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Biomedical subjects

P Verdoux

Publications and source records attributed to P Verdoux.

16 recordsLinked to original sources

[Tumors of the mediastinal nerves. Diagnosis and possibilities of conservative surgery. Apropos of 2 cases].

Two new cases of tumour of nerves running in the mediastinum are reported; one was a schwannoma of the right phrenic nerve, the other a schwannoma of the vagus nerve. In both cases the diagnosis was suspected on the basis of computed tomography scans. Treatment consisted of nerve-sparing tumour enucleation. The result was incomplete in the first patient, with partial paralysis of the diaphragm, and complete in the second patient, with no disturbance of pharyngeal motility. The authors discuss the diagnosis of these tumours and the validity of nerve-sparing surgery.

Cranial Nerve Neoplasms↗

[False pulmonary metastases. Apropos of 8 cases].

The authors report the cases of 8 patients who had been, or were being, treated for pharyngo-laryngeal carcinoma (n = 7) or cancer of the bladder (n = 1). Because of the finding of one or several peripheral pulmonary opacities, these patients underwent exploratory thoracotomy which showed that these opacities corresponded to benign lesions instead of metastases of these cancers. This leads to a reappraisal of the diagnostic approach of pulmonary opacities in patients with known cancer, since benign lesions unrelated to the malignancy cannot be excluded. The need for an accurate diagnosis of these intrapulmonary lesions is emphasized, using various exploratory methods including thoracotomy if required.

Adult↗

[Aspergillosis and radiation-induced pneumonia. What relationship? Apropos of 2 cases].

The authors report the cases of 2 patients who underwent lobectomy followed by irradiation for lung cancer and subsequently developed an aspergillus-infected cavity in the irradiated lung parenchyma. It is far from certain that aspergillosis must always develop in a pre-existing cavity. In cases where it developed on post-radiotherapy lung lesions, our 2 patients and a review of the literature encline us to believe that the fungus itself is responsible for the formation of cavities in lesions of radiation pneumonia. Treatment of such disease can only be surgical, and in spite of post-irradiation and post-surgery sclerosis, elective excision of the lesions is the best solution.

Adult↗

[Mycobacterium xenopi infection in emphysematous bulla. Apropos of 4 cases operated on].

The authors presented their observations of four patients who were operated on for a supra-infection of emphysematous bullae by Mycobacterium xenopi. In two cases the patients were operated on without a diagnosis and excision of the right upper lobe assured their cure. The other patient underwent a decortication and ultimately relapsed. The fourth had a bilateral apical infection and underwent bilateral excision. A survey of the literature leads one to think that pulmonary infections with a Mycobacterium xenopi occur in emphysematous bullae more often than is generally thought. The unreliability of the results of antituberculous drugs, the complications of treatment and the risks of recurrence after treatment are well known. Controlled surgical excision of the lesions, which is most often followed by a definitive cure, always merits consideration as part of the therapeutic arsenal.

Adult↗

[Pseudo-tumoral round atelectasis without known pleural history (apropos of 2 cases)].

The authors recall two cases of round atelectasis without any known pleural past-record. The first showed, on successive X rays, an increase in size of the image. In the second case a pleural effusion occurred after the discovery of a round opacity. They stress the various small radiological signs as a way of including the etiology of a purely mechanical atelectasis among the difficult diagnosis of intraparenchymal round opacities.

Adult↗