Subject(s)
Leiomyosarcoma/diagnostic imaging , Stomach Neoplasms/diagnostic imaging , Aged , Humans , Male , Radiography, ThoracicSubject(s)
Pulmonary Emphysema/surgery , Adult , Aged , Female , Humans , Methods , Middle Aged , Sternum/surgerySubject(s)
Bronchi , Bronchoscopy , Foreign Bodies/therapy , Aged , Fiber Optic Technology , Humans , MaleSubject(s)
Amygdalin/poisoning , Acidosis/chemically induced , Adolescent , Critical Care , Humans , Lactates , Male , Pulmonary Edema/chemically induced , Suicide, AttemptedSubject(s)
Carcinoma, Bronchogenic/pathology , Lung Neoplasms/pathology , Stomach Neoplasms/secondary , Aged , Humans , MaleSubject(s)
Airway Obstruction/etiology , Catheterization/adverse effects , Hemorrhage/etiology , Jugular Veins/injuries , Aged , Female , Humans , PharynxABSTRACT
We report a 31-year-old man in whom initially localized lymphomatoid granulomatosis was diagnosed at left pneumonectomy. He had severe anemia which is rare and clubbing of the fingers and toes, a feature not previously described. Five months following surgery, disease spread to the right lung, and atypical lymphomatous transformation occurred in cervical and mediastinal lymph nodes, leading to a superior vena cava syndrome. Chemotherapy with cyclophosphamide and prednisone resulted in significant resolution initially, but ultimately, the patient had progressive axillary node enlargement and succumbed. Clinical and roentgenographic improvement and later deterioration following pneumonectomy and improvement with chemotherapy were mirrored by changes in degree of clubbing, leukocytosis, and elevation of erythrocyte sedimentation rate.
Subject(s)
Anemia, Hypochromic/complications , Lung Neoplasms/complications , Lymphoma/diagnosis , Lymphomatoid Granulomatosis/complications , Osteoarthropathy, Secondary Hypertrophic/complications , Toes , Adult , Humans , Lung Neoplasms/therapy , Lymphoma/therapy , Lymphomatoid Granulomatosis/diagnosis , Lymphomatoid Granulomatosis/therapy , Male , Vascular Diseases/etiology , Vena Cava, SuperiorSubject(s)
Adrenal Cortex Hormones/therapeutic use , Inhalation , Pneumonia, Aspiration/drug therapy , Respiration , Adult , Aged , Clinical Trials as Topic , Double-Blind Method , Female , Humans , Lung/physiology , Male , Methylprednisolone Hemisuccinate/administration & dosage , Methylprednisolone Hemisuccinate/therapeutic useSubject(s)
Adrenal Cortex Hormones/therapeutic use , Inhalation , Lung/physiology , Pneumonia, Aspiration/drug therapy , Respiration , Adolescent , Adult , Aged , Clinical Trials as Topic , Double-Blind Method , Female , Humans , Male , Methylprednisolone Hemisuccinate/therapeutic use , Middle Aged , Respiratory Function TestsABSTRACT
We report the findings in a 39-year-old man with alcoholic pancreatitis and a lower posterior mediastinal mass. Endoscopic retrograde pancreatographic and ultrasonographic studies permitted an unequivocal diagnosis of mediastinal pancreatic pseudocyst. The pseudocyst resolved spontaneously five weeks after diagnosis, without specific therapy.