Abstract

The appearance of pulmonary metastasis more than 15 years after primary treatment for breast cancer is rare. We herein report the case of a breast cancer patient with solitary pulmonary metastasis, after an 18-year disease-free period, treated with resection. A 66-year-old Japanese woman was found to exhibit an abnormal shadow on a chest X-ray. She had undergone a left mastectomy for breast cancer 18 years previously. The nodule was suspected to be either metastatic or primary lung cancer, and thus thoracoscopic surgery was performed. The histologic diagnosis was metastasis from breast cancer. Pulmonary resection in breast cancer recurrence is an important diagnostic tool that allows for a differential diagnosis with primary lung cancer. The clinical implication of surgery for a solitary pulmonary metastasis from breast cancer is discussed in this report.

Abstract

Acquired diverticular disease of the colon is very common in the North American population. Atypical presentations are usually due to complications and rarely the predominant complaint may be related to an associated fistula. Thigh abscesses due to colocutaneous fistula represent an uncommon complication of sigmoid diverticulitis. In rare cases, a thigh abscess may be the only symptom, but gas in the thigh should raise the index of suspicion for bowel pathology. We report the second known case of a left-sided sigmoid diverticulitis leading to an isolated right thigh abscess with no gastrointestinal symptoms.

Abstract

Pilonidal disease has been treated surgically and by various other methods for many years. The most important problem associated with such treatment is recurrence, but cosmetic outcome is another important issue that cannot be ignored. Today, crystallized phenol is recognized as a treatment option associated with good medical and cosmetic outcomes. We hypothesized that the addition of laser depilation to crystallized phenol treatment of pilonidal disease might increase the rate of success, and this study aimed to determine if the hypothesis was true. Patients who were treated with crystallized phenol and 755-nm alexandrite laser depilation were retrospectively analyzed. In total, 42 (31 male and 11 female) patients were treated with crystallized phenol and alexandrite laser depilation and were followed up between January 2009 and January 2012. In all, 38 patients (90.5%) had chronic disease and 4 (9.5%) had recurrent disease. Among the patients, 26 (61.9%) recovered following 1 crystallized phenol treatment, and the remaining patients had complete remission following repeated treatment. Some patients needed multiple treatments, even up to 8 times. None of the patients had a recurrence during a mean 24 months (range, 6–30 months) of follow-up. Whatever method of treatment is used for pilonidal disease, hair cleaning positively affects treatment outcome. The present results support the hypothesis that the addition of laser depilation (which provides more permanent and effective depilation than other methods) to crystallized phenol treatment (a non-radical, minimally invasive method associated with very good cosmetic results) can increase the effectiveness of the treatment and also reduce the recurrence rate of the disease.

Agrelli, Taciana Freitas, 198

Aihara, Arihiro, 6

Akbulut, Sami, 23, 135, 239, 254

Al-Dujaili, Thair M., 150

Aliosmanoğlu, İbrahim, 245, 305

Amagai, Masayuki, 356

Araki, Kenichiro, 145, 230

Arii, Shigeki, 6

Arii, Kazuo, 351

Arikanoglu, Zulfu, 224, 245, 305

Armato III, Samuel G., 65

Asao, Takayuki, 99, 281

Ashour, Mohamed, 112

Ayten, Refik, 288

Baba, Hiroyuki, 340

Bac, Bilsel, 224

Bando, Toshihiro, 210

Bartlett, Lynne, 112

Bastu, Ercan, 310

Batcholuun, Pandaan, 363

Belliveau, Paul, 285

Bezabeh, Bahiru, 78

Bin, Chen, 104

Bozdağ, Ahmet, 288

Bozdag, Zehra, 135

Braghetto, Italo, 189

Brennan, Nicholas, 140

Brennan, Stephen, 327

Bustamante Toledo, R., 27

Inadequacy of anterior-only fixation for reducible three-column injury of the subaxial cervical spine: case report

Yu-ying WuM.D.,

Po-Yuan ChenM.D.,

Kang LuPhD., and

I-Fan LinM.D.