Cases reported "Thoracic Diseases"

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1/8. Chest wall hamartoma. Report of two cases with secondary aneurysmal bone cysts.

    Chest wall hamartoma is a rare non-neoplastic benign lesion occurring in the neonatal period with particular clinical, radiological and pathological features. Histologically, it is composed of a mixture of bone trabeculae with spindle-cell stroma, chondroblast-like cells, and mature and immature hyaline cartilage. Aneurysmal bone cyst is a benign lesion that may arise secondary to several bone processes, such as giant cell tumor, chondrosarcoma, non-ossifying fibroma or osteosarcoma. We present two new cases of chest wall hamartoma with secondary aneurysmatic bone cyst formation studied with histological and immunocytochemical methods.
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2/8. Giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum.

    liver and lung are the most common sites of hydatid disease, but it can also be seen elsewhere in the body. Extrapulmonary intrathoracic location of the disease is rare. This case of giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum serves to illustrate that hydatid disease can produce various symptoms and that it may also exist in locations apart from lung and liver.
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3/8. Intrathoracic giant meningocele developing hydrothorax: a case report.

    A 67-year-old woman with neurofibromatosis type 1 presented with progressive dyspnea. Radiologic evaluation and magnetic resonance imaging revealed progression of a giant meningocele associated with hydrothorax. Laminoplasty with incision of the meningocele and dural plasty was performed, although nerve rootlets were killed. Microsurgical incision of the neck of the meningocele is a favorable operation even in large meningoceles such as the present case.
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4/8. life threatening chronic expanding hematoma of the thorax.

    A 73-year-old man presented with severe respiratory distress and systemic edema. diagnosis of chronic expanding hematoma (CEH) was made through examination of past and present radiographic studies. A giant mass lesion with surrounding calcification occupying the left hemi-thorax on the chest was demonstrated via computed tomography on admission, and a chest X-ray from 8 years previously revealed evidence of tubercular pleurisy. The patient's condition deteriorated rapidly after admission, necessitating urgent operative resection of the mass. The mass consisted of fresh and organized blood and demonstrated a calcified fibrous capsule, findings that are consistent with the diagnosis of CEH. Although the patient's condition improved following operative removal of the mass, he was ultimately diagnosed with postoperative empyema secondary to bronchopleural fistula, necessitating additional surgery.
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5/8. Tension teratothorax--a case report.

    Respiratory distress caused by a giant mediastinal teratoma is hitherto unreported. This communication presents the case history of an 8-year-old boy who presented with this serious problem, along with perforation of the chest wall.
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6/8. Nonmalignant lymphoid disorders of the chest.

    Several nonmalignant lymphoid disorders involve the lung parenchyma or the mediastinal or hilar lymph nodes. The pulmonary parenchymal lesions include lymphocytic interstitial pneumonitis, pseudolymphoma, and lymphomatoid granulomatosis. These disorders are generally not accompanied by lymph node enlargement. lymph nodes (e.g., in the mediastinum and hilum) are involved in lymphadenitis, giant lymph node hyperplasia, and a new and unclearly defined entity called angioimmunoblastic lymphadenopathy. An awareness of the distinction between these reactive disorders and lymphoma is important because the radiologic appearances may be similar. Histologic diagnosis is essential before treatment is initiated. With the exception of angioimmunoblastic lymphadenopathy and possibly of lymphadenitis, involvement of the pulmonary parenchyma associated with radiologic evidence of lymph node enlargement militates against the presence of any of these nonmalignant disorders.
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7/8. Giant spontaneous hematoma of the thoracic wall in a patient with rest syndrome.

    We report on a 56-year-old patient with systemic sclerosis of one and a half year's duration who was admitted with an acute soft tissue swelling over the left scapula and a marked reduction of joint mobility of the left shoulder. Over the following days, the swelling extended distally and a hemorrhagic discoloration developed, reaching down to the scrotum. Nuclear magnetic resonance imaging revealed a giant intermuscular hematoma between the serratus anterior and the costal muscles. This is the first report of an extensive spontaneous hematoma of the thoracic wall in a patient with progressive systemic sclerosis. Its development and unusual localization may be explained by both the underlying systemic sclerosis and the patient's previous profession as a trapeze artist. Hemorrhagic complications of systemic sclerosis are rare but should be watched for in these patients.
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8/8. Multiple giant disseminated pyogenic granuloma in three patients burned by boiling milk.

    BACKGROUND. Pyogenic granuloma is a common benign skin tumor. The multiple disseminated form of the disease is relatively rare. methods. We examined three patients who developed giant pyogenic granuloma after burns from boiling milk. The patients were a 1.5-year-old boy, a 5-year-old girl, and a 35-year-old woman, All three patients had second-degree burns over their face and trunk. RESULTS. In these patients, pyogenic granuloma had developed over the previously burned areas 2-3 weeks after exposure. The general condition of the patients remained good and all lesions involuted spontaneously. In a 6-month follow-up period no relapse of the lesions was seen. CONCLUSIONS. The cause for development of multiple giant pyogenic granulomas after burns from milk remains unknown, but milk proteins or other components of milk, microorganisms, or the burn itself may be causative factors.
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