Bronchiectasis is the destruction and widening of the larger airways. It is caused by severe or recurring infections as well as scarring or obstruction (tumor or foreign body) of the large airways. Cystic fibrosis can also lead to bronchiectasis. Symptoms include:
- Shortness of breath
- Coughing and/or chronic cough
- Weight loss
- Bad breath
- Clubbing of fingers
Treatment options include:
- Medication, including antibiotics
- Drainage of the lungs everyday to help control the buildup of secretions and blockage
- Breathing therapies
- Thoracic surgery (for repeated infections or significant bleeding from a portion of the lung)
Interstitial Lung Disease
Interstitial lung disease is a group of disorders that causes scarring on the lungs. For most people this is a gradual process that interferes with breathing over time. However, for some, this scarring may occur quickly and without warning. Some of the causes include:
- Exposure to environmental toxins
- Exposure to radiation
- Connective tissue disorders like lupus, arthritis and myositis
Symptoms may vary depending on the cause; however, most patients report a dry cough and a feeling of breathlessness during exercise. Although surgery may be used to diagnose the particular type of interstitial lung disease, treatment is based on medication and breathing therapies. If these treatments are ineffective, a lung transplant may be recommended.
These small areas of abnormal tissue in the lungs are very common, usually have no symptoms, and are often benign. A thoracic surgeon will want to determine if the pulmonary nodule is malignant or benign.
For many patients with pulmonary nodules, surgical intervention is not needed. Occasionally, further tests are needed to make sure the nodule does not grow. Some patients may need a biopsy either because the nodule appears suspicious or because there has been documented growth of the nodule over a period of time. Your thoracic surgeon will create an individualized treatment plan based on this information.
A collapsed lung occurs when air fills around the lung, making it difficult for the lung to inflate and for the patient to breathe. The main cause is an air blister that develops on the surface of the lung, causing it to burst and leak air into the space around the lungs.
- Tightness in chest
- Difficulty breathing
- Racing heartbeat
- Sharp pain in the chest
Using small incisions, a thoracic surgeon will insert a specially lighted microscope and tiny instruments to remove the blister. In order to ensure the lungs don't collapse again, an additional procedure called a mechanical pleurodesis is performed. Using a piece of gauze, the surgeon strokes the lung tissue so that it sticks to the chest wall, forming a seal that prevents air leaking again.
To find a thoracic surgeon, please call 410-686-5887.
MedStar Franklin Square Medical Center
9000 Franklin Square Drive
Baltimore, MD 21237
The Angelos Center for Lung Diseases
9103 Franklin Square Dr.
Baltimore, Maryland 21237