Incidence et caractéristiques des colonisations des voies respiratoires lors du diagnostic de cancer bronchique (étude prospective de 200 patients)

La colonisation bronchique est fréquente chez les patients porteurs d'un cancer pulmonaire et pourrait influencer la prise en charge thérapeutique et le pronostic. L'objectif de notre travail est de préciser prospectivement l'incidence et les caractéristiques des colonisations bronchiques lors du diagnostic de cancer. 199 patients porteurs d'un cancer bronchique ont bénéficié d'une endoscopie bronchique avec analyses microbiologiques. L'incidence des colonisations à micro-organismes potentiellement pathogènes est de 47,7%. On retrouve 40,2% de Candida albicans et 5% d'Aspergillus fumigatus. L'incidence des mycobactéries atypiques est de 0,5%. Les patients âgés sont plus souvent colonisés (p<0.01). Une immunodépression et un PS à 3-4 sont des facteurs de risque de colonisation. La colonisation à MPP pourrait constituer un facteur pronostique utile au clinicien pour prédire la survenue de complications ultérieures.TOULOUSE3-BU Santé-Centrale (315552105) / SudocSudocFranceF

Successful Late Removal of Endobronchial Coils

International audienc

18F-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography fused imaging in malignant mesothelioma patients: looking from outside is not enough

Malignant mesothelioma (MM) is an uncommon neoplasm with a poor prognosis usually associated with asbestos exposure. 18F-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET)/computed tomography (CT) has become an invaluable tool for the diagnosis, staging, and prognosis of this severe disease as it combines both anatomic and functional information in a single imaging procedure, allowing for improved management of this disease. For many authors, 18F-FDG-PET/CT is the cornerstone of the pre-therapeutic evaluation of mesothelioma patients, particularly when multimodal therapy (including extra-pleural pneumonectomy or omentectomy) is considered. However, while characteristic patterns have been reported as predictive of macroscopic pleural or peritoneal involvement, false negative findings are possible, both for pleural and peritoneal mesothelioma, during the initial diagnosis or during the patient's surveillance as illustrated by this report of three cases of suspected MM with negative PET/CT. This report highlights the limitations of PET/CT in the diagnostic evaluation of MM and the importance of histopathological confirmation by thoracoscopy and/or laparoscopy, which remain the most important diagnostic procedures in MM

The use of self-expandable metallic stents in the airways in the adult population

The airway stents restore patency in the face of luminal compromise from intrinsic and/or extrinsic pathologies. Luminal compromise beyond 50% often leads to debilitating symptoms such as dyspnea. Silicone stents remain the most commonly placed stents worldwide and have been the "gold standard" for the treatment of benign and malignant airway stenoses over the past 20 years. Nevertheless, silicone stents are not the ideal stents in all situations. Metallic stents can serve better in some selected conditions. Unlike silicone stents, there are large and increasing varieties of metallic stents available on the market. The lack of prospective or comparative studies between various types of metallic stents makes the choice difficult and expert-opinion based. International guidelines are sorely lacking in this area

Positron Emission Tomography/Computed Tomography for the Pleural Staging of Malignant Pleural Mesothelioma: How Accurate Is It?

Careful clinical staging in patients with malignant pleural mesothelioma (MPM) is fundamental in management planning. Positron emission tomography/computed tomography (PET/CT) is increasingly recognized as an important staging modality

Positron Emission Tomography/Computed Tomography for the Pleural Staging of Malignant Pleural Mesothelioma: How Accurate Is It?

Careful clinical staging in patients with malignant pleural mesothelioma (MPM) is fundamental in management planning. Positron emission tomography/computed tomography (PET/CT) is increasingly recognized as an important staging modality

Management of benign dynamic "A-shape" tracheal stenosis: a retrospective study of 60 patients

Benign tracheal stenosis complicates tracheal intubation or tracheostomy in 0.6% to 65% of cases. Surgical resection is the standard treatment. Endoscopic management is used for inoperable patients with 17% to 69% success. Dynamic "A-shape" tracheal stenosis (DATS) results in a dynamic stenosis with anterior fracture of tracheal cartilage and frequently associated posterior malacia. We report the results of our multidisciplinary management