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Medical ArticlesStings Of InsectsThe effect produced by the sting of Bees, Wasps, and Hornets ... Lungs Bleeding From This is usually taken as a most alarming, and even hopeless, s... Simple Dilatation The term "simple dilatation" may be applied to the dilatation... Back Failures Often a severe pain in the toe, foot, ankle, or lower leg has ... Aphorisms Educate your eye and your fingers. Be sure you are right... Acquiring Skill Endoscopic ability cannot be bought with the instruments. As ... Forceps Delicacy of touch and manipulation are an absolute necessity... Deafness The prognosis is very uncertain. This infirmity is often cure... Diagnosis If a more malignant form of endocarditis develops on a mild ... Esophageal Dilators The dilatation of cicatricial stenosis of the esophagus can ... Esophagoscopy For Foreign Body ... Cardiac Disease In Pregnancy It is so serious a thing for a woman with valvular lesion or ... Action Of The Sitz-bath Explained The _sitz-bath_ acts in a direct manner upon the abdominal or... Myocarditis Fibrous Management The advice he should receive is well understood: to avoid phy... Fatty Heart The cause of deposits of fat around the heart or in between i... Chronic Diarrhea Take A D current, of very mild force. Place P. P. at the feet... Highly Inflamed Throat Croup If the _throat_ is in a highly inflamed condition, repeated p... Diet The composition of different articles of food varies. A turnip ... Cancer In Face Treat as far as possible as recommended for breast cancer. ... Diet The diet of the sick should he nutricious, but at all times s... |
Benign Growths Primary In The Tracheobronchial TreeCategory: BENIGN NEOPLASMS OF THE ESOPHAGUS Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery Extension of papillomata from the larynx into the cervical trachea, especially about the tracheotomy wound, is of relatively common occurrence. True primary growths of the tracheobronchial tree, though not frequent, are by no means rare. These primary growths include primary papillomata and fibromata as the most frequent, aberrant thyroid, lipomata, adenomata, granulomata and amyloid tumors. Chondromata and osteochondromata may be benign but are prone to develop malignancy, and by sarcomatous or other changes, even metaplasia. Edematous polypi and other more or less tumor-like inflammatory sequelae are occasionally encountered. Symptoms of Benign Tumors of the Tracheobronchial Tree.--Cough, wheezing respiration, and dyspnea, varying in degree with the size of the tumor, indicate obstruction of the airway. Associated with defective aeration will be the signs of deficient drainage of secretions. Roentgenray examination may show the shadow of enchondromata or osteomata, and will also show variations in aeration should the tumor be in a bronchus. Bronchoscopic removal of benign growths is readily accomplished with the endoscopic punch forceps shown in Figs. 28 and 33. Quick action may be necessary should a large tumor producing great dyspnea be encountered, for the dyspnea is apt to be increased by the congestion, cough, and increased respiration and spasm incidental to the presence of the bronchoscope in the trachea. General anesthesia, as in all cases showing dyspnea, is contraindicated. The risks of hemorrhage following removal are very slight, provided fungations on an aneurismal erosion be not mistaken for a tumor. Multiple papillomata when very numerous are best removed by the author's coring method. This consists in the insertion of an aspirating bronchoscope with the mechanical aspirator working at full negative pressure. The papillomata are removed like coring an apple; though the rounded edge of the bronchoscope does not even scratch the tracheal mucosa. Many of the papillomata are taken off by the holes in the bronchoscope. Aspiration of the detached papillomata into the lungs is prevented by the corking of the tube-mouth with the mass of papillomata held by the negative pressure at the canal inlet orifice. Next: Benign Neoplasms Of The Esophagus Previous: Methods Of Treatment
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