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1.  Mediastinal germ cell tumour with massive pulmonary involvement 
BMJ Case Reports  2011;2011:bcr1220103671.
Multimodality treatment, with chemotherapy and surgery, is potentially curative in case of non-seminomatous germ cell tumours. The authors present the case of a primitive mediastinal GTC with bilateral lung metastases. The patient was treated with five cycles of chemotherapy. Restaging showed reduction of the extent and of 18 FDG intake and ╬▓-HCG serum levels. The patient underwent two-step surgical excision of the tumours: mediastinal lesion and 35 lung metastases were resected by a right thoracotomy and 39 metastases were removed by a left thoracotomy. Histology showed absence of viable tumour in all the specimens. Twelve months after surgery the patient is free of disease.
PMCID: PMC3158347  PMID: 22688492
2.  Re-anastomosis of the anomalous segmental pulmonary vein during inferior bilobectomy 
An anomalous pulmonary vein anatomy could represent a challenge for the thoracic surgeon. In these cases, the incidence of complications during lung surgery is increased, especially the need to perform a pneumonectomy due to a wrong section of the vascular elements. All attempts to reduce this risk must be undertaken, including techniques to restore normal venous drainage. We present a case of re-anastomosis of the posterior segmental vein of the right upper lobe draining into the lower pulmonary vein during a right lower bilobectomy for lung cancer.
PMCID: PMC3397732  PMID: 22552799
Venous anomalies; Vascular re-anastomosis; Lung surgery; CT scan
3.  Diverticulum of the midthoracic oesophagus and left diaphragmatic relaxation 
BMJ Case Reports  2010;2010:bcr0420102950.
The case of a 58-year-old man with a large midthoracic oesophageal diverticulum and a left diaphragmatic relaxation who presented with night regurgitations, abdominal bloating, epigastric burning and a sensation of fullness after meals is reported. The patient underwent a successful thoracotomic diverticulectomy with left diaphragmatic plicature. The postoperative course was uneventful. To our knowledge this is the first reported case of an association between midthoracic oesophageal diverticulum and left diaphragmatic relaxation. Moreover, we hypothesised that the diverticulum was caused by a pulsion mechanism due to obstruction of the distal oesophagus secondary to diaphragmatic relaxation.
PMCID: PMC3027864  PMID: 22791853
5.  Backstabbing 
PMCID: PMC3097569  PMID: 21633588

Results 1-5 (5)