A case of mucoepidermoid carcinoma of the lung arising in a bronchial lumen that was difficult to diagnose by preoperative cytological examination

2020 ◽  
Vol 59 (5) ◽  
pp. 217-223
Author(s):  
Naoko MAEMOTO ◽  
Norio MOTODA ◽  
Takahiro MAKINO ◽  
Junichi OKAMOTO ◽  
Hirotoshi KUBOKURA ◽  
...  
Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
N. Weyer ◽  
R. Schoen ◽  
M. Metzger ◽  
R. Schmelzeisen

2013 ◽  
Vol 66 (6) ◽  
pp. 338-347
Author(s):  
László István Kecskés ◽  
Győző Bátor ◽  
Árpád Füredi ◽  
Pál Gehér ◽  
Béla Kiss ◽  
...  

AbsztraktBevezetés:A daganatos haláloki statisztikát vezető malignus hörgőtumorok eseteiben hosszú túlélésre csak a radikálisan operált betegek számíthatnak. Mégis, jól lokalizált, centrális és low grade malignomák kezelésében a tüdőmegtartó centrális bronchusplasztikáknak is helye lehet.Célkitűzés:A parenchymakonzerváló műtétek az egyik oldali teljes tüdő eltávolításának vagy az inoperabilitásnak a pozitív alternatívái lehetnek. Értékét a mortalitás, a szövődmények és a túlélés alapján lehet megítélni.Beteganyag és módszer:1985–2012 között 7130 hörgőcarcinomás beteget operáltunk. 80 centrális bronchoplasztikai műtétből7 esetben a jobb vagy bal főhörgő izolált vagy az egész bifurcatiós carina resectiója és a tüdő autotranszplantációja révén teljes tüdőmegtartást értünk el.A 4 nő és 3 férfi átlagéletkora 28,5 (14–58) év volt. 4 beteg carcinoid, 1 laphámrák, 1 mucoepidermoid carcinoma miatt, 1 beteg kissejtes tüdőrák (SCLC) miatti kemo-radioterápia (KRT) után került műtétre. 1 esetben izolált carina-, 1 betegnél balfőhörgő-, 5 betegnél jobbfőhörgő-resectio történt. Az anastomosist csomós PDS öltésekkel a műtéti területen át bevezetett steril tubus (6 beteg), illetve jet-katéter (1 beteg) felett varrtuk. A betegeket műtét után extubáltuk.Eredmények:Műtéti mortalitás nem volt. A korai posztoperatív szakban ismételt bronchoscopos leszívásokat alkalmaztunk. A SCLC miatt operált betegnél subacut anastomosisstenosis miatt kétoldali ideiglenes stentimplantációt alkalmaztunk. 174 hónapja él, Karnofsky-index 90%. 5 másik beteg is tumorrecidíva, metastasis nélkül él. A laphámrák miatti izolált jobbfőhörgő-resecált beteg 83 hónap után bal oldali disseminált kissejtes tüdőrák miatt exitált.Átlagos túlélés: 118 hónap (7–233).Következtetések:Fiatal betegeknél, lokalizált centrális főhörgő rosszindulatú daganatok szelektált eseteiben, izolált carina-főhörgő resectióval nemcsak teljes tüdőmegtartás, hanem hosszú túlélés is elérhető. Az irodalomban vannak hasonlóan sikeres, kisebb szériák és esetbemutatások (összes esetszám 200 alatt), de hosszú távú eredményekről kevés az adat. Hazánkban ez a legnagyobb széria, eredményeink nemzetközi kitekintéssel mérve is helytállóak.


2006 ◽  
Vol 68 (6) ◽  
pp. 640-643
Author(s):  
Rie WATANABE ◽  
Takao UCHIDA ◽  
Masaki AKIYAMA ◽  
Hirohiko SUEKI ◽  
Masafumi IIJIMA ◽  
...  

2019 ◽  
Vol 24 (3) ◽  
pp. 264-268
Author(s):  
I. V. Firsova ◽  
S. V. Poroiskiy ◽  
Yu. A. Makedonova ◽  
Yu. M. Fedotova

Relevance: red lichen planus refers to a long, protracted disease with a chronic course. There are a lot of root causes, it is quite difficult to differentiate them. Therefore, pharmacotherapy of this pathology is reduced to the appointment of local drugs that have only symptomatic effects that help accelerate the healing of the oral mucosa.Purpose – to study reparative regeneration based on the analysis of clinical and cytological examination on the background of the appointment of various methods of pharmacotherapy.Materials and methods: all patients were divided into two groups using simple randomization: in patients of the first group, betamethasone B was used to treat erosive-ulcerative lesions, which were delivered to the lesion using Tisol, which has conductive transcutaneous activity, using the sandwich technique. The second group of patients used the drug delivery system in the form of a film, which fixed betamethasone B in the lesion area.Results: were evaluated before treatment, on day 7 and 14. The area and intensity of healing of the oral mucosa were determined, a qualitative and quantitative analysis of cytograms was carried out, which characterizes the dynamics of reparative regeneration of erosions and ulcers.Conclusion: based on the obtained clinical and laboratory data, it can be concluded that it is advisable to include betamethasone applications in the pharmacotherapy of patients with erosive and ulcerative forms of lichen planus. However, preference should be given to the method of layer-by-layer application of betamethasone B in combination with Tezol.  


2018 ◽  
Vol 64 (3) ◽  
pp. 384-387
Author(s):  
Viktor Novik ◽  
D. Dreval

Cytohistological comparisons to the account of the clinical data and revision of cytological and histological preparations on a material received from 21 patients are made. Cytomorphological features of juvenile nevi (Spitz-nevus, Reed-nevus), dysplastic and atypical nevi and early forms of melanoma are described. The establishment at cytological examination of good-quality character of melanocytic defeats at the account of the clinical data could be the basis for appointment laser therapy. At revealing of atypical melanocytes in cytological preparations patients should be referred to specialized oncological institutions for surgical excision of tumor with the subsequent histological examination. Thus cytological examination could be used in dermatological practice as a method of screening pre-malignant melanocytic tumors and skin melanoma.


2017 ◽  
Vol 63 (3) ◽  
pp. 475-478
Author(s):  
Alla Mikhetko ◽  
Dmitriy Zakharov ◽  
V. Perov ◽  
I. Belova

The results of 205 puncture biopsies of solid and cystic pancreatic lesions performed in 202 patients at the Republican Oncological Dispensary of the Republic of Karelia for a 7-year period (2009-2015) are presented. Informative material for morphological investigation was obtained in 95.5% of cases. A comparison of results of cytological examination of the material from 56 patients with pancreatic lesions with histological data was carried out. The efficiency of the cytological method was 90.6%, sensitivity - 87.8%, specificity - 100%. To determine histological form of tumor in cytological examination of the material of the pancreas was successful in 82.1% of cases.


2017 ◽  
Vol 63 (6) ◽  
pp. 894-899
Author(s):  
Viktor Novik ◽  
A. Nefedova ◽  
Ye. Yakubo ◽  
O. Ivanov ◽  
Yekaterina Shalina ◽  
...  

Cytological examination of smears from the sediment after centrifugation of pleural fluids was performed in 479 patients who underwent examination and treatment at our institution in 2014-2016. In 249 (52%) patients tumor cells were not detected in smears, in 230 (48%) observations a suspicion (28 observations) or a confident conclusion (202 observations) on the presence of malignant tumor cells in the exudates was cytologically expressed. In 38 cases immunocytochemical studies was additionally performed. In two observations a false-negative conclusion about the absence of tumor cells in smears was expressed. The sensitivity of the cytological study in the diagnosis of malignant pleuritis was 99.0%. Affirmative cytological conclusions on the presence of malignant pleuritis were given in 87.0% of observations, suspicious cytological responses - in 12.0% of cases. Immunocytochemical studies significantly expanded the possibilities of cytological research and were of great importance in the diagnosis of metastases of tumors of unknown primary localization.


2017 ◽  
Vol 33 (1) ◽  
pp. 39-41
Author(s):  
Hun Hee Baek ◽  
◽  
Seok Jung Hong ◽  
Mi Ji Lee ◽  
Seung Woo Kim ◽  
...  

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