[Show abstract][Hide abstract]ABSTRACT: Unlabelled:
Congenital cystic adenomatoid malformation (CCAM) is an uncommon, nonhereditary anomaly caused by arrest of lung. Patients with CCAM may present with respiratory distress as newborns, or may remain asymptomatic until later in life. CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case.
A 54-year-old female presented with chronic cough and blood-tinged sputum. Physical examination and laboratory tests were unremarkable. Chest radiographs and a CT scan of the chest showed multiple large air-filled cysts consistent with a CCAM in the right lower lobe, and an oval-shaped opacity in the distal right middle lobal bronchus. Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy. These lesions were consistent with Stocker's Type I CCAM and BA in the different lobes.
[Show abstract][Hide abstract]ABSTRACT: We report a case of a postinfarction ventricular septal defect caused by an acute recurrent occlusion after the implantation of a covered stent, which was performed as a rescue procedure for the ruptured left anterior descending artery during a percutaneous coronary intervention. Although the emergent implantation of a covered stent for the ruptured coronary arteries such as the left main coronary artery or the origins of the left anterior descending artery can be performed during a percutaneous coronary intervention, and a coronary bypass surgery should be considered in order to decrease the risk of complete occlusion, thus providing a superior long term patency.
Preview · Article · Feb 2012 · Korean Journal of Thoracic and Cardiovascular Surgery
[Show abstract][Hide abstract]ABSTRACT: Both mesothelial cyst in the omentum and omental herniation through the esophageal hiatus without abdominal visceral involvement are rare. We report a case of omental mesothelial cyst herniated to the thorax through the esophageal hiatus.
No preview · Article · Aug 2011 · Journal of thoracic imaging
[Show abstract][Hide abstract]ABSTRACT: CC This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creative-commons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: For staging primary lung cancer, integrated positron emission tomography/computed tomography (PET/ CT) imaging is popular. The purpose of this study was to evaluate the accuracy of PET/CT scanning in lymph no-dal staging of lung cancer. Material and Method: We studied 48 patients who had received CT, PET/CT and pul-monary resections due to primary non-small cell lung cancer in our hospital between January 2006 and August 2009. Mediastinal lymph nodes were classified as superior mediastinal nodes, aortic nodes, inferior mediastinal no-des, or N1 nodes. We compared the power of CT and PET/CT for diagnosing pulmonary lymph nodes for each of the four types of nodes. Result: PET/CT was more sensitive than CT for all groups except inferior mediastinal nodes. However, the differences were not significant (McNemar's test: superior mediastinal nodes, p=0.109; aortic nodes, p=1.000; inferior mediastinal nodes, p=0.625, N1 nodes, p=0.424). Conclusion: The accuracy of PET/CT is similar to that of CT alone for staging lymph nodes. The two imaging modalities might be used as complementary, cooperative tools. We expect that integrated PET/CT will be found to be significantly mmore sensitive after more trials are done and more data is accumulated.
Preview · Article · Dec 2010 · Korean Journal of Thoracic and Cardiovascular Surgery
[Show abstract][Hide abstract]ABSTRACT: Pulmonary epithelial-myoepithelial carcinoma is a rare low-grade malignant neoplasm that has the characteristic histologic features, epithelial and myoepithelial differentiation, similar to the salivary gland counterpart. This tumor is thought to arise from bronchial submucosal glands distributed throughout the lower respiratory tract. We recently experienced a case of epithelial-myoepithelial carcinoma of the bronchus in a 61-year-old man. Computed tomography of his chest revealed an endobronchial mass in the bronchus of the left lower lobe. The lobectomy specimen showed a solitary endobronchial mass, measuring 2.3 cm in greatest diameter. Histologically, the tumor was composed of variable proportions of epithelial and myoepithelial cells. The epithelial cells represented an inner layer of duct-like structures and the outer clear cell layer was myoepithelial-type cells. The epithelial cells were positive for pancytokeratin and the clear myoepithelial cells were positive for vimentin, alpha-smooth muscle actin and S-100 protein. Finally our diagnosis was epithelial-myoepithelial carcinoma of the bronchus.
Full-text · Article · Jun 2010 · Basic and Applied Pathology
[Show abstract][Hide abstract]ABSTRACT: Intrathoracic mesothelial cysts are congenital developmental cysts usually located in the anterior cardiophrenic angle region (so called, pericardial cysts). We report two rare cases of an intrathoracic paraspinal mesothelial cyst which was purely cystic and had no perceptible cyst wall on CT or MRI with histopathologic findings.
[Show abstract][Hide abstract]ABSTRACT: Parosteal lipoma is a rare benign tumor that is composed mainly of benign mature lipocytes, and it has an intimate association with the underlying periosteum of affected bone. Parosteal lipoma involving the rib is quite rare. We believe that only four cases have been previously reported in the English literature. Here we describe an exceedingly rare case of parosteal lipoma that developed in the right seventh rib, which presented in a 50-year-old man having a previous history of trauma at this site.
No preview · Article · Feb 2009 · The Annals of thoracic surgery
[Show abstract][Hide abstract]ABSTRACT: Solitary fibrous tumors of the pleura (SFTPs) are relatively rare tumors that originate from the mesenchymal cells of the submesothelial tissue of the pleura. Patients with SFTPs are often asymptomatic, while some patients experience pleuritic chest pain, cough and/or dyspnea. We report here on a case of SFTP, and the patient presented with septic shock and respiratory failure that required mechanical ventilation. A 68-year-old woman was admitted for the evaluation of her dyspnea and generalized edema. Chest imaging studies showed an 18 cm-sized voluminous mass occupying the right thoracic cavity with anterior displacement of hilar structures and atelectasis of the right lung. Immediately after admission, she developed pneumonia and septic shock that required antibiotics and mechanical ventilation. She displayed a partial response to medical treatment, and then complete excision of the tumor was performed and the pathologic examination revealed benign SFTP. Afterward, she fully improved without evidence of recurrence until now.
Preview · Article · Oct 2008 · Tuberculosis and Respiratory Diseases
[Show abstract][Hide abstract]ABSTRACT: A chronic expanding hematoma (CEH) in the thorax is a rare and specific condition of chronic empyema. CEHs in the thorax are often associated with tuberculosis and/or previous surgical procedures. While the incidental detection of a pleural mass and dyspnea are common clinical manifestations, a few cases present with hemoptysis. We encountered a case of CEH in the thorax. This case is unique in that it developed without a prior history of tuberculosis or surgery and presented with massive hemoptysis accompanied by bronchopleural fistula. We report the third case of CEH in the thorax in Korea with a summary of the clinical characteristics of previous cases.
[Show abstract][Hide abstract]ABSTRACT: Traumatic pulmonary pseudocysts or post-traumatic pneumatocoeles are a relatively rare-encountered condition occurring after trauma and an even rarer talked about subject. Most resolve within a few weeks, but if complicated by hematoma, may persist for months. This study intends to evaluate the resolution times of traumatic pulmonary pseudocysts and their clinical significance.
We report a case analysis of 12 cases from Hanyang University Guri Hospital dating from July 1997 through October 2004.
The overall mean time for complete resolution was 85.6 days. The mean time for resolution for the uncomplicated traumatic pulmonary pseudocysts was 25.3 days (n=6) and the mean time for resolution for the complicated (blood filled) traumatic pulmonary pseudocysts was 145.8 days (n=6). When resolution times were compared according to size, those less than 2 cm showed a mean resolution time of 23.6 days (n=5) and those greater than or equal to 2 cm showed a mean resolution time of 129.9 days (n=7).
Comparisons between completely blood-filled pseudocysts and uncomplicated pseudocysts have shown statistically significant differences in resolution times. Statistical significance has also been found between pseudocysts of sizes less than 2 cm and those greater than or equal to 2 cm. Conservative treatment is generally the rule; close follow-up and symptomatic treatment are necessary.
Full-text · Article · Jun 2006 · European Journal of Cardio-Thoracic Surgery
[Show abstract][Hide abstract]ABSTRACT: Background: Laminin-1 is known to have regular functions in the development and course of differentiation of the lungs. The morphogenesis and distribution of laminin-1 still remains as a mystery and its distribution and changes in the molecular structure of laminin-1 in the pathogenesis of the lung still is a subject of great controversy. In this study, experiments were done to delineate the distribution and changes in the amount of laminin-1 after inducing inflammation of the lungs by exposing experimental animals to CS gas and especially, to find compositions of laminin-1 within type II pneumocytes. Materials and Methods: The experimental subjects of study were newborn rats and the extracted tissue from the experimental rats were viewed under light microscope and electron microscope after the sections were treated with immunohistochemical methods and immunogold reaction methods using bounded gold particles. Results: 1) Lymphocytes and mononuclear phagocytes invaded the alveolar septa in the 2 day group rats after CS gas exposure and intense interstitial inflammation was seen in the 3 day group. 2) Laminin immunoreactions decreased to a moderate degree in the 2 and 3 day group rats after CS gas exposure and strong laminin immunoreactions were seen again in the 5 and 7 day group rats. 3) Gold particles in basal lamina of the lung blood-air barrier decreased and in the type I pneumocytes decreased in the 2 and 3 day group rats after CS gas exposure. 4) Gold particles were seen only on the surface of the cell membranes of type II pneumocytes of the 1 and 2 day group rats after CS gas exposure. 5) Few gold particles around the lamellar bodies and cytoplasm of type II pneumocytes in the control rat group and at 12 hours after CS gas exposure. Gold particles are seen only on the surface of type II pneumocytes of the 1 and 2 day group rats after CS gas exposure and are evenly distributed in small amounts in the cells of the 3 day group after CS gas exposure. Conclusion: CS gas exposure in the rats caused inflammation of lung alveolar septa and also induced a decrease in laminin-1 in basal lamina and loss of laminin-1 in the cytoplasm of type II pneumonocytes. As the inflammatory cells disappeared, an increase in the distribution of laminin-1 occurred. This reflects tissue regeneration functions of laminin-1 in the pneumocytes of rats and the distribution of laminin-1 in type II pneumocytes can be seen through the electron microscope using immunogold methods.
Preview · Article · Oct 2005 · Tuberculosis and Respiratory Diseases
[Show abstract][Hide abstract]ABSTRACT: Calcifying fibrous pseudotumor is an uncommon benign lesion that has unique histologic features. We report a case of calcifying fibrous pseudotumor of the pleura occurring in a 31-year-old woman. A computed tomographic scan revealed a pleural mass in the right anterior costophrenic angle. The excised mass was well circumscribed, nonencapsulated, solid, and firm. The tumor showed dense hyalinized collagenous tissue interspersed with spindle cells, psammomatous calcifications, and a predominantly lymphoplasmocytic infiltrate. Most spindle cells were diffusely positive for vimentin, focally positive for CD34, and negative for desmins, smooth muscle actin, S-100 protein, and anaplastic lymphoma kinase-1.
No preview · Article · Jan 2005 · The Annals of thoracic surgery
[Show abstract][Hide abstract]ABSTRACT: Development of intraoperative aortic dissection during coronary artery bypass surgery is extremely rare with catastrophic outcomes resulting in high rates of morbidity and mortality. The prognosis is highly dependant upon prompt diagnosis and emergent treatment. We report our experience on a 72 year old female patient who successfully received ascending aortic graft replacement for acute intraoperative aortic dissection during coronary artery bypass procedure.
[Show abstract][Hide abstract]ABSTRACT: Telangiectatic pulmonary arteriovenous malformation is defined as a pulmonary arteriovenous malformation involving every segmental artery of at least one lobe of the lung. The authors report a case of telangiectatic pulmonary arteriovenous malformation in the left lower lobe of the lung. Pulmonary arteriovenous malformation is characterized by an anatomic right-to-left shunt between the pulmonary arteries and veins, which reduces the arterial oxygen saturation and then results in clinical manifestations such as dyspnea and cyanosis. Classic radiographic findings are solitary or multiple nodules with somewhat lobulated but sharply defined contours, which is nidus, and engorged vessels feeding and draining the lesions (1). However, we experienced a case of a telangiectatic type of pulmonary arteriovenous malformation in which pulmonary angiography and computed tomography (CT) showed diffusely engorged lobar pulmonary vessels, but no nidus-like structure (a hallmark of most arteriovenous malformations) was evident. CT findings of this type of pulmonary arteriovenous fistula have been reported rarely (2). We report a case of a telangiectatic type of pulmonary arteriovenous malformation in the left lower lobe of the lung.
Full-text · Article · May 2003 · Journal of Thoracic Imaging