• 제목/요약/키워드: Thoracic neoplasms

검색결과 357건 처리시간 0.017초

종격동 신생물의 수술적 치료 (Surgical Treatment of Mediastinal Neoplasms)

  • 박경택;류지윤;김연수;김창영;장우익
    • 대한기관식도과학회지
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    • 제13권2호
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    • pp.34-39
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    • 2007
  • Background: The mediastinum is the anatomic space which is restricted and the clinical aspect varies according to location, size and type of neoplasm. Diagnostic and therapeutic approaches to mediastinal neoplasms have changed over and over. We presented our recent therapeutic experiences with these neoplasms. The object and method: The 36 patients were treated in operation from 2000 until 2006. The male patients were 20 and the female patients were 16. Age of the patients ranged from 5 to 70, and the median age was $46.4{\pm}21.9$. The child patients were two. Result: The most prevalent anatomic distribution of the neoplasm was anterosuperior mediastinum. The most common neoplasm was thymoma, followed by thymic cyst, teratoma, ganglioneuroma. The complete excison of neoplasm was accomplished in 96% of patient group except thymoma patient group. One patient underwent total thymectomy, and the other 12 patients underwent extended thymectomy from 13 thymoma patient group. In the malignant neoplasm, 7 patients were received additional treatment after operation. There was short-term death of 1 person and late death of 1 person. Conclusion: Our results except clinical manifestation are compared favorably with other reports. Surgery is the management of choice for patients with mediastinal neoplasm and early curative resection is considered to optimize clinical outcome for patients.

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Thymoma of the Middle Mediastinum

  • Chung, Su-Ryeun;Kim, In-Sook;Kim, Jhin-Gook
    • Journal of Chest Surgery
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    • 제45권4호
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    • pp.267-268
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    • 2012
  • Thymoma is a common anterior mediastinal mass, although thymomas have occasionally been found in the neck, pulmonary hillus, or posterior mediastinum. But a thymoma within the middle mediastinum has rarely been reported. We report a thymoma arising in the middle mediastinum with a review of the literature.

Video-Assisted Thoracic Surgery Intrathoracic Anastomosis Technique

  • Seong, Yong Won
    • Journal of Chest Surgery
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    • 제54권4호
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    • pp.286-293
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    • 2021
  • The extracorporeal anastomosis technique for video-assisted thoracoscopic surgery (VATS) intrathoracic esophagogastric anastomosis is a convenient, easy technique to use in VATS esophagectomy. The surgeon can assess the viability and the status of the gastric conduit, and the introduction of a circular stapler can be easily done under direct vision extracorporeally, enabling easy and simple VATS intrathoracic anastomosis between the esophagus and the gastric conduit.

Toll-like Receptor 5 Agonism Protects Mice from Radiation Pneumonitis and Pulmonary Fibrosis

  • Wang, Zhi-Dong;Qiao, Yu-Lei;Tian, Xi-Feng;Zhang, Xue-Qing;Zhou, Shi-Xiang;Liu, Hai-Xiang;Chen, Ying
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4763-4767
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    • 2012
  • Radiation pneumonitis and pulmonary fibrosis are the main complications with radiotherapy for thoracic neoplasms, directly limiting the efficient dose in clinical application and currently there are few medicines that effectively function as radioprotectants. However, a TLR5 agonist, CBLB502, was confirmed to have protective efficacy against hematopoietic and gastrointestinal radiation syndromes in mice and primates. This study points to a new direction for protection against thoracic radiation-induced pulmonary syndromes and skin injury by CBLB502. We utilized the TUNEL assay, pathological analysis and immunohistochemistry to obtain evidence thatCBLB502 could alleviate the occurrence of radiation pneumonitis and pulmonary fibrosis as well as radiation-induced skin injury. It may thus play a promising role in facilitating clinical radiotherapy of thoracic neoplasms.

흉복부 절개를 이용한 식도와 위에 발생한 거대 악성 위장관 간질 종양의 절제 (Excision of Malignant Gastrointestinal Stromal Tumor of Distal Esophagus and Stomach using Thoracoabdominal Incision)

  • 황진욱;손호성;조종호;박성민;이송암;선경;김광택
    • Journal of Chest Surgery
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    • 제38권7호
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    • pp.514-517
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    • 2005
  • 위장관 간질 종양은 위장관 전역에서 발생하며 그 중 위와 소장 등에 많이 생기며 식도에서도 발생한다. 44세 남성이 연하곤란과 체중감소를 주소로 내원하여 시행한 상부 위장관 내시경 검사 및 흉부 전산화 단층 촬영에서 식도 하부의 완전폐쇄, 위의 전방 편위 소견과 중앙부 괴사를 동반하는 최대 직경 15cm 정도의 저음영의 거대 종괴를 보여 흉복부 절개를 이용하여 하부 식도 및 위전적출술을 시행하였다 종양은 CDl17 (c-kit)와 CD34에서 양성을 보여 악성 위장관 간질 종양으로 확진되었으며 현재 외래 추적관찰 중이다.

Aberrent Thoracic Duct Cyst in Postrior Mediastinum

  • Park, Soo Jin;Park, Seonng Yong;Choi, Ho
    • Journal of Chest Surgery
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    • 제48권3호
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    • pp.225-227
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    • 2015
  • Thoracic duct cysts in the upper portion of the diaphragm are mostly found in the neck and are rarely found in the mediastinum. Thoracic duct cysts should be differentiated from other mediastinal tumors or cysts, and surgical treatment is required to avoid the development of chylothorax if the cyst ruptures. Herein, we report the case of a patient with a thoracic cyst located just above the diaphragm that was treated with surgical resection.

Single-port Video-Assisted Thoracic Surgery for Lung Cancer

  • Kang, Do Kyun;Min, Ho Ki;Jun, Hee Jae;Hwang, Youn Ho;Kang, Min Kyun
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.299-301
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    • 2013
  • Video-assisted thoracic surgery (VATS) is a minimally invasive technique that has many advantages in postoperative pain and recovery time. Because of its advantages, VATS is one of the surgical techniques widely used in patients with lung cancer. Most surgeons perform VATS for lung cancer with three or more incisions. As the technique of VATS has evolved, single-port VATS for lung cancer has been attempted and its advantages have been reported. We describe our experiences of VATS for lung cancer with a single incision in this report.

Schwannoma of the Heart

  • Hwang, Su Kyung;Jung, Sung-Ho
    • Journal of Chest Surgery
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    • 제47권2호
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    • pp.141-144
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    • 2014
  • We present a case of a 55-year-old woman who complained of chest pain at rest. A mass was detected adjacent to her left atrium. The mass was completely excised, and a pathologic examination revealed it to be a schwannoma. Schwannomas are tumors that originate in the nerve sheath and are rarely detected in the heart. Here, we describe a rare case of primary schwannoma of the left atrium.

Successful Management of a Recurrent Primary Malignant Fibrous Histiocytoma of the Lung: Report of a Case

  • Jeon, Yun-Ho;Park, Ki-Sung
    • Journal of Chest Surgery
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    • 제45권5호
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    • pp.345-347
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    • 2012
  • We describe herein an extremely rare case of a recurrent primary pulmonary malignant fibrous histiocytoma 3 months after operation that occurred in a 55-year-old man who was treated with chemotherapy and radiotherapy successfully. Until now, 36 months later, the patient has shown no evidence of tumor recurrence. The clinical, radiographic, and pathologic features are reported here together with a brief review of the literature.

Robot-Assisted Thoracic Surgery Thymectomy

  • Park, Samina
    • Journal of Chest Surgery
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    • 제54권4호
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    • pp.319-324
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    • 2021
  • Robotic thymectomy has been adopted recently and has been shown to be safe and feasible in treating thymic tumors and myasthenia gravis. The surgical indications of robotic technology are expanding, with advantages including an excellent surgical view and sophisticated manipulation. Herein, we describe technical aspects, considerations, and outcomes of robotic thymectomy.