Cervical metastasis after esophagectomy

Three years after an esophagectomy for middle third scamous cell carcinoma, cervical metastasis produced complete obstruction for solid food.

Surgery was an uncommon approach, through an endoprothesis (portion of a 34 fr chest tube) from cervical esophagus to intrathoracic stomach.

Hamartoma

Another hamartoma. Young man (36), heavy smoker (20 years) presented at x-ray with an isolated pulmonary nodule (lingula).

Pulmonary metastasis: sarcoma

Male, 29. Sarcoma removed from left leg three years ago. Control chest CT showed isolated nodule in right inferior lobe. The surgery identified another unsuspected nodule in the same lobe.

Ivor-Lewis esophagectomy

Male, 71 years old. Adenocarcinoma compromising the cardia and distal esophagus (4 cm). Reconstruction with body and gastric antrus was done 10 cm above the macroscopic proximal tumor limit. A gastric tube appears in the opened stomach and was put through jejunum. Surgical stage was T2N1M0.

Intercostal neuritis after blunt chest trauma.

Young woman victim of contundent right chest trauma and rib fractures presented with severe chronic pain. Treatment with opioid analgesic and intercostal nerve block wasn't sucessfull. Surgical treatment with three intercotal nerve resections was done through VATS.

Expansive lesion in the sixth rib.

Male, 84 years old, complaining of chest pain, presented with expansive lesion in the sixth left rib. CT scan showed bone destruction. The procedure was parcial resection of the rib including all lesion. Reconstruction of the chest wall was carried out with marlex mesh.

Wedge resection for bronchial carcinoma

71 years old man with limited pulmonary function and mass in left inferior lobe.

Condroadenoma

Female, 64, with a solitary pulmonary nodule that shown growth in 60 days CT scan control. The procedure with frozen section examination,was just precision removal.