Granülomatöz hastalıklar ülkemizde oldukça sık görülmektedir.Tüberküloz ve sarkoidoz bu hastalıklar içerisinde en başta gelenlerdir.Tüberküloz sıklıkla akciğerleri tutmasına rağmen bazı olgularda mediastinal lenf tutulumu şeklinde de ortaya çıkmaktadır
Küçük hücreli akciğer kanseri ve bronkopulmoner karsinoid tümörler ektopik ACTH salınımının en sık nedenidir ve oldukça nadir bir durumdur.Bu makalede ACTH salgılayan bronşiyal karsinoid tümörünün neden olduğu ektopik Cushing sendromlu olguyu sunduk.Bilinç bulanıklığı ve konuşamama şikayetleri acil servise başvuran 65 yaşında kadın hastada hipoglisemi, hipopotasemi, hiperkortizolemi ve ACTH yüksekliği saptandı.Hastanın hipofiz ve batın MR'da patoloji saptanmadı.Hastada hipofizer MR'ın normal olması ve bilateral inferior petrozal sinüs örneklemesinde santral/periferik ACTH gradientinin 2'nin altında olması ektopik ACTH salınımını düşündürdü.Toraks BT'de sağ üst lob apikal segmentte 12x10 mm subplevral nodül izlendi, PET-BT görüntülemede patolojik FDG tutulumu izlenmedi.Hastaya genel anestezi altında VATS wedge rezeksiyon uygulandı ve histolojik incelemede tipik
Primary tumors of the chest wall are very rare. We herein report a very rare case of non-Hodgkin lymphoma presenting with a solitary chest wall mass. A 52-year-old female patient admitted to our hospital because of an abnormality detected on her chest X-ray during the preoperative evaluation for surgical therapy of femur fracture. On physical examination, a 10x7 cm sized, immobile, irregular mass involving the 6.-8. ribs on posterior chest wall was detected. Chest computerized tomography demonstrated a mass invading also the muscles on the chest wall. The histopathological examination of the tru-cut biopsy specimen obtained from the mass was reported as diffuse large B cell lymphoma. The patient received systemic chemotherapy and local radiotherapy. She is still being followed up with no evidence of active disease 22 months after the initial diagnosis.
Background: Pneumomediastinum is defined as the presence of air in the mediastinal region.It is associated with events or diseases leading to a sudden increase in alveolar pressure.The air in the mediastinum may originate in the pharynx, the tracheobronchial tree or the esophagus.This study aimed to assess the clinical and radiological characteristics of patients who were diagnosed with spontaneous pneumomediastinum and received treatment at our clinic. Materials and Methods: A total of 23 patients who had spontaneous pneumomediastinum and were treated at our clinic between 2007 and 2019 were retrospectively assessed for their age, etiological factors, clinical and radiological characteristics; treatment and outcomes.Chest radiography and computed tomography of the thorax were used for diagnosis in all patients.Results: Of the patients, 15 were males and eight females and their mean age was 33.91 (15-82) years.The most common symptom on admission was shortness of breath (n = 12) and chest pain (n = 11).The etiological factors were excessive vomiting in six patients and excessive cough in five.Radiologically, the most common findings besides pneumomediastinum were subcutaneous emphysema (n = 6) and pneumothorax (n = 4).Of the patients, seven required esophagoscopy, four required bronchoscopy and no pathology was observed.All patients were fully recovered when they were discharged. Conclusions:The underlying etiological factor is crucial in pneumomediastinum.Conservative treatment methods are often sufficient in spontaneous pneumomediastinum patients with no pathology in endoscopic evaluation.
A rare complication of metastatic lung disease treatment A 37-year-old male patient who had undergone partial glossectomy and neck dissection and who received chemotherapy and radiotherapy because of squamous cell carcinoma of the tongue base presented to our clinic with the complaint of hemoptysis