We report a case of 63 year old man with giant negative T-wave inversion associated with metastic lung cancer to apex of right ventricle. On admission, chest x-ray demonstration a round and well marginated mass on right upper lobe. Electrocardiogram showed deep and symmetric T-wave inversion in precordial leads. This finding of electrocardiogram were compatible with apical hypertrophic cardiomyopathy. Under the impression of apical hypertrophic cardiomyopathy or acute coronary insufficiency, we performed 2D-echocardiogram. 2D-echocardiogram showed, about 6x3cm sized, inhomogeneous right ventricular apical mass. For the differential diagnosis of myocardiac infarction, we performed coronary angioram, Which showed no significant stenosis of right and left coronary artery. We performed a biopsy from lung mass and right ventricular apical mass. Pathologic examination revealed non-small cell lung cancer with metastasis to right ventricle. So we report a case of giant negative T-wave inversion suspected due to RV apical hypertrophic secondary to metastatic lung cancer with a review of literature.
Biopsy ; Carcinoma, Non-Small-Cell Lung ; Cardiomyopathy, Hypertrophic ; Constriction, Pathologic ; Coronary Vessels ; Diagnosis, Differential ; Electrocardiography ; Heart Ventricles ; Humans ; Hypertrophy* ; Infarction ; Lung Neoplasms* ; Lung* ; Middle Aged ; Neoplasm Metastasis ; Thorax

No abstract available.
Glucagon-Like Peptide 1*

No abstract available.
Osteomalacia

No abstract available.
Transplants*

No abstract available.
Myocutaneous Flap*

No abstract available.
Tendon Transfer* ; Tendons*

No abstract available.
Carcinoma, Bronchogenic* ; Lymph Nodes* ; Mediastinoscopy*

Intralesional belomycin injection has been an effective treatment of recalcitrant warts since 1970. A 1 U/ml solution of bleomycin sulfate in normal saline or lidocaine solution was injected intralesionally in 72 warts of 33 patients on the hands, forearm, feet, and face. Dosage of bleomycin was dependent on the size of warts, usually 0.1 to 0.15 cc of solution. All patients was permitted to wash the treated area without care. 59 (81.9%) of 72 warts were cured after one injection, 12 (16.7%) warts after two or three bleomycin injections. One large wart was not cured. Most patients experienced minimal painful discomfort for two to three days after one to two days of injection, but did not take the analgesics. There was no evidence of systemic and local toxicities. The most responsive warts shoed hemorrhagic black eschars that separated after 2 to 3 weeks and healed with very little or no scar tissue. Intralesional bleomycin injection is a reliable and useful alternative for the treatment of warts.
Analgesics ; Bleomycin* ; Cicatrix ; Foot ; Forearm ; Hand ; Humans ; Injections, Intralesional ; Lidocaine ; Warts*

The authores did clinical analysis of 150 cases of the Degenerative Joint Disease of the Knee and reviewed literature.
Joint Diseases ; Joints ; Knee

Cytomegalovirus (CMV) is a major cause of morbidity and mortality in immunocompromised patients. CMV can cause pneumonia, retinitis, gastrointestinal ulcers, and widely disseminated disease, but cutaneous CMV is rare. We report two cases of cutaneous CMV infection presenting as perianal ulcers. A 54 year-old male who had liver transplantation and a 72-year-old male, who was treated with chemotherapy for angioimmunoblastic T-cell lymphoma, presented with perianal ulcers and had systemic symptoms of CMV infection with CMV antigenemia. They had multiple ulcerations with erythematous bases on the perianal area, and histopathologic examinations showed large atypical cytomegalic cells in the dermis, and immunohistochemical stains, with the anti-CMV antibody showed positive reactions.
Aged ; Coloring Agents ; Cytomegalovirus Infections* ; Cytomegalovirus* ; Dermis ; Drug Therapy ; Humans ; Immunocompromised Host* ; Liver Transplantation ; Lymphoma, T-Cell ; Male ; Mortality ; Pneumonia ; Retinitis ; Ulcer