Lung India : official organ of Indian Chest Society最新文献

{"title":"Pulmonary capillary hemangiomatosis: An unusual cause of primary pulmonary hypertension in a child with characteristic computed tomography imaging features.","authors":"D Manjubashini,&nbsp;K Nagarajan,&nbsp;B Rajesh Kumar","doi":"10.4103/lungindia.lungindia_122_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_122_18","url":null,"abstract":"<p><p>Pulmonary capillary hemangiomatosis (PCH) is a rare cause of primary pulmonary hypertension (PPH) diagnosed in children and young adults with a nonspecific clinical presentation of dyspnea, cough, chest pain, and fatigue. It is characterized by extensive proliferation of pulmonary capillaries within alveolar septa. The imaging features include diffuse centrilobular ground-glass opacities with features of pulmonary hypertension. We present a case of PCH in an 11-year-old boy who was diagnosed with PPH in echocardiography and referred for diagnostic imaging.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"157-159"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/61/LI-36-157.PMC6410579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The puzzle of lymphoma among the granulomatous disorders.","authors":"Akhil Paul,&nbsp;D J Christopher,&nbsp;Balamugesh Thangakunam","doi":"10.4103/lungindia.lungindia_395_17","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_395_17","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"164-166"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/eb/LI-36-164.PMC6410593.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Localized laryngotracheobronchial amyloidosis: Management issues.","authors":"Desh Deepak,&nbsp;Manjari Kishore,&nbsp;Minakshi Bhardwaj,&nbsp;Parkash Chander Chugh","doi":"10.4103/lungindia.lungindia_138_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_138_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"173-175"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/e1/LI-36-173.PMC6410590.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Craniofacial and upper airway profile assessment in North Indian patients with obstructive sleep apnea.","authors":"Ayush Gupta,&nbsp;Rohit Kumar,&nbsp;Dipak Bhattacharya,&nbsp;B B Thukral,&nbsp;Jagdish Chander Suri","doi":"10.4103/lungindia.lungindia_303_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_303_18","url":null,"abstract":"<p><strong>Introduction: </strong>Upper airway imaging can often identify the anatomical risk factors for sleep apnea and provide sufficient insight into the pathophysiology of obstructive sleep apnea (OSA).</p><p><strong>Materials and methods: </strong>We conducted a case-control, observational study at a tertiary care hospital in North India. All cases and controls underwent lateral cephalometry and magnetic resonance imaging (MRI) for craniofacial and upper airway evaluation. Only the cases had polysomnography testing for confirmation of OSA and assessing the severity of disease.</p><p><strong>Results: </strong>Forty cases and an equal number of matched controls were recruited. On X-ray cephalometry, it was observed that the cases had a significantly larger hyoid mandibular distance and soft palate length; and shorter mandibular length. The MRI cephalometric variables were significantly different, the soft palate length, tongue length, and submental fat were longer while the retropalatal and retroglossal distance was shorter amongst the cases. A statistically significant positive correlation was found between the cephalometric parameters and the indices of severity of OSA. An increased hyoid mandibular distance and soft palate length, and a decrease in the lower anterior facial height were found to be predictive of severe OSA (Apnea-Hypopnea Index ->30/h). An increased hyoid mandibular distance, soft palate length, and the tongue length and a reduced mandibular length were found to be predictive of need for continuous positive airway pressure (CPAP) pressures of ≥15 cm H₂O. There were significant differences between the cephalometric parameters of the Indian OSA patients and patients from other ethnicities reported in the literature.</p><p><strong>Conclusions: </strong>OSA patients had a significantly smaller upper airway compared to age-, sex-, and body mass index-matched controls and cephalometric variables correlated with the indices of OSA severity. The cephalometric assessment was also predictive of severe OSA and the need for higher pressures of CPAP. This indicates the important role of upper airway anatomy in the pathogenesis of OSA.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"94-101"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/10/LI-36-94.PMC6410591.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endobronchial ultrasound elastography in mediastinal lymphadenopathy: Report of two cases and systematic review of literature.","authors":"Saurabh Mittal,&nbsp;Anant Mohan,&nbsp;Vijay Hadda,&nbsp;Karan Madan","doi":"10.4103/lungindia.lungindia_349_17","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_349_17","url":null,"abstract":"<p><p>Endobronchial ultrasound elastography is new ultrasound technology that is being reported recently for the evaluation of mediastinal lymphadenopathy during endobronchial ultrasound-guided (EBUS) transbronchial needle aspiration. This modality is based on the assessment of tissue stiffness that may be useful in differentiating benign from malignant lesions. Image generation leads to colored images with different colors signifying varying degrees of stiffness. The utility of this technique has been studied to differentiate between benign and malignant lymph nodes and various methods for representation of results which include visual color estimation, quantitative color estimation, and strain ratios have been described. Herein, we report two patients with mediastinal lymphadenopathy wherein EBUS elastography was employed. We also systemically review the studies describing this technique in differentiating benign from malignant lymph nodes.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"149-153"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/0d/LI-36-149.PMC6410580.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare complication of endobronchial ultrasound-guided transbronchial needle aspiration: Pericardial empyema.","authors":"Muhammet Sayan,&nbsp;Huseyin Arpag","doi":"10.4103/lungindia.lungindia_262_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_262_18","url":null,"abstract":"<p><p>Endobronchial ultrasound (EBUS)-guided transbronchial biopsy procedure is widely used for the diagnosis of mediastinal lymphadenopathy. İt is a safe method and the complication rate of procedure is <1%. Rarely, the fatal complications may develop after the intervention. Here, we present a case of pericardial empyema occurred as a complication of EBUS-guided transbronchial biopsy procedure.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"154-156"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/a5/LI-36-154.PMC6410598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiolucent right paratracheal mass: Incidental detection of an uncommon entity.","authors":"Lokesh Singh,&nbsp;Uma Debi,&nbsp;Vikas Bhatia,&nbsp;Manavjit S Sandhu","doi":"10.4103/lungindia.lungindia_452_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_452_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"162-163"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/aa/LI-36-162.PMC6410585.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary salivary gland-type tumors of the lung: A systematic review and pooled analysis.","authors":"Pankaj Kumar Garg,&nbsp;Gopal Sharma,&nbsp;Shreyash Rai,&nbsp;Ashish Jakhetiya","doi":"10.4103/lungindia.lungindia_284_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_284_18","url":null,"abstract":"<p><strong>Introduction: </strong>Primary salivary gland-type tumors of the lung (PSGTTL) are rare intrathoracic malignant neoplasms. Their description in literature is largely limited to a few case series and case reports. A systematic review and pooled analysis of the previously reported cases of PSGTTL is presented here.</p><p><strong>Methods: </strong>Electronic database of PubMed using keywords \"lung neoplasm\" AND \"salivary gland tumors\" was used to identify the papers documenting the PSGTTL. Filters (publication date from January 1, 1900--December 31, 2015, Humans and English) were applied to refine the search. A pooled analysis of clinical, pathological, treatment, and survival data was performed.</p><p><strong>Results: </strong>The present systematic review included 5 studies and a total of 233 patients. Mean age of the patients was 41 years (range 6-80 years) and there was a male preponderance (1.3:1). Common pathological types were mucoepidermoid (MEC) (56.6%), adenoid cystic (ACC) (39.5%), and epithelial-myoepithelial cancer (3.8%). Tumors were located in the central airways (trachea and major bronchi) in 43.3% of patients. Weighted median tumor size was 4.2 cm. Surgery was the primary treatment undertaken in 82.4% of the patients, while radiotherapy and chemotherapy were also used in 15.9% and 9.4% of the patients. Lymph node involvement was seen in 15.2% of the patients. Disease recurrences were observed in 21.1% of the patients (12.9% and 37.5% in MEC and ACC, respectively). Three-, 5-, and 10-year weighted overall survival was 86.4%, 81.4%, and 73.6% (93.8%, 90.0%, and 85.0%, respectively, for MEC and 76.7%, 62.8%, and 50.5%, respectively, for ACC).</p><p><strong>Conclusion: </strong>Surgery is the primary treatment of PSGTTL to achieve long-term survival. Role of chemotherapy and radiotherapy in the management of PSGTTL warrants further studies.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"118-122"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/6e/LI-36-118.PMC6410586.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approach to malignant pleural effusions: Role of pleural manometry exemplified by case scenarios.","authors":"Irfan Ismail Ayub","doi":"10.4103/lungindia.lungindia_153_17","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_153_17","url":null,"abstract":"<p><p>Issues related to the management of pleural effusion in India are unique. With high incidence of tuberculosis and malignancy, managing patients with pleural effusion may not be the same between patients. Decisions on intercostal chest drain insertion, volume of fluid to be removed during therapeutic thoracentesis, and further diagnostic imaging and investigations are often taken with difficulty in low-resource settings. Pleural manometry can help resolve these issues and help in the management of such patients. Pleural manometry has been advocated as a valuable tool to characterize underlying lung behavior during thoracentesis and has been proposed to be useful in diagnosing unexpandable lung, predicting the success of pleurodesis, and preventing the development of excessively negative pleural pressures which in turn may lead to the development of reexpansion pulmonary edema. There is very little literature on pleural manometry from India and other developing countries. In this article, the utility of pleural manometry in managing patients with malignant pleural effusion is discussed.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"142-148"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/22/LI-36-142.PMC6410581.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partners in stridor: An uncommon cause for central airway obstruction.","authors":"Irfan Ismail Ayub,&nbsp;Abdul Majeed Arshad,&nbsp;Hemanth Lakshmaiah,&nbsp;Natraj Manimaran,&nbsp;Dhanasekar Thangaswamy,&nbsp;Chandrasekar Chockalingam","doi":"10.4103/lungindia.lungindia_280_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_280_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"168-170"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/24/LI-36-168.PMC6410595.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}