RESUMO
A 42-years-old female was referred to the university hospital because of cystic lesions of the right superior mediastinum. Drainage tube was found at right supraclavicular fossa with prolonged lymphatic discharge. We diagnosed this case as a benign cystic lymphangiomas with CT scan and CT scan with cystography and chemical analysis of the contents of the cyst. Intralesional OK-432 therapy for cystic mediastinal lymphangioma was performed. OK-432 was administered through intralesionally placed drainage tube. Excellent result was obtained. A few weeks later, residual lymphatic discharge through drainage tube became stopped. No expansion of the mediastinal cyst was found after drainage tube removal. Intralesional OK-432 therapy for cystic mediastinal lymphangioma was very effective and useful, it should be recommended for the management of the first choice of therapeutic method for cystic mediastinal lymphangioma because of no neurological deficit after this treatment.
Assuntos
Antineoplásicos/administração & dosagem , Linfangioma Cístico/tratamento farmacológico , Neoplasias do Mediastino/tratamento farmacológico , Picibanil/administração & dosagem , Adulto , Feminino , Humanos , Injeções IntralesionaisRESUMO
The incidence of acinar cell carcinoma among malignant pancreatic tumors is about 1%, and the prognosis is reported to be poor. We resected an acinar cell carcinoma that had arisen on the pancreatic head by pancreaticoduodenectomy in December 1983. This tumor occupied the pancreatic head, and it measured 10 X 9.5 X 9.5 cm. The microscopic findings showed that the tumor cell was well-differentiated and acinar formation was uniform. The growth of the tumor was expansive, and the lesion was clearly capsulated by fibrous tissue. There was no lymph node metastasis, so the curative operation was performed by the enbloc resection of the tumor. Zymogen granules in the tumor cells were confirmed by electron microscopy. Consequently, we concluded that the origin of the tumor was acinar cells.
