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Posterior Intercostal Lymph Nodes Double Recurrence and Death Risk in Malignant Pleural Mesothelioma.
Ann Thorac Surg
July 2020
Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Background: Posterior intercostal lymph nodes, previously undescribed for cancer staging, are part of the lymphatic drainage of the pleural space. This study assessed the impact of posterior intercostal lymph nodes on survival in patients undergoing extended pleurectomy/decortication for malignant pleural mesothelioma.
Methods: As part of the thoracic lymphadenectomy, posterior intercostal lymph nodes were accessed by incising the endothoracic fascia at the level of the rib heads.
Pulmonary and mediastinal paragangliomas: rare endothoracic malignancies with challenging diagnosis and treatment.
J Thorac Dis
September 2018
Division of Pathology, Department of Emergency and Organ Transplantation, University of Bari "Aldo Moro", Bari, Italy.
Background: Pulmonary and mediastinal paragangliomas are rare tumors that may have neuroendocrine activity or be non-functional, incidental, in asymptomatic patients, or causing mass effect symptoms. Although being low-grade tumors, they can display an aggressive behaviour, developing local infiltration and distant metastases. We report our experience with three endothoracic paragangliomas and a Literature review, to point out diagnostic difficulties and problems related to surgical treatment.
View Article and Find Full Text PDFMini-open Lateral Retropleural Approach for Symptomatic Thoracic Disk Herniations.
Clin Spine Surg
February 2018
Department of Neurological Surgery, University of South Florida, Tampa, FL.
Background: Surgeries for symptomatic thoracic disk herniations (TDH) remain challenging.
Objective: A mini-open lateral retropleural approach is described and the clinical outcomes are reported.
Materials And Methods: A total of 23 patients underwent mini-open lateral retropleural diskectomy.
Nonoperative Management of a Large Extrapleural Hematoma after Blunt Chest Trauma.
J Emerg Med
August 2016
Department of Thoracic Surgery, Ramón y Cajal University Hospital, Madrid, Spain.
Background: An extrapleural hematoma (EH) is an uncommon and potentially life-threatening condition defined as the accumulation of blood in the extrapleural space between the parietal pleura and the endothoracic fascia. EH usually occurs after blunt thoracic trauma causing fractures of the sternum and ribs, which can tear the intercostal or internal mammary vessels. Typical radiological findings of EH are a biconvex opacity on the involved hemithorax and the so-called displaced "extrapleural fat sign.
View Article and Find Full Text PDFLymphoproliferative Disorders after Lung Transplantation: Clinicopathological Characterization of 16 Cases with Identification of Very-Late-Onset Forms.
Respiration
September 2016
Department of Pathology, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson, France.
Background: The incidence of posttransplant lymphoproliferative disorders (PTLD) has recently declined, but late cases are increasingly reported in lung transplant recipients.
Objectives: We present our experience with PTLD after lung transplantation, attempting to examine the distinguishing characteristics of early versus late cases.
Methods: We have reviewed clinical and pathological data of all cases occurring in our institution between 2001 and 2014.
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