ctthorp21

F: Irregular shaped mass in the mediastinum with narrowing of the trachea and necrotic centre. Water-dense shadow with a concave upwards upper border at the left side. Esophagus

H: Adult man, 67-years-old, at first pleuritic pain at the left side cough and fever. Now dyspnoe and haemoptysis. The patient has got problems to swollow since weeks. Nothing was dedected during endoscopical investigation of the esophagus.

INFO/WWW-LINKS: Tracheal tumors may be divided in benign (e.g. Cartilaginous tumor (hamartoma), Squamous cell papilloma, Fibroma / lipoma, Hemangioma, Granular cell myoblastoma, Granuloma (inflammatory, TB, fungus) and Amyloid tumor) and malignant tumors( e.g. Squamous-cell carcinoma (commonest primary) Adenoid cystic carcinoma = cylindroma, Metastasis from renal cell carcinoma, colon cancer, malignant melanoma; Lymphoma;Plasmacytoma)
Causes of pleural effusion are ususally divided by the effusion`s protein concentration into transudates (<30g/l) and exsudates (>30g/l). Reasons for transudates are e.g. heart failure, liver failure, nephrotic syndrome. Reasons for exsudates are e.g. pneumonia, TB, empyema, lung carcinoma.

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