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Mediastinoscopy

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https://www.readbyqxmd.com/read/27895343/cervical-mediastinoscopy-in-the-diagnosis-of-lymphadenopathy-in-south-asia
#1
Sulaiman Bashir Hasan, Fazal Wahab Khan, Shiraz Hashmi, Ahsan Ehtesham, Rizwana Ahmed Magsi, Syed Shahabuddin
We planned to determine the clinical utility and safety of mediastinoscopy in the pathologic diagnosis of mediastinal lymphadenopathy and to determine disease patterns in a tertiary care setting in Karachi. The retrospective review comprised record of patients who underwent mediastinoscopy over 25 years between July, 1990 and August, 2015. Of the 122 patients, records were complete for 88(72%). Mean age was 42.5±12.9 years and 55(62.5%) were male. Overall, 60(68.2%) patients had benign inflammatory diseases; 25 (28...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27870565/concurrent-chemotherapy-and-radiation-therapy-for-inoperable-locally-advanced-non-small-cell-lung-cancer
#2
Kenneth E Rosenzweig, Jorge E Gomez
The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice...
November 21, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27867546/transoral-endoscopic-mediastinal-surgery-toems-results-of-a-first-clinical-study-for-scarless-mediastinal-lymph-node-biopsies
#3
Wolfram Klemm, Steffen Frese, Gunda Leschber, André Nemat, Thomas Wilhelm
BACKGROUND: Video-assisted mediastinoscopy (VAM) represents the standard procedure for mediastinal lymph node biopsies. This operation results in a scar at prominent position at the anterior neck. Since there is a trend to less invasive procedures, natural orifice transluminal endoscopic surgery (NOTES) was introduced to different fields of surgery. Based on NOTES we developed a new approach for mediastinoscopy: transoral endoscopic mediastinal surgery (TOEMS). In previous studies using human cadavers and living pigs the feasibility of TOEMS was shown...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27846176/mediastinoscopy-assisted-transhiatal-esophagectomy-for-esophageal-cancer-a-single-institutional-cohort-study
#4
Tsutomu Nomura, Takeshi Matsutani, Nobutoshi Hagiwara, Itsuro Fujita, Yoshiharu Nakamura, Hiroshi Makino, Masao Miyashita, Eiji Uchida
We compared the therapeutic outcomes of mediastinoscopy-assisted transhiatal esophagectomy (MATHE) with transthoracic esophagectomy (TTE), and with video-assisted thoracoscopic esophagectomy (VATS-E) for the treatment of esophageal cancer. Twenty patients underwent MATHE in our institute from 2001 to 2005 were enrolled. We evaluated the therapeutic outcomes, including perioperative complications and long-term prognosis after surgery, and compared these with 15 patients who underwent TTE during the same time period and 15 who underwent VATS-E at a later date...
November 14, 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27789164/-a-case-of-mediastinum-actinomycosis-by-aggregatibacter-actinomycetemcomitans
#5
N N M Razafimanjato, A M Portela, D M Radu, P Guiraudet, M D Destable, A Seguin, E Martinod
The actinomycosis is a suppurative infection due to an anaerobic and microaerophillic bacteria called actinomyces. Only few case reports are described for the mediastinal locations of this rare entity. We report a new case of inflammatory pseudotumor in the mediastinum due to Aggregatibacte actinomycetemcomitans revealed by hemoptysis. The mediastinoscopy procedure with biopsy was needed to confirm the definitive bacteriological diagnosis by a positive culture. During the postoperative course, a cutaneous fistula was found which had a favourable evolution after appropriate antibiotherapy...
October 24, 2016: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/27772612/ultrasound-guided-video-assisted-mediastinoscopic-biopsy-a-novel-approach
#6
Jinbai Miao, Mei Li, Yili Fu, Xiaoxing Hu, Bin Hu, Hui Li
Video-assisted mediastinoscopy (VAM) is the most commonly used invasive method for the preoperative mediastinal staging of lung cancer and for the diagnosis of other mediastinal diseases. However, VAM has the risk of causing life-threatening bleeding consequent to the specific mediastinal anatomy. We adopted the ultrasonic technique for VAM biopsies that can easily distinguish the lymph nodes from the surrounding great vessels and thus makes the procedure easier and safer.
November 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27747078/prof-qingdong-cao-single-port-inflatable-mediastinoscopy-combined-with-laparoscopy-for-the-radical-treatment-of-esophageal-cancer
#7
Grace S Li
No abstract text is available yet for this article.
September 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27747020/excision-of-middle-mediastinal-parathyroid-adenoma-by-videoscopic-assisted-mediastinoscopy-vam
#8
Rene Razzak, Todd McMullen, Eric L R Bédard
We report a case involving a female patient with primary hyperparathyroidism arising from a middle mediastinal parathyroid adenoma. Initial diagnosis was made based on a history of polyuria and recurrent renal colic. At the age of 77 she underwent videoscopic assisted mediastinoscopy (VAM) for resection of the adenoma which was localized using single-photon emission computed tomography (SPECT/CT). This case illustrates the importance for accurate pre-operative localization and intra-operative monitoring to ensure complete surgical removal in order to improve postoperative normocalcemia success rates...
September 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27642473/the-role-of-cervical-mediastinoscopy-in-nigerian-thoracic-surgical-practice
#9
Bode Falase, Mgbajah Ogadinma, Adetinuwe Majekodunmi, Barakat Nimasahun, Olufunke Adeyeye
INTRODUCTION: Cervical mediastinoscopy is the gold standard for obtaining histological diagnosis of mediastinal pathology. It has been used for the staging of lung cancer as well as to determine the cause of Isolated Mediastinal Lymphadenopathy. There is very limited evidence in the literature of its use in Nigeria to assess mediastinal pathology. The aim of this study was to describe our institutional experience with cervical mediastinoscopy. METHODS: This study was a retrospective analysis of 40 patients that underwent cervical mediastinoscopy in our institution between March 2007 and February 2013...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27637288/endosonography-versus-mediastinoscopy-in-mediastinal-staging-of-lung-cancer-systematic-review-and-meta-analysis
#10
Inderpaul Singh Sehgal, Sahajal Dhooria, Ashutosh Nath Aggarwal, Digambar Behera, Ritesh Agarwal
Whether endosonography can replace mediastinoscopy as the initial procedure for mediastinal staging of non-small cell lung cancer remains controversial. Herein, we perform a systematic review of randomized controlled trials and observational studies (both procedures performed in same subjects) comparing the two procedures. Nine studies (960 subjects) were identified. The pooled risk-difference of the sensitivity of endosonography versus mediastinoscopy in observational studies and randomized controlled trials was 0...
November 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27623466/five-year-survival-after-endosonography-vs-mediastinoscopy-for-mediastinal-nodal-staging-of-lung-cancer
#11
LETTER
Jolanda C Kuijvenhoven, Daniël A Korevaar, Kurt G Tournoy, Thomas L A Malfait, Christophe Dooms, Robert C Rintoul, Jouke T Annema
No abstract text is available yet for this article.
September 13, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27623273/clinical-predictors-of-persistent-mediastinal-nodal-disease-after-induction-therapy-for-stage-iiia-n2-non-small-cell-lung-cancer
#12
Mohamed K Kamel, Mohamed Rahouma, Galal Ghaly, Abu Nasar, Jeffrey L Port, Brendon M Stiles, Andrew B Nguyen, Nasser K Altorki, Paul C Lee
BACKGROUND: Patients with persistent N2 disease after induction have poor survival. Many of these patients may have had mediastinoscopy before induction therapy, making reassessment of the mediastinum by repeat mediastinoscopy hazardous and inaccurate. The sensitivity and specificity of endobronchial ultrasonography and nodal fine-needle aspiration in this setting is unclear. In this study, we sought to identify the clinical predictors of persistent N2 disease after induction therapy, which may help in selecting the patients most likely to benefit from surgical resection...
September 9, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27621873/perioperative-outcomes-and-lymph-node-assessment-after-induction-therapy-in-patients-with-clinical-n1-or-n2-non-small-cell-lung-cancer
#13
Jessica Glover, Frank O Velez-Cubian, Kavian Toosi, Emily Ng, Carla C Moodie, Joseph R Garrett, Jacques P Fontaine, Eric M Toloza
BACKGROUND: Induction therapy has been shown to benefit patients with resectable stage-2 or stage-3 non-small cell lung cancer (NSCLC). We aimed to determine if induction chemotherapy (CTx) with or without radiation therapy (± RT) for NSCLC with clinical lymph node (LN) involvement (cN1 or cN2) affects LN dissection or perioperative outcomes during robotic-assisted video thoracoscopic (RAVTS) lobectomy. METHODS: We retrospectively analyzed patients who underwent RAVTS lobectomy for NSCLC over 45 months...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27525245/voice-change-due-to-paratracheal-air-cysts
#14
Youn Ju Rhee, Sung Joon Han, Yoo Young Chong, Hyun Jin Cho, Shin Kwang Kang, Choong-Sik Lee, Min-Woong Kang
Paratracheal air cysts are a rare entity in which cystic formation occurs adjacent to the trachea. Most patients with paratracheal air cysts are asymptomatic, and the cysts are detected incidentally on chest radiograph or computed tomography (CT) scan. Most symptomatic patients complain of pulmonary symptoms or repeated respiratory infection. Rarely, the air cysts can lead to paralysis of the recurrent laryngeal nerve as a result of direct compression. We report a case of a 59-year-old male patient who presented with voice change, and the cause was identified as paratracheal air cysts on a chest CT scan...
August 2016: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27516782/iatrogenic-injuries-to-the-trachea-and-main-bronchi
#15
Tomasz Gil, Janusz Warmus, Janusz Włodarczyk, Zbigniew Grochowski, Krzysztof Bederski, Piotr Kocoń, Piotr Talar, Jarosław Kużdżał
INTRODUCTION: Iatrogenic tracheobronchial injuries are rare. AIM: To analyse the mechanism of injury, symptoms and treatment of these patients. MATERIAL AND METHODS: Retrospective analysis of hospital records of all patients treated for main airway injuries between 1990 and 2012 was performed. RESULTS: There were 24 patients, including 21 women and 3 men. Mean time between injury and initiation of treatment was 12 hours (range: 2-48)...
June 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27479014/an-expectorated-stent-an-unexpected-complication-of-ebus-tbna
#16
Felix D Zamora, Anas Moughrabieh, Heidi Gibson, Eitan Podgaetz, H Erhan Dincer
Endobronchial ultrasound-guided transbronchial needle aspiration has a low complication rate and is a cost-effective procedure for mediastinal staging and diagnosis when compared with the more invasive mediastinoscopy. There are increasing case reports of unexpected complications including equipment failures with and without significant medical consequences. Knowledge of complications, including those that are rare, is essential for the physician performing this minimally invasive procedure. We report a case of a retained foreign body from the unexpected separation of a distal spring/coil mechanism from the Olympus ViziShot Aspiration needle following early needle deployment within the working channel of the bronchoscope...
July 29, 2016: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/27479013/thoracic-extramedullary-hematopoiesis-mimicking-metastatic-cancer
#17
Duc Ha, Xiaoyan Liao, Huan-You Wang, Catriona Jamieson, Marisa Magaña, Samir Makani
Thoracic extramedullary hematopoiesis (EMH) is a rare manifestation in patients with myeloproliferative neoplasm. A 76-year-old woman with a long-standing history of polycythemia vera presented with a 2-month history of worsening dyspnea and left-sided wheezing. A chest computed tomography showed an ill-defined soft tissue mass encasing the left mainstem bronchus causing airway obstruction, associated with paratracheal and paraesophageal lymphadenopathy. Endobronchial ultrasound-guided fine needle aspiration of the soft tissue mass and mediastinoscopy with excisional biopsy of a paratracheal lymph node demonstrated EMH with increased myeloid blasts...
July 29, 2016: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/27456499/risk-factors-for-predicting-occult-lymph-node-metastasis-in-patients-with-clinical-stage-i-non-small-cell-lung-cancer-staged-by-integrated-fluorodeoxyglucose-positron-emission-tomography-computed-tomography
#18
Kaoru Kaseda, Keisuke Asakura, Akio Kazama, Yukihiko Ozawa
BACKGROUND: Lymph nodes in patients with non-small cell lung cancer (NSCLC) are often staged using integrated 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT). However, this modality has limited ability to detect micrometastases. We aimed to define risk factors for occult lymph node metastasis in patients with clinical stage I NSCLC diagnosed by preoperative integrated FDG-PET/CT. METHODS: We retrospectively reviewed the records of 246 patients diagnosed with clinical stage I NSCLC based on integrated FDG-PET/CT between April 2007 and May 2015...
December 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27427519/mediastinal-staging-endosonographic-ultrasound-lymph-node-biopsy-or-mediastinoscopy
#19
REVIEW
Pravachan V C Hegde, Moishe Liberman
Combined endosonographic lymph node biopsy techniques are a minimally invasive alternative to surgical staging in non-small cell lung cancer and may be superior to standard mediastinoscopy and surgical mediastinal staging techniques. Endosonography allows for the biopsy of lymph nodes and metastases unattainable with standard mediastinoscopy. Standard cervical mediastinoscopy is an invasive procedure, which requires general anesthesia and is associated with higher risk, cost, and major complication rates compared with minimally invasive endosonographic biopsy techniques...
August 2016: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/27409724/endobronchial-ultrasound-guided-transbronchial-needle-aspiration-for-mediastinal-staging-in-a-community-medical-center
#20
Whittney A Warren, Jared T Hagaman
RATIONALE: Endobronchial ultrasound guided transbronchial needle aspiration and positron emission tomography-computed tomography are valuable tools for lung cancer staging. Data from tertiary referral centers suggest these modalities are superior to mediastinoscopy in mediastinal staging. OBJECTIVE: Validate endobronchial ultrasound guided transbronchial needle aspiration for lung cancer staging in a community center with operators of varying experience. METHODS: At an 800-bed community hospital, we reviewed all cases where endobronchial ultrasound-guided transbronchial needle aspiration and positron emission tomography-computed tomography were performed for mediastinal staging by one of seven private practice pulmonologists...
July 13, 2016: Annals of the American Thoracic Society
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