Abstract

ZOTES-VALDIVIA, Víctor Hugo; INIGUEZ-GARCIA, Marco Antonio; LUNA-RIVERO, Cesar  and  TELLEZ-BECERRA, José Luis. Approach to cavitary lesions of the lung: Pulmonary cystic lesion resolved by thoracoscopy. Case report. Neumol. cir. torax [online]. 2015, vol.74, n.1, pp.29-35. ISSN 0028-3746.

The concept of cavitary lung lesion and cyst is different. The clinical and radiological analysis of both processes can greatly limit the diagnostic possibilities. Lung abscess are cavitated intraparenchymal lesions formed by a secondary infection process for the introduction into the bronchial tree of important microbiological burden. According to the duration of symptoms are classified into acute or chronic. Treatment is based on the timely identification of microbiological agent and beginning of antimicrobial therapy. Percutaneous drainage with appropriate antimicrobial therapy has reduced the need for surgical intervention; in fact, it is only indicated to specific situations. Technological development has enabled the introduction of minimally invasive techniques in thoracic surgery. The advantages of this technique are mainly related to the reduction of postoperative pain and reducing hospital days, compared to lower cost offered by traditional surgery, the latter seems to be equal in both over time. While the literature is extensive referring to lung abscess, is not the case when it comes to lung abscess in chronic stage. We report a 21-years old woman with histopathological diagnosis of chronic lung abscess, treated by thoracoscopic resection.

Keywords : Cavitary lung lesion; chronic lung abscess; surgical treatment; thoracoscopy.