[Show abstract][Hide abstract] ABSTRACT: • Purpose: To present a case of hypertrophic osteoarthropathy (HOA), a syndrome that is often associated with intrathoracic tumors. • Material and methods: We report a case of HOA associated with pulmonary adenocarcinoma. • Results: The surgical resection of the lung cancer led to the disappearance of the associated syndrome. • Conclusions: When a HOA is found, it is necessary to rule out the possible existence of an occult neoplasm, principally intrathoracic. The HOA disappears after the tumor eradication.
[Show abstract][Hide abstract] ABSTRACT: Twenty-four cases of bronchopleural fistula were found by fiberoptic bronchoscopy performed in 526 consecutive patients undergoing surgery for diagnosis or treatment of lung cancer between February 1990 and January 1997 in Hospital General Universitario in Valencia (Spain). In 327 of the patients lung resection was performed. Clinical symptoms included fever, purulent or bloodstained expectoration, chest pain, dyspnea and general unfitness, with 83.33% of the patients having pleural empyema. Treatment was based on pleural drainage and broad-spectrum antibiotic therapy, along with planning of the appropriate surgery technique to each patient. Surgery consisted in re-thoracotomy and bronchial closure in early detection cases without evidence of infection (< 48 h); thoracostomy (Clagett) and second stage myoplasty if confirmed pleural infection; thoracoplasty in cases of incomplete fistulas that were unresolved by pleural drainage. Biological glues were delivered by fiberoptic bronchoscope in one patient. The incidence of bronchopleural fistula was studied, as were associated factors and the results obtained by various surgical techniques.
No preview · Article · Jan 1998 · Archivos de Bronconeumología