Asunto(s)
Neoplasias de los Bronquios , Carcinoma de Células Escamosas , Neoplasias Primarias Múltiples , Neoplasias de Oído, Nariz y Garganta , Adulto , Anciano , Neoplasias de los Bronquios/patología , Neoplasias de los Bronquios/cirugía , Carcinoma de Células Escamosas/patología , Carcinoma de Células Escamosas/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias Primarias Múltiples/patología , Neoplasias Primarias Múltiples/cirugía , Neoplasias de Oído, Nariz y Garganta/patología , Neoplasias de Oído, Nariz y Garganta/cirugía , Pronóstico , Factores de TiempoAsunto(s)
Anemia Hemolítica Autoinmune/complicaciones , Neoplasias del Mediastino/complicaciones , Teratoma/complicaciones , Anemia Hemolítica Autoinmune/inmunología , Niño , Prueba de Coombs , Femenino , Humanos , Inmunoglobulina G/análisis , Neoplasias del Mediastino/inmunología , Neoplasias del Mediastino/cirugía , Teratoma/inmunología , Teratoma/cirugíaRESUMEN
The authors report on a series of 255 thymomas and the associated diseases most often auto-immune, myasthenia is the disease most frequently encountered (61% of cases). Next, but with a much reduced frequency of around 2%, come other diseases such as hypogammaglobulinaemia, erythroblastopenic anaemia, and disseminated lupus erythematosis. The authors analyse the effect of ablating the thymoma on the associated disease; those with myasthenia are the principal beneficiaries of thymic ablation, 83% in this series experiencing a good response. Besides myasthenia only erythroblastopenic anaemia obtained some benefit from thymic ablation; in all the other cases surgery to the thymic tumour had no benefit on the associated disease. In the light of their own experience the authors made a review of the literature of the different diseases associated with thymomas and made the point of the efficacy of thymectomy in the different diseases.
Asunto(s)
Timoma/complicaciones , Neoplasias del Timo/complicaciones , Agammaglobulinemia/complicaciones , Anemia Aplásica/complicaciones , Enfermedades Autoinmunes/complicaciones , Humanos , Miastenia Gravis/complicaciones , Timectomía , Timoma/cirugía , Neoplasias del Timo/cirugíaRESUMEN
From 1979 to 1986, we replaced the superior vena cava with polytetrafluoroethylene grafts in 13 patients to enable resection of malignant mediastinal or pulmonary tumors. Five prostheses could be interposed between a tumor-free proximal superior vena cava and right atrium while eight required separate innominate anastomoses (Y grafts constructed intraoperatively). There were no deaths. Phlebograms obtained 15 to 30 days after the operation demonstrated patency in 12 of 13 patients. Long-term (average 24 months) patency was evident in eight. Five patients are alive at 1, 3, 40, 49, and 60 months, a cumulative survival rate of 27% at 3 years.
Asunto(s)
Prótesis Vascular , Neoplasias Pulmonares/cirugía , Neoplasias del Mediastino/cirugía , Politetrafluoroetileno/uso terapéutico , Vena Cava Superior/cirugía , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Grado de Desobstrucción VascularAsunto(s)
Neoplasias Pulmonares , Linfangiomioma , Trastornos Linfoproliferativos , Adulto , Femenino , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , Linfangiomioma/diagnóstico , Linfangiomioma/secundario , Linfangiomioma/terapia , Trastornos Linfoproliferativos/diagnóstico , Factores de TiempoRESUMEN
Surgery has few indications in the treatment of small lung carcinoma. It is currently being evaluated for combined radiotherapeutic/chemotherapeutic treatment strategies.
Asunto(s)
Carcinoma de Células Pequeñas/cirugía , Neoplasias Pulmonares/cirugía , Carcinoma de Células Pequeñas/tratamiento farmacológico , Carcinoma de Células Pequeñas/mortalidad , Carcinoma de Células Pequeñas/patología , Terapia Combinada , Humanos , Neoplasias Pulmonares/tratamiento farmacológico , Neoplasias Pulmonares/mortalidad , Neoplasias Pulmonares/patología , Estadificación de Neoplasias , PronósticoAsunto(s)
Enfermedades de los Conductos Biliares/congénito , Fístula Biliar/congénito , Fístula/congénito , Enfermedades de la Tráquea/congénito , Adulto , Factores de Edad , Enfermedades de los Conductos Biliares/cirugía , Fístula Biliar/diagnóstico por imagen , Fístula Biliar/cirugía , Femenino , Fístula/diagnóstico por imagen , Fístula/cirugía , Humanos , Radiografía , Enfermedades de la Tráquea/diagnóstico por imagen , Enfermedades de la Tráquea/cirugíaAsunto(s)
Neoplasias Esofágicas/diagnóstico , Leiomioma/diagnóstico , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The authors report a case of pulmonary metastasis which exceptionally occurred 19 years after hysterectomy for uterine choriocarcinoma. They use this opportunity to take stock of our present knowledge concerning this subject by reviewing a vast literature. This case is of interest, as it provides a new element to the theoretical study of carcinogenesis.