Primary hemangiopericytoma of chest wall is very rate and only a few cases have ever been reported. The tumor aries from the capillary pericyte of Zimmerman. It is a highly vascular slow growing tumor which can be calssified as both malignant and benign varieties. We report a case of a 66 year-old man in whom recurrent hemangiopericytoma was treated by complete surgical excision. In October 1993 he had received surgical excision of hemangiopericytoma on posterior chest wall. For more than 6 years after the operation he was in good condition until a recurrent mass was found on the chest X-ray. The patient was discharged 9 days after the operation and is receiving radiotherapy.
Aged ; Capillaries ; Hemangiopericytoma* ; Humans ; Pericytes ; Radiotherapy ; Thoracic Wall* ; Thorax*

Direct anterior approach for lesions located anterior to the thecal sac is definitely superior to lateral or posterior approach in many respects. However, various anatomical obstacles and technical difficulties often hinder direct anterior approach. Thanks to ripe experience of retroperitoneal approach to the lumbar spine for anterior lumbar interbody fusion and total disc replacement, the authors could perform lumbar corpectomy and reconstruction by using midline retroperitoneal approach recently. During this approach, we repaired anterior longitudinal ligament also to reduce the risk of graft extrusion and to prevent erosion of vascular wall due to direct contact between metallic hardware, which was used for reconstruction of vertebral body, and major vessels.
Longitudinal Ligaments ; Spine ; Total Disc Replacement ; Transplants

Pulmonary endomertiosis is a rare disorder with the typical symptom of hemoptysis during menstruation (catamenial hemoptysis). We report a case of a 19-year-old woman, gravida 0, with 3-month history of catamenial hemoptysis which was confirmed with chest computed tomography. She was treated by means of thoracoscopic wedge resection for the right lesion and fuperior segmental resection through the left thoracotomy, successively. Preoperative fluoroscopy-guided hooking for thoracosopic target lwsion was helpful in circumstances with one lung anesthesia. Four months of follow-up after an uneventful discharge revealed out no recurrence of catamenial hemoptysis in symptoms and images.
Anesthesia ; Female ; Follow-Up Studies ; Hemoptysis* ; Humans ; Lung ; Menstruation ; Recurrence ; Thoracotomy ; Thorax ; Young Adult

BACKGROUND: Congenital cystic diseases of the lung are uncommon but they share similar embryogenic and clinical characteristics. MATERIAL AND METHOD: From 1972 to 1999, 46 patients were operated on in the Dept. of Thoracic Surgery at the YUMC. And we analysed the patients' charts for clinical presentations, managements and pathologic findings with chart of patients. RESULT: There were 17 males and 29 females, and mean age was 16.2 years. The main symptoms were 11 fevers due to recurrent infection, 10 dyspneas, and chest pain and sputum production etc. Thirteen patients were asymptomatic. There were 13 pulmonary sequestrations(PS), 12 congenital cystic adenomatoid malformations(CCAM), 12 bronchogenic cysts(BC), 5 cystic bronchiectasis(CB) and 4 congenital lobar emphysemas(CLE). Simple excision(resection) was performed in 8 patients, segmentectomy in 6 patients, lobectomy (with 1 operative mortality) in 31 patients, and pneumonectomy in one patient. The compli-cations were 4 pneumonias, one persistent air leakage and one empyema. CONCLUSION: We experienced surgical treatment of congenital cystic lung disease and reported them with literature review.
Chest Pain ; Dyspnea ; Empyema ; Female ; Fever ; Humans ; Lung Diseases* ; Lung* ; Male ; Mastectomy, Segmental ; Pneumonectomy ; Pneumonia ; Sputum ; Thoracic Surgery

The authors report two cases of spontaneous regression of disc herniation at the level adjacent to the anterior lumbar interbody fusion (ALIF) level. This phenomenon may be due to the increased tension on the posterior longitudinal ligament (PLL) by appropriate restoration of the disc height and lumbar lordosis, which is a mechanism similar to ligamentotaxis applied to the thoracolumbar burst fracture.
Animals ; Intervertebral Disc Displacement ; Longitudinal Ligaments ; Lordosis

The complications of the treatment of penile lesion are wide ranging, urethrocutaneous fistula being one of the less common. This complication affects the ventral aspect of the penis. We present a rare case of urethrocutaneous fistula after vaporization of penile lesion by CO2 Laser. One fistula was at ventral aspect of the penis. A 43-year-old male presented with passage of urine from one opening. He had undergone a vaporization by CO2 laser, 2 times. Urethrocutaneous fistula repairs was performed with biopsy of the edge of fistula site. Squamous cell carcinoma was confirmed. He subsequently underwent a partial penectomy. It is very important that biopsy was performed before vaporization of even small size skin lesion. This case is reported along with a brief review of the literature.
Adult ; Biopsy ; Carcinoma, Squamous Cell ; Cutaneous Fistula ; Fistula ; Humans ; Lasers, Gas ; Male ; Penile Diseases ; Penis ; Skin ; Volatilization

The common cause of tracheoesophageal fistula(T-E fistula) after tracheal intubation is ulceration and necrosis of the posterior wall of trachea by compression pressure generated by cuff. We experienced a young woman sustaining a T-E fistula which was found on the 12th day of intubation for cardiopulmonary resuscitation. Because spontaneous closure of the fistula is far uncommon, operative closure should be aimed for and should be done as soon as diagnosis is conformed. We delayed operative closure because of poor general condition of the patient. In spite of delayed reconstruction, the tracheal reconstruction itself was successful, but the patient died of peritonitis induced sepsis on the postoperative 41th day.
Cardiopulmonary Resuscitation ; Diagnosis ; Female ; Fistula ; Humans ; Intubation ; Intubation, Intratracheal* ; Necrosis ; Peritonitis ; Sepsis ; Trachea ; Tracheoesophageal Fistula* ; Ulcer

Cavernous hemangiomas of the mediastinum are rare tumors. A 3 year and 8 month-old female patient was referred because of an abnormal chest radiograph. Chest X-ray revealed abnormal shadow occupying nearly the entire left thoracic cavity. Surgical excision was performed and pathologic diagnosis was confirmed as 15X10 cm sized cavernous hemangioma. On the eighth postoperative day, the patient was discharged without any complications and has been followed up without any problems.
Diagnosis ; Female ; Hemangioma ; Hemangioma, Cavernous* ; Humans ; Infant ; Mediastinum* ; Radiography, Thoracic ; Thoracic Cavity ; Thorax

Cavernous hemangiomas of the mediastinum are rare tumors. A 3 year and 8 month-old female patient was referred because of an abnormal chest radiograph. Chest X-ray revealed abnormal shadow occupying nearly the entire left thoracic cavity. Surgical excision was performed and pathologic diagnosis was confirmed as 15X10 cm sized cavernous hemangioma. On the eighth postoperative day, the patient was discharged without any complications and has been followed up without any problems.
Diagnosis ; Female ; Hemangioma ; Hemangioma, Cavernous* ; Humans ; Infant ; Mediastinum* ; Radiography, Thoracic ; Thoracic Cavity ; Thorax

The incidence of tuberculosis (Tbc) infection is high in some parts of the world and tuberculous cold abscess of the chest wall (CACW) often fails to respond to medical treatment. Medical records of 178 patients who underwent surgical treatment of chest wall abscesses from July 1970 to Sept. 2000 were reviewed and 89 patients who were pathologically confirmed as Tbc cold abscess cases were included in this study. Their ages ranged from 9 to 71 years (mean 33.3 years) and the male to female ratio was 1.2:1 (49 male, 40 female). The symptoms were palpable chest wall mass, pain and pus discharge, and three patients had multiple lesions. Twenty-five patients (28%) underwent excision of chest wall abscesses and 64 patients (72%) underwent chest wall and rib resection. Tbc medication was given preoperatively in 39 patients for an average of 6.3 months and all patients were given Tbc medication postoperatively for an average of 12 months. Postoperative complications were bleeding, pus discharge, empyema, pleural effusion, wound dehiscence, subcutaneous emphysema and activation of pulmonary Tbc. The disease recurred in 7 patients (7.8%) and these 7 patients all underwent a second operation. We recommend preoperative Tbc medication and complete resection of chest wall abscesses including any suspicious ribs. Postoperative Tbc medication for a minimum of 12 months is essential to decrease the risk of a relapse.
Abscess/drug therapy/*surgery ; Adolescent ; Adult ; Aged ; Antitubercular Agents/therapeutic use ; Child ; Female ; Human ; Male ; Middle Age ; Retrospective Studies ; Thoracic Diseases/drug therapy/*surgery ; *Thoracic Surgical Procedures ; Thoracic Vertebrae/surgery ; Tuberculosis/drug therapy/*surgery