keyword
https://read.qxmd.com/read/38461020/a-49-year-old-man-with-fever-and-dyspnea-after-endobronchial-ultrasound-guided-transbronchial-fine-needle-aspiration-biopsy
#21
Zenglin Liao, Hao Wang, Jing An, Jiajia Dong, Xiaoyu Long
A 49-year-old man, a farmer, had been experiencing coughing, phlegm, and difficulty breathing for 2 months. He underwent a CT scan at a local hospital that showed a mediastinal mass. Bronchoscopy showed no obstruction in the tracheal lumen, and an endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA) biopsy was performed on the mediastinal mass. The cytologic smear of the mediastinal mass showed a few atypical epithelial cells; the possibility of a tumor could not be ruled out...
March 2024: Chest
https://read.qxmd.com/read/38459862/-paraneoplastic-anti-n-methyl-d-aspartate-receptor-encephalitis-associated-with-anterior-mediastinal-mature-teratoma
#22
JOURNAL ARTICLE
Tatsuya Katayama, Jun Amioka, Yoshinori Handa
We report a 27 years-old previously healthy male admitted to a psychiatric hospital because of abnormal behavior. He was suspected meningoencephalitis with fever, abnormal sweating, muscle tone, confusion, and introduced to the neurology department of our hospital. After admission, increasing convulsions and apnea attack required mechanical ventilation therapy. Anti-N-methyl-D-aspartate( NMDA) - receptor encephalitis was diagnosed based on positive (20-fold) anti-NMDA antibody in cerebrospinal fluid examination...
February 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38453823/ectopic-epipericardial-fat-necrosis-a-case-report
#23
JOURNAL ARTICLE
Ryusei Yoshino, Masaki Nakatsubo, Nanami Ujiie, Akane Ito, Nana Yoshida, Naoko Aoki, Masahiro Kitada
BACKGROUND: Epipericardial fat necrosis (EFN) is a rare disease in which local inflammation and necrosis occur in the adipose tissue surrounding the heart, particularly epicardial fat. Few cases of EFN in which surgical resection was performed have been reported. We report a case of EFN after surgical resection of a right extrapulmonary tumor, in which a malignant disease could not be excluded. CASE PRESENTATION: A 75-year-old male patient presented with fever and chest pain...
March 8, 2024: Surgical Case Reports
https://read.qxmd.com/read/38449967/idiopathic-pulmonary-fibrosis-comorbid-with-mediastinal-small-cell-carcinoma-a-clinical-dilemma
#24
Muhammad Hassan Shakir, Salman Abdul Basit, Barun K Ray, Syed Muhammad Hussain Zaidi, Taibah Chaudhary, Mohammad Asim Amjad
We present an interesting case of mediastinal small cell carcinoma (MSCC), an exceedingly rare entity, comorbid with idiopathic pulmonary fibrosis (IPF). A 66-year-old female was first seen in the pulmonology office for abnormal chest computed tomography (CT) findings of right apical bronchiectasis and subpleural fibrotic changes with focal pleural thickening along the fissures, along with a right lower lobe nodule. Pulmonary function testing (PFT) showed an obstructive pattern with modest bronchodilator response, although subsequent PFT showed a worsening restrictive pattern with a worsening DLCO...
February 2024: Curēus
https://read.qxmd.com/read/38445307/using-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-for-the-diagnosis-and-treatment-of-a-mediastinal-mass-with-eccentric-calcifications-a-case-report
#25
JOURNAL ARTICLE
Ruba Ghalayni, Satish Gowda
Mediastinal masses present a diagnostic challenge due to their similar imaging characteristics, making distinguishing between noninfectious and infectious processes or malignancies difficult. A mediastinal abscess can result in severe life-threatening infections if left untreated. Traditional treatment approaches involve surgical debridement and drainage; however, emerging endobronchial techniques, such as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), offer a less-invasive means of diagnosing and managing abscesses...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38443819/a-case-with-multiple-nodules-and-mucosal-oedema-of-the-trachea-and-both-bronchi-induced-by-igg4-related-disease
#26
JOURNAL ARTICLE
Atsushi Torii, Kahori Oshima, Akari Iwakoshi, Masahide Oki
BACKGROUND: IgG4-related disease is a systemic fibroinflammatory disease that is mainly seen in older men, and involves multiple organs, such as the pancreas and lungs. However, 75% of patients with IgG4-related lung disease are asymptomatic (if they are symptomatic, they mainly complain of nasal congestion, rhinorrhoea, chest pain, and cough) and are incidentally diagnosed through chest computed tomograph. Although, nodules in the airway and bronchial wall thickening are criteria for diagnosis, it is important that nodules have been reported in peripheral airways in several cases and rarely in the central airway...
March 5, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38435931/desmoplastic-small-round-cell-tumors-presented-with-st-segment-elevation-myocardial-infarction-and-cardiac-tamponade-in-a-young-adult-female-a-case-report
#27
Kensuke Takaoka, Ashwin Venkataraman, Clarke Morihara, Arvin Tan, Witina Techasatian
Desmoplastic small round cell tumors (DSRCT) are very rare and aggressive diseases typically present with abdominal or retroperitoneal masses. We present a case of a young female who presented with ST-segment elevation myocardial infarction and cardiac tamponade and who was found to have DSRCT. The patient was coded at the emergency department. Left heart catheterization showed normal coronary arteries, and pericardiocentesis removed 1,260 mL of bloody pericardial effusions. The patient was stabilized, and a positron emission tomography scan revealed left intrahilar, hilar, and cardiophrenic masses with associated hypermetabolic right hilar, left hilar, subcarinal, costophrenic, aortopulmonary, paratracheal, and mediastinal lymphadenopathy...
January 2024: Curēus
https://read.qxmd.com/read/38434682/a-case-report-synovial-sarcoma-of-the-mediastinum-in-an-18-year-old-teenager
#28
Yan Liu, Manman Cui, Xiuzhi Zhou, Duchang Zhai, Mingyu Qin, Guohua Fan, Wu Cai
Synovial sarcomas (SSs) are a rare group of malignant tumors originating from pluripotential mesenchymal cells, which commonly occur as the primary tumor in the soft tissues near the articular surface, tendons, and articular synovium. Herein, we report a rare case of mediastinal SS in an 18-year-old teenager who initially presented with cough as the primary symptom. In this case, plain chest CT and contrast-enhanced CT clearly revealed the lesion presenting as a round-like and uneven density mass in the mediastinum with heterogeneous enhancement, which compressed the trachea and invaded the adjacent vessels...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38434608/primary-intrathoracic-ectopic-papillary-thyroid-carcinoma-presenting-with-thoracic-spine-metastasis-a-case-presentation-and-literature-review
#29
Rodhan Khthir, Nash B Binegar
Thyroid cancer in ectopic thyroid tissue is a very rare entity. We report a patient with papillary thyroid cancer arising from upper mediastinal ectopic thyroid tissue. The patient presented with thoracic spine metastasis with cord compression. The patient was a 67-year-old woman, who presented with upper back pain. Magnetic resonance imaging (MRI) showed suspected metastatic disease in the second and third thoracic vertebrae (T2 and T3). She underwent laminectomy and decompression surgery at the T1-T3 level...
March 2024: Curēus
https://read.qxmd.com/read/38430893/refractory-chylous-ascites-revealing-follicular-lymphoma-a-case-report
#30
Yassine Tlili, Zied Hadrich, Montacer Hafsi, Omrani Sahir, Bayar Rached, Hafedh Mestiri
INTRODUCTION AND IMPORTANCE: Chylous ascites is an uncommon form of ascites characterized by milky fluid rich in triglycerides. It is associated with poor lymphatic drainage. We report a case of chylous ascites revealing a follicular lymphoma. CASE PRESENTATION: A 73-year-old man presented with a 6-month history of abdominal distension attributed to a chylous ascitis. The thoraco-abdomino-pelvic CT scan revealed voluminous intra- and retroperitoneal mass inseparable from the duodeno-pancreatic block and encompassing the mesenteric vessels, inferior vena cava and renal vessels; abundant ascites and multiple mediastinal, coeliomesenteric, retroperitoneal, iliac and inguinal adenomegalia...
February 23, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38429923/right-thigh-mass-metastasis-from-lung-cancer-mimicking-primary-soft-tissue-sarcoma-a-case-report
#31
JOURNAL ARTICLE
Yuni Artha Prabowo Putro, Thomas Edison Prasetyo, Rahadyan Magetsari, Amri Wicaksono Pribadi, Ery Kus Dwianingsih, Ahmad Faiz Huwaidi
BACKGROUND Soft tissue metastases (STMs) are less common than bone metastases and sometimes misdiagnosed as primary soft tissue malignancies. Skin, lungs, and breast are the most common primary lesions of STMs and rarely the presenting symptoms. We present an STM from lung adenocarcinoma that became a presenting symptom in nonsmoking woman. CASE REPORT A 47-year-old woman presented to our hospital with a painful mass in her right thigh and weight loss of 10 kg for 4 months. Femoral radiograph revealed a lesion suggestive of bone sarcoma...
March 2, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38425727/south-african-flag-sign-to-a-giant-coronary-artery-aneurysm
#32
Rakavi Rathinasamy, Nirmal Ghati, Neeraj Parakh, Sanjeev Kumar, Akshay Kumar Bisoi, Sudheer Arava, Rajiv Narang, Balram Bhargava
BACKGROUND: Coronary arteritis leading to aneurysm is one of the unusual presentations of IgG4-related disease. Acute myocardial infarction as a complication of IgG4-related giant coronary artery aneurysm is even rarer. CASE SUMMARY: We describe the case of a 56-year-old gentleman who presented to our institute with Canadian Cardiovascular Society (CCS) class III angina. His symptoms were persistent even with high-dose antianginal medications. He had an acute coronary syndrome two weeks back for which he was treated conservatively in a peripheral health centre...
February 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38415117/the-combination-of-maximum-standardized-uptake-value-and-clinical-parameters-for-improving-the-accuracy-in-distinguishing-primary-mediastinal-lymphomas-from-thymic-epithelial-tumors
#33
JOURNAL ARTICLE
Hui Yan, Lihua Wang, Bei Lei, Maomei Ruan, Cheng Chang, Mingge Zhou, Liu Liu, Wenhui Xie, Yuetao Wang
BACKGROUND: Anterior mediastinal masses are relatively uncommon, and mediastinal lymphomas are the malignancies most likely to be confused with thymic epithelial tumors (TETs). The aim of this study was to investigate whether the combination of 18 fluorine-fluorodeoxyglucose positron emission tomography-computed tomography (18 F-FDG PET-CT) findings and clinical parameters is useful in differentiating lymphoma from TETs in anterior mediastinal masses. METHODS: This retrospective study consecutively included 304 patients with anterior mediastinal masses (244 TETs and 60 lymphomas) who underwent 18 F-FDG PET-CT 1 to 2 weeks before tumor resection or biopsy between August 2016 and March 2022...
February 1, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38389765/extranodal-follicular-dendritic-cell-sarcoma-of-the-lung
#34
Tanvi Jha, Anil Sharma, Sankar Kalakkunath, Shalini Mullick, Ekta Rahul, Mallika Dixit
Follicular dendritic cell sarcoma (FDCS) is a rare, mesenchymal neoplasm that may be nodal or extranodal in location. Lung involvement is rare. It is a slow-growing, painless tumor with a frequent capacity to recur and metastasize. We present a case of extranodal FDCS of the lung with an unusual presentation. A 34-year-old man presented with the complaints of haemoptysis and chest pain. A large left perihilar mass with endobronchial component was found on radiological evaluation. On endobronchial biopsy and mediastinal tru-cut biopsy, differential diagnoses of an inflammatory myo-fibrohistiocytic lesion and leiomyosarcoma were provided on the basis of morphological features of bipolar spindled cells arranged in intersecting fascicles and storiform patterns and immunophenotyping...
March 2024: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38389359/imaging-and-histopathological-features-of-primary-thymic-neuroendocrine-tumor
#35
JOURNAL ARTICLE
Sushant Suwal, Ying-Ying Chen, Sui-Dan Huang, Wei-Feng Li, Huai Chen
OBJECTIVES: To investigate CT, MRI, and PET/CT features with histopathological findings of primary thymic neuroendocrine tumor. MATERIALS AND METHODS: All 9 cases with pathologically proven primary thymic neuroendocrine tumors were reviewed retrospectively. Among them, 7 underwent enhanced CT, 1 with MRI (enhanced) and another with PET/CT scan. Multiple characters were examined, including tumor location, contour, CT attenuation, enhancement pattern, involvement of surrounding structure and lymphadenopathy...
2024: Current medical imaging
https://read.qxmd.com/read/38387909/-characteristics-and-prognosis-in-adult-patients-with-early-t-cell-precursor-acute-lymphoblastic-leukemia-lymphoma-from-multicenter
#36
JOURNAL ARTICLE
Zheng-Hua Li, Lan Luo, Ping Yang, Yan Li, De-Hui Zou, Chun-Ji Gao, Hong-Mei Jing
OBJECTIVE: To analyze the clinical characteristics, treatment, and prognosis of adult patients with early T-cell precursor acute lymphoblastic leukemia/lymphoma (ETP-ALL/LBL). METHODS: Clinical data of 113 T lymphoblastic leukemia/lymphoma (T-ALL/LBL) patients from January 2006 to January 2019 were collected from three hematology research centers, including Peking University Third Hospital, the First Medical Center of Chinese PLA General Hospital and Institute of Hematology and Blood Diseases Hospital, Chinese Medical University...
February 2024: Zhongguo Shi Yan Xue Ye Xue za Zhi
https://read.qxmd.com/read/38387892/-clinical-features-and-prognosis-of-acute-t-cell-lymphoblastic-leukemia-in-children-multi-center-data-analysis-in-fujian
#37
JOURNAL ARTICLE
Chun-Ping Wu, Yong-Zhi Zheng, Jian Li, Hong Wen, Kai-Zhi Weng, Shu-Quan Zhuang, Xing-Guo Wu, Xue-Ling Hua, Hao Zheng, Zai-Sheng Chen, Shao-Hua LE
OBJECTIVE: To evaluate the efficacy of acute T-cell lymphoblastic leukemia (T-ALL) in children and explore the prognostic risk factors. METHODS: The clinical data of 127 newly diagnosed children with T-ALL admitted to five hospitals in Fujian province from April 2011 to December 2020 were retrospectively analyzed, and compared with children with newly diagnosed acute precursor B-cell lymphoblastic leukemia (B-ALL) in the same period. Kaplan-Meier analysis was used to evaluate the overall survival (OS) and event-free survival (EFS), and COX proportional hazard regression model was used to evaluate the prognostic factors...
February 2024: Zhongguo Shi Yan Xue Ye Xue za Zhi
https://read.qxmd.com/read/38384652/good-syndrome-in-a-young-woman-an-unusual-presentation
#38
Sandra D Rebelo, Tiago Ferreira, Teresa Pacheco, Susana L Silva, Ana Tornada
Good Syndrome is a rare disease that comprises the presence of a thymoma, immunodeficiency, and recurrent opportunistic infections. We report the case of a young woman who was diagnosed with Good Syndrome, who had a long-term history of recurrent infections, often due to atypical agents, and who also had a previous history of immunodeficiency and a B1 thymoma invading the large vessels, lung, and pericardium (Masaoka stage IV). She underwent surgical resection of the mediastinal mass, requiring vena cava superior reconstruction due to the extent of invasion, followed by adjuvant radiotherapy and immunoglobulin G supplementation...
January 2024: Curēus
https://read.qxmd.com/read/38374882/a-rare-case-of-giant-mediastinal-thymolipoma-in-an-18-year-man
#39
Hourieh Soleimani, Behzad Aminzadeh, Ehsan Hassannejad, Asma Payandeh, Batul Oudi, Neda Karimabadi
Thymolipoma is a rare benign thymic lesion that can manifest as a sizable anterior mediastinal mass. Considering their rarity and challenging preoperative diagnosis, it is crucial to consider these tumors when dealing with anterior mediastinal masses.
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38367155/outcomes%C3%A2-of%C3%A2-robot-assisted-versus-video-assisted-mediastinal-mass-resection-during-the-initial%C3%A2-learning%C3%A2-curve
#40
JOURNAL ARTICLE
Chengwen Zheng, Yong Ge, Tianyue Ma, Jiajian Pan, Xueqiu Zhang, Teng Sun, Shoujie Feng, Hao Zhang
To compare the learning curve of mediastinal mass resection between robot-assisted surgery and thoracoscopic surgery. Retrospective perioperative data were collected from 160 mediastinal mass resection cases. Data included 80 initial consecutive video-assisted thoracoscopic surgery (VATS) resection cases performed from February 2018 to February 2020 and 80 initial consecutive robotic-assisted thoracic surgery (RATS) resection cases performed from March 2020 to March 2023. All cases were operated on by a thoracic surgeon...
February 17, 2024: Journal of Robotic Surgery
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