Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society最新文献_第4页

[A case of lung cancer complicated with active non-tuberculous mycobacterium (NTM) infection successfully treated with anti-cancer agents and anti-NTM agents]. 【肺癌合并活动性非结核分枝杆菌(NTM)感染1例经抗癌药物及抗NTM药物治疗成功】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-11-01

Yu Fujita, Satoru Ishii, Satoshi Hirano, Yuichiro Takeda, Haruhito Sugiyama, Nobuyuki Kobayashi

{"title":"[A case of lung cancer complicated with active non-tuberculous mycobacterium (NTM) infection successfully treated with anti-cancer agents and anti-NTM agents].","authors":"Yu Fujita, Satoru Ishii, Satoshi Hirano, Yuichiro Takeda, Haruhito Sugiyama, Nobuyuki Kobayashi","doi":"","DOIUrl":"","url":null,"abstract":"A 55-year-old man with pulmonary Mycobacterium avium complex (MAC) disease was referred to our hospital with dyspnea on exertion and general fatigue. Chest computed tomography (CT) revealed a nodular shadow with pleural indentation in the left S(1+2), left pleural effusion, and a thick-walled cavitary lesion due to pulmonary MAC disease in the right S1. A biopsy specimen of the nodule in the left S(1+2) revealed adenocarcinoma, which various examinations confirmed to be stage IV lung adenocarcinoma (T2aN0M1a) complicated with active pulmonary MAC disease. Anti-non-tuberculous mycobacteriosis (NTM) chemotherapy consisting of rifampicin, ethambutol, clarithromycin and streptomycin was administered to treat the pulmonary MAC disease, and the lung cancer was then treated with 4 courses of carboplatin/pemetrexed. This improved the patient's pulmonary MAC disease, and the lung cancer went into partial remission without severe adverse effects. Although a more detailed analysis of the drug interaction is required, we concluded that a combination of anti-NTM and carboplatin/pemetrexed chemotherapy was safe and effective.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 11","pages":"855-60"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30327399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A case of clopidogrel-induced eosinophilic pneumonia]. 氯吡格雷致嗜酸性肺炎1例。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-11-01

Yuko Mizuno, Hidefumi Shimizu, Miki Yamashita, Yoshimasa Horie, Akira Mizō

引用次数: 0

[A case of metastatic pulmonary cancer from urachal carcinoma that required differentiation from primary lung adenocarcinoma]. [一例需要与原发性肺腺癌鉴别的尿管癌转移性肺癌]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-11-01

Mai Tatsuno, Shinobu Tamura, Fumitaka Taniguchi, Hironao Yasuoka, Hideki Nasu, Tokuzo Fujimoto

{"title":"[A case of metastatic pulmonary cancer from urachal carcinoma that required differentiation from primary lung adenocarcinoma].","authors":"Mai Tatsuno, Shinobu Tamura, Fumitaka Taniguchi, Hironao Yasuoka, Hideki Nasu, Tokuzo Fujimoto","doi":"","DOIUrl":"","url":null,"abstract":"A 58-year-old man was given a diagnosis of urachal carcinoma and underwent a partial cystectomy with enbloc removal of the tumor and radical lymphadenectomy in 2006. In April 2009 he was admitted to our hospital because of hemoptysis and left chest pain. Chest CT showed a 4-cm mass shadow in the left S3 and nodular shadows in the right S1 and left S10. Flexible bronchoscopy demonstrated a tumorous lesion at the orifice of the left B3 bronchus. Although the cytological diagnosis suggested high-grade adenocarcinoma, the tumor was producing mucin and consisted of cells with anisonucleosis, which is not typical of primary lung adenocarcinoma. We then performed immunohistochemical and histological examination of a transbronchial lung biopsy specimen. The histological findings of the specimen were very similar to those of the previously resected urachal carcinoma. In addition, the tumor cells were negative for thyroid transcription factor-1 and surfactant precursor protein B, which are specific to primary lung adenocarcinoma. We therefore diagnosed metastatic pulmonary cancer from urachal carcinoma, which is a rare manifestation in bladder cancer. We report a rare case of metastatic pulmonary cancer from urachal carcinoma that required differentiation from primary lung adenocarcinoma in addition to a discussion of the literature.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 11","pages":"848-54"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30327493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A case of Epstein-Barr virus-positive diffuse large B-cell lymphoma in an elderly person with a necrotizing pulmonary bulky mass]. [eb病毒阳性弥漫性大b细胞淋巴瘤1例老年人肺大肿块坏死]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-11-01

Shinya Sakata, Junji Hamamoto, Kazuaki Sugahara, Hidenori Ichiyasu, Naoki Saita, Kenichi Iyama, Hirotsugu Kohrogi

{"title":"[A case of Epstein-Barr virus-positive diffuse large B-cell lymphoma in an elderly person with a necrotizing pulmonary bulky mass].","authors":"Shinya Sakata, Junji Hamamoto, Kazuaki Sugahara, Hidenori Ichiyasu, Naoki Saita, Kenichi Iyama, Hirotsugu Kohrogi","doi":"","DOIUrl":"","url":null,"abstract":"A 52-year-old man presented with a pulmonary bulky mass, fever and cough. Chest CT showed a necrotizing bulky mass 10 cm in diameter in the right lung lower lobe. Transbronchial biopsy and CT-guided biopsy of the tumor and endobronchial ultrasound-guided transbronchial needle aspiration of the right hilar lymph node did not yield a definitive diagnosis, but the histological findings showed necrosis. We performed CT-guided biopsy of the part of the lesion where a high uptake of FDG-PET was observed. The histological diagnosis was diffuse large B-cell lymphoma. The immunohistochemical findings were positive for Epstein-Barr virus (EBV). Because the patient was more than 50 years old and had no underlying diseases, he was given a diagnosis of EBV-positive diffuse large B-cell lymphoma of an elderly patient. The pulmonary manifestation of this disease as a bulky tumor is extremely rare. In spite of the presence of a bulky pulmonary tumor, the EBV-positive diffuse large B-cell lymphoma contained necrotizing tissue, and it was difficult to obtain tissue specimens for histological examination.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 11","pages":"833-7"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30327490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Measurement of bird specific antibody in bird-related hypersensitivity pneumonitis]. [鸟相关超敏性肺炎的特异性抗体测定]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Naohiko Inase, Koji Unoura, Yasunari Miyazaki, Makito Yasui, Yasuyuki Yoshizawa

引用次数: 0

[Bronchial asthma-like symptoms induced by pulmonary embolism]. [肺栓塞引起的支气管哮喘样症状]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Chihito Komaki, Takashi Niwa, Hiroki Tatsuoka, Yousuke Inoue

引用次数: 0

[Severe community-acquired pneumonia due to Acinetobacter baumannii]. 鲍曼不动杆菌引起的严重社区获得性肺炎。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Mamiko Tanaka, Masanori Asada, Akio Kanda, Keito Okazaki, Shinya Inomata, Naoki Akiu, Satoru Ebihara

引用次数: 0

[A case of rapidly progressive metastatic pulmonary amelanotic malignant melanoma 16 years after resection of melanoma]. 【恶性黑色素瘤切除术后16年快速进展转移性肺无色素瘤1例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Takaaki Ogoshi, Takashi Kido, Kazuhiro Yatera, Shuya Nagata, Chinatsu Nishida, Kei Yamasaki, Toshinori Kawanami, Hiroshi Ishimoto, Chiharu Yoshii, Hiroshi Mukae

{"title":"[A case of rapidly progressive metastatic pulmonary amelanotic malignant melanoma 16 years after resection of melanoma].","authors":"Takaaki Ogoshi, Takashi Kido, Kazuhiro Yatera, Shuya Nagata, Chinatsu Nishida, Kei Yamasaki, Toshinori Kawanami, Hiroshi Ishimoto, Chiharu Yoshii, Hiroshi Mukae","doi":"","DOIUrl":"","url":null,"abstract":"An 80-year-old Japanese male was admitted to our hospital because of bloody sputum. He had a history of malignant melanoma of the left fourth digit, which was surgically excised 16 years previously. On hospital admission, chest computed tomography revealed several nodules in the lower lobes. He underwent thoracoscopic lung biopsy and amelanotic malignant melanoma was histologically diagnosed by immunohistochemical staining. The staining pattern with several antibodies was similar to that of the melanoma excised 16 years previously. Therefore, we concluded that the nodules in the lung were metastases of the malignant melanoma of the digit. Despite treatment with interferon, the nodules progressed rapidly, and the patient died 4 months later. This case suggests that the risk of recurrence with rapidly progressive distant metastasis should be considered in patients with malignant melanoma, even after a long disease-free interval. In addition, this case suggests that immunohistochemical stains with several antibodies are useful in the diagnosis of malignant melanoma.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 10","pages":"770-4"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30281873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A case of pulmonary tuberculous initially diagnosed as sarcoidosis because of necrotizing granuloma]. 【肺结核因坏死性肉芽肿最初诊断为结节病1例】。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Takahiro Matsuyama, Yoshifusa Koreeda, Jiro Nakashioya, Minako Hamada, Yumiko Tomiyama, Masaharu Kawabata

{"title":"[A case of pulmonary tuberculous initially diagnosed as sarcoidosis because of necrotizing granuloma].","authors":"Takahiro Matsuyama, Yoshifusa Koreeda, Jiro Nakashioya, Minako Hamada, Yumiko Tomiyama, Masaharu Kawabata","doi":"","DOIUrl":"","url":null,"abstract":"A 75-year-old man with diabetes mellitus visited our hospital because of a chest radiograph abnormality. He was asymptomatic, and no abnormality was detected by blood tests including QuantiFERON-TB Gold (QFT-2 G); hence we conducted a follow-up examination. In 8 months, his chest radiography and CT findings worsened despite remaining asymptomatic. He was admitted for further tests. Analysis of bronchoalveolar lavage fluid (BALF) showed normal results for total cell counts and lymphocytes, but the CD4/8 ratio increased, and bacterial examination yielded negative results. Surgical lung biopsy showed an epithelioid cell granuloma with fibrinoid necrosis and Langhans giant cells, and some bacilli were positive for acid-fast stain. At this point, we suspected sarcoidosis, necrotizing granulomatosis, and mycobacterosis. However, the mycobacterial culture from the lung tissue was positive, and it was identified as Mycobacterium tuberculosis. We diagnosed pulmonary tuberculosis. Even if QuantiFERON-TB Gold In-Tube (QFT-3 G) for active tuberculosis is negative, it may yield false negative results in individuals in an immunosuppressed state and low CD4 count. When we suspect pulmonary tuberculosis from radiographic and pathological findings, we should consider the results of QFT-2 G and QFT-3 G carefully as an adjunct to the diagnosis of tuberculosis.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 10","pages":"775-9"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30281874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A clinical review of pleurodesis for patients with poor performance status]. [表现不佳的患者胸膜切除术的临床回顾]。

Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society Pub Date : 2011-10-01

Katsutoshi Ando, Yoshihiro Ohkuni, Hideki Makino, Akina Komatsu, Ryo Matsunuma, Kei Nakashima, Nobuhiro Asai, Norihiro Kaneko

{"title":"[A clinical review of pleurodesis for patients with poor performance status].","authors":"Katsutoshi Ando, Yoshihiro Ohkuni, Hideki Makino, Akina Komatsu, Ryo Matsunuma, Kei Nakashima, Nobuhiro Asai, Norihiro Kaneko","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although pleurodesis is an effective treatment for malignant pleural effusion, we hesitate to use in patients with poor performance status (PS) because of its side effects.Methods: Of 46 pleurodesis cases in our institution between 2006 and 2010, 24 poor PS cases (>3) were classified into 2 groups according to survival (beyond 3 months) or non-survival, and 3 groups according to condition: PS improved after pleurodesis, remained stable, or was exacerbated and we analyzed their backgrounds.Results: Among the 24 cases (66.7%), there were 5 and 19 survival and non-survival cases. Patient backgrounds, characteristics of the lesions and examination results did not differ significantly among them. On the other hand, the ratio of successful initial pleurodesis in the exacerbated PS group was lower than in the improved and stable groups (16.7% vs. 100%, 87.5%). The 1- and 3-month survival rates of unsuccessful cases were lower than those of successful cases (33.3% vs. 77.8%, 0% vs. 32.4%).Conclusion: Success of initial pleurodesis can affect PS and outcome, thus it is important to improve the number of successful cases of initial pleurodesis.","PeriodicalId":19218,"journal":{"name":"Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society","volume":"49 10","pages":"723-8"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30282445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0