1/17. Primary posterior chest wall echinococcosis.Hydatid cyst is not mentioned among the chest wall tumours in areas not known to harbour echinococcosis. One of the uncommon sites for echinococcosis even in endemic countries is the chest wall. The striking resemblance between neoplasm and hydatid cysts forms a diagnostic dilemma and makes the correct diagnosis essential before surgery.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
2/17. myositis ossificans of the chest wall simulating malignant neoplasm.myositis ossificans originating from the chest wall is extremely rare. We report a case of myositis ossificans occurring in a young woman with progressive painful swelling in the chest wall. Preoperative examination suggested a malignant neoplasm originating from soft tissue. Although rare, myositis ossificans is one of the potential causes of painful swelling in the chest wall, and can be mistaken for a malignant neoplasm.- - - - - - - - - - ranking = 6.6413471317094keywords = neoplasm, soft (Clic here for more details about this article) |
3/17. Thoracolithiasis--a mobile calcified nodule in the intrathoracic space: radiographic, CT, and MRI findings.We present a 74-year-old male patient with a mobile thoracolithiasis of 1x1 cm in diameter in the left intrathoracic space that was visualized by chest radiography and CT examinations. This calcified nodule was thought to have originated from a lipoma that had arisen from the pleura or the peripheral region of the lung, or from pericardial fat, then degenerated, dropped, and entered into the intrathoracic space, where it became calcified. The central core of this nodule showed high intensity on T1- and T2-weighted MR images, suggesting that the core was a soft tissue component, probably fat.- - - - - - - - - - ranking = 0.64134713170945keywords = soft (Clic here for more details about this article) |
4/17. Tumour-like presentation of pulmonary sarcoidosis.We report a case of pulmonary sarcoidosis, which initially presented as a left apical infiltrate. The later course mimicked a pulmonary neoplasm, with left upper lobe atelectasis secondary to bronchial stenosis, resulting from both endobronchial sarcoidosis and extrinsic compression by enlarged lymph nodes. Extrinsic pressure from sarcoid nodes on the left main pulmonary artery and recurrent laryngeal nerve, also caused a reduction in pulmonary parenchymal perfusion and left vocal cord paresis.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
5/17. Case report 750: aspergillosis of the chest wall in an apparently immunocompetent host.This is a case of aspergillosis of the bone and soft tissues of the chest wall in a (probably) immunocompetent host. The areas of involvement and different types of this disease are described. The A. flavus group, which presumably was responsible for this involvement of the chest wall, is very uncommon as a pathogen in humans.- - - - - - - - - - ranking = 0.64134713170945keywords = soft (Clic here for more details about this article) |
6/17. Thoracic splenosis twenty-nine years after traumatic splenectomy mimicking intrathoracic neoplasm.Thoracic splenosis refers to a condition of ectopic splenic tissue in the thoracic cavity. It is usually a consequence of splenic tissue seeding in the pleural cavity after thoracoabdominal trauma. A rare case of thoracic splenosis, in a 62-year-old man who had had a traumatic splenectomy due to thoracoabdominal trauma 29 years earlier, is reported. The patient, a heavy smoker, was admitted for evaluation of a left-side thoracic lesion discovered on a plain chest film. bronchoscopy, CT scan and needle biopsy proved inconclusive for the diagnosis. Exploratory thoracotomy was necessary to establish the diagnosis. During the operation, a thoracic splenosis was confirmed. To date, only 28 cases of thoracic splenosis have been reported in the literature. The purpose of this report is to present a new case of splenosis of the thoracic cavity simulating intrathoracic neoplasm.- - - - - - - - - - ranking = 5keywords = neoplasm (Clic here for more details about this article) |
7/17. actinobacillus actinomycetemcomitans pneumonia with chest wall involvement and rib destruction.There are four cases of actinobacillus actinomycetemcomitans pulmonary infections reported in the English literature prior to 1990. We report a case of A actinomycetemcomitans pulmonary infection with invasion of overlying soft tissue, rib, and sternum. This manifestation has not been previously reported. The clinical manifestation is similar to that of actinomyces israelii, which may be misinterpreted as malignancy initially. The portal of entry of A actinomycetemcomitans may be via hematogenous spread or aspiration. The diagnosis depends on culture after prolonged incubation of the involved tissue obtained by aspiration or biopsy. Elevated serum antibody is helpful for diagnosis of active infection. A actinomycetemcomitans is susceptible to most antibiotics, but is frequently resistant to penicillin, vancomycin, clindamycin, and erythromycin. Isolation of the organism and an in vitro drug sensitivity testing are important in managing the patient. Our patient recovered after a three-month regimen of penicillin.- - - - - - - - - - ranking = 0.64134713170945keywords = soft (Clic here for more details about this article) |
8/17. Juvenile xanthogranuloma of the paravertebral soft tissue in infancy: a report of two cases.We report 2 cases of paravertebral soft tissue lesions with the histologic features of juvenile xanthogranuloma, both of which occurred in infants. Juvenile xanthogranuloma situated in the soft tissue is rare. We describe 2 cases with similar clinical and pathologic features; there has been no recurrence at 1 and 2 years after excision, respectively.- - - - - - - - - - ranking = 3.8480827902567keywords = soft (Clic here for more details about this article) |
9/17. osteoradionecrosis of the thoracic wall and its surgical management.Four patients with disabling radiation defects of the chest involving skeletal and soft tissues were successfully treated with a one stage breast flap. Closure of the defect resulted after an uncomplicated and safe operation. safety and reduced morbidity are hallmarks of the breast flap repair for this difficult problem. Although alternative methods can be used, the preparation of staged flaps and postoperative problems in major myocutaneous flaps increase the risk of such therapy and the hospital stay for these elderly, debilitated patients. The low morbidity of this one stage flap with a minimal hospital stay make this treatment a very viable and appealing alternative for patients whose long-term prognosis is exceedingly poor.- - - - - - - - - - ranking = 0.64134713170945keywords = soft (Clic here for more details about this article) |
10/17. Immunology and thoracic surgery.This report reviews the current status of three types of diseases in which knowledge of immunology is changing the practice of thoracic surgery. Evidence is presented for myasthenia gravis being an autoimmune disease. thymectomy is widely considered to be the therapy of choice for patients with generalized myasthenia regardless of age or sex. Opportunistic pulmonary infections of unusual types are being encountered frequently in patients receiving immunosuppressive drugs for organ transplantation or malignancy. The important role of bronchial brushing and open lung biopsy is stressed. immunotherapy of several types is currently being investigated experimentally and clinically and promises to change therapy for bronchogenic and esophageal neoplasms.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
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