Multimodality treatment for nsclc (kleontas) - Πολυπαραγοντική θεραπεία στον μη μικροκυτταρικό καρκίνο του πνεύμονα (Αθανάσιος Κλέωντας)
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Multimodality treatment for nsclc (kleontas) - Πολυπαραγοντική θεραπεία στον μη μικροκυτταρικό καρκίνο του πνεύμονα Αθανάσιος Κλέωντας BSc, MD, MSc, BTS, PhD(c)
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Multimodality treatment for nsclc (kleontas) - Πολυπαραγοντική θεραπεία στον μη μικροκυτταρικό καρκίνο του πνεύμονα (Αθανάσιος Κλέωντας)
- 1. Surgical Treatment of NSCLC Multidisciplinary approach at special cases D. Filippou MD, PhD A. Kleontas BSc, MD, MSc Cardiothoracic Surgeon Cardiothoracic Surgeon Head of Cardiothoracic Department Copyright 2017
- 2. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Male 39 y Chief Complain: • Cholocystitis • Tumor at LUL Personal Medical History: • Heavy smoker (40p/y) • Pilot Dr D. Filippou DataBase
- 3. Case 1 PreOp Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 4. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 5. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 6. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 7. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 8. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 9. Case 1 PreOp Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 10. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase CT guided FNA biopsy Squamous NSCLC
- 11. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Treatment strategy 1. LUL lobectomy 2. LUL lobectomy & bullectomy 3. Bullectomy right & LUL lobectomy 4. Induction RT & LUL lobectomy 5. Induction CT/RT & LUL lobectomy
- 12. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Treatment strategy 1. LUL lobectomy 2. LUL lobectomy & bullectomy 3. Bullectomy right & LUL lobectomy 4. Induction RT & LUL lobectomy 5. Induction CT/RT & LUL lobectomy
- 13. Case 1 Operation Outline D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase 1. LUL lobectomy 2. LUL lobectomy & bullectomy 3. Bullectomy right & LUL lobectomy 4. Induction RT & LUL lobectomy 5. Induction CT/RT & LUL lobectomy
- 14. Case 1 Right Bullectomy D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 15. Case 1 Right Bullectomy D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 16. Case 1 Right Bullectomy D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 17. Case 1 postOp Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 18. Case 1 (6th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 19. Case 1 (11th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 20. Case 1 (13th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 21. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Prolonged air leak bilateral 1. Reoperation 2. Pleurodesis unilateral/bilateral 3. VATS pleurodesis 4. Discharge with Heimlich valve
- 22. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Prolonged air leak bilateral 1. Reoperation 2. Pleurodesis unilateral/bilateral 3. VATS pleurodesis 4. Discharge with Heimlich valve
- 23. Case 1 (15th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 24. Case 1 (17th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 25. Case 1 (18th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 26. Case 1 (30th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 27. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Histology Squamous NSCLC Low grade LNR (N1): 0/8 No chest wall invasion pT3N0M0 IIB stage
- 28. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 29. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 30. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 31. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 32. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 33. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 34. Case 1 (30th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 35. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Adjuvant Chemo (1st cycle) Carboplatin Pemetrexed
- 36. Case 1 (55th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 37. Case 1 (55th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 38. Case 1 (55th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 39. Case 1 (55th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 40. Case 1 (55th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 41. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Air space (pocket) 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Watch & see
- 42. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Air space (pocket) 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Watch & see
- 43. Case 1 (56th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 44. Case 1 (57th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 45. Case 1 (60th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 46. Case 1 (66th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 47. Case 1 (76th postOp) Chest X-ray (F) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 48. Case 1 (84th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 49. Case 1 (84th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 50. Case 1 (84th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 51. Case 1 (84th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 52. Case 1 (84th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 53. Case 1 (85h postOp) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Chest drain removal
- 54. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Fever - Air space infection 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics
- 55. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Fever - Air space infection 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics
- 56. Case 1 (88th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 57. Case 1 (88th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 58. Case 1 (88th postOp) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 59. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Fever - pus - Aspergillus 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics 5. Voriconazole 6. Thoracoplasty 7. Thoracostomy
- 60. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Fever - pus - Aspergillus 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics 5. Voriconazole 6. Thoracoplasty 7. Thoracostomy
- 61. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 62. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 63. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 64. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 65. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 66. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 67. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 68. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 69. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 70. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 71. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 72. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 73. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 74. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 75. Case 1 (96th postOp) Chest CT Scan D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 76. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Discharge (101st postOp)
- 77. Case 1 (112th postOp) Chest x-ray D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 78. Case 1 (112th postOp) Chest x-ray D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 79. Case 1 (112th postOp) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 80. Case 1 (112th postOp) D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase
- 81. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase PDL 1: 95% What next? 1. Chemotherapy 2. Radiotherapy 3. Immunotherapy 4. Watch & See
- 82. Case 1 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc CardioThoracic Surgery 2017 Dr D. Filippou DataBase Multidisciplinary Team Thoracic Surgeon Oncologist Plastic Surgeon Anesthesiologist Internist Pulmonologist Pathologist
- 83. Thank U for your attention!
- 84. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Male 72 y Chief Complain: • Dyspnea • Unspecified pain at right hemithorax • Tumor at RLL • Pleuritis (R) Personal Medical History: • PCI X 2 (2011) • Nephrolithiasis • Saphenectomy (R) Dr D. Filippou DataBase
- 85. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase PreOp Chest CT Scan
- 86. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase PreOp Chest CT Scan
- 87. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase PreOp PET-CT Scan
- 88. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase PreOp PET-CT Scan SUV:6.3 D:2.4 cm
- 89. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Thoracentesis
- 90. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment management 1. VATS pleural fluid drainage and pleura and lung biopsy 2. Medical thoracoscopy fluid drainage and pleura biopsy 3. Pleural fluid drainage and CT-guided biopsy 4. Pleurodesis 5. Chemotherapy
- 91. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment management 1. VATS pleural fluid drainage and pleura and lung biopsy 2. Medical thoracoscopy fluid drainage and pleura biopsy 3. Pleural fluid drainage and CT-guided biopsy 4. Pleurodesis 5. Chemotherapy
- 92. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 93. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment management 1. Chemotherapy 2. RLL Lobectomy 3. RLL Segmentectomy 4. Hyperthermic Intrathoracic Chemo Perfusion (HITHOC)
- 94. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment management 1. Chemotherapy 2. RLL Lobectomy 3. RLL Segmentectomy 4. Hyperthermic Intrathoracic Chemo Perfusion (HITHOC)
- 95. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase RLL (apical segmentectomy) + HITHOC 500mg Carboplatin 42oC 1h
- 96. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Adjuvant Chemotherapy (5 cycles) Carboplatin Pemetrexed
- 97. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 98. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 99. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 100. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 101. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 102. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 103. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 104. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (6 months) Chest CT Scan
- 105. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Air Space – Fever – Sputum - Aspergillus 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics 5. Voriconazole 6. Thoracoplasty 7. Thoracostomy
- 106. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Air Space – Fever – Sputum - Aspergillus 1. Reoperation 2. Chest tube insertion 3. VATS exploration 4. Antibiotics 5. Voriconazole 6. Thoracoplasty 7. Thoracostomy
- 107. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical Field
- 108. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical Field
- 109. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical Field
- 110. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical Field
- 111. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical Field
- 112. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 113. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 114. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 115. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 116. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 117. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 118. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 119. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 120. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 121. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 122. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 123. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp (7 months) Chest CT Scan after thoracoplasty
- 124. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase What next? 1. Reoperation 2. Antibiotics 3. Voriconazole 4. Re-Thoracoplasty 5. Thoracostomy
- 125. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase What next? 1. Reoperation 2. Antibiotics 3. Voriconazole 4. Re-Thoracoplasty 5. Thoracostomy
- 126. Thank U for your attention!
- 127. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Female 62 y Chief Complain: • Unspecified chest pain • Supraclavicular mass Personal Medical History: • Thyroid FNA: unspecified histology • Hysterectomy (14y ago) borderline ovarian Ca
- 128. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp Chest CT Scan
- 129. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp Chest CT Scan
- 130. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp Chest CT Scan
- 131. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp Chest CT Scan
- 132. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Diagnostic Plan 1. PET-CT 2. Iodine Scan 3. Biopsy (which first?)
- 133. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Diagnostic Plan 1. PET-CT 2. Iodine Scan 3. Biopsy (Supraclavicular mass)
- 134. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 135. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Histology Low grade Metastatic ovarian cancer
- 136. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan
- 137. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan SUV:13
- 138. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan SUV:20
- 139. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan SUV:20
- 140. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan SUV:17
- 141. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase preOp PET-CT Scan
- 142. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment Plan 1. Chemotherapy 2. Surgery 3. HITHOC 4. Radiotherapy 5. Anosotherapy
- 143. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Treatment Plan 1. Chemotherapy 2. Surgery 3. HITHOC 4. Radiotherapy 5. Anosotherapy
- 144. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 145. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 146. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 147. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 148. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field
- 149. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase postOp Chest x-ray
- 150. Case 3 D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase Surgical field AdenoCa NSCLC Metastatic Borderline Ovarian Ca Metastatic Borderline Ovarian Ca Free of disease Free of disease
- 151. Case 2 H. Titopoulos MD, PhD D. Filippou MD, PhD A. Kleontas BSc, MD, MSc 2017 Dr D. Filippou DataBase What next? 1. Chemotherapy 2. Radiotherapy 3. Immunotherapy
- 152. Thank U for your attention!