We report herein the case of a 70-year-old man in whom a chest wall implantation of adenocarcinoma of the lung at the drainage tube site was found 4 months after a right lower lobectomy with ...mediastinal lymph node dissection had been performed for adenocarcinoma of the right lower lobe. The lesion was successfully treated by tumor extirpation. We believe that tumor seeding to the chest wall occurred at the time of thoracotomy. To prevent such tumor seeding, the pleural cavity should be washed out routinely with a massive volume of physiological saline solution prior to closure of the chest wall.
THORACOSCOPIC SYMPATHECTOMY FOR PALMAR HYPERHYDROSIS SUDO, Manabu; SUGI, Kazuro; HIRAZAWA, Katsutoshi ...
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association),
2004, Letnik:
65, Številka:
3
Journal Article
Odprti dostop
In order to clarify the effectiveness and problems of thoracoscopic sympathectomy for palmar hyperhidrosis, a total of 47 patients undergone sequential bilateral thoracoscopic sympathectomy (ETS) at ...the hospital were enrolled in this questionnaire study. We sent them questionnaires asking about sweating, recurrence, wound pain, compensatory sweating, cosmetic aspect and satisfaction. We recover-ed answers from 31 patients. There were 12 males and 19 females with a mean age of 26±14 years. Though the degree of palmar and plantar hyperhidrosis at the preoperative period was about 5.6±1.6 points (7 points scale), that of palmar hyperhidrosis was significantly improved to 1.6±1.0 (right) and 1.9±1.4 (left) at the postoperative period (p<0.001). There were three recurrence cases of palmar hyperhidrosis (9.7%). Compensatory sweating was occurred in 30 cases, 97%, most of them complained of it on the back, chest, femur, hip and axilla. Wound pain was minimal (2.8±2.6 points, 11 points scale), satisfaction for wound had good points (8.8±1.1 points, 10 points scale). We considered that they were almost satisfied with the ETS procedure (7.8±2.0 points, 10 points scale). It is concluded that ETS was remarkably effective for palmar hyperhidrosis in term of recurrent rate, wound pain, cosmetic aspect and satisfaction. But we must continue to improve this procedure because the compensatory sweating decreased the patient's quality of life.
A 61-year-old man was admitted for the treatment of empyema. He had a fever and marked leukocytosis. Chest X-ray and CT scan revealed a left pleural effusion. He had already been treated for empyema ...which included the use of drainage. The serum G-CSF level was high. We performed thoracoscopic surgery and biopsied the pleura. On histology, a diagnosis of giant cell carcinoma of the lung was made. Lung cancer with pleural dissemination was confirmed. Thoracoscopy is necessary to effectively treat pleural effusions in cases when other treatment is ineffective.
Thoracoscopic surgery for acute empyema MATSUDA, Eisuke; OKABE, Kazunori; YAMAMOTO, Hiromasa ...
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association),
2011, Letnik:
72, Številka:
11
Journal Article
Odprti dostop
We studied twelve cases of acute empyema operated on under thoracoscopy in our hospital from January 2009 to December 2010. We defined that the development of the disease was triphasic, infiltrative ...phase, fibrinopurulent phase and organizing phase. There were ten males and two females, ranged from 52 to 79 years old, with a mean of 64. The disease affected the right side in eight patients and did the left side in four patients. The duration from the onset of the symptoms to the operation ranged from 7 to 67 days, with a mean of 27 days. Postoperative drainage was performed for from 3 to 12 days, with a mean of 5.5 days. Ten patients were operated on in fibrinopurulent phase, and two in organizing phase. Underlying disease included diabetes mellitus in three patients and rheumatoid arthritis in one patient who had been on steroid therapy. Improvement of lung expansion was obtained in eleven patients except the remaining one whose disease was in organizing phase. Thoracoscopic surgery for acute empyema is desirable to perform in fibrinopurulent phase, but it may be effective even in organizing phase if it is in an early time of the phase.
The aim of this study was to reveal the clinicopathological feature of granulocyte colony-stimulating factor (G-CSF) producing lung cancer.
Nine cases of G-CSF producing lung cancer from July 2003 to ...July 2008 were retrospectively evaluated.
All cases were male, 8 cases were poorly differentiated carcinoma. Average of leucocyte and serum G-CSF were 23,378/microl and 128.6 pg/ml respectively. Five cases had febrile symptom, average of serum C-reactive protein (CRP) was 13.37 mg/dl. Immunohistological examination showed positive staining for G-CSF in 6 cases. Serum interleukin-6 (IL-6) level was elevated in 3 cases. Clinical stages were IB in 2, IIB in 2, IIIA in 3 and IIIB in 2 patients. Chemotherapy was performed for patients with stage IIIB. Operation was performed for the other cases. Five cases were died within 12 months, whereas 4 cases are surviving for 6 to 16 months.
Generally, the prognosis of G-CSF producing lung cancer seems to be poor, but in our institute there were 2 cases who lived over 1 year without disease. It is important to establish more effective adjuvant therapy for G-CSF producing tumor.
We sought a marker to differentiate malignant from nonmalignant pleural effusions.
We studied 41 patients presenting with pleural effusions to the National Sanyo Hospital between April 2000 and ...January 2002 (33 men and 8 women; mean age, 68 years). Twenty patients (49%) were proven to have malignant pleural effusions, while 21 patients (51%) had nonmalignant pleural effusions. Thoracentesis was performed.
The mean (+/- SD) concentration of receptor-binding cancer antigen expressed on SiSo cells (RCAS1) in malignant pleural effusions, measured by enzyme-linked immunosorbent assay, was significantly higher than that in nonmalignant pleural effusions (15.1 +/- 33.6 vs 1.4 +/- 0.81 U/mL, respectively; p < 0.05).
The determination of the RCAS1 concentration in pleural fluid is informative in the diagnosis of malignant pleural effusions.
PDF
