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  • ISSN: 2379-0911
    Volume 3, Issue 1
    Case Report
    Laszlo Fustos1, Karoly Kovacs1*, Laszlo Fekete1, Csaba Olah1, Gabor Cserni2, Monika Bosko3 and Jozsef Pap-Szekeres1
    Abstract:
    Desmoid tumours in the chest are rare borderline tumours. The primary treatment of a tumour is the radical surgical resection. We present the case of a 23-year-old woman who had surgical resection by right breast tumor. The CT examination showed infiltration of sternum margin and some ribs. We resected the tumour together with a half of the right breast and performed the partial resection of the sternum and four ribs. We reconstructed the chest wall by artificial mesh graft and right TRAM flap.
    The patient did not receive oncological treatment. 6 years after the surgical treatment the patient is symptoms and recurrence free.
    Letter to Editor
    Nilgun Kanlioglu Kuman* and Salih Cokpinar
    Summary: Silicosis is one of the oldest occupational diseases and causes the death of thousands of people worldwide every year. It is irreversible and progresses even after the exposure is over. Moreover, the lung transplantation may be the only change of the patients for treatment. But, is the intrathoracic ekstra pericardial lung transplantation suitable for all of these patients? We had an occasion to evaluate hilar and mediastinal structures in a case undertaken to lung volume reduction surgery. We observed multiple mediastinal calcified lymph nodes from superior paratracheal to inferior ligament and each were bounded by a fibrous tissue. In particular, lymph nodes of aortico-pulmonary window were conglomerated and adhered firmly so that we hardly performed mediastinal dissection. Mediastinal and visceral pleura were sclerotic and had lost their elasticity. Considering these findings; our opinion is that the extra pericardial mediastinal dissection of the vessels could not be carried out safely and surgeons should make provision against an intrapericardial vessel anastomosis.
    Review Article
    Nilg√ľn Kanlioglu Kuman1* and Ozge Karakaya2
    Abstract: The chest wall is a region where the primary and metastatic neoplasms are detected rarely. Many histological types have been reported; however, smooth muscle neoplasms originating from chest wall are extremely uncommon and only a few primary tumors have been reported. The leiomyoma is a benign smooth muscle tumor which is generally determined in the urinary tract and occasionally in the gastrointestinal tract within the chest cavity. The chest wall leiomyoma develops from the extrapleural connective tissue where lots of small vessels exist. Clinically, they can be asymptomatic and are usually detected incidentally; or might present with chest pain. They cannot be differentiated from other tumors of the pleura or the chest wall, radiologically. Most of the cases present with solitary pleural- based mass and the definite diagnosis can only be made by the histological examination. Surgery is essential to confirm histopathological type and it is curative treatment option. Resection of tumor can be performed via video-thoracoscopic surgery if tumor's radiological properties are suitable. But, the data from the literature show that generally thoracotomy has been used as the main prosedure. Futhermore, some of the cases had needed chest wall resection and reconstruction. Despite its known to have benign histological features; smooth muscle tumors of the pleura have a potential for malignant transformation. Therefore, a complete resection of chest wall and strict follow-up for all patients is strongly advised.
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