Database : MEDLINE
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[PMID]: 29390285
[Au] Autor:Zhang Y; Xin J; Ma Y; Li Q; Liu B
[Ad] Address:Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
[Ti] Title:Use of Univent tube for intermittent lung isolation during thoracoscopic mediastinal tracheal resection and reconstruction: A case report.
[So] Source:Medicine (Baltimore);96(50):e8945, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:RATIONALE: Primary tracheal adenoid cystic carcinoma of the trachea primary is a rare neoplasm and commonly misdiagnosed. Lung isolation during surgery and ventilation pose a tremendous challenge to anesthesiologists. PATIENT CONCERNS: The authors describe a novel technique of lung isolation and ventilation with a Univent tube during thoracoscopic mediastinal tracheal resection and reconstruction in a female patient. DIAGNOSES: Primary tracheal adenoid cystic carcinoma, nonsmall cell carcinoma. INTERVENTIONS: In this case, tracheal resection and reconstruction were performed. A bronchial blocker of the Univent tube was used as a guide to manipulate the depth of endotracheal tube. OUTCOMES: The intermittent 1-lung ventilation was established successfully. The patient recovered uneventfully and discharged after 10 days. LESSONS: The advantages of approach include a stable airway management without occupying the contracted space of thoracoscope and no potential risk of trapping or barotraumas.
[Mh] MeSH terms primary: Airway Management/methods
Carcinoma, Adenoid Cystic/surgery
Thoracoscopy
Tracheal Neoplasms/surgery
[Mh] MeSH terms secundary: Carcinoma, Adenoid Cystic/diagnosis
Carcinoma, Adenoid Cystic/pathology
Female
Humans
Intubation, Intratracheal
Middle Aged
Tracheal Neoplasms/diagnosis
Tracheal Neoplasms/pathology
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008945

  2 / 6202 MEDLINE  
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[PMID]: 29189539
[Au] Autor:Joo J; Kim J; Lee J
[Ad] Address:Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
[Ti] Title:Effect of Continuous Systemic Administration of Esmolol on Intraocular Pressure During Surgery in a Sustained Steep Trendelenburg Position.
[So] Source:J Glaucoma;26(12):1068-1071, 2017 Dec.
[Is] ISSN:1536-481X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: To investigate the effects of continuous systemic administration of esmolol on intraocular pressure (IOP) during laparoscopic and robotic surgeries for recto-sigmoid cancer in a steep Trendelenburg position. MATERIALS AND METHODS: A total of 50 patients undergoing laparoscopic surgery in a steep Trendelenburg position were included. Patients in the esmolol (E) group received a 0.25 mg/kg IV loading dose of esmolol before anesthesia, followed by an infusion of 15 µg/kg/min throughout the operation. Patients in the saline (S) group were infused with the same volume of normal saline. IOP and ocular perfusion pressure were measured 16 times: before anesthetic induction (T1), before administration of the study drug (T2), after administration of anesthetic induction agents (T3), after tracheal intubation (T4), 1, 3, 5, and 10 minutes after tracheal intubation (T5-T8), immediately after intraperitoneal CO2 insufflation (T9), immediately after the steep Trendelenburg position (T10), 1, 2, and 4 hours after the steep Trendelenburg position (T11-T13), just before the supine position (T14), and 10 and 30 minutes after the supine position (T15, T16). RESULTS: The IOP increased markedly after adopting the steep Trendelenburg position, reaching 28.8±4.4 mm Hg in group S. The IOP at T13 in group S was ∼5.7 mm Hg higher than in group E. The IOP at T13 was ∼10.6 mm Hg higher than in T1 in group S, but only ∼4.4 mm Hg higher than in group E. CONCLUSIONS: Continuous systemic administration of esmolol can alleviate the increase in IOP during a sustained steep Trendelenburg position without adverse cardiovascular effects.
[Mh] MeSH terms primary: Colorectal Neoplasms/surgery
Head-Down Tilt
Intraocular Pressure/drug effects
Laparoscopy/methods
Propanolamines/administration & dosage
Robotic Surgical Procedures
[Mh] MeSH terms secundary: Adrenergic beta-1 Receptor Antagonists/administration & dosage
Dose-Response Relationship, Drug
Female
Follow-Up Studies
Humans
Infusions, Intravenous
Male
Middle Aged
Prospective Studies
Tonometry, Ocular
Treatment Outcome
[Pt] Publication type:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Name of substance:0 (Adrenergic beta-1 Receptor Antagonists); 0 (Propanolamines); MDY902UXSR (esmolol)
[Em] Entry month:1712
[Cu] Class update date: 171226
[Lr] Last revision date:171226
[Js] Journal subset:IM
[Da] Date of entry for processing:171201
[St] Status:MEDLINE
[do] DOI:10.1097/IJG.0000000000000746

  3 / 6202 MEDLINE  
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[PMID]: 29275607
[Au] Autor:Lou QB; Nan K; Xiang FF; Chen XZ; Zhu WS; Zhang XT; Li J
[Ad] Address:Department of Anesthesiology, the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, China(now works in Department of Anesthesiology, Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu 322000, china).
[Ti] Title:[Effect of perioperative multi-day low dose ketamine infusion on prevention of postmastectomy pain syndrome].
[So] Source:Zhonghua Yi Xue Za Zhi;97(46):3636-3641, 2017 Dec 12.
[Is] ISSN:0376-2491
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:To investigate the effects of multi-day low dose ketamine infusion for postmastectomy pain syndrome (PMPS) after breast cancer surgery. This study was a prospective randomized controlled trial. From June 2015 to May 2016 in Affiliated Yiwu Hospital of Wenzhou Medical University, 66 patients with breast cancer surgery were randomly divided into control group (group C) and ketamine group (group K). Patients in group K were infused with 0.5 mg/kg of ketamine mixed in 250 ml of 0.9% normal saline in 1 h daily for 7 days. Patients in group C were infused the same dose of 0.9% normal saline. Anesthesia induction in both groups were given intravenous midazolam, sufentanil, propofol, vecuronium and intermittent positive pressure ventilation after tracheal intubation, anesthesia was maintained with propofol and remifentanil. After awakening, all patients were monitored in postanesthesia care unit (PACU) and given patient-controlled intravenous analgesia(PCIA). Pain scores were assessed using visual analogue scales (VAS) during PACU, 4 h, 24 h and 2-5 d after surgery, simultaneously analgesic requirement were recorded. Patients were evaluated Hospital Anxiety and Depression Scale (HADS) 5 d after surgery . The patients were followed up for 6 months. At 3 m, 6 m after surgery, the incidence of PMPS, the level of pain, pain site and HADS scale were assessed. The VAS score uring PACU, 4 h, 24 h and 2-5 d after surgery in group K( (2.5±0.8), (2.4±0.5), (2.4±0.5), (2.0±0.4), (1.5±0.5), (1.0±0.4), 1(1), respectively) was lower than those in group C ((2.9±1.0), (2.9±0.6), (2.6±0.5), (2.3±0.5), (1.8±0.6), (1.5±0.5), 1(0), respectively). There was statistically difference between the two groups (all <0.05). The consumption of analgesics required at each time postoperation in group K were also lower than that of group C(all <0.05). Followed up for 6 months, 2 lost in group C, 1 lost in group K. The incidence of PMPS in group K at 3 months and 6 months after surgery was significantly lower(25% and 22%) than that in group C(52% and 45%)(χ(2)=4.729, 3.842, all <0.05). There were no significant difference in pain level and site between two groups of PMPS patients (all >0.05). There were no significant difference of HADS scale preoperative and 5 d after surgery between two groups (all >0.05); and HADS scale in group K at 3 m and 6 m after surgery was significantly lower than that in group C(all <0.05). Perioperative continuous multi-day low dose ketamine infusion can effectively reduce the incidence of PMPS after breast cancer surgery.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171225
[Lr] Last revision date:171225
[St] Status:In-Process
[do] DOI:10.3760/cma.j.issn.0376-2491.2017.46.008

  4 / 6202 MEDLINE  
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[PMID]: 28458302
[Au] Autor:Nakada T; Akiba T; Yabe M; Tanaka K; Nakano M; Suzuki M; Morikawa T
[Ad] Address:Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
[Ti] Title:Clinicopathological Features of Thymoma with Ring Calcification: Case Reports.
[So] Source:Ann Thorac Cardiovasc Surg;23(5):256-261, 2017 Oct 20.
[Is] ISSN:2186-1005
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:Thymomas with ring calcifications are very rare and quaint style. Herein, we presented our three cases of thymomas with ring calcifications and reviewed totally 10 cases including 7 cases of previous English literatures. The median age was 53 years. Myasthenia gravis was a complication in 40%. The median maximal diameter was 50 mm. They were diagnosed as pathological type B or had type B component. Based on World Health Organization (WHO) classification, 20%, 60%, and 20% cases were stage I, stage II, and stage III, respectively. Seven ring calcifications were within tumors (inner type) and two cases were outside tumors (outer type). The other had a thymoma arising in the calcic wall of a calcified thymic cyst (miscellaneous type). Four other anterior mediastinal tumors with ring calcification had been reported. We need pathological examinations for a definitive diagnosis. Surgeons should plan surgery because of the possibility of invasive thymomas, or other malignant tumors.
[Mh] MeSH terms primary: Calcinosis/pathology
Mediastinal Cyst/pathology
Thymoma/pathology
Thyroid Neoplasms/pathology
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Biopsy
Calcinosis/diagnostic imaging
Calcinosis/surgery
Child
Female
Humans
Male
Mediastinal Cyst/diagnostic imaging
Mediastinal Cyst/surgery
Middle Aged
Neoplasm Staging
Thymectomy
Thymoma/diagnostic imaging
Thymoma/surgery
Thyroid Neoplasms/diagnostic imaging
Thyroid Neoplasms/surgery
Tomography, X-Ray Computed
Treatment Outcome
Tumor Burden
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1712
[Cu] Class update date: 171212
[Lr] Last revision date:171212
[Js] Journal subset:IM
[Da] Date of entry for processing:170502
[St] Status:MEDLINE
[do] DOI:10.5761/atcs.cr.16-00247

  5 / 6202 MEDLINE  
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[PMID]: 28949246
[Au] Autor:de la Fuente J; Garrett CG; Ossoff R; Vinson K; Francis DO; Gelbard A
[Ad] Address:1 Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
[Ti] Title:A Case Series of the Probability Density and Cumulative Distribution of Laryngeal Disease in a Tertiary Care Voice Center.
[So] Source:Ann Otol Rhinol Laryngol;126(11):748-754, 2017 Nov.
[Is] ISSN:1943-572X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To examine the distribution of clinic and operative pathology in a tertiary care laryngology practice. METHODS: Probability density and cumulative distribution analyses (Pareto analysis) was used to rank order laryngeal conditions seen in an outpatient tertiary care laryngology practice and those requiring surgical intervention during a 3-year period. RESULTS: Among 3783 new clinic consultations and 1380 operative procedures, voice disorders were the most common primary diagnostic category seen in clinic (n = 3223), followed by airway (n = 374) and swallowing (n = 186) disorders. Within the voice strata, the most common primary ICD-9 code used was dysphonia (41%), followed by unilateral vocal fold paralysis (UVFP) (9%) and cough (7%). Among new voice patients, 45% were found to have a structural abnormality. The most common surgical indications were laryngotracheal stenosis (37%), followed by recurrent respiratory papillomatosis (18%) and UVFP (17%). CONCLUSIONS: Nearly 55% of patients presenting to a tertiary referral laryngology practice did not have an identifiable structural abnormality in the larynx on direct or indirect examination. The distribution of ICD-9 codes requiring surgical intervention was disparate from that seen in clinic. Application of the Pareto principle may improve resource allocation in laryngology, but these initial results require confirmation across multiple institutions.
[Mh] MeSH terms primary: Laryngeal Diseases/diagnosis
Laryngeal Diseases/surgery
Tertiary Healthcare
[Mh] MeSH terms secundary: Cost of Illness
Cough/diagnosis
Cough/surgery
Dysphonia/diagnosis
Dysphonia/surgery
Humans
Laryngostenosis/diagnosis
Laryngostenosis/surgery
Papilloma/diagnosis
Papilloma/surgery
Respiratory Tract Neoplasms/diagnosis
Respiratory Tract Neoplasms/surgery
Tennessee
Tertiary Care Centers
Tracheal Stenosis/diagnosis
Tracheal Stenosis/surgery
Vocal Cord Paralysis/diagnosis
Vocal Cord Paralysis/surgery
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171031
[Lr] Last revision date:171031
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170927
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417728945

  6 / 6202 MEDLINE  
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[PMID]: 28935346
[Au] Autor:Stamatis G; Fechner S; Rocha M; Weinreich G
[Ad] Address:Department of Thoracic Surgery and Endoscopy, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany. Electronic address: georgios.stamatis@ruhrlandklinik.uk-essen.de.
[Ti] Title:Resection of the Tracheobronchial Bifurcation With Complete Preservation of Lung Parenchyma.
[So] Source:Ann Thorac Surg;104(5):1741-1747, 2017 Nov.
[Is] ISSN:1552-6259
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:BACKGROUND: The resection of the tracheobronchial bifurcation with complete preservation of lung parenchyma remains a challenge owing to the limited indications for surgery, anesthesiologic management, operative technique, and postoperative course. The aim of this retrospective study was to evaluate factors influencing the perioperative course and long-term survival. METHODS: Between 1989 and 2014, 19 patients underwent a resection of the distal trachea and carina with complete preservation of lung tissue, 16 for malignant tumors (7 adenoid cystic carcinomas, 3 carcinoid tumors, 3 mucoepidermoid tumors, 2 squamous cell carcinomas, and 1 small cell carcinomas), 2 for inflammatory stenosis, and 1 after a complex traumatic rupture. RESULTS: Surgical approach was posterolateral thoracotomy in 17 patients and median sternotomy in 2. In 16 patients, end-to-end anastomosis was performed, and in 3 patients, combined end-to-end and side-to-end anastomosis were performed. The operative mortality was 0%, the perioperative complication rate was 26.3%. Six patients with adenoid cystic carcinoma and all patients with lung carcinoma received adjuvant radiotherapy; only 1 patient with small cell lung cancer had chemotherapy before surgery. Long-term results are excellent in patients with benign disease, typical and atypical carcinoid tumor, mucoepidermoid carcinoma, and in most patients with adenoid cystic carcinoma. Two patients with lung cancer died 28 and 45 months after surgery, and 1 patient with adenoid cystic carcinoma died 75 months after surgery. CONCLUSIONS: Resection of the tracheobronchial bifurcation with complete preservation of lung indicated for selected patients with local tumor growth at the distal trachea and carina provides low perioperative mortality and complications and results in long-term survival rates.
[Mh] MeSH terms primary: Bronchial Neoplasms/pathology
Bronchial Neoplasms/surgery
Organ Sparing Treatments/methods
Pneumonectomy/methods
Tracheal Neoplasms/pathology
Tracheal Neoplasms/surgery
[Mh] MeSH terms secundary: Adult
Biopsy, Needle
Bronchial Neoplasms/diagnostic imaging
Bronchial Neoplasms/mortality
Cohort Studies
Female
Humans
Imaging, Three-Dimensional
Immunohistochemistry
Male
Middle Aged
Parenchymal Tissue
Prognosis
Retrospective Studies
Risk Assessment
Survival Rate
Tomography, X-Ray Computed/methods
Tracheal Neoplasms/diagnostic imaging
Tracheal Neoplasms/mortality
Treatment Outcome
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171109
[Lr] Last revision date:171109
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170923
[St] Status:MEDLINE

  7 / 6202 MEDLINE  
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[PMID]: 28882976
[Au] Autor:Tsilimigras DI; Moris D; Ntanasis-Stathopoulos I; Patrini D; Panagiotopoulos N
[Ad] Address:School of Medicine, National and Kapodistrian University of Athens, Athens, Greece tsilidiam@gmail.com.
[Ti] Title:Endobronchial Carcinoid Tumor Totally Occluding the Left Main Bronchus Without Producing Symptoms of Bronchial Obstruction.
[So] Source:In Vivo;31(5):1023-1025, 2017 Sep-Oct.
[Is] ISSN:1791-7549
[Cp] Country of publication:Greece
[La] Language:eng
[Ab] Abstract:BACKGROUND: Bronchial carcinoid tumors (BCTs) are rare neuroendocrine neoplasms of the lung that mainly have a central distribution. They are classified as typical and atypical, with the former variant generally conferring a more favorable survival. Central tumors are usually symptomatic with features of bronchial obstruction, whereas peripheral tumors may remain silent. CASE REPORT: A 36-year-old woman presented to our hospital due to an episode of massive hemoptysis 5 days prior to admission. She had experienced another episode of hemoptysis 4 years before, for which a chest x-ray had shown no pathological findings. A new chest x-ray showed complete collapse of the left lung, with remarkable tracheal deviation. Computed tomography revealed a large endobronchial lesion causing occlusion of the left main bronchus and significant mediastinal shift to the left. Despite the collapse of the left lung, no symptoms of bronchial obstruction were evident. The patient underwent a successful left pneumonectomy and pathology of the resected specimen revealed a typical stage pT2b N1 Mx endobronchial carcinoid tumor. CONCLUSION: Central tumors are usually symptomatic with features of bronchial obstruction, whereas peripheral tumors may remain silent. Although a significant amount of bronchial occlusion may be present, symptoms of obstruction might not be apparent. Hemoptysis should always be thoroughly investigated, as it may be the only sign of a severe underlying disease.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 171109
[Lr] Last revision date:171109
[St] Status:In-Process

  8 / 6202 MEDLINE  
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[PMID]: 28823336
[Au] Autor:Casiraghi M; Maisonneuve P; Piperno G; Bellini R; Brambilla D; Petrella F; Marinis F; Spaggiari L
[Ad] Address:Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy. Electronic address: monica.casiraghi@ieo.it.
[Ti] Title:Salvage Surgery After Definitive Chemoradiotherapy for Non-small Cell Lung Cancer.
[So] Source:Semin Thorac Cardiovasc Surg;29(2):233-241, 2017 Summer.
[Is] ISSN:1532-9488
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Following definitive chemoradiation therapy, 24%-35% of patients with locally advanced non-small cell lung cancer have recurrence. We aimed to evaluate the feasibility of salvage surgery after definitive chemoradiotherapy and perioperative morbidity and mortality rates to determine long-term survival. From June 2003 to June 2013, 35 patients were eligible for lung cancer resection owing to relapse after definitive chemoradiation therapy. All patients received cisplatin-based chemotherapy and definitive radiotherapy (mean Gy: 58) with curative intent and all underwent total body computed tomography scan and 18-fluoro-deoxyglucose positron emission tomography scan after the end of medical treatment and before surgery. Cyto-histologic confirmation was attempted in 20 (57%) patients. Six patients had exploratory thoracotomies. Twenty-nine patients underwent lung cancer resection: 11 lobectomies, 1 bilobectomy, and 17 pneumonectomies (7 right, 10 left). Complete resection was obtained in 27 of 35 (77%) patients. Thirteen (45%) patients underwent extended resection: intrapericardial pneumonectomy in 5 patients, vascular or bronchial sleeve resection in 2, atrial resection in 1, tracheal sleeve in 1, superior vena cava resection and reconstruction in 2 (1 with tracheal-sleeve resection), and chest wall resection in 2. Median time from chemoradiation therapy to resection was 7 months (range: 1-39). Viable tumor was found in 26 of 29 (89.6%) patients. Major complications occurred in 9 patients (25.7%). There were 2 (5.7%) perioperative deaths within 30 days. With a median follow-up of 13 months, postoperative 2- and 3-year survival rates after complete resection were 46% and 37%, respectively. Salvage lung resection after definitive chemoradiation therapy is feasible, with acceptable postoperative survival and complication rates.
[Mh] MeSH terms primary: Carcinoma, Non-Small-Cell Lung/therapy
Chemoradiotherapy
Lung Neoplasms/therapy
Neoplasm Recurrence, Local
Pneumonectomy
Salvage Therapy/methods
[Mh] MeSH terms secundary: Aged
Carcinoma, Non-Small-Cell Lung/diagnostic imaging
Carcinoma, Non-Small-Cell Lung/mortality
Carcinoma, Non-Small-Cell Lung/pathology
Chemoradiotherapy/adverse effects
Chemoradiotherapy/mortality
Feasibility Studies
Female
Humans
Lung Neoplasms/diagnostic imaging
Lung Neoplasms/mortality
Lung Neoplasms/pathology
Male
Middle Aged
Neoplasm Staging
Pneumonectomy/adverse effects
Pneumonectomy/mortality
Positron Emission Tomography Computed Tomography
Retrospective Studies
Risk Assessment
Risk Factors
Salvage Therapy/adverse effects
Salvage Therapy/mortality
Time Factors
Treatment Outcome
Whole Body Imaging/methods
[Pt] Publication type:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 171005
[Lr] Last revision date:171005
[Js] Journal subset:IM
[Da] Date of entry for processing:170822
[St] Status:MEDLINE

  9 / 6202 MEDLINE  
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[PMID]: 28816991
[Au] Autor:Li X; Li J; Rao X; Ao Q; Cao X; Huang Y; Zhang S; Fang X; Liu X; Xie M
[Ad] Address:aDepartment of Pulmonary and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan bKey Laboratory of Respiratory Diseases, National Ministry of Health of the People's Republic of China and National Clinical Research Center for Respiratory Disease cDepartment of Dermatology, Zhengzhou Maternal and Child Health Hospital, Zhengzhou dDepartment of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
[Ti] Title:A case report of tracheal inflammatory myofibroblastic tumor in a 34-week pregnant woman misdiagnosed with asthma.
[So] Source:Medicine (Baltimore);96(33):e7872, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:RATIONALE: Inflammatory myofibroblastic tumor (IMT) is an uncommon neoplastic entity with a tendency of local recurrence and a low risk of distant metastasis. Involvement of trachea is extremely rare. PATIENT CONCERNS: A 34-week pregnant woman previously diagnosed with asthma for 2 months was admitted with persistent wheezing and hemoptysis. A computed tomography scan and bronchoscopy revealed a gigantic polyp in the trachea. DIAGNOSES: Tracheal inflammatory myofibroblastic tumor. INTERVENTIONS: The mass was removed with an electrocautery snare and identified histologically as an IMT. Further immunochemical staining showed strong positive staining for smooth muscle actin and platelet-derived growth factor receptor α (PDGFRA), weak positive staining for caldesmon, and negative staining for anaplastic lymphoma kinase (ALK)1, desmin, S-100, and CD34. The tracheal IMT strongly expressed estrogen receptor-α (ER-α), which indicated that the development of this rare IMT might have been associated with hormone fluctuations that occurred during the pregnancy. OUTCOMES: Follow-up and histological analyses revealed no evidence of recurrence and metastasis. LESSONS: This report describes an extremely rare case of a tracheal IMT that presented a diagnostic dilemma for the clinician and the pathologist. Tracheal IMT is a challenge for the clinician in diagnosis due to the nonspecific clinical presentation. Histology and immunohistochemistry are required to reach an accurate diagnosis of IMT.
[Mh] MeSH terms primary: Asthma/diagnosis
Pregnancy Complications, Neoplastic/diagnosis
Soft Tissue Neoplasms/diagnosis
Tracheal Neoplasms/diagnosis
[Mh] MeSH terms secundary: Adult
Diagnostic Errors
Female
Humans
Pregnancy
Pregnancy Complications, Neoplastic/surgery
Soft Tissue Neoplasms/surgery
Tracheal Neoplasms/surgery
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170911
[Lr] Last revision date:170911
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170818
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007872

  10 / 6202 MEDLINE  
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[PMID]: 28816968
[Au] Autor:Yan X; Chen X; Li G; Chen S
[Ad] Address:aDepartment of Thoracic Surgery, Suzhou Traditional Chinese and Western Medicine Hospital bDepartment of Cardiothoracic Surgery, Suzhou Science & Technology Town Hospital cDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
[Ti] Title:Two-portal versus three-port video-assist thoracoscopic surgery for early stage nonsmall cell lung cancer: A retrospective study.
[So] Source:Medicine (Baltimore);96(33):e7796, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This study was conducted to compare the perioperative outcomes of two-portal and three-port video-assist thoracoscopic surgery (VATS) for early stage nonsmall cell lung cancer.In this retrospective analysis, 279 cases of two-port VATS with a single utility port and 152 cases of three-port VATS performed by our department from October 2010 to December 2014 were collected. The operative time, volume of intraoperative blood loss, number of dissected lymph nodes, volume of postoperative pleural drainage, postoperative extubation time, and duration of postoperative hospitalization were compared between these 2 groups.No statistically significant differences on the operative time, volume of postoperative bleed, and the number of dissected lymph nodes was noted between two-port and three-port video-assist thoracoscopic surgery. Less postoperative pleural drainage, shorter extubation time, and postoperative hospitalization were observed in the two-port VATS group when compared with those of three-port VTAS groupTwo-port VATS decreased operative postoperative pleural drainage and resulted in shorter extubation time and postoperative hospitalization compared with three-port VATS. Two-port VATS is a safe and feasible approach for early stage nonsmall cell lung cancer.
[Mh] MeSH terms primary: Carcinoma, Non-Small-Cell Lung/surgery
Lung Neoplasms/surgery
Thoracic Surgery, Video-Assisted/methods
[Mh] MeSH terms secundary: Aged
Airway Extubation
Blood Loss, Surgical
Drainage
Female
Humans
Length of Stay
Lymph Node Excision
Male
Middle Aged
Operative Time
Retrospective Studies
[Pt] Publication type:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Entry month:1709
[Cu] Class update date: 170911
[Lr] Last revision date:170911
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170818
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007796


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BIREME/PAHO/WHO - Latin American and Caribbean Center on Health Sciences Information