Wedge resection vs lobectomy: 10-year survival in stage I primary lung cancer.

Background: The selection of lobectomy or wedge resection in the treatment of patients with stage I primary lung cancer remains controversial. Clinical judgment based on comorbidities remains the main decision factor. We investigated the impact of procedure on long-term survival in a multicenter retrospective analysis.

Dysphagia lusoria: a complication following gastric bypass surgery?

A 23-year-old Caucasian female presented with progressive dysphagia beginning 5 months following laparoscopic gastric bypass for morbid obesity. She was diagnosed with an aberrant right subclavian artery and underwent a combined right supraclavicular approach and left thoracotomy for resection, with reimplantation of the vessel to the ipsilateral carotid artery. The patient had complete resolution of symptoms.

Staged resection of bilateral pleuropulmonary blastoma in a two-month old girl.

Pleuropulmonary blastoma is a rare unilateral intrathoracic tumor of childhood. We report an unusual case of bilateral pleuropulmonary blastoma in a two-month old girl who underwent staged thoracotomies for complete wedge resection of both neoplasm. She remains well and tumor free two years after the operation.

Acute eosinophilic pneumonia associated with shock.

Objective: To describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability.

Design: Case report, clinical.

Settings: Tertiary care intensive care unit (ICU).

Second primary Barrett's adenocarcinoma after 19 years.

Because long survival after resection of esophageal carcinoma is uncommon, second esophageal cancers are rare. We report the case of a patient in whom adenocarcinoma developed within residual Barrett's esophagus 19 years after esophagectomy for stage IIb Barrett's adenocarcinoma. Implications relative to the type of operation and adequacy of resection are discussed.