Deformacije i bolesti stijenke prsnog koša

master's thesis

• Title (english): Deformities and diseases of the thoracic wall
• Author: Blaž Barun
• Mentor: Tomislav Đapić (mentor)
• Committee member: Ivan Bojanić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Svrha ovog rada je prikazati etiologiju, kliničku sliku, dijagnostiku te mogućnosti liječenja deformacija i bolesti stijenke prsnog koša.
U deformacije stijenke prsnog koša ubrajamo pectus excavatum, pectus carinatum, Polandov sindrom, defekte sternuma, asfiktičnu torakalnu distrofiju i spondilotorakalnu displaziju.
Pectus excavatum je najčešća deformacija stijenke prsnog koša s incidencijom od oko 1 na 400 rođene djece. Karakteriziran je pomakom sternuma prema unutra. U većine bolesnika dominiraju psihološki i socijalni problemi, ali mogu biti prisutni respiratorni i kardiovaskularni simptomi. Danas se većinom liječe minimalno invazivnom operativnom metodom po Nuss-u. Pectus carinatum je 10 puta rjeđa deformacija od pectus excavatuma te ju karakterizira izbočenje prsne stijenke. Osim poteškoća vezanih uz izgled, nema drugih simptoma. Ostale deformacije se rjeđe javljaju.
Upala može zahvatiti bilo koji dio stijenke prsnog koša. Kostohondritis je upala hrskavičnog spoja između rebara i sternuma. Javlja se bol u prsima te je bitno isključiti opasnije uzroke boli u prsima.
Tumori stijenke prsnog koša su rijetki i heterogeni. Metastatski tumori su češći od primarnih. Dijagnostika uključuje CT ili MR te biopsiju, a uz kirurško liječenje koriste se kemoterapija i zračenje.

Abstract (english)

The aim of this study is to describe the etiology, clinical presentation, diagnostic methods and treatment options of deformities and diseases of the thoracic wall.
Deformities of the thoracic wall include pectus excavatum, pectus carinatum, Poland's syndrome, sternal defects, asphyxiating thoracic dystrophy and spondylothoracic dysplasia.
Pectus excavatum is the most common anomaly of the chest wall occurring in 1:400 newborns. It is characterized by sternal depression. Psychological and social problems prevail in majority of patients, but respiratory and cardiovascular symptoms can occur as well. Today, these anomalies are mostly treated by the minimally invasive Nuss method. Pectus carinatum is 10 times less represented than pectus excavatum and is characterized by chest wall protrusion. Beside problems related to the appearance, there are no other symptoms. Other deformities are not common.
Inflammation can affect any part of the thoracic wall. Costochondritis is an inflammation of costochondral junctions between ribs and the breastbone. The chest pain occurs and it is important to eliminate more dangerous causes of chest pain.
Tumors of the chest wall are rare and heterogeneous. Metastatic tumors are more common than primary. Diagnostics involve CT or MR and biopsy, and in treatment surgical procedures, chemotherapy and radiotherapy are used.

• Keywords: pectus excavatum; pectus carinatum; kostohondritis; tumori prsnog koša
• Keywords (english): pectus excavatum; pectus carinatum; costochondritis; chest wall tumors
• Language: croatian
• URN:NBN: urn:nbn:hr:105:713013
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-06-27 12:06:53