Mediastinal Thoracic Duct Cyst

Thoracic duct cysts of the mediastinum are rare. This case report describes a 68-year-old woman who was successfully treated with surgical resection. The clinical and radiographic presentation and pathology are discussed, and the pertinent literature is reviewed. © 2009 The Society of Thoracic Surgeons

Multiple, small bilateral pulmonary nodules on thoracic CT in a patient with chronic cough: A common presentation for an uncommon diagnosis

Patients with multiple, bilateral small pulmonary nodules are commonly encountered in practice. Typically such nodules result from metastatic disease or infections, however, rare disorders also present in this manner. Benign metastasizing leiomyoma (BML) is a rare entity, typically affecting middle-aged women with a history of uterine fibroids. BML often metastasizes to lungs, appearing as multiple small nodules. We report a woman with BML presenting with an unremitting, chronic cough and small pulmonary nodules on thoracic computed tomography, and review the literature surrounding this rare entity. © 2012 by Lippincott Williams & Wilkins

Robotic-assisted thoracoscopic resection of a benign anterior mediastinal teratoma

There is an emerging body of evidence to support robotic-assisted mediastinal surgery, particularly for thymectomy. We describe the case of a 42-year-old woman with a benign anterior mediastinal teratoma resected by robotic-assisted thoracoscopy. This case illustrates the use of robotic-assisted surgery in a less commonly encountered mass of the anterior mediastinum. © 2013 Springer-Verlag London

Analyzing the Time From Discovery to Definitive Surgical Therapy for Lung Cancer Based on Referral Patterns

OBJECTIVE: Surgery for early stage non-small cell lung cancer can be curative. A delay from diagnosis to surgery can lead to increased mortality. Our objective was to determine if referring patients to specialists before a thoracic surgeon caused a delay in definitive treatment. MATERIALS AND METHODS: A retrospective review was conducted of patients who had surgery for non-small cell lung cancer by a single surgeon at our institution from 2013 to 2016. Patients were divided into 2 groups: those who saw a specialist before a thoracic surgeon and patients who were referred directly to a surgeon once the pulmonary nodule was identified on computed tomography (CT). The time from initial CT to resection was compared. Secondary analysis compared private insurance versus Medicare/Medicaid. Percentage of patients upstaged was compared. RESULTS: There was no significant difference between groups when comparing time from CT to surgery (79.88 vs. 79.90 d; P=0.58). There was a significant decrease in time from CT to surgery for patients with private insurance compared with Medicare/Medicaid patients (66.05 vs. 86.99 d; P=0.03) and fewer private insurance patients were upstaged (22.9% vs. 31.8%; P=0.32). More patients who saw a different specialist first were upstaged compared with patients sent directly to thoracic surgery (32.6% vs. 22.2%; P=0.22). CONCLUSIONS: When comparing time from CT detection of a lung nodule to surgery, no significant difference was found between patients sent to nonthoracic specialists first and those referred directly to a thoracic surgeon. There was a significant decrease in time from CT to surgery for patients with private insurance compared with Medicare/Medicaid

Pleural lipoma clinically mimicking the presentation of superior sulcus tumour upon initial evaluation

© BMJ Publishing Group Ltd 2017. All rights reserved. Here we present a case of a large pleural lipoma which presented with paresthesias of the hand. This is an unusual presentation of an uncommon tumour

Pleural Lipoma Clinically Mimicking the Presentation of Superior Sulcus Tumour Upon Initial Evaluation.

© BMJ Publishing Group Ltd 2017. All rights reserved. Here we present a case of a large pleural lipoma which presented with paresthesias of the hand. This is an unusual presentation of an uncommon tumour

Thoracoscopic Resection of Multiple Müllerian Cysts.

© 2015 The Society of Thoracic Surgeons. Müllerian cysts in the mediastinum were first described by Hattori in 2005 [1]. We report the first known case of multiple müllerian cysts in the thorax in a 35-year-old woman with cough and an abnormal chest roentgenogram. Multiple bilateral cysts were resected thoracoscopically. Histologic examination showed benign ciliated tubal epithelium that stained positive with immunohistochemical stains for estrogen receptor (ER), cancer antigen 125 (CA-125), Wilms\u27 tumor protein 1 (WT-1), and paired box gene 8 (PAX8), confirming müllerian origin. We also review the embryogenesis and pathologic characteristics of müllerian cysts and the rare occurrence of their migration to the thorax