Intra-thoracic desmoid tumour in a patient with a previous aortocoronary bypass

BACKGROUND: Intra-thoracic desmoid tumours with mediastinal invasion are very rare. Although rare they have to be taken into account in the differential diagnosis of a thoracic mass and therapeutic options have to be weighted since surgical treatment may require wide excision. CASE PRESENTATION: A 48-year-old male diabetic, dyslipidaemic, former heavy smoker with psychiatric illness was operated by sternotomy for a triple aorto-coronary bypass 4 years before, presented with complains of recent onset such as constant and oppressive chest pain. At surgery a mass extending from the aortic arch into the entire anterior mediastinum and to most of the right pleural cavity was found. The mass was separated from sternal periosteum and vessels of aorto-coronary by pass were isolated starting from the aortic arch up to the pericardium. The histological examination revealed aggressive fibromatosis. CONCLUSION: Although technically demanding, radical surgical excision is actually the most indicated therapeutic approach for intra-thoracic desmoid tumours

L’ascesso epatico piogenico.

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Emorragie digestive superiori

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Proximal Gastrectomy: Technical Notes

A new technique for recostruction after proximal gastrectomy for EGJ adenocarcinoma (Siewert II with < 2 cm esophageal invasion and Siewert III) and upper-third early gastric cancer is presented. Since January 2000, 50 patients have been treated with this new technique. Postoperative morbidity and mortality were respectively, 25% and 2%, with a leak rate of 8%. At 6 and 12 months, reflux rates were 30% and 33% and stricture rates 20% and 6.7%, respectively. The data show that this technique is feasible, with good results in terms of morbidity and mortality as well as functional outcome