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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Franke, Mark Chung, Hyung D. Johnson, Frank E. |
| Description | Country affiliation: United States Author Affiliation: Franke M ( Department of Surgery, Saint Louis University Hospital, 3635 Vista Ave. at Grand Blvd., St. Louis, MO 63110, USA.) |
| Abstract | BACKGROUND: A 67-year-old Caucasian man had a right pneumonectomy for primary bronchogenic carcinoma in 1998. He developed a bronchopleural fistula that was managed with an Eloesser procedure. His appearance 6 years later has been published previously. METHODS: We performed a case report and literature search. RESULTS: In 2008, the patient still had a bronchopleural fistula and reported a new symptom: constant right chest pain. He had experienced extensive asbestos exposure and mesothelioma was suspected. Endoscopy via the Eloesser aperture revealed innumerable tumor nodules. Biopsies of the pleura revealed multifocal, well-differentiated, squamous cell carcinoma with histology that was distinctly different from that of the original lung cancer. The tumor progressed rapidly during work-up and invaded the spine. He received palliative treatment but died 4 months after the onset of chest pain. We conducted a literature search and found 9 previous reports of epidermoid carcinoma arising from the pleura in patients with a chronically draining empyema; 5 patients had a prior pneumonectomy. CONCLUSIONS: Cancer can arise in areas of chronic inflammation such as osteomyelitis with a draining sinus, Crohn's disease, or chronic gastritis. Cases of squamous cell carcinoma arising from the pleura in patients with a chronically draining empyema cavity are extremely rare. We believe this is the sixth report in the literature of squamous cell carcinoma arising from the pleura in a patient with a chronic postpneumonectomy bronchopleural fistula. In vivo video footage of the involved pleura is available |
| File Format | HTM / HTML |
| ISSN | 00029610 |
| Issue Number | 4 |
| Volume Number | 199 |
| e-ISSN | 18791883 |
| Journal | The American Journal of Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-04-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Humans Pleural Diseases Male Palliative Care Pneumonectomy Lung Neoplasms Journal Article Case Reports Discipline General Surgery Neoplasms, Second Primary Etiology Surgery Fatal Outcome Respiratory Tract Fistula Diagnosis Pleural Neoplasms Secondary Adverse Effects Carcinoma, Bronchogenic Complications Carcinoma, Squamous Cell Drainage Spinal Neoplasms Pathology Empyema Aged Bronchial Fistula |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Surgery |
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