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Lingual thyroid: A review of 12 cases
ABSTRACTS
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airway to remain patent. Four patients required tracheostomy. Five improved after tonsillectomy and adenoidectomy.-Randall W. Powell Lingual Thyroid: A Review of 12 Cases. M. R. Kamat, J. N.
cardium were involved. After partial resection of the cervical tumor the trachea was decompressed. Deterioration and lethal outcome on the 24th day due to compression of the pulmonary vessels and rightsided heart failure.--G. Brandesky
Kulkarni, P. B. Desai, et al. Br J Surg 66:537-539, (August), 1979.
Congenital Cystic Adenomatoid Malformation of the Lung.
Twelve patients with lingual thyroid seen in Bombay over a 14-yr period are reviewed. Nine of the patients were female and the majority presented in the second or fourth decades of life. Six patients were treated conservatively with thyroxine with good results. The remaining six were treated operatively due to the severity of the symptoms associated with recent enlargement and the inability to exclude malignant change. Via a translingual approach the thyroid tissue was excised and a segment submitted for frozen section histological examination. In the absence of any evidence of malignancy the excised thyroid tissue was sliced into thin sections and implanted into the anterior rectus sheath. Two patients with follicular carcinoma were identified. Two patients had autotransplantation of thyroid tissue into the anterior abdominal wall, one with a good functional result.--L. Spitz Cervical Teratomas.
Case Report and Review. Heidi
A. Queizan, F. Lopez-Vasquez, J. Cuadros. An Esp Pediatr 12:297, 1979. Four patients with cystic adenomatoid malformation of the lung were found among 288,720 newborns in a 12-yr period in the La Paz hospital, Madrid, Spain. Three were diagnosed at 5 hr, 48 hr, and 15 days, respectively after delivery and underwent surgery. All are alive and well. The fourth patient was diagnosed at autopsy. In the discussion they reviewed the Span!sh, French, and English literature and point out several interesting facts such as the frequent association of ascites (40%) or anasarca, due to inferior vena cava compression by mediastinal deviation, the location in three out of four patients in the left inferior lobe and the different radiologic findings in the early diagnosis. They describe lobectomy as the treatment of choice after a early diagnosis, achieved preoperatively in three out of three cases.--E, de Jauregulzan
Handl. P~d und P~dol 14/2: 143-150, 1979. Report of one case seen in a newborn and review of the literature of 131 cases. With one exception all cervical teratomas proved to be benign. Nevertheless early operation is advisable to prevent malignant degeneration and respiratory complications,--G. Brandesky THORAX Mediastinoscopy in Hematosarcomas in Children., J. F.
Dyon and R. Sarrazin. Chir P6diatr 20:7-12, (January), 1979. Mediastinoscopy as a diagnostic procedure in children is discussed, with special regard to lymphoma. Indications for the procedure were (1) for diagnosis, when this could not be determined by other methods and (2) for confirmation of extension of the disease to aid in prognosis. Seventeen mediastinoscopies were done in 15 children with a positive diagnosis reached in 14. Ten children had only an abnormal mediastinal mass, while five had staging laparotomy to establish the extent of disease. There were no surgical complications, but two anesthesia complications are reported and thought to be a secondary to a generalized lymphatic edema of the bronchial tree. Mediastinoscopy is recommended to avoid thoracotomy for diagnosis in the lyrnphoma diseases.--J. Deevey Cervicomediastinal Cystic Hygroma Invading the Pericardium. A. Beitzke, H. Rosegger, H. Becker, et al. P~id und
P~idol 13/4: 413-420, 1978. Report of a 2-day-old newborn infant weighing 4500 g that was born with a huge cystic cervico-mediastinal lymphangioma extending to the lateral thoracic wall and to the right upper extremity. The hygroma extended into the mediastinum through the upper thoracic aperture as well as through intercostal spaces. Trachea, large vessels and peri-
Pulmonary Pseudocysts in Newborn Infants With Respiratory Distress Syndrome. T. A. Clarke and D. K. Edwards.
Am J Roentgenol 133:417 421, (September), 1979. Twelve of 375 newborns with respiratory distress syndrome (RDS) developed pseudocysts related to ventilator therapy. Prior to the appearance of the pseudocysts all patients exhibited radiographic pulmonary interstitial emphysema (PIE). Ten patients survived and left the hospital while two patients died. One infant died with severe bronchopulmonary dysplasia (BPD) with pneumonia at 80 days and the other died when he suffered a cardiopulmonary arrest at age 18 days and could not be resuscitated. Neither patient had radiographic evidence of their pseudocysts at time of their demise. The cysts appeared at an average age of 2.4 days (range 1-6) and reached their largest size at 4.0 days (range 1 14) after which they began to resolve. Complete resolution occurred in 10 infants at an average of 7.1 days (range 3-18). Two patients survived and were discharged with asymptomatic pseudocysts. Two patients had resolution of their cysts rapidly when other complications of air leaks developed (pneumopericardium and pneumothorax). No patients required surgical treatment for their pseudocysts. In the total reported cases, (36) including this series, 13 pseudocysts persisted with adverse clinical effects. In this series 8 of 12 patients developed BPD. The development of these pseudocysts may lead to rupture with other intrathoracic air leaks and the cysts can progressively expand and cause symptoms requiring intervention although this appears to happen r a r e l y . ~ a n d a l l W. Powell Chronic Foreign Body Aspiration Diagnosed By Lung Scan.
N. J. Holland and H. R. Trurnbull. Clin Pediatr 18:497500, (August), 1979. A two-yr-old female presented 6 days following a coughing and choking spell while eating a peanut candy bar. An
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airway to remain patent. Four patients required tracheostomy. Five improved after tonsillectomy and adenoidectomy.-Randall W. Powell Lingual Thyroid: A Review of 12 Cases. M. R. Kamat, J. N.
cardium were involved. After partial resection of the cervical tumor the trachea was decompressed. Deterioration and lethal outcome on the 24th day due to compression of the pulmonary vessels and rightsided heart failure.--G. Brandesky
Kulkarni, P. B. Desai, et al. Br J Surg 66:537-539, (August), 1979.
Congenital Cystic Adenomatoid Malformation of the Lung.
Twelve patients with lingual thyroid seen in Bombay over a 14-yr period are reviewed. Nine of the patients were female and the majority presented in the second or fourth decades of life. Six patients were treated conservatively with thyroxine with good results. The remaining six were treated operatively due to the severity of the symptoms associated with recent enlargement and the inability to exclude malignant change. Via a translingual approach the thyroid tissue was excised and a segment submitted for frozen section histological examination. In the absence of any evidence of malignancy the excised thyroid tissue was sliced into thin sections and implanted into the anterior rectus sheath. Two patients with follicular carcinoma were identified. Two patients had autotransplantation of thyroid tissue into the anterior abdominal wall, one with a good functional result.--L. Spitz Cervical Teratomas.
Case Report and Review. Heidi
A. Queizan, F. Lopez-Vasquez, J. Cuadros. An Esp Pediatr 12:297, 1979. Four patients with cystic adenomatoid malformation of the lung were found among 288,720 newborns in a 12-yr period in the La Paz hospital, Madrid, Spain. Three were diagnosed at 5 hr, 48 hr, and 15 days, respectively after delivery and underwent surgery. All are alive and well. The fourth patient was diagnosed at autopsy. In the discussion they reviewed the Span!sh, French, and English literature and point out several interesting facts such as the frequent association of ascites (40%) or anasarca, due to inferior vena cava compression by mediastinal deviation, the location in three out of four patients in the left inferior lobe and the different radiologic findings in the early diagnosis. They describe lobectomy as the treatment of choice after a early diagnosis, achieved preoperatively in three out of three cases.--E, de Jauregulzan
Handl. P~d und P~dol 14/2: 143-150, 1979. Report of one case seen in a newborn and review of the literature of 131 cases. With one exception all cervical teratomas proved to be benign. Nevertheless early operation is advisable to prevent malignant degeneration and respiratory complications,--G. Brandesky THORAX Mediastinoscopy in Hematosarcomas in Children., J. F.
Dyon and R. Sarrazin. Chir P6diatr 20:7-12, (January), 1979. Mediastinoscopy as a diagnostic procedure in children is discussed, with special regard to lymphoma. Indications for the procedure were (1) for diagnosis, when this could not be determined by other methods and (2) for confirmation of extension of the disease to aid in prognosis. Seventeen mediastinoscopies were done in 15 children with a positive diagnosis reached in 14. Ten children had only an abnormal mediastinal mass, while five had staging laparotomy to establish the extent of disease. There were no surgical complications, but two anesthesia complications are reported and thought to be a secondary to a generalized lymphatic edema of the bronchial tree. Mediastinoscopy is recommended to avoid thoracotomy for diagnosis in the lyrnphoma diseases.--J. Deevey Cervicomediastinal Cystic Hygroma Invading the Pericardium. A. Beitzke, H. Rosegger, H. Becker, et al. P~id und
P~idol 13/4: 413-420, 1978. Report of a 2-day-old newborn infant weighing 4500 g that was born with a huge cystic cervico-mediastinal lymphangioma extending to the lateral thoracic wall and to the right upper extremity. The hygroma extended into the mediastinum through the upper thoracic aperture as well as through intercostal spaces. Trachea, large vessels and peri-
Pulmonary Pseudocysts in Newborn Infants With Respiratory Distress Syndrome. T. A. Clarke and D. K. Edwards.
Am J Roentgenol 133:417 421, (September), 1979. Twelve of 375 newborns with respiratory distress syndrome (RDS) developed pseudocysts related to ventilator therapy. Prior to the appearance of the pseudocysts all patients exhibited radiographic pulmonary interstitial emphysema (PIE). Ten patients survived and left the hospital while two patients died. One infant died with severe bronchopulmonary dysplasia (BPD) with pneumonia at 80 days and the other died when he suffered a cardiopulmonary arrest at age 18 days and could not be resuscitated. Neither patient had radiographic evidence of their pseudocysts at time of their demise. The cysts appeared at an average age of 2.4 days (range 1-6) and reached their largest size at 4.0 days (range 1 14) after which they began to resolve. Complete resolution occurred in 10 infants at an average of 7.1 days (range 3-18). Two patients survived and were discharged with asymptomatic pseudocysts. Two patients had resolution of their cysts rapidly when other complications of air leaks developed (pneumopericardium and pneumothorax). No patients required surgical treatment for their pseudocysts. In the total reported cases, (36) including this series, 13 pseudocysts persisted with adverse clinical effects. In this series 8 of 12 patients developed BPD. The development of these pseudocysts may lead to rupture with other intrathoracic air leaks and the cysts can progressively expand and cause symptoms requiring intervention although this appears to happen r a r e l y . ~ a n d a l l W. Powell Chronic Foreign Body Aspiration Diagnosed By Lung Scan.
N. J. Holland and H. R. Trurnbull. Clin Pediatr 18:497500, (August), 1979. A two-yr-old female presented 6 days following a coughing and choking spell while eating a peanut candy bar. An