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.
Myocutaneous Flap*

No abstract available.
Transplants*

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

A case of toxic epidermal necrolysis (TEN) was presented in 46 year-old male patient. The characteristic skin lesions of TEN were developed after some medictions and tetanus anti-toxin (TAT) injection due to trauma. Probably, the cause of the disease was drugs, TAT injection or trauma inself. On the pathologic findings, lower epidermis and dermo-epidermal cleavage were noticed. He was treated with massive antibiotics and steroid. About 7 days after therapy, much improvement achived. However foul odorous yellowish discharge was noticed since 20 days of hospitalization. Wide debridement of necrotic tissue was carried without improvement. Patient expired on 48th hospital day due to sepsis and impending hepatic coma.
Anti-Bacterial Agents ; Debridement ; Epidermis ; Hepatic Encephalopathy ; Hospitalization ; Humans ; Male ; Middle Aged ; Odors ; Sepsis ; Skin ; Stevens-Johnson Syndrome* ; Tetanus