- Lung Cancer Diagnosis and Treatment
- Tracheal and airway disorders
- Skin Diseases and Diabetes
- Medical Imaging and Pathology Studies
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Vasculitis and related conditions
- Cancer Immunotherapy and Biomarkers
- Inflammatory Myopathies and Dermatomyositis
- Vascular Malformations and Hemangiomas
- Vascular Anomalies and Treatments
- IgG4-Related and Inflammatory Diseases
- Angiogenesis and VEGF in Cancer
- Lung Cancer Treatments and Mutations
- Lymphatic System and Diseases
- Cancer Research and Treatments
- Lung Cancer Research Studies
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Intraperitoneal and Appendiceal Malignancies
- Diabetes and associated disorders
- Pleural and Pulmonary Diseases
- Eosinophilic Disorders and Syndromes
- Sarcoidosis and Beryllium Toxicity Research
- Liver Disease Diagnosis and Treatment
- Sharing Economy and Platforms
- Diverticular Disease and Complications
Akita Red Cross Hospital
2017-2024
Akita University
2010-2023
Introduction: Vasculitis does not usually induce glandular tissue lesions. Herein, we present a case of vasculitis with distribution similar to that immunoglobulin-G4-related disease (IgG4-RD), including the submandibular and lacrimal glands, periaortitis. Case report: A 70-year-old man presented shortness breath. Laboratory findings revealed an IgG4 level 191 mg/dL, negative antineutrophil cytoplasmic antibody test, C-reactive protein 8.33 mg/dL. Magnetic resonance imaging head computed...
The options for lung cancer treatment have increased due to the development of immune checkpoint inhibitors, but there has been no report inoperable cases whereby effects rendered case operable, an operation was subsequently performed, and histological assessment surgical specimen carried out. Here, we a 67-year-old man who given pembrolizumab T3N0 squamous cell carcinoma suspected pericardial infiltration judged inoperable. Treatment effect evaluated after four courses. Computed tomography...
Abstract Granulocyte colony‐stimulating factor (G‐CSF)‐producing lung tumours are rare, with their imaging features and effective treatments remaining elusive. Similarly, mesenchymal‐epithelial transition (MET) exon 14 skipping mutations also uncommon. Herein, we report a case of G‐CSF‐producing adenocarcinoma positive for MET mutation, mimicking abscess. A 61‐year‐old man presented cough high fever. Contrast‐enhanced chest computed tomography revealed mass cavity internal fluid...
Tumor-associated erythema annulare centrifugum is commonly observed in leukemia and lymphoma. In this case, we reported associated with lung cancer that resolved following targeted drug therapy. A 71-year-old man psoriasis visited our hospital pruritus. Initially, he was prescribed cyclosporine at a dose of 2.5 mg/kg suspecting worsening his psoriasis; however, treatment ineffective. Signs paraneoplastic skin syndrome were observed, leading to diagnosis epidermal growth factor receptor...
Pseudo-Meigs’ syndrome is caused by uterine fibroids, which often treated using gonadotropin-releasing hormone (GnRH) agonists. Here we report a case of pseudo-Meigs’ that developed with massive pleural effusion after the initiation GnRH agonist therapy for fibroids. A 48-year-old woman presented dyspnea. Her medical history included fibroids and therapy. Contrast-enhanced computed tomography revealed effusion, ascites. total laparoscopic hysterectomy was performed. The pathologic findings...
Intestinal tuberculosis can cause strangulated small bowel obstruction. Strangulated obstruction usually requires surgery. We report a case of patient with intestinal tuberculosis, who developed spontaneously resolving after the commencement anti-tuberculosis drugs. A 72-year-old woman presented abdominal pain and ascites was noticed on ultrasonography. Contrast-enhanced computed tomography (CT) revealed 50-mm tumor in ileocecal region that darkly contrasted, along peritoneal thickening...
好酸球性多発血管炎性肉芽腫症(eosinophilic granulomatosis with polyangiitis:EGPA)は組織で好酸球浸潤を示す.今回,IgG4(immunoglobulin G4)陽性形質細胞が肺組織に浸潤していた本疾患例を経験した.65歳男性が肺腫瘤の精査で生検を施行された.IgG4陽性形質細胞が多数浸潤しており,IgG4関連疾患が疑われた.しかし,腺組織に病変はなく,「IgG4関連疾患類似の所見を伴ったEGPA」と診断した.両疾患の鑑別には総合的な判断が必要である.
Pasteurella multocida (P. multocida) infection develops in patients with chronic obstructive pulmonary disease (COPD). Inhaled corticosteroids (ICS) are used for the treatment of COPD. Herein, we report a case empyema caused by P. patient using ICS A 79-year-old man COPD presented general fatigue. He was treated triple therapy including ICS. Contrast-enhanced computed tomography revealed encapsulated pleural effusion left chest. We initiated antibiotics, sulbactam sodium/ampicillin sodium (3...
Systemic lupus erythematosus is known to cause autoimmune hyperlipidemia. We present a case in which hypertriglyceridemia was exacerbated by dermatomyositis. A 53-year-old woman with medical history of undertreated complained dyspnea and arthralgia. Despite the treatment, her triglyceride levels increased concurrently onset She had characteristic skin manifestations tested positive for anti-Jo-1 autoantibodies, leading diagnosis Chronic inflammation may result elevated levels. When...
症例:45歳,女性.両側胸部異常陰影の精査目的で受診し,本陰影は,胸部CTと肺動脈造影の結果,肺動静脈奇形(pulmonary arteriovenous malformation:PAVM)と診断された.長姉71歳にもPAVMの既往歴が確認された.本症例は,粘膜および内臓の多発性末梢血管拡張の存在から遺伝性出血性末梢血管拡張症(hereditary hemorrhagic telangiectasia:HHT,Osler病)と診断された.家族性多発性PAVM症例はHHTの可能性があることが示唆された.
症例は77歳女性.多発すりガラス陰影(ground glass nodule:GGN)で定期通院中に,CT検査にて左S3のGGNが増大傾向にあり内部に高吸収域も出現した.早期肺癌を疑い胸腔鏡下左肺部分切除を行ったところ,術後病理検査でGGNはperibronchiolar metaplasia(PBM)の診断であり,同一標本内に上皮内肺腺癌(adenocarcinoma in situ:AIS)を認めた.顕微鏡画像上,PBMと診断された白色結節とAISは連続しておらず,PBMに早期肺腺癌が併存しているものと考えられた.PBMとAISが併存していた例は報告が見当たらず,まれな一例であったと考えられる.