Cases reported "Carcinoma, Bronchogenic"

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1/6. Foreign body in tracheal bronchus simulating bronchogenic cancer.

    A foreign body in the bronchial tree may mimic many pathological conditions. We present a case of a 62-year-old patient with a foreign body in the tracheal bronchus simulating bronchogenic cancer. After the removal of the foreign body, there has been a gradual regression of the foreign body induced inflammatory changes. To the best of our knowledge, a similar case has not been reported in the English medical literature.
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2/6. Granular cell tumour of the bronchus: bronchoscopic and clinical features.

    Granular cell tumours are uncommon, generally benign neoplasms of uncertain origin that occasionally affect the tracheobronchial tree. Their incidence seems to be increasing, despite the fact that such tumours are rarely suspected on clinical grounds or bronchoscopic appearance. Here we describe three cases of endobronchial granular cell tumours, one of which regressed spontaneously after biopsy, and review previous accounts of their bronchoscopic and clinical features.
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3/6. Bilateral bronchial carcinoma.

    Fibreoptic bronchoscopy was performed in 69 out of 73 consecutive patients with carcinoma of the lung, in four of whom a second synchronous bronchial carcinoma was found in the opposite lung. Three of these second tumours were radiographically occult. Another patient with a radiologically occult bronchial carcinoma in the right upper lobe bronchus had 16 years earlier undergone a left lower lobe resection because of a squamous cell carcinoma. These findings emphasize the importance of careful bronchoscopic examination of the whole bronchial tree before surgical treatment of the lung cancer.
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4/6. Unusual presentation of bronchogenic carcinoma: case report and review of the literature.

    Although blood spread of pulmonary malignancy presumably occurs through microembolization, frank embolization of tumor fragments is uncommon. The first reported case of bronchogenic carcinoma appearing as a peripheral arterial embolus is described. The patient, a 64-year-old female, had acute ischemia of the left leg secondary to tumor embolism to the left profunda femoris and popliteal arteries. Shortly after embolectomy, she suffered atelectasis of the whole left lung from an epitheloid carcinoma in the left main bronchus. Twenty-eight cases of frank tumor embolism to the arterial tree occurring during the course of a noncardiac malignancy have been reported. None, however, occurred as an initial event. Pulmonary metastasis in patients with advanced malignancy was the source of the arterial emboli in 45% (13/29) of reported cases, but bronchogenic carcinoma was the original cell type in 38% (11/29) of cases. In general, arterial tumor embolism is a complication of advanced malignancy usually originating from one of multiple pulmonary metastases. This first case report of tumor embolism to a lower extremity occurring as the initial event in the clinical course of a bronchogenic carcinoma serves to emphasize the protein manifestations of malignant disease.
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5/6. Foregut cysts in infants and children. Diagnosis and management.

    The charts of 15 patients with foregut cysts were reviewed. The lesions were intrathoracic in 14 patients and in the cervical area in one child. The importance of early diagnosis and surgical management is stressed. In untreated infants with foregut cysts, severe progressive and life-threatening airway obstruction may develop. Since the symptoms of this congenital lesion may simulate other more common diseases of the tracheobronchial tree and esophagus, the physician should become familiar with this disease entity so that proper diagnosis and surgical treatment will not be delayed. The study includes symptomatology, methods of diagnosis, pathologic findings and classification of the cysts.
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6/6. Haemoptysis with no radiological evidence of tumour - the value of early bronchoscopy.

    Thirty-two patients who presented with haemoptysis and in whom a chest radiograph showed no suggestion of a tumour are reviewed. Six had bronchogenic carcinoma diagnosed by bronchoscopy and 1 had an adenoid cystic tumour of the trachea. Flexible fibre-optic bronchoscopy is a safe and easy method of excluding a tumour of the tracheobronchial tree as the cause of haemoptysis and should be performed early in patients who present with this symptom, regardless of the findings on chest radiography.
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