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العنوان
Surgical management of endobronchial tumors /
المؤلف
El­-Sayed, Amr Abd El-­Latif Hassan.
هيئة الاعداد
باحث / عمرو عبداللطيف حسن السيد
مشرف / مسعد محمود مرشد
مشرف / وائل عبدالعزيز عبدالحميد
مشرف / سامح مصطفى عامر
الموضوع
Endobronchial tumors. Surgical treatment.
تاريخ النشر
2006.
عدد الصفحات
283 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2006
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of Cardiothoracic Surgery
الفهرس
Only 14 pages are availabe for public view

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from 293

Abstract

The term ”endobronchial tumors” refers to tumors or growths arising into the lumen of the bronchial tree. We retrospectively analyzed a series of twenty-four patients with endobronchial tumors who underwent surgery in the cardiothoracic surgery department in Mansoura university hospital from January 1985 to March 2006 to evaluate the variable surgical options performed in the management of endobronchial tumors in these patients and the factors determining selection of the appropriate surgical technique. from our study we concluded that: 1-Endobronchial tumors can occur over a wide range of age without significant sex differentiation. 2- Malignant endobronchial tumors are more than benign endobronchial tumors. 3-Suspicion of endobronchial tumor should be taken in case of prolonged chest complain inspite of medical treatment specially, cough, expectoration, recurrent chest infection, or recurrent hemoptysis. 4- Chest X-ray can’t be dependable as regard proving or exclusion of presence of endobronchial tumors. 5-Computerized tomography (CT) of the chest is more sensitive than chest x-ray for detection of endobronchial tumors . 6-Bronchoscope is the main diagnostic tool for diagnosis of endobronchial tumors and detection of the provisional plane for surgical techniques. 7- Sure pathological diagnosis is obtained by pathological examination of postoperative resected sample, due to false results obtained by bronchoscopic samples. 8-Intraoperative frozen section analysis of the resected bronchial margin may prevent positive resectional margin. 9- Late diagnosis of endobronchial tumors leads to post obstructive pulmonary affection that lead to more pulmonary resections even if there is no need for such resections according to the bronchial location and infiltration of the tumor. 10- With early diagnosis more conservative resectional techniques and bronchoplasty even without any pulmonary resection could be done.