ABSTRACT
A 56-year-old man initially presented to his family physician with tingling in the fingertips of his left hand. A chest radiograph revealed a left upper lobe mass. Local resection found a soft tissue osteogenic sarcoma. This is a report of a rare case of primary pulmonary osteogenic sarcoma.
Subject(s)
Lung Neoplasms/diagnosis , Osteosarcoma/diagnosis , Bronchoscopy , Chondroma/diagnosis , Fingers/physiopathology , Frozen Sections , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Neoplasms, Multiple Primary/diagnosis , Paresthesia/diagnosis , Pneumonectomy , Ribs/pathology , Thoracic Neoplasms/diagnosis , Tomography, X-Ray ComputedABSTRACT
Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) is a rare lymphoproliferative disorder that often progresses to high grade T cell lymphoma. We describe a 63-year-old woman with longstanding seropositive rheumatoid arthritis who developed fever, cutaneous findings of dermatomyositis, a diffuse pruritic maculopapular rash, enlarged lymph nodes, polyclonal elevated serum gammaglobulins, and an IgG lambda paraprotein. Lymph node biopsies yielded tissue with characteristic changes of AILD and T cell lymphoma. Interleukin 6 (IL-6) was present during the early, active phase of disease, and circulating IL-6 and IL-2 were detected one month before tumor recurrence. Two years after AILD and T cell lymphoma were diagnosed, she developed a B cell lymphoma that involved the oropharynx.
Subject(s)
Arthritis, Rheumatoid/complications , Blood Protein Disorders/complications , Dermatomyositis/complications , Immunoblastic Lymphadenopathy/complications , Lymphoma, B-Cell/complications , Lymphoma, T-Cell/complications , Arthritis, Rheumatoid/immunology , Arthritis, Rheumatoid/pathology , Biomarkers , Biopsy , Blood Protein Disorders/pathology , Dermatomyositis/pathology , Fatal Outcome , Female , Humans , Immunoblastic Lymphadenopathy/pathology , Lymph Nodes , Lymphoma, B-Cell/pathology , Lymphoma, T-Cell/pathology , Middle Aged , Oropharynx/pathologyABSTRACT
The finding of residual common bile duct stones after cholecystectomy is a relatively frequently encountered problem for which effective nonoperative therapy exists. Retained stones in a cystic duct remnant are very rare. We present a case of multiple retained stones in a long variant cystic duct remnant following cholecystectomy and common duct exploration, which was successfully managed with endoscopic sphincterotomy and balloon extraction.
