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Contents ORIGINAL ARTICLE IMPACT OF TOBACCO SMOKING STATUS AND PRESENCE OF ACUTE DISEASE ON THE RESPONDENTS QUALITY OF LIFE ..................................................................................................................................................................... 174 $PHOD'åXEXU$PLUD.XUVSDKLü0XMþLü0LU]D'LOLü
INFLUENCING FACTORS TO SUCCESS OF SURGICAL TREATMENT OF CONCOMITANT STRABISMUS :,7+&+,/'5(1 -DVPLQD$ODMEHJRYLü+DOLPLü6DQMLQ0XVD
PREDICTIVE POWER OF NEUTROPHIL-LYMPHOCYTE RATIO IN DISTINGUISHING ACTIVE FROM INACTIVE ULCERATIVE COLITIS .............................................................................................................................................................. 187 1HVLQD$YGDJLü1HUPLQD%DELü'LQDLGD7DKLURYLü0HQVXUDâHUHPHW$PHOD'HUYLãHYLü(PLQD1DNDã,üLQGLü
ULTRASOUND BIOMETRY USEFULNESS IN EVALUATING CANDIDATES FOR CATARACT SURGERY 81'(5723,&$/$1(67+(6,$ +XGD+DMMLU.DUþLü6XYDG.DUþLü
PATHOMORPHOLOGICAL CHARACTERISTICS OF NONMICROCELLULAR LUNG CANCER PATIENTS SURGICALLY TREATED AT THE CLINIC FOR THORACIC SURGERY CLINICAL CENTER 81,9(56,7 @EHORQJVWRWKHDJH JURXS\HDUV The average duration of hospitalization was GD\V 7DEOH VKRZV WKH OHQJWK RI hospitalization, expressed in days and divided into four periods. 7DEOH/HQJWKRIKRVSLWDOL]DWLRQRISDWLHQWVZLWKDFKHVWZDOO tumor.
RESULTS Total of 40 patients with chest wall tumors were surgically treated at the Clinic of Thoracic Surgery RI8&&6DUDMHYRGXULQJWKHSHULRGIURP-DQXDU\ WR -DQXDU\ 7KH DYHUDJH DJH RI WKHSDWLHQWVZDV PDOH IHPDOH \HDUV The male to female ratio is shown in Figure 1. Figure 1. Gender presentation of patients with a tumor of the chest wall.
+RVSLWDOVWD\LQPRVWFDVHVZDVIURPWR> @DQGWR> @GD\VZKLFK PHDQVXSWRGD\VIRUERWKJURXSV> @ Table 3 presents the most common signs and symptoms observed in patients with tumors of the chest wall. 7DEOHSymptoms and signs observed in patients with tumors of the chest wall.
Tumors of the chest wall were observed more IUHTXHQWO\ LQ PDOHV > @ WKDQ LQ IHPDOHV> @ZLWKWKHPDOHIHPDOHUDWLR Table 1 shows the age distribution of patients with a tumor of the chest wall, divided into four age groups.
The most common symptom in patients with tumor RI WKH FKHVW ZDOO ZDV SDLQ UHSRUWHG LQ RIFDVHV0DMRULW\RIFKHVWZDOOWXPRUV> ZDV YLVLEOHZLWKWKHQDNHGH\H7DEOHVKRZVWKHORFDOL]DWLRQ of the tumor in relation to the side of the chest.
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7DEOH/RFDOL]DWLRQRIWKHWXPRULQUHODWLRQWRWKHVLGHRIWKH chest.
3ULPDU\WXPRUVZHUHSUHVHQWLQ RI FDVHV6HFRQGDU\WXPRUVZHUHIRXQGLQ >PHWDVWDWLF LQYDVLRQVE\ RQHRIWKHORFDOWXPRU @SDWLHQWV Table 7 shows the types of surgical procedures in patients with a tumor of the chest wall. TDEOHTypes of surgeries performed.
6WDWLVWLFDOO\ WKHUH LV QR VLJQL¿FDQW GLIIHUHQFH S ! LQWKHRFFXUUHQFHRIWKHFKHVWZDOOWXPRUV in relation to the side of the chest. 7DEOHVKRZVWKHW\SHVRIWXPRUVLGHQWL¿HGZLWK the histopathologic diagnosis in patients with tumors of the chest wall. 7DEOH &KHVW ZDOO WXPRUV LGHQWL¿HG ZLWK KLVWRSDWKRORJLF diagnosis.
&RPSOHWHUHPRYDORIWXPRUV H[WLUSDWLRWXPRULVLQ WRWR RIWKHFKHVWZDOOZDVGRQHLQ of patients. Reconstruction of the chest wall defect ZDVUHTXLUHGLQWKH FDVHV DISCUSSION
The most common tumor of the chest wall in surgically treated patients was lipoma, diagnosed LQ RISDWLHQWV 7DEOH VKRZV WKH SUHVHQFH RI SULPDU\ DQG secondary tumors and their gender distribution. 7DEOH3UHVHQFHRISULPDU\DQGVHFRQGDU\WXPRUVDQGWKHLU gender distribution.
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40 patients with tumor of the chest wall were hospitalized and surgically treated at the Clinic of Thoracic Surgery, Clinical Center University of 6DUDMHYRGXULQJWKHSHULRGIURP-DQXDU\ WR-DQXDU\7KHDYHUDJHDJHRIDOOSDWLHQWV ZDV UDQJH IURP WR \HDUV 7KH DYHUDJH DJH RI PDOH SDWLHQWV ZDV \HDUV ZKLOH RI IHPDOH SDWLHQWV ZDV 13.8 years. The research found that chest wall WXPRUVDUHPRUHIUHTXHQWLQPDOHSDWLHQWV> PDOH WR IHPDOH UDWLR ZDV @ )RU H[DPSOH 2UHO KDV DOVR IRXQG WKH VDPH UDWLR between male and female, as well as many other DXWKRUVZKRGHDOZLWKWKHVHLVVXHV In relation to the age, the patients were divided into IRXUDJHJURXSV RIFDVHVEHORQJHG WRWKHDJHJURXSRI\HDUVWKHSDWLHQWVLQWKH DJH JURXS RI \HDUV DFFRXQWHG IRU ZKLOHSDWLHQWVLQWKHDJHJURXSRI \HDUVZHUHWKHPRVWIUHTXHQWZLWK of cases. The lowest prevalence was in the age JURXS RI \HDUV > @ %DVHG RQ WKH obtained results, it can be noted that in relation to DJHWKHOHDGLQJJURXSZDVWKHDJHJURXSRI \HDUV5HJDUGLQJWKHDJHVRIDQGIURP \HDUVLWFDQEHFRQFOXGHGWKDWQHDUO\ of the patients belonged to the age group from WR\HDUV> @$FFRUGLQJWRWKH literature, the highest incidence of tumors of the FKHVWZDOOLVEHWZHHQWKHDJHVRIDQG\HDUV ZKLFKLVFRQVLVWHQWZLWKWKHDERYHUHVXOW The average duration of hospital stay was UDQJHIURPWR GD\V,QUHODWLRQWR
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the length of hospitalization, patients were divided LQWRWKUHHJURXSV,QWKH¿UVWJURXSLQZKLFKWKH KRVSLWDOL]DWLRQ ODVWHG XQWLO GD\V LW ZDV RIFDVHV7KHVHFRQGJURXSFRQVLVWHGRI SDWLHQWV ZKRVH KRVSLWDOL]DWLRQ ODVWHG IURP GD\V DQG GLG DOVR RI KRVSLWDOL]HG patients. The third group included patients who ZHUH KRVSLWDOL]HG IRU GD\V DQG DFFRXQWHG IRU RIFDVHVZKLOHWKHIRXUWKJURXS which included patients who were hospitalized IRU RYHU GD\V DFFRXQWHG IRU RQO\ FDVHV$FFRUGLQJ6WDQLü WKHDYHUDJHOHQJWK of hospital stay for patients with tumors of the FKHVWZDOOLVEHWZHHQGD\V 7KHUHVHDUFK found that in the majority of patients hospitalization ODVWHG IURP GD\V ZKLFK LV FRQVLVWHQW ZLWK the results of the above authors, but also with the UHVXOWVIURPRWKHUDYDLODEOHOLWHUDWXUH Symptomatology in patients with tumors of the chest wall consisted of one or more symptoms. Symptoms and signs that have been reported in SDWLHQWV ZHUH YDULRXV GLI¿FXOWLHV ZLWK EUHDWKLQJ > @ WKRUDFLF SDLQ > @ WUXH G\VSQHD > @ DQG YLVLEOH WXPRU PDVV > @ 7KXV LQ WKH PDMRULW\ RI patients visible tumor mass and pain as the leading symptom and sign of tumor of the chest ZDOO ZHUH VLPXOWDQHRXVO\ UHJLVWHUHG 0RVW RI WKH reports collected from the literature also mention visible tumor mass and pain as the most common symptom and sign that occur in patients with chest wall tumors in the percentage corresponding to the UHVXOWVRIWKLVUHVHDUFK According to the localization of the tumor in relation WRWKHVLGHRIWKHFKHVWULJKWVLGHG> @ FRPSDUHG WR WKH OHIW VLGHG > @ WXPRU of the chest wall was present more often. There LV QR VWDWLVWLFDOO\ VLJQL¿FDQW GLIIHUHQFH S in the occurrence of tumors of the chest wall in relation to the side of the chest, which is also LQ DJUHHPHQW ZLWK SXEOLVKHG GDWD $QDO\VLV RI KLVWRSDWKRORJLFDO ¿QGLQJV VKRZHG D ODUJH YDULHW\ RI GLIIHUHQW GLDJQRVHV 7DEOH 7KH VXUYH\ IRXQG WKDW RI WXPRUV of the chest wall were primary tumors, whereas VHFRQGDU\ WXPRUV FRQVWLWXWHG RI ZKLFK ZHUH PHWDVWDVLV DQG LQYDVLRQV E\ RQH RI WKH ORFDO WXPRU OXQJ DQG EUHDVW FDQFHU ZKLFK FRUUHVSRQGV WR WKH GDWDDYDLODEOHLQWKHOLWHUDWXUH Regarding surgery applied in patients with a tumor of the chest wall, the research found that the total H[WLUSDWLRQRIWKHWXPRUZDVSHUIRUPHGLQ RISDWLHQWVRQO\DELRSV\RIWKHWXPRULQ DQG WXPRU UHGXFWLRQ LQ of cases. Reconstruction of chest wall defect after UHVHFWLRQRIRUPRUHULEV )LJXUH ZDVUHTXLUHG LQ RI SDWLHQWV ZKR KDG XQGHUJRQH complete resection of the tumor. As prosthetic
material a double layer of prolen mesh was used, which according to the literature, has been used E\PRVWDXWKRUV Figure 2. Chest wall defect after resection of three ribs for malignant tumors of the chest wall closed with prolene mesh.
CONCLUSIONS The highest percentage of patients with a tumor RI WKH FKHVW ZDOO EHORQJHG WR WKH DJH JURXSRI\HDUVZLWKWKHPDOHIHPDOHUDWLRRI 7KH DYHUDJH GXUDWLRQ RI KRVSLWDOL]DWLRQ ZDV GD\V,QWKHPDMRULW\RISDWLHQWVYLVLEOH tumor mass and pain as the leading symptom and sign of tumor of the chest wall were simultaneously UHJLVWHUHG 3ULPDU\ WXPRUV DFFRXQWHG IRU of tumors of the chest wall, while secondary WXPRUVDFFRXQWHGIRURIZKLFKZHUH PHWDVWDVHV DQG LQYDVLRQV E\ RQH RI WKH local tumor. The most common surgical procedure in patients with a tumor of the chest wall was H[WLUSDWLR WXPRULV LQ WRWR SHUIRUPHG LQ RI patients. Reconstruction of chest wall defect after UHVHFWLRQRIRUPRUHULEVZDVUHTXLUHGLQ RI SDWLHQWV ZKR KDG XQGHUJRQH FRPSOHWH resection of the tumor. &RQÀLFWRILQWHUHVW none declared. 0HGLFLQVNLåXUQDO
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