A case report of metachronous triple primary cancers including stomach, bladder and lung / 대한내과학회지

Multiple primary cancer is a state of disease that developed more than two cancers in an individual, independently. Multiple primary malignant cancer is divided to synchronous and metachronous type depending on the interval between their diagnoses. Synchronous multiple cancer is diagnosed within an interval of six months and metachronous multiple cancer more than six months interval. As further advance in diagnostic techniques and treatment method bring about progressive increase in the number of individuals living in the 'cancer age' group. So, the population of patients with subsequent primary cancer will increase and after all the incidence of multiple primary cancer will be increased, gradually. Herein, we experienced a case of a 83-year-old male patient with metachronous triple primary cancer composed of gastric cancer, bladder cancer and lung cancer. We found the adenocarcinoma of stomach, transitional cell cancer of bladder and squamous cell carcinoma of lung. For its great rarity, we report this case with review of literatures about the history, criteria, incidence, site relationship and so on.

A case of aspergillosis within pulmonary sequestration diagnosed by MDCT / 대한내과학회지

The bronchopulmonary sequestration is a rare congenital malformation of the lung, concerning about the abnormal feeding systemic artery, needed for invasive angiography for definite diagnosis. This case report is described that patient diagnosed by multi-detectional computed tomography (MDCT) without angiography and combined with aspergillosis within an intralobar seqestration. He was 43-year old male patient with left submandibular mass. On chest PA, abnormal cystic lesion was shown in left lower lung field. There were multiple cysts with internal air-fluid level in left lower lobe on computed tomography. By useing MDCT, we could reconstruct internal structures and feeding artery, arising from thoracic aorta. We could confirm the intralobar bronchopulmonary sequestration. Lobectomy of the left lower lobe was done. On histologic finding, there was intralobar type pulmonary seqestration with chronic inflammation with hyphae of aspergillus species focally.

A case of obstructive pneumonia due to fish vertebrae aspirated into both bronchi / 대한내과학회지

Foreign body aspiration occurs rarely in adults. Aspiration of foreign bodies into tracheobronchial tree commonly occurs by accident, and in most cases they get removed without delay. Sometimes, however, small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and become symptomatic several years later. In these cases, unless a clear history of an aspiration event is obtained, it is difficult to even consider the aspiration as a cause of pneumonia. Foreign bodies were most frequently located in right lower lobe and usually aspirated unilaterally. A review of recent literature reveals only a few case reports of unilaterally aspirated foreign body in adults. We are reporting an adult case of obstructive pneumonia due to foreign bodies (fish vertebrae) aspirated into both bronchi at least 5 month prior to his hospitalization into our institute. Removal of the endobronchial foreign bodies was successfully accomplished by flexible bronchoscopy. The patient did not experience any complication and the pneumonia was completely resolved after removal of foreign bodies.

A case of obstructive pneumonia due to fish vertebrae aspirated into both bronchi / 대한내과학회지

Foreign body aspiration occurs rarely in adults. Aspiration of foreign bodies into tracheobronchial tree commonly occurs by accident, and in most cases they get removed without delay. Sometimes, however, small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and become symptomatic several years later. In these cases, unless a clear history of an aspiration event is obtained, it is difficult to even consider the aspiration as a cause of pneumonia. Foreign bodies were most frequently located in right lower lobe and usually aspirated unilaterally. A review of recent literature reveals only a few case reports of unilaterally aspirated foreign body in adults. We are reporting an adult case of obstructive pneumonia due to foreign bodies (fish vertebrae) aspirated into both bronchi at least 5 month prior to his hospitalization into our institute. Removal of the endobronchial foreign bodies was successfully accomplished by flexible bronchoscopy. The patient did not experience any complication and the pneumonia was completely resolved after removal of foreign bodies.