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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pleura of the Lungs01:13

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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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Other Pulmonary Disorders01:17

Other Pulmonary Disorders

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Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
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Gross Anatomy of the Lungs01:17

Gross Anatomy of the Lungs

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The lungs are a pair of vital organs connected to the trachea via the left and right bronchi. The base of these organs meets the dome-shaped muscle known as the diaphragm. Encased by the pleurae, the lungs contact the mediastinum. The right lung is shorter yet wider, and has a larger volume than the left lung. The left lung has an indentation known as the cardiac notch. The superior region of the lungs is referred to as the apex, whereas the base is the lower region near the diaphragm. The...
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Pleural Disorders: Types and Brief Description01:30

Pleural Disorders: Types and Brief Description

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The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Primary lung tumors invading the chest wall.

Pier Luigi Filosso1, Alberto Sandri1, Francesco Guerrera1

  • 1Department of Thoracic Surgery, University of Torino Italy, Torino, Italy.

Journal of Thoracic Disease
|December 13, 2016
PubMed
Summary

Lung tumors invading the chest wall (CW) are T3 and often present with chest pain. Surgical resection offers a chance for cure but requires careful preoperative assessment due to potential complications and impacts on prognosis.

Keywords:
Primary lung canceradjuvant therapychest wall reconstructionchest wall resectioninduction therapyn2

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Area of Science:

  • Oncology
  • Thoracic Surgery

Background:

  • Chest wall (CW) involvement in primary lung neoplasms is approximately 5%.
  • Lung tumors invading the CW are classified as T3, representing 45% of T3 lung cancers.
  • Chest pain is the most common symptom (>60%), highly specific for CW infiltration (>90%).

Approach:

  • This paper reviews recent series of lung tumors invading the CW.
  • Focus on preoperative evaluation, surgical techniques, and postoperative complications.
  • Critical analysis of patient outcomes and prognostic factors.

Key Points:

  • Surgical resection offers a chance to cure locally advanced CW-invading lung tumors.
  • Prognosis depends on complete resection and lymph-nodal status.
  • Careful preoperative assessment is crucial for surgical consideration.

Conclusions:

  • Surgical resection is a viable treatment for lung tumors invading the chest wall.
  • Management requires meticulous preoperative evaluation and surgical planning.
  • Optimizing outcomes involves addressing postoperative complications and lymph-nodal involvement.