Arnoldas Krasauskas

Ankstyvų stadijų nesmulkialąstelio plaučio vėžio chirurginio gydymo rezultatai

The increasing incidence of lung cancer in Lithuania and in the world remains relevant to improving the effectiveness of treatment. Lung cancer is often diagnosed at an older age. Non-small cell lung cancer accounts for about 85%, and small cell lung cancer 15% of all diagnosed lung cancers. About 25% of newly diagnosed non-small cell lung cancer cases are stage I and II, in other cases, however, local or distant spread of lung cancer is detected, when surgical treatment is not indicated. Early-stage non-small cell lung cancer treatment start is radical resection, if the patient’s condition allows. After the operation, an adjuvant platinum–based chemotherapy is combined with etoposide. We analyzed 82 IB–IIIA non-small cell stage lung cancer sufferers who underwent radical resection in combination with a subsequent adjuvant chemotherapy. 1–2 of years after surgery disease progression was noted in 22 patients (27%), while in the 60 (73%) we observed disease remission. These findings stress necessity of additional DNA testing to individualize the treatment itself and improve treatment outcome.

Endoskopinis gerybinio trachėjos naviko pašalinimas

Background Benign fibroepithelial polyps of respiratory tract are very rare. Case report A 42-year-old man was admitted to our hospital suffering from cough and dyspnea. The CT scan of the thorax revealed a round, smooth tumor in the middle part of the trachea. The tumor was successfully removed endoscopically using an electrocautery snare. The postoperative period was uneventful; patient‘s condition was perfect. Histology showed a fibroepithelial polyp – a rare benign lesion of the trachea. Conclusions Endobronchial electrosurgery is a safe and effective treatment method. Clinicians should always consider the possibility of tracheobronchial tumors.

Klajoklio nervo krūtininės dalies neurilemoma: klinikinis atvejis

Neurilemoma – periferinių nervų dangalų auglys. Jis auga lėtai ir pradžia dažniausiai būna besimptomė. Pasiekes kritinį dydį auglys, priklausomai nuo atsiradimo vietos, pasireiskia spaudimo į aplinkinius organus klinika. Neurilemomos dažniausiai atsiranda galūnėse 30–50 gyvenimo metais nepriklausomai nuo lyties. Klajoklio nervo neurilemoma yra nedažna patologija, o krūtininės klajoklio nervo dalies neurilemoma pasitaiko itin retai. Diagnozuojant svarbiausi yra radiologiniai tyrimo metodai. Gydymas – chirurginis auglio pasalinimas. Pateikiame krūtininės klajoklio nervo dalies neurilemomos, nustatytos 39 metų moteriai, klinikinį atvejį. Auglys aptiktas radiologiniais tyrimais (krūtinės rentgeno, kompiuterinės tomografijos ir tarpuplaucio magnetinio branduolių rezonanso), pasalintas naudojant vaizdo torakoskopine (VATS) metodiką. Diagnozė galutinai patvirtinta histologiniu tyrimu. Astuntą parą po operacijos ligonė israsyta į namus. Reiksminiai žodžiai: neurilemoma, klajoklis nervas, operacija Neurilemoma of intrathoracal vagal nerve: clinical case Renatas Askinis, Arnoldas Krasauskas, Sigitas Zaremba, Saulius Cicėnas Neurilemoma is a tumour of peripleurical nervous tissues. It grows slowly and has an asymptomatic manifestation. During tumour enlargement, depending on localisation, clinical symptoms appear because of the tumour pressure to the surrounding tissues. Mostly neurilemomas appear in extremities of patients aged 30–50 years. N. vagus neurilemoma is a very rare disease. The diagnosis is made using radiology. The treatment is surgical removal. We present a clinical case of intrathoracal n. vagus neurilemoma in a 39-year-old woman. The diagnosis was made using radiological findings (chest X-ray, chest CT, and the MRI of the mediastinum). The removal of the tumour was made by VATS. The diagnosis was proved morphologically. After 8 days, the patient was discharged from the hospital. Key words: neurilemoma, vagal nerve, operation