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Biomedical subjects

T M Orłowski

Publications and source records attributed to T M Orłowski.

12 recordsLinked to original sources

[Sarcoid reaction in patients with lung neoplasm--personal experiments].

In two cases histological examination of the lymph nodes excised during mediastinoscopy showed non-caseous epithelioid granulomas. In one patient with hilar lymphadenopathy sarcoidosis was misdiagnosed. One-year later progression of lesions in lungs was found and adenocarcinoma was diagnosed. In second patient with tumour in chest x-ray examination after misdiagnosed sarcoidosis thoracotomy was done and histological examination of samples from tumour showed nonsmall cell lung cancer. In both carcinomatous cases sarcoid reaction was recognised.

Adenocarcinoma↗

[Pulmonary amyloidosis--own experience].

Three cases of amyloidosis were described. In all diagnosis was confirmed by histological examination. There was amyloidosis limited to the lungs in 2 cases and in 1 generalised. In 1 patient lobectomia was performed. Next 2 pts were treated with prednisone and cytostatic drugs (melphalane and cyclophosphamide).

Aged↗

[Early and late results of surgical treatment for bronchial carcinoids].

UNLABELLED: The aim of the study was to evaluate the efficacy and safety of surgical treatment of the bronchial carcinoids. Between 1983 and 1996 52 patients (pts) with typical carcinoid were operated. The group consisted of 23 males and 29 females aged from 20 to 68 years (mean 41.3 years). In the chest X-ray and CT scan round shadow were found in 21 (40.4%) cases, lung tissue atelectasis in 23 (44.1%) cases. The bronchial tree was normal in fiberoptic bronchoscopy in 8 cases. We performed 4 pneumonectomies, 3 wedge resection and 45 lobectomies (including 5 "sleeve" lobectomies). We haven't recorded any early post-op deaths. Only two pts (3.8%) developed post-op complications--cardiac arrhythmias. In two cases the surgical treatment was followed by radiotherapy for metastases in regional lymph nodes. The period of follow-up ranged from 3 to 166 months (mean 62.2 months). During that time we noticed the recurrence of tumor in 2 pts (3.8%). One patient died from cardiac reason. The 5-year survival among patients operated in the period 1983-1992 was 91.2%. The 10-year survival in the group of pts operated on between 1983 and 1987 was 90%. CONCLUSION: The surgical treatment of bronchial carcinoid is method of choice, very efficient and safe.

Adult↗

The management of tracheal obstruction.

The stenting of the tracheobronchial tree has become common method of palliative treatment in inoperable cases. The patients with malignant tracheal stenosis constitute the most numerous group. The airway patency should be restored prior to inserting the stent. The stent protects both trachea and bronchi from narrowing their lumen with malignant tissue. When malignant infiltration is accompanied by airway compression the stenting is the method of choice. The own model of tracheobronchial prosthesis has been invented. It enables the protection of both trachea and the bronchi. The stent is inserted endoscopically on rigid bronchoscope. It is the method of stenting, which allows the visual control during the whole procedure.

Airway Obstruction↗

Perioperative management of a post heart transplantation patient with renal failure qualified to lung resection.

Since the first heart transplantation (1967, Christian Bernard), hundreds of similar procedures have been performed all over the world. Considerable advance made in immunosuppressive treatment improved survival rate and long-term efficiency of treatment improved survival rate and long-term efficiency of treatment. Many of these patients suffer from ailments requiring operations which are not connected with the transplanted organ. The present study describes a case of a post heart transplantation patient qualified to lung resection, in whom renal insufficiency occurred in the course of immunosuppressive therapy.

Heart Transplantation↗