Advances in Thoracic Diseases 2020-10-21T20:18:34+00:00 Pr Mohamed BOUCHIKH Open Journal Systems <p><strong>Advances in Thoracic Diseases (ISSN : 2550-6048)</strong> is an international, peer reviewed open access journal covering wide range of subjects in thoracic and respiratory diseases and relevant areas.</p> Survival and Prognostic Factors of Patients Operated for Bronchopulmonary Cancer Invading the Chest Wall at Ibn Sina Hospital in Rabat (Morocco) 2020-07-19T20:31:09+00:00 LAMBONI DAMESSANE Hicham Fenane Rachid Taoufiq Safa Sabur Mohamed Caidi Abdellah Achir Mohamed Bouchikh <p><strong>Introduction:</strong> Non-small cell bronchopulmonary cancer (NSCLC) invading the chest wall is operable cancer at the cost of a parietal sacrifice. Their survival is estimated at 15% at 5 years in the literature. The factors of poor prognosis, particularly recurrence, have been studied in the literature in various ways.<br>Objective of this study is to describe the overall survival and the recurrence-free survival of patients operated on in our department for NSCLC invading the chest wall (parietal pleura and bone wall) and to assess prognostic factors.<br><strong>Material and methods:</strong> We carried out a retrospective study on a series of cases of bronchopulmonary cancer invading the chest wall operated on in our department between 2010 and 2014. We analyzed overall and recurrence-free survival according to the Kaplan-Meier method depending of several parameters.<br><strong>Results:</strong> Twenty-nine patients were operated on, all of them male, with an average age of 57 years. The main clinical sign was chest pain. Bone involvement was found in 7 patients, 22 patients presented with an invasion of the parietal pleura alone. The resection was in one piece, removing the pulmonary parenchyma and the wall in 23 patients. Parenchymal resections were dominated by lobectomy performed in 23 patients (79.31%). Seven patients were lost to follow-up. The overall survival of the patients is on average 34 +/- 4.9 months and the survival without recurrence is 24 months +/- 5.53 months. We analyzed overall survival as a function of bone involvement, monobloc resection and association with perioperative treatment. The chi-square test was respectively p = 0.659; p = 0.194; p = 402. Survival without recurrence was analyzed according to the same parameters with p = 0.197; p = 0.050; p = 0.036.<br><strong>Conclusion:</strong> NSCLCs invading the chest wall are not limits to surgical resection. The association with perioperative adjuvant treatment seems to have an impact on the improvement of survival and on the occurrence of recurrence.</p> 2020-07-05T19:42:21+00:00 Copyright (c) 2020 Damsane Lamboni et al. « Neglected » Endothoracic Goitres : The Point of View of Thoracic Surgeon 2020-09-28T20:55:00+00:00 Marouane Lakranbi Fatima-Ez-zahrae Lamouime M Rhaouti H Harmouchi Layla Belliraj FZ Ammor Yassine Ouadnouni Mohamed Smahi <p><strong>Introduction :</strong> Neglected endothoracic goiter is an endothoracic mediastinal portion that was neglected during the surgical removal of a plunging cervical goiter in contrast to autonomous ectopic mediastinal goiter which has its own mediastinal vascularization without connection between the two components and but who was not diagnosed during the cervical thyroidectomy. The aim of this work is to report the point of view of thoracic surgeon to avoid "forgetting" this endothoracic component.<br><strong>Materiel and methods :</strong> This is a retrospective study involving four patients, all operated for an endothoracic goiter only by thoracotomy.<br><strong>Results :</strong> Among four patients, it was 3 women and one men with an average age of 46 years. All Four cases have already been operated for cervical goiter by cervicotomy alone. Also, for all patients, the discovery was accidental. the cervicothoracic scan found a posterior mediastinal heterogeneous mass, with calcification lesions in 2 patients, and necrosis zone in 2 patients. The four patients were operated by posterolateral thoracotomy. Operative outcome was simple in all patients except 2 cases of wound infection.<br><strong>Conclusion :</strong> Neglected endothoracic goiter poses a diagnostic and also a therapeutic problem because its a difficult surgery due to the adhesions already formed following a first cervical thyroid surgery and therefore it is essential not to miss the diagnosis of any diving goiter.</p> 2020-09-27T11:13:53+00:00 Copyright (c) 2020 Lakranbi M et al. Recommandations de la Société Marocaine de Chirurgie Thoracique « SMCT » pour la prise en charge des patients pendant la pandémie COVID-19 2020-05-12T18:47:52+00:00 Mohammed Bouchikh Abdellah Achir Adil Arsalane Souheil Boubia Karim Laqsiouar Yassine Msougar Mohamed Ridai Mohamed Smahi 2020-05-12T18:46:48+00:00 Copyright (c) 2020 Société Marocaine de Chirurgie Thoracique Spontaneous Bilateral Idiopathic Hemothorax 2020-09-01T17:40:03+00:00 Layla Belliraj Marouane Lakranbi Yassine Ouadnouni Mohamed Smahi <p>The spontaneous hemothorax is defined by the presence of blood in the pleural cavity, outside any traumatic context. Idiopathic spontaneous hemothorax is an extremely rare form of spontaneous hemothorax, in which there is no apparent cause that justifies bleeding.<br>We report the case of a young patient, treated in our department, for a spontaneous bilateral idiopathic hemothorax.</p> 2020-09-01T00:00:00+00:00 Copyright (c) 2020 Belliraj L et al. Bilateral Spontaneous Pneumothorax: A Rare Clinical Presentation of Pulmonary Metastases of Synovialosarcoma 2020-09-01T17:37:49+00:00 Layla Belliraj Chaymae Hejjar Yassine Ouadnouni Mohamed Smahi <p><span lang="EN-US">Bilateral spontaneous pneumothorax is a very rare condition that occurs mainly in patients with underlying lung disease. We present the case of a spontaneous bilateral pneumothorax in a young patient treated&nbsp; for a synovialosarcoma of the right foot.</span></p> 2020-07-05T18:50:31+00:00 Copyright (c) 2020 Belliraj L et al. Endobronchial Metastasis of Colorectal Carcinoma 2020-10-21T20:18:34+00:00 Safa Sabur Rachid Taoufiq Lamboni Damessane Wafae El Aamadi Abdellah Achir Mohammed Bouchikh <p><strong>Background: </strong>Endobronchial metastasis is&nbsp;&nbsp; an&nbsp;&nbsp; infrequent secondary location of an extra thoracic cancer. Colorectal cancer is one of the most affected primary tumours. <strong>Case presentation: </strong>&nbsp;We report the clinical case of a patient who has had endobronchial metastasis of a adenocarcinoma of the colon, confirmed by mass biopsy. Surgical treatment was indicated after chemotherapy cures. The patient is currently asymptomatic 33 months after treatment. <strong>Conclusion: </strong>Endobronchial metastasis is a rare entity, occurring after years of primary disease progression. Surgery allows for prolonged survival and disease control.</p> 2020-10-21T10:13:51+00:00 Copyright (c) 2020 Sabur et al.