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Background : Pilonidal disease incidence is increasing ) 26 people per 100,000 (aged 18 - 40 years old. As a matter of fact, this age range is the most optimal time of anindividual social and economic activities. Thus it was decided to assess the prognosis in patients with pilonidal sinus surgery in Shohada hospital of Khorramabad during 2005-2012. Materials and Methods: In a retrospective cohort study by referring to the archives of Khorramabad Shohada hospital and receiving records and contact numbers of the patients undergoing pilonidal sinus surgery( primary closure versus open delayed closure), variables such as age, gender, personal history of previous illnesses, surgical procedure used, complications after treatment and etc. were statistically analyzed and evaluated. Results: It was reported that all patients treated with primary closure surgery method, compared to the open healing ( 50% of patients ) had deep satisfaction (P= 04.0 in female patients and P= 002.0 in male patients). The most common complication of the primary closure, was bleeding from the position. While in patients with open healing, most patients complain of long term pain of surgery position, as well as local infection, bleeding and recurrent pilonidal sinus, respectively (P = 024.0 in female patients and P= 000.0 in male patients). Conclusion: According to the results the most common complications after pilonidal disease, were related to open delayed closure procedure, which keeps the patients to be aloof from social and economic activities.

Background: With advances in medical sciences and control of infectious diseases cancers in human societies are increasingly attract attention Cancers of upper gastrointestinal is among the most important cancers which has a high incidence in many countries. Materials and Methods: This cross-sectinal study was conducted on 73 patients with dysphagia, epigastric pain, and weight loss in the short term that the pathologic study confirmed the presence of cancer in the upper gastrointestinal tract since Aprill 2005 to April 2006. Results : The incidence of upper gastrointestinal cancer in men was twice as high as that of women.The upper GI cancers were most prevalent in the seventh and eight decade of life. In this study, patients were given hot tea, but did not mention the consumption of fatty foods. Conclusion : Esophageal and gastric cancers are very frequent in Lorestan province and also Iran. It seems that the role of nutritional factors may be more important than smoking .

Background: Primary schwannoma of trachea and bronchus is very rare and can cause the same signs and symptoms as asthma, including airway-obstruction. Case Report: We introduce a 17 years-old girl with left bronchus schwannoma who was under treatment with the primary diagnosis of asthma and allergy. Bronchoscope intervention showed a pedicular tumor in left bronchus which protruded from the orifice of bronchus during hale and inhale leading to more than %80 lumen obstruction of airway. Discussion: The patient underwent surgical treatment of tumor resection and bronchoplasty along with long survival. Following this operation, all signs and symptoms were resolved. Therefore we should be aware that tumors, even this rare one should be considered as a differential diagnosis in patients suffering from airway obstruction, especially when children and young adults don response to usual treatments.

Tabatabai SA1, Hashemi SM2, Ahmadinejad M3 1. Associate Professor, Department of Thoracic Surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 2. Assistant Professor, Department of Thoracic surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 3. Assistant Professor, Lorestan University of Medical Sciences, and Resident of Thoracic Surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital Abstract Background: The primary ectopic goiters of mediastinum, specially of posterior mediastinum is rare and estimated on 1% of the goiters of retro sternal and mediastinum and their blood supplies is from intra thoracic vessels. Case presentation: We introduce a patient who referred with the complain of a huge mass in the anterior medistinum. His complain presented by dyspnea breathlessness and chronic cough at first. This mass was removed easily through collar incision and partial strernotomy. Throught surgery we found that blood supply of mass arised from thoracic vessels and inominate artery, with drainage to inominate vien. Following mass removal, all the symptoms of the patient were resolved. Conclusion: we presented an uncommon true primary ectopic mediastinal goiter resected through a median strnotomy with complete excision and relief of all symptoms.