PubMed · 7555098
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D L Shriner, R A Schwartz, C K Janniger. 1995. Impetigo.. https://pubmed.ncbi.nlm.nih.gov/7555098/
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BACKGROUND AND OBJECTIVE: We have widely used a Ho:YAG laser to treat bullae thoracoscopically. STUDY DESIGN/MATERIALS AND METHODS: Bullae with broad necks were treated with a Ho:YAG laser thoracoscopically. Because one patient relapsed after application of fibrin glue in the early period, a DEXON (polyglycolic acid) mesh patch soaked in fibrin glue was used through a 2-cm opening in the subsequent cases. Lastly, gelatin-resorcinol formaldehyde-glutaraldehyde (GRFG) glue was applied through a 5-mm opening instead of a DEXON mesh after coagulation. RESULTS: In the 38 patients patched with DEXON mesh soaked in fibrin glue and 56 patched with GRFG glue after coagulation, none relapsed. CONCLUSION: Combined uses of fibrin glue plus DEXON mesh or GRFG glue were effective when bullae were treated with the Ho:YAG laser. However, the wound was smaller and more cosmetic in the GRFG glue group than in the DEXON mesh plus fibrin glue group.
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Several cases of lung cancer lying within giant bullae have been reported in recent years, such that some authors have posited an association between the two diseases. We describe a patient with a diagnosis of giant bulla in the right lung who presented carcinoma of the lung found within the bulla ten years later. After carrying out a MEDLINE (CD-ROM 1980 to 2000) search of the literature, we agree with other authors on the need to follow the course of patients with bullous lung disease in order to detect the possible development of lung cancer and initiate early treatment.