CASE REPORT This is the case of a 61-yr-old male who underwent a threestage oesophagectomy and substernal gastric interposition as surgical treatment for a tumour 3, node 0, metastasis 0 poorly differentiated squamous cell carcinoma of the middle oesophagus. Unusual posterior mediastinal anatomy (the thoracic aorta and thoracic duct were very deep, and the distance between the trachea and anter...

Spinal chondroma is a rare benign tumor it accounts for 2.8% of bone tumours and 12% all tumours. 3.6% to 4% are located in the spine representing 10% chondromas. It can originate from vertebral bodies or posterior arch described patients between 5 78 years age [1]. We present clinical case 60 year old woman, who consulted dorso-thoracic pain around belt line was treated as gastroduodenal ulcer...

We present a patient with a large thymoma on the right thoracic cavity developing from the visceral pleura. This is a rare location for this tumour, and only a few had been reported to date in the literature.

We report a novel surgical strategy for the resection of a rare type of posterior mediastinal tumour in a young patient. A melanotic schwannoma arose from the left thoracic sympathetic chain, adjacent to the origin of the artery of Adamkiewicz. Successful excision of this tumour via a minimally invasive approach without arterial or spinal cord injury was possible with the aid of neurological mo...

We report a case of a 61 year-old man who presented with refractory non-insulin mediated hypoglycaemia. A chest radiograph showed a right lung opacity, which was confirmed as a large intra-thoracic mass by computed tomography (CT) of the thorax. CT-guided biopsy with histological examination revealed features of a solitary fibrous tumour of low malignant potential. We discuss the association of...

We report a case of temporal lobe epilepsy and incomplete Brown-Sequard syndrome of the thoracic cord. Computed tomography and magnetic resonance (MR) imaging showed multiple supratentorial masses with the classical radiological appearances of multifocal dysembryoplastic neuroepithelial tumour (DNET). Spinal MR imaging revealed intradural lipomas, not previously reported in association with mul...

Fig. 1. Transverse CTscan showing the tumour originating from the right inferior pulmonary vein (PV) andoccupying thewhole of the left atrium (T). Note the left sided pleural effusion (E) and associated collapsed left lower lobe. Fig. 2. Pre-operative trans-thoracic echocardiography (five chamber view) showing the tumour (T) extending from the pulmonary vein (PV) and the left atrium (LA) into t...

Most metastatic spinal lesions (70%) are found at the thoracic level, 20% in the lumbar region, and 10% in the cervical region. A variety of benign and malignant tumours may arise in the lung, but the vast majority is bronchogenic carcinomas (90 to 95%). The aim of this study was to evaluate the lung cancer metastases to the vertebral column in terms of type, localisation and metastasis pattern...

There are various surgical approaches to superior sulcus tumours according to the location of the tumour. The chief difficulties in the operation are broadening of the operative field and adhesiolysis. This study presents the case of surgical treatment of superior sulcus tumour following chemoradiation therapy with dense pleural adhesion due to a history of graft replacement of the descending t...

A case of hypertrophic osteoarthropathy in association with malignant tonsil tumour is reported. It involved a patient in whom the bone disorder was detected 10 months prior to the clinical manifestation of the tumour. Hypertrophic pneumic osteoarthropathy is a clinical and radiological syndrome characterized by proliferation of periosteum in long bones with digital clubbing. In over 90 % of th...