ABSTRACT
A 56-year-old woman was admitted to our hospital with the chief complaint of left back pain. We detected left pleural effusion on chest X-ray and performed chest drainage. No malignant cells were detected in the effusion. Chest CT demonstrated a tumor shadow over the left diaphragm and left pleural effusion 6 months later. She underwent en bloc resection of the tumor and left diaphragm. Histological evaluation revealed malignant fibrous histiocytoma (MFH). Recurrent tumors were found in the abdomen 8 months after the operation, and she underwent resection of the abdominal recurrent tumors. Histological evaluation of the recurrent tumors also showed MFH. The patient died 28 months after the first operation.
Subject(s)
Diaphragm , Histiocytoma, Benign Fibrous/surgery , Muscle Neoplasms/surgery , Diaphragm/surgery , Female , Histiocytoma, Benign Fibrous/diagnosis , Humans , Middle Aged , Muscle Neoplasms/diagnosisABSTRACT
A 68-year-old man presented to another hospital with progressive shortness of breath, dry cough, and systemic edema. A chest X-ray, echocardiogram, and chest CT showed a mediastinal mass and massive pericardial effusion. His symptoms improved after the treatment for heart failure. The pericardial effusion was bloody. In that, malignant cell wasn't proved. Thoracotomy was performed to diagnose the mediastinal tumor and to extirpate it. Pathological diagnosis after operation was thymoma with direct invasion to pericardium and tunica externa of aorta. Thymomas are routinely asymptomatic for prolonged periods of time. Symptomatic pericardial tamponade as initial manifestation due to a thymoma with a massive pericardial effusion is uncommon.
Subject(s)
Cardiac Tamponade/etiology , Thymoma/complications , Thymus Neoplasms/complications , Aged , Humans , Male , Neoplasm Invasiveness , Pericardial Effusion/etiology , Thymoma/pathology , Thymus Neoplasms/pathologyABSTRACT
The authors report a case with esophageal cancer who had undergone a non-curative resection and showed a recurrence. Treatment with only oral 5'-DFUR resulted in complete response. This was followed by oral ftorafur, and the case has remained complete response for 40 months. It is rare to obtain such an effect in esophageal cancers by oral and sole administration of a drug in the 5-FU class. Our experience with this case is described.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Esophageal Neoplasms/drug therapy , Neoplasm Recurrence, Local/drug therapy , Administration, Oral , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Esophageal Neoplasms/pathology , Floxuridine/administration & dosage , Humans , Male , Middle Aged , Remission Induction , Tegafur/administration & dosageABSTRACT
A 33-year-old man showing the right anterior mediastinal mass on his chest x-ray film admitted to our hospital. At thoracotomy extirpation of the cystic tumor was performed. The tumor was 7 x 7 x 5 cm in size and contained coffee-coloured fluid. Histological examination confirmed undifferentiated carcinoma. Postoperatively he was treated with 60Co 50 Gy and chemotherapy. He has been well 4 years after operation.
Subject(s)
Carcinoma/therapy , Mediastinal Neoplasms/therapy , Adult , Carcinoma/drug therapy , Carcinoma/radiotherapy , Combined Modality Therapy , Humans , Male , Mediastinal Neoplasms/drug therapy , Mediastinal Neoplasms/radiotherapyABSTRACT
A 39-year-old woman complained of an oppressive feeling in her chest and abnormal shadows were detected in the left lower lobe. On a preoperative diagnosis of primary or metastatic lung cancer, left lower lobectomy was performed. There were 3 nodular tumors in the left S6, S10 but no metastasis to regional lymph nodes was found. Histological examination confirmed "so-called" sclerosing hemangioma. She has remained well for 4 years after surgery. A review of the literatures on sclerosing hemangioma in Japan showed that 12 (5%) of 225 cases of sclerosing hemangiomas had multiple tumors.
