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Luczak K.,Wroclaw Medical University | Dorobisz K.,Wroclaw Medical University | Krecicki T.,Wroclaw Medical University | Janczak D.,Wroclaw Medical University | And 2 more authors.
Srpski Arhiv za Celokupno Lekarstvo | Year: 2015

Introduction Lipomas are the most common benign mesenchymal tumors, which account for almost 50% of all soft-tissue tumors. Case Outline The case of a 75-year-old patient with a slow growing lesion of para- and retropharyngeal space was reported. The patient was suffering from progressive dysphagia, respiratory obstruction and sleep apnea. Conclusion An external surgical approach is the treatment of choice. Etiology, differential diagnosis and therapy of head and neck lipomas has been discussed. © 2015, Serbia Medical Society. All rights reserved.

Chabowski M.,Fourth Military Teaching Hospital | Szymanska-Chabowska A.,Wroclaw Medical University | Szolkowska M.,National Research Institute of Tuberculosis and Lung Diseases | Janczak D.,Wroclaw Medical University
Advances in Experimental Medicine and Biology | Year: 2015

The article presents the case of a 73-year-old female injured in a bicycle accident, who was diagnosed with a left hemothorax. Initially, a chest drain was inserted and the pleural hematoma was evacuated. Then a thoracotomy was performed. A hematoma debridement and decortication with a subsequent tissue biopsy was carried out and a final diagnosis of spindle cell sarcoma was made. There is a brief discussion on the differential diagnosis of spontaneous hemothorax and its management. © Springer International Publishing Switzerland 2015.

Chabowski M.,Fourth Military Teaching Hospital | Szymanska-Chabowska A.,Wroclaw Medical University | Skotarczak J.,Fourth Military Teaching Hospital | Janczak D.,Fourth Military Teaching Hospital | And 2 more authors.
Advances in Experimental Medicine and Biology | Year: 2015

Our experience of using mediastinoscopy for the diagnosis of enlarged mediastinal lymph nodes or mediastinal mass is presented in this study. We reviewed 54 consecutive patients (34 men and 20 women) with mediastinal pathology of varied etiologies who underwent a standard cervical mediastinoscopy from January to December 2012. The histological results were positive in 32 cases (59.2 %), and negative in 22 cases (40.8 %). Transient laryngeal recurrent nerve palsy manifested as prolonged hoarseness of voice was the only minor complication in 3 cases (5.5 %). The sensitivity of the procedure was 72 %, and the specificity was 100 %. We recommend the use of a mediastinoscopy in the staging of lung cancer and the diagnosis of mediastinal mass when other non-invasive procedures are ineffective. © Springer International Publishing Switzerland 2014.

Nahorecki A.,Fourth Military Teaching Hospital | Chabowski M.,Fourth Military Teaching Hospital | Chabowski M.,Wroclaw Medical University | Kuzniar T.,Fourth Military Teaching Hospital | And 6 more authors.
Advances in Experimental Medicine and Biology | Year: 2015

The aim of the study was to evaluate the usefulness of low-dose computer tomography as a screening tool for early stage lung cancer. The study was performed in 332 individuals aged 55–70 who were asymptomatic, who had not previously suffered from cancer, and who smoked at least ten packs of cigarettes a year. Baseline and repeated LD-CT scans were performed. Pulmonary nodules were classified according to the size and morphology, and the results were categorized as negative (no nodules observed), semi-positive (nodules of 4 mm or smaller in diameter) and positive (nodules 5 mm or larger). Based on the category of the patient, either a repeat low-dose CT, a bronchoscopy with or without a biopsy, or a PET-CT was performed. The baseline screening showed 59 positive results. Eighteen patients were hospitalized and underwent bronchoscopy and biopsy. One of these patients had Stage I non small cell lung carcinoma (NSCLC) and a lobectomy was performed. Three patients had Stage IV NSCLC and were referred for chemotherapy. We identified 103 semi-positive results. Only 25 of those patients had a repeat scan because of noncompliance. We observed no significant growth of diagnosed nodules in a semi-positive group. Low-dose CT can be used as a screening tool for early stage lung cancer. A high percentage of false-positive results are observed. There are difficulties in diagnosing nodules in patients with post-tuberculosis changes. A high rate of non-compliance was noticed. © Springer International Publishing Switzerland 2014.

Janczak D.,Fourth Military Teaching Hospital | Janczak D.,Wroclaw Medical University | Bolanowska B.,Fourth Military Teaching Hospital | Jankowski P.,Fourth Military Teaching Hospital | And 4 more authors.
Wideochirurgia I Inne Techniki Maloinwazyjne | Year: 2015

This case report presents the diagnostic and treatment procedures of stone removal from the kidney of a 67-year-old donor, the transplantation of the kidney to a 65-year-old recipient, and the postoperative course until the end of hospitalization. Computed tomography performed before collecting the organ showed a staghorn stone in the renal pelvis and lower calyces in the right donor kidney. The stones were removed ex-vivo using a rigid ureteroscope and a holmium laser prior to transplantation. Then the organ was transplanted to the left iliac fossa of a 65-year-old man with end-stage renal failure. The authors think there is a possibility of increasing the kidney pool, by using organs containing large calculi. In such cases stones should be removed before the operation and the patient should be monitored regularly, especially in the first months after the transplant.

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