eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 1 6 10.26663/cts.2018.0001 36 article Ahmet Bülent Kargi 1 Harun Süslü 2 Çağatay Ünsal 3 Osman Fatih Boztepe 4 Yener Koç 3 Department of Thoracic Surgery, Medicalpark Hospital Antalya, TurkeyDepartment of Nuclear Medicine, Medicalpark Hospital Antalya, TurkeyDepartment of Hematology and Stem Cell Transplantation Unit, Medicalpark Hospital Antalya, TurkeyDepartment of Otolaryngology, Istinye University Health Sciences Faculty, Istanbul, Turkey<b>Background:</b> Mediastinal lymphadenopathy (MLAP) is observed in various conditions of malignant or benign diseases. The two common diseases leading to MLAP are mediastinal lymphomas and sarcoidosis. The aim of study is to describe distinctive lymph node involvement patterns with sarcoidosis and lymphoma defined by PET-CT.<p> <b>Materials and Methods:</b> 82 patients (45 women and 37 men) with a median age of 53.5 (21-88) years who had PET-CT for differential diagnose for MLAP were evaluated retrospectively. 31 (37.8%) patients diagnosed sarcoidosis, and 51 (62.2%) lymphoma that had histologically proven by various surgical procedures.<p> <b>Results:</b> There were no statistical difference between gender, age and average SUV max of groups (p = 0.068, p = 0.846, p = 0.338). 26 of 31 patient (83.9%) of sarcoidosis group had abnormal findings compared the lymphoma group (51.0%) which showed statistically significant difference (p = 0.003). Meanwhile there were no statistical difference between hilar lymph nodes and liver involvement among the groups (p = 0.239 and p = 0.917), cervical, axillary, abdominal lymph nodes and spleen involvement was significantly higher in the lymphoma group (p = 0.008, p < 0.001, p < 0.001 and p = 0.001). Bone marrow (BM) involvement were also significantly higher in lymphoma group (p < 0.001).<p> <b>Conclusions:</b> There are no specific MLAP findings to differentiate sarcoidosis from lymphomas by PET-CT. It is more likely that the pathological conclusion will be consistent with lymphoma rather than sarcoidosis, in case of involvement of cervical, abdominal and axillary lymph nodes, spleen and BM involvement; however abnormal pulmonary parenchymal findings are in the favor of the diagnosis of sarcoidosis. https://cts.tgcd.org.tr/pdf.php?id=36 mediastinal lymphadenopathysarcoidosislymphomaPET-CT eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 7 9 10.26663/cts.2018.0002 37 article Cagatay Tezel 1 Ilker Kolbas 1 Talha Dogruyol 1 Serkan Bayram 1 Volkan Baysungur 1 Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital, Istanbul, TurkeyCompletion lobectomy is a complex procedure performed mostly in tumor recurrences or after the presence of complications like lobar torsion or bronchopleural fistula. This operation is generally done via re-thoracotomy. Here, we present a case of completion middle lobectomy via videothoracoscopy after an upper lobectomy by thoracotomy. https://cts.tgcd.org.tr/pdf.php?id=37 minimally invasive surgerypulmonary resectioncompletion lobectomy eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 10 12 10.26663/cts.2018.0003 38 article Serkan Bayram 1 Ilker Kolbas 1 Mustafa Vayvada 2 Serdar Evman 1 Cagatay Tezel 1 Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital, Istanbul, TurkeyKartal Kosuyolu Heart & Research Hospital, Thoracic Surgery, Istanbul, TurkeyCongenital lobar emphysema (CLE) is a rare developmental anomaly of the lower respiratory tract, which generally presents during the neonatal/pediatric period. Lobectomy is the only curative treatment for CLE. An 18-year-old male with enlarging left anterior chest wall deformity and progressive breathlessness for the last 2 years admitted to our clinic.<p> Physical examination revealed asymmetrical expansion of left hemithorax. Chest radiography and thoracic computed tomography demonstrated hyperinflation of the left upper lobe and a mediastinal shift to the right side. FEV1 was 1.70 L (50%). Ventilation-perfusion scintigraphy showed reduced perfusion and ventilation in the right lung to 33.4% (upper zone, 1.9%; middle zone, 10.0%; lower zone, 22.5%). Patient underwent a successful video-assisted thoracoscopic surgery (VATS) left upper lobectomy, and was discharged on postoperative day 5. He is still being followed-up on fifth year, asymptomatically, with normalized chest wall appearance. VATS lobectomy is a feasible, safe and effective treatment for congenital pulmonary disorders, even for delayed cases. https://cts.tgcd.org.tr/pdf.php?id=38 video-assisted thoracic surgerylobectomycongenital lobar emphysema eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 13 16 10.26663/cts.2018.0004 39 article Ekin Zorlu 1 Pınar Atasoy 2 Nesimi Günal 1 Koray Dural 1 Berkant Özpolat 1 Department of Thoracic Surgery, Kırıkkale University Faculty of Medicine, Kırıkkale, TurkeyDepartment of Pathology, Kırıkkale University Faculty of Medicine, Kırıkkale, TurkeyWarthin's tumor (WT) is a salivary gland neoplasm, which is also called as papillary cyst adenoma lymphomatosis. Herein, we present an uncommon coexistence of WT in an 80-year-old patient with PET/CT positive cervical lymph nodes, during the diagnostic workup of a pulmonary mass lesion. Histopathologic diagnosis of the lymph node was reported as Warthin tumor and transthoracic biopsy of the mass as non-small cell lung carcinoma. We want to emphasize that it would be essential to identify patients with WT as an association with lung cancer was suggested in the recent literature. https://cts.tgcd.org.tr/pdf.php?id=39 lung cancerWarthin eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 17 21 10.26663/cts.2018.0005 40 article Necdet Öz 1 Metin Çevener 2 Tülay Dikencik 3 Murat Yılmaz 3 Mustafa Özdoğan 4 Department of Thoracic Surgery, Private Medstar Antalya Hospital, Antalya, TurkeyDepartment of Radiology, Private Medstar Antalya Hospital, Antalya, TurkeyDepartment of Anesthesiology and Reanimation, Private Medstar Antalya Hospital, Antalya, TurkeyDepartment of Medical Oncology, Private Medstar Antalya Hospital and Memorial Antalya Hospital, Antalya TurkeyUpper airway obstructions with malignant or benign causes have high mortality and morbidity rates and may lead to sudden respiratory distress. Head-neck tumors, cervical esophagus tumors, longterm intubation, and tracheostomies can lead to airway obstruction. Four cases (one with a long-term intubation tracheomalacia and three with malignant upper airway obstructions) that tracheostomy had been inadequate and performed tracheal stomal stent application were presented with literature. These cases show that tracheal stoma stents are an effective method for providing airway palliation and increasing quality of life. https://cts.tgcd.org.tr/pdf.php?id=40 upper airway obstructiontracheostomytracheal stomal stent eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 22 24 10.26663/cts.2018.0006 41 article Demet Yaldız 1 Yunus Türk 2 Department of Thoracic Surgery, Celal Bayar University, Faculty of Medicine, Manisa, TurkeyDepartment of Thoracic Surgery, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training Hospital, İzmir, TurkeyPenetrating chest traumas constitute nearly one third of all chest traumas with a high high mortality and morbidity. Herein we present a 29-year-old male patient presented at the emergency department with a the penetrating thoracic trauma with a dagger. The management was reported in the light of relevant literatüre. https://cts.tgcd.org.tr/pdf.php?id=41 penetrating chest traumastab woundhemothorax eng Turkish Society of Thoracic Surgery Current Thoracic Surgery 2548-0316 2018-04-25 3 1 25 37 10.26663/cts.2018.0007 42 article Alkin Yazicioglu 1 Thoracic Surgery and Lung Transplantation Clinic, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, TurkeyLung cancer is one of the leading cause of mortality around the world, and it is widely known that survival is limited in metastatic lung carcinoma cases. However, in oligometastatic, non-small cell lung carcinoma cases, surgical excision of both the primary tumor and the metastatic site may yield a survival advantage in selected cases. In non-small cell lung carcinoma cases, especially after metastasectomy of brain and adrenal gland metastasis, studies in which survival advantage is reported are common in the literature, and metastasectomy is the treatment method applied to selected patient groups in brain and adrenal gland metastases. In surgical treatment of extra-cranial and extra-adrenal oligometastasis, on the other hand, there are several cases in which morbidity-free survival rates were reported after successful management. In this report, the surgical treatment results were evaluated, and the contribution of treatment methods to survival rates were investigated in extrapulmonary oligometastatic non-small cell lung carcinoma cases receiving surgical excision. https://cts.tgcd.org.tr/pdf.php?id=42 extrapulmonaryoligometastasislung cancerbrainadrenal glandnon-small cell