The contribution of combined resection to survival in a patient with non-small cell lung carcinoma which has solitary synchronous cranial metastasis

Küçük hücreli dışı akciğer kanserli (KHDAK) hastaların üçte birinde beyin metastazı görülür. Beyin metastazlı hasta tedavi edilmezse nörolojik semptomlar hızla ilerler ve ortalama sağkalım iki aydır. Seçilmiş bir hasta grubunda akciğer ve beyne cerrahi tedavi yaklaşımı ile uzun sağkalım elde edilebileceğini gösteren yayınlar vardır. Bu makalede, beyin metastazı nedeniyle evre IV olan bir KHDAK?li olgumuzda kombine cerrahi tedavi yaklaşımını irdeleyerek, küçük bir hasta grubu da olsa, benzer hastalarda cerrahi tedavinin önemine dikkat çekmeyi amaçladık.Brain metastasis are seen in 1/3?rd of non-small cell lung carcinoma (NSCLC). If brain metastasis is not treated, neurologic symptoms rapidly progress and median survival is two months. It is reported that surgical resection of brain metastasis and primary lung tumor provides long survival. In this report, we aimed to emphasize the importance of surgical treatment in similar patients, by investigating the combined surgical treatment approach in a NSCLC patient who is stage IV due to brain metastasis

Aspiration of a huge foreign body in a young patient: teeth prosthesis aspiration

WOS: 000293479500035

Tracheal sleeve pneumonectomy: an analysis of 13 cases

WOS: 000290003200017Background: In this study, we evaluated the results of our tracheal sleeve pneumonectomy (TSP) cases. Methods: Thirteen male patients (mean age 52; range 40 to 65 years) with non-small cell lung cancer underwent TSP in our clinic between January 2000 and July 2009. The patients were evaluated for age, sex, histopathological examinations and stages, adjuvant therapies, postoperative complications and survival retrospectively. The mean and five-year survivals of patients were analyzed with Kaplan-Meier method. Results: Eleven right and two left TSPs were performed in 13 patient:. The histopathological diagnoses were squamous cell carcinoma in 11 patients, adenocarcinoma in one patient and adeno-squamous carcinoma in one patient. The tumor-node-metastasis staging was stage JIB in one patient, stage IIIA in one patient and stage IIIB in 11 patients. Four patients had complications after the surgery, and two of these were anastomosis-related. A total of three patients died during follow-up, one of them in the postoperative period. The mean survival and the five-year survival rate were 87 months and 77%, respectively. Conclusion: Tracheal sleeve pneumonectomy is an important modality in the treatment of lung cancer that has invaded or is in close proximity with the carina. With improvements in the thoracic surgery, the morbidity and mortality of TSP have improved and are currently close to the standard pneumonectomy. Mediastinal lymph node involvement should be a contraindication. The only exception for this is subcarinal lymph node involvement, where en block resection is possible

COVID-19 pandemic and the global perspective of Turkish Thoracic Society

It has been more than 3 months now since the first case of COVID-19 was reported in Turkey. Globally, the number of confirmed cases and deaths reached 9,653,048 and 491,128 respectively, as reported by 216 countries by June 27, 2020. Turkey had 1,396 new cases, 194,511 total cases, and 5,065 deaths by the same date. From the first case until today, the Turkish Thoracic Society (TTS) has been very proactive in educating doctors, increasing public awareness, undertaking academic studies, and assisting with public health policies. In the present report, social, academic, and management perspectives of the pandemic are presented under appropriate subtitles. During this critical public health crisis, TTS has once again demonstrated its readiness and constructive stance by supporting public health, healthcare workers, and the environment. This review summarizes the perspective of TTS on each aspect of the COVID-19 pandemic and casts light on its contributions