Maladie de Castleman: Localisation inhabituelle du thorax

La maladie de Castleman est une affection rare qui peut toucher le thorax. La localisation diaphragmatique est exceptionnelle. Nous rapportons le cas d’une patiente de 47 ans, chez qui une thoracotomie exploratrice a permis l’exérèse d’une masse du sinus médiastinal antérieur droit, en continuité avec le diaphragme et dont l’histologie est en faveur de la maladie de Castleman de type hyalino-vasculaire. Les particularités cliniques,radiologiques et évolutives ont été revues.Key words: Maladie de Castleman, localisation, thorax, exérèse, chirurgi

Les tumeurs desmoides de la paroi thoracique : à propos de 12 cas

Introduction: Les tumeurs desmoides sont des tumeurs rares des tissus mous qui peuvent être très agressives localement. A travers l’expérience de notre service, nous analyserons les résultats du traitement chirurgical de ces tumeurs. Patients et méthodes: De 1980 à 2008, 12 patients ont été opérés pour tumeur desmoide de la paroi thoracique. Le diagnostic a été suspecté sur la base des signes cliniques et radiologiques. Aucun patient n’avait un syndrome de Gardner. L’abord chirurgical a été souvent électif à l’aplomb de la tumeur. Résultats: La résection a été complète dans 11 cas. La confirmation diagnostique a été apportée par l’étude histologique de la pièce opératoire. La durée du suivi post opératoire variait entre 24 et 180 mois. Une patiente était décédée par insuffisance cardiaque et rénale. 7 cas avaient récidivé, et qui ont été traités par simple résection complète dans 5 cas, dont un avait nécessité une greffe myocutanée ; par ailleurs, deux cas ont été traités par résection incomplète associée à une radiothérapie adjuvante. Conclusion: La chirurgie des tumeurs desmoides de la paroi thoracique doit être aussi large que possible pour diminuer le risque de récidive

Ostéite costale tuberculeuse

Nous rapportons un cas de tuberculose costale chez une patiente de 44ans ayant des antécédents de miliaire tuberculeuse. L’atteinte costale était pseudotumorale ayant conduit à une biopsie exérèse chirurgicale de la masse costale dont l’étude histologique est revenue en faveur d’une tuberculose. Cette observation ainsi que celles de la littérature, confirment les difficultés diagnostiques de cette forme rare de tuberculose

The agony and the ecstasy of publishing with master's students: The importance of scholarly publishing for global information professionals

With the view of scholarly and professional publishing as a staple of educating global information professionals, this interactive engagement session (IES) will bring together an international team of five educators/former and current LIS journal editors to reflect on the highs and lows of engaging Master’s students in the process of scholarly communication. Presenting both positive experiences and failed attempts, they will discuss the practical aspects, psychological struggles, and ethical implications involved in different publishing scenarios and types of collaboration. Former Master’s students from three universities who have had positive publishing experiences will also participate via teleconferencing

Hydatid disease of the ribs: An exceptional location

Background. Hydatid disease is a zoonosis caused by larval stages of cestodes belonging to the genus Echinococcus. The rib location is exceptional. It presents a real diagnostic and therapeutic challenge. Objective. To describe the clinical, serological and radiological features and surgical management of rib hydatidosis. Methods. This is a retrospective study conducted over 4 years, on five cases of rib hydatidosis. We analysed the clinical and radiological presentations and the adopted therapeutic procedure. Results. The average age of our patients was 44 years, without gender predominance. The clinical signs were dominated by the presence of an immobile swelling of fluid consistency without inflammatory sign, accompanied by moderate and intermittent localised pain. The laboratory assessment was nonspecific. The radiological assessment, including chest X-ray and thoracic computed tomography, with and without contrast, was essential in order to assess the extent of the lesion. Thoracic magnetic resonance imaging was requested in one case because of suspicions of a spinal extension. All of our patients underwent a rib excision accompanied by medical treatment of albendazole 24 hours after the surgery. The follow-up ranged from 1 year to 4 years and did not show any recurrence. Conclusion. Hydatidosis of the ribs is an exceptional location of hydatid disease. The diagnosis was based on radiology and intraoperative exploration. The treatment remained essentially surgical by rib excision with anthelmintic drugs to prevent recurrence

MALADIE DE CASTLEMAN THORACIQUE A LOCALISATION SCISSURALE. A PROPOS D’UN CAS EXCEPTIONNEL

Introduction: Castleman’s disease is a benign lymphoid proliferation of unknown etiology. It has two different clinical classifications: localized and multicentric type. Trough a case report of thoracic Castleman’s disease, we will try to define the clinical, radiological and pathological features of this rare disease. Case report: We report a case of 33 years-old woman, presenting a left hilar opacity fortuitously discovered on the chest x-ray. We evoked the diagnosis of hydatid cyst because of our endemic context. During the surgical operation, an inter-lobar mass in intimate contact with the branches of the pulmonary artery was discovered. The tumor was removed completely, and was diagnosed to be the hyalin vascular type of Castleman’s disease histopathologically. Discussion: Thoracic Castleman’s disease is located most commonly in the mediastinum. Interlobar location, such our patient is unusual. Its management is surgical. Three pathologic classifications have been developed: hyalin vascular variant, plasma cell variant and mixed variant. Conclusion: Castleman’s disease is a benign and uncommon etiology of thoracic tumors. The diagnosis is histological after a surgical resection.Introduction : La maladie de Castleman est une prolifération lymphoïde bénigne d’étiologie inconnue. Elle se présente sous forme localisée ou multiviscérale. A travers une observation d’une maladie de Castleman à localisation thoracique, nous rappelons les aspects cliniques, radiologiques et anatomo-pathologiques de cette pathologie rare. Observation : Patiente de 33 ans, ayant été admise au service de chirurgie thoracique pour une opacité hilaire gauche, de découverte fortuite, évoquant un kyste hydatique du poumon gauche, vu notre contexte endémique. La patiente a bénéficié d’une exploration chirurgicale qui a découvert une masse scissurale au contact intime avec les branches de l’artère pulmonaire gauche. Le geste chirurgical a consisté en une résection complète de la tumeur. L’étude anatomopathologique de la pièce opératoire a montré une forme vasculo-hyaline de la maladie de Castleman. Discussion : La localisation médiastinale est la plus fréquente des formes thoraciques de la maladie de Castleman. La localisation scissurale, cas de notre patiente est exceptionnelle. Son traitement est chirurgical. On distingue 3 formes histologiques, la forme vasculo-hyaline, la forme plasmocytaire et la forme mixte. Conclusion : La maladie de Castleman est l’une des étiologies rares et bénignes des tumeurs intrathoraciques. Son diagnostic est anatomo-pathologique après une exérèse chirurgicale

Cavernostomy x Resection for Pulmonary Aspergilloma: A 32-Year History

<p>Abstract</p> <p>Background</p> <p>The most adequate surgical technique for the treatment of pulmonary aspergilloma is still controversial. This study compared two groups of patients submitted to cavernostomy and pulmonary parenchyma resection.</p> <p>Methods</p> <p>Cases of pulmonary aspergilloma operated upon between 1979 and 2010 were analyzed retrospectively. Group 1 consisted of patients submitted to cavernostomy and group 2 of patients submitted to pulmonary parenchyma resection. The following variables were compared between groups: gender, age, number of hospitalizations, pre- and postoperative length of hospital stay, time of follow-up, location and type of aspergilloma, preoperative symptoms, underlying disease, type of fungus, preoperative pulmonary function, postoperative complications, patient progression, and associated diseases.</p> <p>Results</p> <p>A total of 208 patients with pulmonary aspergilloma were studied (111 in group 1 and 97 in group 2). Group 1 was older than group 2. The number of hospitalizations, length of hospital stay and time of follow-up were higher in group 1. Hemoptysis was the most frequent preoperative symptom in group 1. Preoperative respiratory malfunction was more severe in group 1. Hemorrhagic complications and recurrence were more frequent in group 1 and infectious complications and residual pleural space were more common in group 2. Postoperative dyspnea was more frequent in group 2. Patient progression was similar in the two groups. No difference in the other factors was observed between groups.</p> <p>Conclusions</p> <p>Older patients with severe preoperative respiratory malfunction and peripheral pulmonary aspergilloma should be submitted to cavernostomy. The remaining patients can be treated by pulmonary resection.</p

Inclusionary control? Theorizing the effects of penal voluntary organizations’ work

Recent penal policy developments in many jurisdictions suggest an increasing role for voluntary organizations. Voluntary organizations have long worked alongside penal institutions, but the multifaceted ways their programmes affect (ex-)offenders remain insufficiently understood. This article addresses the implications of voluntary organizations’ work with (ex-)offenders, using original empirical data. It adds nuance to netwidening theory, reframing the effects of voluntary organizations’ work as inclusionary and exclusionary. Exclusionary effects sometimes have inclusionary aspects, and inclusionary effects are constrained by a controlling carceral net. We propose the novel concept of inclusionary control. This is not an alibi for punishment but enables rich analysis of the effects of voluntary organizations’ work, and raises possibilities for change in penal practice

Building Information Resilience: How do Resettling Refugees Connect with Health Information in Regional Landscapes - Implications for Health Literacy

The study explores how resettling refugees experience a new health environment and develop health literacy practice. The concept of information resilience, which emerges from the grounded experiences of learning to live well is introduced. The study also explores how health narratives are constructed, disseminated and circulated by this particular cohort