[A rare tracheal tumor: malignant fibrous histiocytoma. A case report and review of current data and the published literature (author's transl)].
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Biomedical subjects
Publications and source records attributed to J Pietri.
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A patient with bronchopulmonary sequestration presented a clinical picture of dissection of the aorta following rupture of a bronchial artery aneurysm. Because of the rare nature of this type of lesion comments are limited to a description of the clinical history, angiographic images, surgical procedures, and operative findings in this case, these raising questions that cannot always be answered.
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Out of 75 patients with hepatic injury, 31 sustained a rupture of the liver (group I) and 44 a linear wound (group II). The mean duration of temporary total disability (TTD) was 65 days for patients in group I and 45 days for those in group II. The rate of permanent partial disability (PPD) varied from 8 to 30% in group I and from 5 to 7% in group II. In sutured wounds TTD was 45 days on average and PPD ranged from 0 to 10%. After tissue resection for ruptured liver the corresponding figures were 65 days and 10 to 40% respectively.
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This study deals two cases of operated bronchial muco-epidermoid tumours. They were localized in both cases in the segmentary bronchi (apical ones of lower lobes), one mostly endo-bronchial, the other with an endo-exobronchial development. The histological diagnosis was done after the thorough analysis of the surgical specimen revealed the association of two cell types characteristic of these tumours: mucus producing cells and epidermoid cells. Evolution differs in both cases, as the first observation revealed the existence of a potentially benign tumour, while in the second it behaved like a truly malignant one with local recurrence, regional invasion and distant metastases.
This study was done on a case of segmentary bronchial atresia of the left upper lobe. It is an exceptional congenital malformation, as only 47 observations have been so far recorded. Diagnosis was essentially radiological. The standard chest X ray and tomographies revealed an area of segmentary and lobar transparency surrounding a para-hilar lump. Diagnosis was confirmed by bronchography revealing the lack of injection into the atretic bronchus. Possible infectious complications and the evolution of bronchiectasis and obstructive emphysema justify the surgical exeresis.
The authors report 50 cases of dorsal sympathectomy followed up on the cardiovascular surgery unit of the Amiens University Hospital over a period of six years. The authors then formulate a number of reflexions concerning the clinical findings, the therapeutic indications, and the way of assessing the results of this operation in vascular syndromes of the upper limb. This is a plea in favour of this operation as, in most cases, no other treatment is comparable.
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