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.
Tendon Transfer* ; Tendons*

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

No abstract available.
Myocutaneous Flap*

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

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*

We observed a case of tuberculosis cutis orificialis, which occurred in 50 year-old man. He had been suffered from single markedly inflamed, erythematous painful ulcer, covered by dirty brown pseudomembranous material, around anus for 3 months. The laboratory findings (CBC, routine urinalysis, stool ova and parasite with occult blood) are within normal limits except elevated ESR (52mm/hr.). Staphyloeoccus aureus and proteus are observed on wound culture, and many AFB are seen on scrapings of wound but not on sputum for 3 times. Unfortunately culture was not done. Tuberculin skin test revealed strong reaction (36mm/hr.). Chest PA and small bowel series showed far advanced pulmonary tuberculosis and intestinal tuberculosis on ileocecal area. But the findings of upper gastro-intestinal series and barium enema are within normal limits. Histopathologic findings of skin lesion showed tuberculous and tuberculoid granuloma in the deep dermis and subcutaneous tissue. We observed a case of tuberculosis cutis orificialis, which occurred in 50 year-old man. He had been suffered from single markedly inflamed, erythematoas painful ulcer, covered by dirty brown pseudomembranous material, around anus for 3 months. The laboratory findings (CBC, routine urinalysis, stool ova and parasite with occult blood) are within normal limits except elevated ESR (52mm/hr.). Staphyloeoccus aureus and proteus are'observed on wound culture, and many AFB are seen on scrapings of wound but not on sputum for 3 times. Unfortunately culture was not done. Tuberculin skin test revealed strong reaction (36mm/hr.). Chest PA and small bowel series showed far advanced pulmonary tuberculosis and intestinal tuberculosis on ileocecal area. But the findings of upper gastro-intestinal series and barium enema are within normal limits. Histopathologic findings of skin lesion showed tuberculous and tuberculoid granuloma in the deep dermis and subcutaneous tissue. Treatment with INH, myambutol and rifampin resulted in some improvment on the chest and considerable improvement on the skin and intestine within 6 months.
Anal Canal ; Barium ; Dermis ; Enema ; Ethambutol ; Granuloma ; Humans ; Intestines ; Middle Aged ; Ovum ; Parasites ; Proteus ; Rifampin ; Skin ; Skin Tests ; Sputum ; Subcutaneous Tissue ; Thorax ; Tuberculin ; Tuberculosis* ; Tuberculosis, Pulmonary ; Ulcer ; Urinalysis ; Wounds and Injuries