Squamous cell carcinoma of the pleura following bronchopleural fistula.
نویسندگان
چکیده
Squamous metaplasia of the pleura with malignant transformation was observed five months after the development of an empyema and bronchopleural fistula in a 58 year old woman with lingular bronchiectasis.
منابع مشابه
Squamous-cell carcinoma of the pleura.
There are few reports of primary malignant tumours of the pleura other than mesothelioma. Reports of squamous-cell carcinoma of the pleura are especially rare. Epidermoid carcinoma of the pleura may occur in connection with persistent empyema drained by a pleurocutaneous fistula or long-standing extrapleural pneumothorax without fistula.
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RATIONALE Numerous types of flap coverage have been reported to prevent or to repair bronchopleural fistulas. Most of the flaps were harvested from chest area. However, these pedicled flaps might not be optimal for the patient who has undergone previous radiotherapy on pulmonary parenchyma because the pedicle artery of the flap might have been injured by irradiation. Therefore, an alternative f...
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Case I A 62 year old man was admitted to the Central County Hospital with increasing cough, having had haemoptysis for two months. Investigations, including chest radiography, tomography, and bronchoscopy, showed a tumour of the left hilum that was almost occluding the left main bronchus, 3-4 cm distal to the carina. Biopsy confirmed a squamous cell carcinoma. No metastases were identified so a...
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Bronchopleural fistulas can occur as a rare but severe complication after pulmonary resection. Established guidelines for the proper treatment of patients with bronchopleural fistulas do not exist. Apart from attempts to close the fistula, emphasis is placed on preventive measures, early treatment with antibiotics, drainage of the empyema and aggressive nutritional and rehabilitative support. F...
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ورودعنوان ژورنال:
- Thorax
دوره 44 12 شماره
صفحات -
تاریخ انتشار 1989