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Query: UMLS:C0729233 (Thoracic)
 6,478 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Sensory neurons in dorsal root ganglia of frogs project to areas of the spinal cord they do not normally innervate following removal of adjacent ganglia at tadpole stages (Frank and Westerfield, J. Physiol. (Lond.) 324:495-505, '82b). A possible explanation of this phenomenon is that sensory neurons project to wider areas of the spinal cord in tadpoles than in adult frogs and that partial deafferentation causes the retention of these widespread projections. Therefore, the specificity of sensory projections to the spinal cord in tadpoles was assessed by staining individual dorsal roots with horseradish peroxidase. Thoracic sensory neurons project to thoracic segments of the spinal cord and to the brainstem in tadpoles, like thoracic sensory neurons in adult frogs. They rarely arborize in the brachial region even at stages when no other sensory fibers arborize at this level. Furthermore, their projections are restricted to the dorsal horn at all stages. Conversely, hypoglossal sensory neurons, which project into the intermediate gray matter in the adult, also project to this area in tadpoles. The finding that sensory neurons in tadpoles only project to areas of the spinal cord that they innervate in the adult suggests that the novel projections observed following partial deafferentation of the spinal cord are actually induced by the operation. An additional finding was that forelimb afferents, which project to an area extending from the obex to midthoracic levels in adult frogs, arborize at rostral spinal levels and at thoracic levels several stages before they form projections to the region around their own dorsal root. These differences in the stages at which projections to different levels of the spinal cord develop suggest that local properties of the spinal cord may control the timing of sensory fiber arborization.
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PMID:Specificity of sensory projections to the spinal cord during development in bullfrogs. 325 74

Thoracic empyemas may occur during the course of lung cancer as a post-thoracotomy complication, or after pleural drainage and/or chemotherapy in cases when surgery was unfeasible, or may complicate the natural history of the disease and appear as the clinical event that led to its discovery. This latter situation is a challenge requiring to cure the infection in order to further treat the underlying lung cancer. We reviewed the cases of 18 men aged between 46 and 79 years that were referred to our surgical department from 1984 to 1996 for management of a thoracic empyema with an underlying lung cancer. Initial presentation of empyemas, lung tumor characteristics, treatments performed and their results were analyzed so as to formulate guidelines if possible. Mean duration of 17 empyemas before arrival was 26 days (8 to 60 days) and in one case empyema occurred during diagnostic work-up of an excavated lesion. Frank pus was observed in all cases and micro-organisms were identified in 13 cases. Empyema and diagnosis of lung cancer were concomitant in 15 cases: in 3 cases lung neoplasia was already diagnosed but patients had refused surgery. Empyema was treated by under water-seal chest tube drainage with adjunct fibrinolytic therapy in all cases; 2 elderly and cachectic patients suffering metastatic diffusion died rapidly. The other 16 recovered within one month. In 7 cases management was limited to medical treatment (palliative n = 2, chemotherapy n = 1, chemo combined radiotherapy n = 2 and radiotherapy alone n = 2) but only short survivals were observed (inferior to 10 months). Surgery was possible in 9 (pneumonectomy n = 8, lobectomy n = 1); there was no death; postsurgical empyemas complicated the cause twice but were easily cured by drainage; long term survivals were observed in 3 cases that were p NO. Pleural empyema complicating lung cancer is a rare but challenging situation. Once the pleural empyema has been controlled, surgical resection must be performed when indicated: postoperative complications are rare and long-term survival is possible.
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PMID:[Purulent pleurisy and lung cancer. Non-iatrogenic forms and therapeutic management]. 1061 51