Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713

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Adenoid cystic carcinoma of the trachea: treatment by removing the larynx, trachea, and esophagus, and mediastinal tracheostomy

Carcinoma adenóide cístico de traquéia: tratamento pela laringotráqueo-esofagectomia e traqueostomia mediastinal

Manoel Ximenes Netto, Gutemberg F. Rego, André L.a. Carvalho, Hélcio L. Miziara

J Bras Pneumol.1999;25(6):343-346

Abstract PDF PT

The authors describe the case of a 54 year-old female with adenoid cystic carcinoma of the trachea at the cricoid level upon whom extensive surgical resection was performed, including the larynx, part of the trachea and esophagus. Reconstruction of the digestive tract was done by means of a gastric tube and the airway with a mediastinal tracheostomy. Five years after the original procedure there was a local cutaneous recurrence which was removed. Seven years later the disease recurred in the mediastinum, which responded to irradiation. The patient is alive and well eight years and five months after the operation.

 


Keywords: Trachea. Neoplasm. Carcinoma, adenoid cystic. Tracheostomy.

 


Fibrosing mediastinitis

Mediastinite fibrosante

Jefferson Lessa Soares de Macedo, Manoel Ximenes Netto

J Bras Pneumol.1998;24(3):163-166

Abstract PDF PT

Fibrosing mediastinitis is an uncommon disease associated with a multiplicity of clinical syndromes. The pathophysiology of this disease is predicated on the encasement of the mediastinal vital organ structures within a dense fibrotic tumor. This tumor appears to emanate from an invasive chronic inflammatory process causing erosion and external compression of these structures. Two cases of this disease are reported: one case of superior vena cava syndrome and one case of esophageal obstruction which evolved satisfactorily with conservative treatment.

 


Keywords: Sclerosing mediastinitis. Fibrosing mediastinitis. Superior vena cava syndrome.

 


Pulmonary metastasis of mediastinal paraganglioma

Paraganglioma de mediastino com metástases pulmonares

Manoel Ximenes Netto, Pedro R. Paniágua, Marcos A. Piauilino, Humberto Alves de Oliveira, Luci Ishii

J Bras Pneumol.2005;31(1):-

Abstract PDF PT PDF EN Portuguese Text

Herein, we describe the case of a 27-year-old female presenting with paraganglioma of the anterior and middle mediastinum and bilateral pulmonary nodules. Treatment consisted of pulmonary resection by anterior bilateral thoracotomy and transverse sternotomy, in which the paraganglioma was excised with the aid of extracorporeal circulation. As neoadjuvant treatments, radiotherapy and chemotherapy were applied. Postoperative evolution was uneventful, and the patient was classified as asymptomatic after 14 months.

 


Keywords: Key words: Mediastinal tumor. Paraganglioma. Lung metastasis

 


Postemetic rupture of the esophagus: Boerhaave's syndrome

Ruptura pós-emética do esôfago: a síndrome de Boerhaave

Henrique José da Mota, Manoel Ximenes Netto, Aldo da Cunha Medeiros

J Bras Pneumol.2007;33(4):480-483

Abstract PDF PT PDF EN Portuguese Text

Postemetic rupture of the esophagus, also known as spontaneous rupture or Boerhaave's syndrome, was first described by Herman Boerhaave in 1724. This is a severe disease that causes high mortality rates and is difficult to diagnose not only because it is rare but also because it is frequently confused with other severe clinical conditions, such as acute myocardial infarction, perforated peptic ulcer, and acute pancreatitis. Herein, we describe three cases of patients with this syndrome. Two underwent primary repair of the rupture, and one underwent esophagectomy followed by reconstruction. There was one death due to septic shock in the immediate postoperative period. The other two patients presented favorable long-term evolution.

 


Keywords: Esophageal diseases; Rupture, spontaneous; Mediastinitis; Esophagectomy.

 


Professor Thomas W. Shields' sixth edition

Sexta edição do livro do professor Thomas W. Shields

Manoel Ximenes Netto

J Bras Pneumol.2005;31(3):276-276

PDF PT PDF EN Portuguese Text



Non-surgical treatment of descending necrotizing mediastinitis

Tratamento conservador de mediastinite necrotizante descendente

Jefferson Lessa Soares de Macedo, Manoel Ximenes Netto

J Bras Pneumol.1998;24(3):167-170

Abstract PDF PT

A rare case of descending necrotizing mediastinitis secondary to a non-traumatic submandibular abscess is reported. Although most reports emphasize surgical treatment as indispensable in this disease, this case had an excellent outcome using only intensive care. Thus, even complicated descending necrotizing mediastinitis can be treated by non-surgical procedures.

 


Keywords: Mediastinitis. Sepsis.

 


 

 


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