1/7. Primary pulmonary osteogenic sarcoma.A 56-year-old man initially presented to his family physician with tingling in the fingertips of his left hand. A chest radiograph revealed a left upper lobe mass. Local resection found a soft tissue osteogenic sarcoma. This is a report of a rare case of primary pulmonary osteogenic sarcoma.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/7. Low-grade chondrosarcoma vs enchondroma: challenges in diagnosis and management.A 28-year-old man presented with a swelling at the right thoracic wall. Computed tomography showed an aggressive process involving the cortex of the rib with concomitant soft tissue mass. However, a needle biopsy specimen revealed an enchondroma and consequently the physician decided to apply a "wait-and-see" strategy. After 3 years of careful follow-up by MR imaging, the patient complained of subtle enlargement of the lesion, which was later confirmed on repeated CT scan. Despite an aggressive appearance on control MR imaging, histopathological examination after incisional biopsy could not differentiate between enchondroma and low-grade chondrosarcoma. Wide excision including previous biopsy trajectory was performed. diagnosis of a low-grade (grade I) chondrosarcoma was made on findings of the excisional specimen and seeding of cartilage tissue along the previous incisional biopsy trajectory was found.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/7. Delayed presentation of oesophageal perforation simulating intrathoracic malignancy.We report two patients with silent oesophageal perforation. In neither patient was the diagnosis made preoperatively by the referring physicians and a history of swallowing difficulty was elicited in only one patient. The appearances on computed tomography were very similar in both patients: there was a soft tissue mass in the upper retro-oesophageal region with destruction of the underlying vertebral body.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/7. Primary chest wall tumor appearing as frozen shoulder. review and case presentations.The term frozen shoulder may apply to a primary, common, recognizable entity with a predictable course to a painful stiff condition with periarthritis secondary to trauma, rotator cuff or arthritic source. We studied 140 cases of frozen shoulder, referred to a surgical clinic for manipulation when conservative care was not effective. Investigations showed only 40 cases had "primary" frozen shoulder and among these were 3 patients with a local primary invasive neoplasm mimicking the exact features of the common condition. The attending physician and surgeon should be suspicious of tumor in younger patients with progressive pain among the other features of primary frozen shoulder.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/7. Sarcomas arising after radiotherapy for peptic ulcer disease.Therapeutic gastric irradiation has been used to reduce peptic juice secretion in patients with peptic ulcer disease. Between 1937 and 1968 a total of 2049 patients received such therapy at the University of chicago. Three of these patients are known to have developed sarcomas in the field of radiation. Two gastric leiomyosarcomas of the stomach were diagnosed 26 and 14 years after treatment and a malignant fibrous histiocytoma of the anterior chest wall was removed six years after gastric irradiation. Of 743 peptic ulcer patients treated without irradiation and constituted as a control group for the study of therapeutic gastric radiation, none is known to have developed sarcoma. As the incidence of sarcoma in these patient groups is known only from the tumor registry of the University of chicago, other cases of sarcoma may exist in the groups. While an increased incidence of sarcoma has not been proven to occur in patients who received therapeutic gastric irradiation for peptic ulcer disease, the possibility of such a risk should be borne in mind by physicians caring for such patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/7. Tracheobronchial ruptures due to cuffed Carlens tubes.At our institution in the past 22 years, more than 3,000 patients have undergone chest procedures, and 2,700 of them were intubated with a cuffed Carlens endotracheal tube. In this paper we report on 5 patients with tracheobronchial ruptures caused by intubation with these tubes. We believe this hazard should be brought to the attention of physicians.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/7. Proliferative disorders of the plasma cell.The incidence of plasma cell malignancies increases with age. Since the average age of the American population is increasing, family physicians can expect to diagnose and manage an increasing number of these patients. Symptomatology is varied and, in early stages, subtle. The principal entities are multiple myeloma. Waldenstrom's macroglobulinemia and heavy chain diseases. Comparatively benign disorders include benign monoclonal gammopathy and plasmacytoma. The cornerstone for diagnosis of plasma cell malignancies is serum immunoglobulin electrophoresis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |