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Fadil Gradica



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    EP1.12 - Small Cell Lung Cancer/NET (ID 202)

    • Event: WCLC 2019
    • Type: E-Poster Viewing in the Exhibit Hall
    • Track: Small Cell Lung Cancer/NET
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/08/2019, 08:00 - 18:00, Exhibit Hall
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      EP1.12-32 - Clinico-Pathological Features of Small Cell Lung Cancer in Albanian Patients (ID 284)

      08:00 - 18:00  |  Author(s): Fadil Gradica

      • Abstract
      • Slides

      Background

      Lung cancer is the leading cause of cancer-related death in the world. Small cell lung cancer (SCLC) is an aggressive type of lung cancer and accounts for 15% of all lung cancer cases. Progress in the survival rate of SCLC is poor with a 5-year survival rate of only 5-10%, depending on tumour stage at presentation.

      Method

      Purpose of this study was to describe.1- the main characteristics of small cell lung cancer and overall survival of these patients.

      Methods: All patients with SCLC were evaluated in the main university hospital for lung diseases. Demographic, clinical, histological characteristics were reviewed.

      Result

      153 patients diagnosed with sclc between 2015 and 2018 were included. this counts 5.8 % of all lung cancer patients ( n=2598 ) .The mean age was 62,2 +/- 4,0 years, with the majority being men (93%). 88.2 % of patients had a smoking history. 12% of them were presented with liver metastasis.

      The median overall survival was 6,1 months after the diagnosis.

      Twelve patients had a previous familiar cancer history.

      At diagnostic, the most frequent symptoms were cough (65%) and dyspnea (51,3%). The mean time between the first symptoms and diagnosis was 123 +/- 89 days.

      Conclusion

      Small cell lung cancer is an agressive tumor with low overall survival because albanian patients come later to the health care profesionists and are heavy smokers.

      Policies for smoking cessation should be strengthened and a lung cancer screening program should be initiated.

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    EP1.15 - Thymoma/Other Thoracic Malignancies (ID 205)

    • Event: WCLC 2019
    • Type: E-Poster Viewing in the Exhibit Hall
    • Track: Thymoma/Other Thoracic Malignancies
    • Presentations: 1
    • Now Available
    • Moderators:
    • Coordinates: 9/08/2019, 08:00 - 18:00, Exhibit Hall
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      EP1.15-26 - Cardio Mediastinal Tumors - Diagnosis and Treatment in Two of Our Cases (Now Available) (ID 149)

      08:00 - 18:00  |  Presenting Author(s): Fadil Gradica

      • Abstract
      • Slides

      Background

      Malignant cardiac tumors are very rare.Although they are clinically diagnosed and diagnoses very quickly ,but in some cases it is very difficult to diagnose or are diagnosed in the late stages.

      Objective: To analyze our rarly two cases for diagnosis and treatment in delayed diagnoses for cardiac primary tumor invadation in mediastinum and pericardium tumor wih myocardial and mediastinal invasion in the other case. The diagnosis is based on the clinical history, echocardiography in two cases, and, sometimes, computerized tomography and magnetic resonance imaging,FNAB and mediastinotomy .

      Method

      In two cases the diagnosis is based on the clinical history, echocardiography in two cases, and, computerized tomography and magnetic resonance imaging,FNAB and mediastinotomy .

      Result

      Patient A. 66 years old ,male patient the diagnosis was established with trans-thoracic biopsies of myosarcoma-derived mass, treated by oncologist and cardiologists.While patient B is a 45 year old female with a pericardiac tumor,with huge pericardial effusion and effusion in the sinister pleural cavity. Liquid cytology with malignant cells. Was performed left mediastinotomy , pericardiotomy ,biopsy of intrapericardial mass, pericardial window and drainage pleural sinister . Biopsy results in pericardial sarcomatous mesothelioma with myocardial and mediastinal invasion. Macroscopically hemorrhagic effusion in pericardial and left pleural cavities. Very large tumor and quite intrapericardial hemorrhagic disease.

      Conclusion

      Malignant cardiac tumors are very rare and early stage diagnosis and adequate treatment is difficult.

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    EP1.17 - Treatment of Early Stage/Localized Disease (ID 207)

    • Event: WCLC 2019
    • Type: E-Poster Viewing in the Exhibit Hall
    • Track: Treatment of Early Stage/Localized Disease
    • Presentations: 1
    • Now Available
    • Moderators:
    • Coordinates: 9/08/2019, 08:00 - 18:00, Exhibit Hall
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      EP1.17-26 - Spontaneous Right Contralateral Total Pneumothorax in Bullous Lung After Left Pneumonectomy for Lung Cancer (Now Available) (ID 148)

      08:00 - 18:00  |  Presenting Author(s): Fadil Gradica

      • Abstract
      • Slides

      Background

      Introduction: The spontaneous contralateral pneumothorax after pneumonectomy is very rare and with a high death rate.

      Objective: To introduce a patient with spontaneous total pneumothorax in the right hemithorachal post-pneumonectomy with dg.:cancer bronchial. The treatment alternatives are controversial.

      Method

      Involved a 52-year-old man with non-small-cell lung cancer (NSCLC) who underwent left pneumonectomy after induction chemoradiotherapy on 2015.One year after surgery 2016 he had total right pneumothorax was treated by pleural drainage. Two(2) years after surgery 2018 , he had recureent pneumothorax and was treated with chest tube drainage and pleurodesis with autolog blood. He was discharged and no pneumothorax recurrence occurred for one year.

      Result

      After one year he had total pneumothorax right side and severe respiratory insuficience .He came to our hospital 3 hour after right Pneumothorax was started.O2SAT 60 %.Imediatly was treated with right chest tube drainage and airlack was stoped but for safety reason was discharged with Heimlich valvul after pleurodesis with povidion jod(BETADINE) .Heimlich valvul was get out after 10 days.The clinical status of patient is good.

      Conclusion

      Although management of pneumothorax after pneumonectomy is challenging, surgical intervention may be useful and necessary especially when there is high risk of recurrent pneumothorax.

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