A 66-year-old man with a history of multiple transurethral resections for recurrent bladder tumors, staged as Ta according to the International Union Against Cancer staging guidelines, presented with a complaint of dry cough. A round nodule with a diameter of 7.5 cm was detected in the lung by chest computed tomography, and a video-assisted thoracoscopic lobectomy was performed. Pulmonary metastasis of recurrent bladder cancer was diagnosed by immunohistochemistry staining for the urothelium-specific protein uroplakin Ia. Subsequently, 2 cycles of systemic chemotherapy were administered. Two and a half years after treatment, no recurrence of pulmonary lesions has been detected. A combination of complete resection of pulmonary lesions and systemic chemotherapy may result in a good prognosis for patients with non-muscle-invasive bladder cancer.
Cough ; Fluorescent Antibody Technique, Indirect ; Humans ; Immunohistochemistry ; Lung ; Neoplasm Metastasis ; Neoplasm Staging ; Prognosis ; Recurrence ; Solitary Pulmonary Nodule ; Thorax ; Urinary Bladder ; Urinary Bladder Neoplasms ; Uroplakin Ia

In order to carry out mass examination for detection of stomach ailments effectively and improve screening accuracy, the Nagano Prefectural Welfare Federation of Agricultural Cooperatives, with its mass gastric examination committee as a driving force, has made every endeavor in close collaboration with Federation-affiliated hospitals.
The ratio of those receiving detailed examination to the total number of those who have undergone mass screenings, and the detection ratio of gastric cancer cases, especially those in early stages, have increased steadily over the past years.
This is due in the main to untiring effort exerted by public health nurses and other persons concerned with health problems.
However, the results of X-ray examination made on the basis of the diagnostic standards prepared by the Federation show that there is much need of improving examiners' ability to read mass miniature radiographs correctly.

A 44-year-old woman became easily fatigued after her second childbirth. Her symptoms improved with shimbuto and ninjinto as a substitute for bukuryoshigyakuto, and the prescriptions were continued. Recently, she suffered from fever, pain around thyroid glands, palpitation, and tremor of hands. She was diagnosed with subacute thyroiditis and prescribed acetaminophen, but the symptoms did not resolve. Based on the clinical signs of inappetence and her thick yellow tongue coating, we suspect the late yang stage and administered shosaikoto. Her body temperature remained below 37 degrees Celsius thereafter, and the pain around thyroid glands disappeared. Out of all the Kampo formulae used in 310 cases of subacute thyroiditis including past reported cases and this case, we found that 53% of the effective formulae were what we call formulae of involving Bupleuri radix that contain both of Bupleuri radix and Scutellariae radix. It is considered that formulae of involving Bupleuri radix are often effective to control the inflammatory process in subacute thyroiditis.