[Mediastinal chemodectoma].
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Biomedical subjects
Publications and source records attributed to E Reboud.
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The authors report 35 cases of bony tumours of the thoracic wall and emphasize:--the necessity of wide removal even in the case of benign tumours to avoid possible relapses;--the use of rigid material which in the case of anterior parietal breaches, is alone able to give satisfactory solidity to the thoracic wall which is essential to ensure satisfactory respiratory mechanics;--the interest of surgery whether or not associated with radiotherapy or chemotherapy.
The authors report the observation of a tuberculous ganglio-oesophageal fistula which revealed itself through several severe digestive hemorrhages. On this occasion, they recall that these fistulae are unusual and exceptionally hemorrhagic. Diagnosis can only be made by a thorough endoscopic examination. If medical treatment can be envisaged when the tuberculous nature of the lesion has been ascertained, surgery is to be prefered in case of uncertain etiology; the intervetion enables the opening of the tuberculous abscess and, at the same time, the treatment of the oesophageal perforation and the suppression of hemorrhages.