[Show abstract][Hide abstract]ABSTRACT: Introduction
Introduction. Pericardial effusion is a clinical disease that requires multidisciplinary management. Several procedures have been described to perform a sufficient partial pericardiectomy in order to assure optimum drainage and that would also permit biopsy samples to be obtained. The purpose of this work is to evaluate the profitability of the partial pericardiectomy through video-assisted thoracoscopic surgery (VTS) in pericardial effusions with clinical suspicion of benignancy, evaluating its indications and its added value compared to other techniques.
Material and methods
We have performed pericardiectomies in 19 patients with clinical suspicions of benignancy using VTS. The indication was established due to the appearance of symptoms that could be attributed to effusion or when it was necessary to obtain samples. The presence of radiological and/or ultrasonographic signs of constrictive pericarditis or clinical instability were contraindications for the technique.
The diagnosis after the pathology study was chronic inflammation in 6 cases, active tuberculosis (TBC) in 2 cases and uremic pericarditis in 4 more cases. Previously undiagnosed neoplastic etiology was established in 2 patients; in 5 cases, postsurgical effusions of cardiac surgery were drained.
VTS is an adequate technique for the diagnostic-therapeutic management of those undiagnosed pericardial effusions and in post-surgical ones. Its high diagnostic performance, low morbidity and almost null existence of relapses has made it especially indicated in cases where it is necessary to obtain samples and the foreseeable survival is long.
[Show abstract][Hide abstract]ABSTRACT: INTRODUCTION: Chordomas are tumors derived from notochordal cells and represent 1 to 4% of all malignant bone tumors. They present a long evolution and prognosis is derived from disease extension at the time of diagnosis. CLINICAL CASE: A 28-year-old male with clinical manifestations of pain at the sacral level, together with parestesia with no history of trauma is presented. Thoracolumbar CT-scan demonstrated an osteolytic lesion at the L4 level which extended by the esophageal hiatus at the mediastinic and sternal level. Biopsy of the mass at these levels led to the diagnosis. The treatment applied was chemotherapy and radiotherapy. DISCUSSION: Chordomas are tumors of slow growth and histologically benign, but if they are not removed at early stages of their growth they may invade other anatomical structures and become irresectable. Prognosis may be grim since they are usually diagnosed when large, making treatment difficult and recurrence frequent.
[Show abstract][Hide abstract]ABSTRACT: Objective: The aim of this study was to determine the association between human immunodeficiency virus (HIV) infection carriers and bronchopulmonary carcinoma. On review of the world literature a total of 27 patients with the double condition of having pulmonary neoplasm and HIV infection were found. We herein report three further cases. Clinical cases: The cases presented were characterized as having a mean age of presentation under that commonly found in cases of pulmonary cancer. The histologic group found was adenocarcinoma (2 cases) and large cell carcinoma (1 case). In two patients the disease was in an advanced stage at the time of diagnosis (stage IIIA) with tumor involvement of mediastinic lymph nodes. Both patients died. The third patient remains alive (5 months) and asymptomatic in stage I. Conclusions: HIV carriers (i.v. drug use being the main form of contagion (53%) are more susceptible to developing more aggressive and early neoplasms given their immunologic deficiency. Globally, a predominance of the adenocarcinomas (50%) was observed. Survival is poor as a consequence of the combination between the pulmonary neoplasm and the underlying immunologic deficit.
[Show abstract][Hide abstract]ABSTRACT: Purpose: Evaluate the association between neoplasms of different systemic localizations and the existence of a second pulmonary tumor. Patients and methods: We have studied 35 patients with dual neoplasms is presented in all cases, the second neoplasm was located in the lung parenchyma. Results: Qualitatively, the greatest relation was formed beween laryngeal and pulmonary neoplasms. Epidermoid tumors were the most common histological type (67%). Most tumors (87%) were metachronic in presentation. Conclusion: Management was surgical, emphasis being placed on the importance of follow-up in patients with a first tumor primary.
[Show abstract][Hide abstract]ABSTRACT: We present a case of bilateral hydrothorax after internal jugular vein catheterization. 60 hours after placing the catheter, the patient showed an abrupt picture of jugular ingurgitation, abolished vesicular breath sounds, and displaced cardiac tones. It was necessary to immediately drain one hemithorax to guarantee ventilation of the patient. The present article examines iatrogenicity derived from the placement of central catheters, and special attention is given to the need for post-insertion x-ray control.
No preview · Article · Jul 1995 · Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral