Chest wall necrosis after radiotherapy

Young man recieved chemotherapy and radiotherapy as treatment for lymphoma located in mediastinum. Necrosis of the chest wall produced rib destruction and great ulceration that developed secondary infection. Surgycal approach was skin and rib ressection followed by cleaning of the wound. Reconstruction consisted of skin flap.

NSCLC CNS metastasis

Brain and cerebelar metastasis as initial presentation of non small-cell lung cancer in a 52 years-old man. 10 CNS metastasis were the cause of neural disorders. No other metastatic site was found.

Bronchial carcinoma of inferior left lobe

Man, 78 years old, was brought to emergency consultation due vague complain, depression and weight loss. Investigation was carried out with chest x-ray that was diagnostic for a gross mass in left inferior lobe. CT of the chest showed the lesion with probably compromise of inferior pulmonay vein and pleural effusion. Respiratory endoscopy showed tumor in the inferior lobar bronchus. Thoracocentesis reveal clear effusion and pelural Cope specimen was roughly thick.

Superior vena cava syndrome

Male, 47 years old, with progressive dyspnea was sent to the thoracic service of Hospital Geral - Caxias do sul. X-ray showed right hilar mass with widen superior mediastynum. Clinical relevant fidings were colateral circulation in superior chest and neck, typical superior vena cava syndrome. The patient's initial investigation was done with thoracic and superior abdominal CT, bronchoscopy and mediastynoscopy. Endoscopy confirmed endobronchial tumor at right superior lobe bronchus. Mediastinoscopy findings were bulky mediastynal desease. Both tissue diagnosis were adenocarcinoma. After this investigation, the patient was sent to oncologyc clinical treatment.

Carcinoma epidermóide ulcerado de esôfago