Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease often not recognized until it is far advanced. Medical management does not reverse the effects of the disease, nor does it prevent its progression. Pulmonary thromboendarterectomy is the preferred treatment. We present the case of a patient in whom CTEPH was mistaken for an interstitial lung disease with mediastinal lymph node e...

BACKGROUND Although lobe-specific nodal spread of primary lung cancer has been recently described, segment-specific nodal spread remains unclear. We investigated the frequency of hailer and mediastinal lymph node involvement and survival in patients with tumors located in the superior segment (SS) and basal segment (BS) in the right lower lobe. METHODS Two hundred and sixty-three patients wit...

Patients with diffuse lymphoblastic lymphoma (which includes convoluted lymphocytic lymphoma) with mediastinal involvement have predictable progression of disease to a leukemic phase that is cytologically indistinguishable from acute lymphoblastic leukemia (ALL). Therefore we treated 12 patients with diffuse lymphoblastic lymphoma involving the mediastinum with therapy that is effective in ALL....

Liposarcomas are malignant tumors of mesenchymal origin and one the most common human soft tissue sarcomas. Primary mediastinal liposarcomas, first mentioned in 1939, account for less than 1% all tumors, whereas primary liposarcomas approximately localizations. Mediastinal a heterogeneous group with different morphology, which often characterized by aggressive disease course leading to patient’...

A 75 year-old man underwent right hemicolectomy for colon cancer 3 yrs and 6 months ago, followed by chemotherapy with capecitabine. One year and 10 months later, solitary liver metastasis was resected. Five months later, a bulky mediastinal mass of 6 cm in diameter was detected by chest computed tomography and he was referred to our department. The tumor was successfully extirpated by videotho...

Thallium (Tl) 201 and technetium (Tc) 99m tetrofosmin single-photon emission CT are routinely used in the evaluation of coronary artery disease. Mediastinal tumors demonstrate Tl 201 and Tc 99m tetrofosmin uptake. We report a 56-year-old man who developed chest pain after a previously successful angioplasty and stent of the left anterior descending coronary artery. He underwent a Tl 201, Tc 99m...

Flexible transbronchial needle aspiration (TBNA) provides access to mediastinal lymph nodes, but its role in staging bronchogenic carcinoma is unknown. To determine the efficacy and safety of this procedure for staging the extent of mediastinal disease, the results of TBNA performed during fiberoptic bronchoscopy in 39 patients without known extrathoracic metastases were reviewed. Flexible TBNA...

We read with interest the article by Dr. Sakuragi and colleagues concerning the iterative resection of recurrent thymic carcinoid [1]. I agree with the conclusion of the authors that aggressive surgical resection of such a neoplasm improves survival. This is an uncommon disease, and there is no sufficient experience in the English-language literature about the ‘ideal’ treatment. Due to its indo...

The presented observation describes an example of effective treatment the patient with disseminated destructive pulmonary tuberculosis preXDR. included staged surgery using original method anterior mediastinum plasty a mesh implant. resulted in following outcomes: stabilization tuberculous disease, persistent sputum conversion, minimization overdistension only lung, absence mediastinal hernia a...