSCLC which suspect involvement of heart and/or great vessels.

INDUCTION THERAPY AND METHODS OF PREVENTING THE DEVELOPMENT OF BRONCHOPLEURAL FISTULA IN LOCALLY ADVANCED FORMS OF NON-SMALL CELL LUNG CANCER

2018 ◽  
Vol 64 (3) ◽  
pp. 325-330
Author(s):  
Stepan Yergnyan ◽  
Yevgeniy Levchenko ◽  
I. Kubekov
Keyword(s):  
Lung Cancer ◽  
Main Bronchus ◽  
Bronchopleural Fistula ◽  
Combined Treatment ◽  
Locally Advanced ◽  
Advanced Lung Cancer ◽  
Urgent Problem ◽  
Small Cell Lung ◽  
Locally Advanced Lung Cancer

This review is devoted to the urgent problem of modern oncology - combined treatment of locally advanced lung cancer with neoadjuvant chemotherapy, chemoradiation, targeted therapy. Literature data on the influence of various variants of neoadjuvant therapy on the development of postoperative bronchopleural complications, risk factors, methods of their prevention are analyzed in detail. The role of primary and secondary plastics of the stump of the main bronchus, tracheobronchial anastomoses with various autoflaps is highlighted. The article analyzes the data of large meta-analyzes and works originating from specialized clinics dealing with this problem.

scholarly journals Not COVID-19, Don’t Overlook Pneumocystis in Patients on Gefitinib!

2021 ◽  
Vol 28 (1) ◽  
pp. 961-964
Author(s):  
Jérémy Barben ◽  
Valérie Quipourt ◽  
Jérémie Vovelle ◽  
Alain Putot ◽  
Patrick Manckoundia
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Final Diagnosis ◽  
Pneumocystis Jirovecii ◽  
Advanced Lung Cancer ◽  
Pneumocystis Jirovecii Pneumonia ◽  
Emergency Unit ◽  
Rt Pcr ◽  
Chest Computed Tomography ◽  
Small Molecule Therapeutics

An 82-year-old woman treated for advanced lung cancer with gefitinb was admitted to the emergency unit complaining of dyspnea. Chest computed tomography found abnormalities classified as possible diffuse COVID-19 pneumonia. RT-PCR for Sars-Cov-2 was twice negative. PCR for Pneumocystis jirovecii was positive on bronchoalveolar lavage. The final diagnosis was Pneumocystis jirovecii pneumonia. Therefore, physicians must be careful not to misdiagnose COVID-19, especially in cancer patients on small-molecule therapeutics like gefitinib and corticosteroids.

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