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Lung carcinoid tumours are rare neoplasms with a favourable prognosis. Bronchoplasty can be a conservative treatment for typical carcinoid tumours and can be applied for patients with limited respiratory function. We report the case of a 34‐year‐old woman, with a polypoid tumour located at the distal right main bronchus. Bronchial biopsy showed a typical carcinoid tumour. After resection of the tumour in the right main bronchus, bronchoplasty was performed by end‐to‐end anastomosis of the remaining right main bronchus, right upper lobar bronchus, and the upper bronchus intermedius. Bronchoscopy showed a good quality anastomosis with slightly reduced endoluminal calibre only. The post‐operative period was uneventful and the patient was discharged at the seventh day. One year later, no complications occurred and the patient is still being followed up regularly., In this article, we try to demonstrate the possibility of creating a "neo‐spur" without lobectomy to treat an intra‐bronchial typical carcinoid tumor.

Background: Hydatid cyst is an endemic disease that is common in the Mediterranean countries .Extra pulmonary intrathoracic localization of the cysts such as thoracic wall involving ribs, muscles, and vertebrae is very rare Methods: We retrospectively reviewed the records of 26 patients managed between 2000 and 2020 in the thoracic and cardiovascular surgery department of Abderrahmen Mami Hospital Ariana – Tunisia. Results: There were 9 woman and 17 men, with a mean age of 41 years (18-76).The most common signs were chest pain (12 cases), neurological deficit (5 cases) ,cough and dyspnea (3 cases). Parietal swelling was reported in 10 cases and 1 patient was asymptomatic. Chest X-ray showed an homogeneous opacity (6 cases), bone destruction (4 cases) and was normal in 5 cases. The cysts mostly were located at ribs (16 cases) and ribs with vertebrae (13 cases). Other parts of chest wall were involved like muscles and sub-cutaneous tissue in 1 case in the sternum in 2 cases. CT scan and MRI often revealed the diagnosis .The cyst was mimicking tumor in 1 case.15 patients underwent costal resection; 7 underwent a costovertebral resection. Other surgical procedures were partial resection of the sternum (two cases) and cystectomy with resection of parietal soft tissue (2 cases).the postoperative course was uneventful in 22 cases .reported complications were paraplegia in 1 case , ARDS and death in 1 case and severe sepsis in 2 cases. Albendazole was given for most cases. Conclusion: Current imaging investigations make diagnosis of chest wall hydatidosis easier. Radical surgery combined with antihelminthic therapy is the best treatment. Prevention is necessary.

Method: Hydatid disease is a worldwide health problem. Children are frequently infested by the cyst in endemic countries. Surgery is the treatment of choice. Method: This is a retrospective analytic and descriptive study of the morbi-mortality of pulmonary hydatid cyst for 75 children operated in our department between january 2010 and september 2019 . Method: During the study period, 700 adults and 75 children were operated for hydatid cyst. There were 28 girls and 47 boys. The average age was 11 years. The cyst was localised in the right lung in 27 cases , in the left lung in 47 cases, and in both sides in one case. 42 children had a complicated cyst and 33 had a non complicated one. 67 children had cystectomy and capitonnage. Only 7 children had a lobectomy, and just one had a segmentectomy. Videoassisted thoracic surgery was performed in 24 cases. There were 3 cases of post operative complications consisting on pneumothorax, fever and hematoma. There were 41 cases of post operative complications for the 700 adults operated in the same period. There is no significant difference of morbi mortality between children and adult (p=0.3). We didn’t found a correlation between the morbidity and the nature of the cyst complicated versus none complicated (p=0.6). We also studied the morbidity depending on the surgical treatment (lobectomy and segmentectomy vs cystectomy ) but there is no significant difference( p=0.2). Method: Surgery remains the only effective treatment in pulmonary hydatid cyst even in childhood. Morbi-mortality is low especially with the development of minimally invasive techniques. However, prophylactic measures are essential to interrupt the parasite’s life cycle.

Background: Paragangliomas are rare tumors with a slow progress representing difficulties in diagnosis and treatment. Thoracic location is exceptional. Methods: Our aim is to study this rare entity from a series of 9 thoracic paragangliomas (PG) and demonstrate the benefits of surgery. Results: Nine patients (5 men / 4 women) with a mean age of 42 year-old (range:5-17 years) were operated for thoracic PG. The majority of patients were symptomatic. The main symptoms were chest pain and hemoptysis. The predominant radiological aspect was that of a posterior hypervascularized mediastinal mass in 5 cases, a balloon release in 2 cases and a left lower lobe mass in 2 cases. Fibroscopy was normal in the majority of cases. Two patients had associated extrathoracic PGs (upper limb). Tumor markers were negative in all 9 cases. Patients were operated by Video-assissted thoracic surgery (2) or left posterolateral thoracotomy (6). Five patients had complete tumor resection. For one patient the resection was deemed impossible, he had a diagnostic biopsy by mediastinoscopy. Two patients had a lower left lobectomy associated in one case with a lingulectomy and with tumor resection in the other case. The surgical follow-up was simple for all patients. The two patients who had a complete resection had a survival of 6 and 8 months respectively. Non-metastatic patients who had R0 resection had prolonged survival. Conclusion: mediastinal PGs are suspected on the highly vascular aspect of the tumor on CTKey words: chest, mediastinal, tumor. The treatment of choice of thoracic PG is a surgical resection R0.

Background: Substernal goiters are usually classified as secondary or primary intrathoracic goiters. Primary ones result from an abnormal embryologic migration of the thyroid and represents less than 1% of all goiters. Secondary substernal goiters develop from the descent of the thyroid into the mediastinum and represents 98-99% of goiters.Methods: This was a retrospective study which discuss the symptoms, the diagnosis and the treatment of 7 primary intrathoracic goiters.Results: Goiter was located in the anterior mediastinum in 5 cases, in the posterior mediastinum in 1 case and in the medium mediastinum in 1 case. The mass was located on the right in 5 cases cervical approach was performed in 3 cases. Two patients required a transthoracic approach, 1 required sternotomy and in 1 case video-thoracic surgery was sufficient. Only one patient had postoperative complication which was secondary pneumothorax. All tumors were benign.Conclusions: Mediastinal ectopic goitre is rare. However it should be discussed among the different etiologies of mediastinal masses.