Thoracic

Question 1

Chest wall deformities

Answer 1

• Pectus excavatum (funnel chest)
• Pectus carinatum
  treat: both with plastic surgery or open Nuss operation

Question 2

Inflammatory diseases

Answer 2

Subpectoral abscess	
treat: oncotomy - drainage
Osteomyelitis	
treat: conservative therapy
Tietze syndroma
treat: rib resection

Question 3

Intercostal or lung hernia

Answer 3

• Spontaneous
• Traumatic
• Postoperative
  treat: all with reconstructive plastic surgery

Question 4

Pneumothorax

Answer 4

• single, tension pneumothorax
• total, partial bilateralis
• spontaneous, traumatic, artificial
• primary, secondary
  treatment:
• Observation, Aspiration, Drainage, Surgery (VATS + pleurodesis, open surgery)

Question 5

Pleural Effusion

Answer 5

• Serothorax
• Hemothoraz
• Pyothoraz (empymea thoracis)
• Chylothorax
  Treatment:
• Aspiration, Drainage, VATS, surgery

Question 6

Pleural Callus

Answer 6

Due to:
- advanced empyema
- clotted hematoma
treatment:
-	VATS, thoracotomy: decortication

Question 7

Surgical Procedurs:

Answer 7

• Tubne drainage
• VATS
• Biopsy
• Pleurodesis
• Decortication
• Pleuropneumonectomy

Question 8

Tumours of the pleura

Answer 8

Benign mesothelioma

• Malignant mesothelioma
• Carcinosis pleurae

Question 9

Malignant tumours/Lung cancer - Treatment

Answer 9

• Lobectomy & lymphadenectomy
• Bilobectomy & lymphadenectomy
• Pulmonectomy & lymphadenectomy
• Chemo-radiotherapy

Question 10

Surgical procedures of malignant tumors

Answer 10

1. Thoracotomy
2. Pulmotomy, enucleation
3. Segmentectomy
4. Lobectomy, bilobectomy
5. Pulmonectomy
6. Atypical - transsegmental resection
   + Lymphadenectomy!

Question 11

Surgical procedures of mediastinal tumors

Answer 11

1. Mediastinotomy
2. Mediastinoscopy
3. Sternotomy
4. Thoracotomy
5. VATS

Question 12

Mediastinal „tumours”

Answer 12

• Thyroid (Goitre)
• Thymoma
• Teratoma
• Lymphoma
• Pericardial cyst
• Esophageal diverticulum
• Hiatal hernia

Question 13

Chest wall benign tumor

Answer 13

Lipoma

• Haemangioma
• Lymphangioma
• Neurinoma
• Neurofibroma
• Neurolemmoma
• Fibrosal dysplasy
• Chondroma
• Osteoma
• Osteochondroma
• Myxochondroma
• Eosinophyl granuloma

Question 14

Chest wall malignant tumor

Answer 14

Fibrosarcoma

• Rhabdomyosarcoma
• Neurofibrosarcoma
• Liposarcoma
• Chondrosarcoma
• Osteosarcoma
• Ewing-sarcoma
• Lymphoma
• Metastatic tumours