Surgical management of pulmonary tuberculosis.
Surgery for pulmonary tubercolosis (PTB) is now the second place treatment. Among the surgical indications the most debated is the multi-drug resistance of a focal pulmonary tuberculous disease. Other indications are: bronchiectasis, hemoptysis and the presence of a broncho-pleural fistula. Pulmonary Aspergilloma is a frequent indication for surgery; it is commonly a PTB sequela and causes severe complications. The presence of an unknown pulmonary mass or nodule is a surgical criterion because it might signal a cancer. Surgery therefore now constitutes a valid option for the treatment of clinical patterns of PTB unresponsive to medical treatment in severe, potentially fatal clinical conditions.
Picciocchi
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Istituto di Patologia Speciale Chirurgica, Divisione di Chirurgia Toracica, Università Cattolica del S. Cuore, Policlinico Agostino Gemelli, Roma, Italy.
Granone
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P
Margaritora
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S
Cesario
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Galetta
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D
D001228:Aspergillosis / Q000150:complications; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications; D008175:Lung Neoplasms / Q000150:complications; D018088:Tuberculosis, Multidrug-Resistant / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000266:history / Q000601:surgery*