A Case of Superficial Primary Malignant Melanoma of the Esophagus Detected and Treated at Stage 0
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.2454-23. Online ahead of print.ABSTRACTThe patient was a 79-year-old male. At three years and eight months after his initial presentation, upper gastrointestinal endoscopy revealed a black-flattened elevated lesion in the middle third of the esophagus, which was diagnosed as malignant melanoma on biopsy. No lymph node or distant metastasis was found. A diagnosis of cT1bN0M0 Stage I was thus made. We performed a robot-assisted, minimally invasive esophagectomy and D2 dissection. The postoperative diagnosis was pT1a (MM), N0, M0, vascular invasion+, stage 0. The patient ...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Yuzo Toyama Ryuji Nagahama Yu Kodama Izumi Kaieda Shingiro Sakai Gen Maeda Hidemitsu Nisizawa Shingo Asahara Yuji Mizokami Source Type: research
Dysphagia Aortica
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3558-24. Online ahead of print.NO ABSTRACTPMID:38522904 | DOI:10.2169/internalmedicine.3558-24 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Aritoshi Kobayashi Daisuke Miyagishima Yusuke Ofuka Toru Tsujibayashi Source Type: research
Usefulness of Mepolizumab for Mucus Plugs
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3531-24. Online ahead of print.NO ABSTRACTPMID:38522905 | DOI:10.2169/internalmedicine.3531-24 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Masamitsu Hamakawa Tadashi Ishida Source Type: research
Effect of Thyrocervical Artery Embolization for Mediastinal Hemangioma with Pleural Effusion
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3358-23. Online ahead of print.ABSTRACTA 72-year-old man was admitted to our hospital with a complaint of breathlessness. Computed tomography (CT) revealed a tumor with intense early enhancement and pleural effusion. Although the pleural effusion was not bloody, the tumor showed a hypervascular area on angiography. Left thyrocervical artery embolization was performed to prevent bleeding during the operation. After embolization, chest radiography revealed decreased pleural effusion. The tumor was resected and pathologically diagnosed as a mediastinal cavernous hemangiom...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Kazuya Kojima Kyoko Yagyu Haruhiko Matsushita Katsuyasu Ota Source Type: research
Do Not Overlook Dependent Edema
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3335-23. Online ahead of print.NO ABSTRACTPMID:38522907 | DOI:10.2169/internalmedicine.3335-23 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Yohei Kita Teppei Koyama Shinji Machida Naohiko Imai Source Type: research
Secondary Pulmonary Alveolar Proteinosis Development during the Treatment for Anti-aminoacyl-tRNA Synthetase Antibody-positive Interstitial Lung Disease
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3327-23. Online ahead of print.ABSTRACTA 70-year-old woman with anti-aminoacyl-tRNA synthetase (ARS) antibody-positive interstitial lung disease (ARS-ILD) received daily medications and regular cyclophosphamide cycles for recurring exacerbations. Approximately four years after immunosuppression initiation, the patient was admitted for progressive dyspnea on exertion. Chest computed tomography (CT) findings were suggestive of acute exacerbation. Despite intensified immunosuppressive treatment, the radiographic findings worsened, and serum Krebs von den Lungen-6 (KL-6) l...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Suzuka Matsuoka Keiichi Fujiwara Yuki Takigawa Saki Ito Sho Mitsumune Keisuke Shiraha Mayu Goda Tomoyoshi Inoue Miho Fujiwara Eri Nakamura Hiromi Watanabe Kenichiro Kudo Akiko Sato Ken Sato Takuo Shibayama Source Type: research
Amputation-free Home Management of Infected Lower Extremity Pressure Ulcer through Shared Decision-making: Enhancing the Quality of Life and Highlighting Societal Significance in Home Care
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.2881-23. Online ahead of print.ABSTRACTHome healthcare is important for allowing patients to live their lives. However, home-care bedridden patients often experience pressure ulcers in the lower extremities, which can lead to life-threatening infections requiring decisions on the need for amputation. We herein report a patient with an infected lower-limb pressure ulcer with a history of spinal injury. The patient, his family, and the home-care physician repeatedly shared decision-making to deliver home-based treatment instead of amputation. Administration of wound dres...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Kemmyo Sugiyama Toru Tsuboya Seitaro Nakagawa Toshihiro Kikuchi Yusuke Tanoue Source Type: research
A Case of Superficial Primary Malignant Melanoma of the Esophagus Detected and Treated at Stage 0
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.2454-23. Online ahead of print.ABSTRACTThe patient was a 79-year-old male. At three years and eight months after his initial presentation, upper gastrointestinal endoscopy revealed a black-flattened elevated lesion in the middle third of the esophagus, which was diagnosed as malignant melanoma on biopsy. No lymph node or distant metastasis was found. A diagnosis of cT1bN0M0 Stage I was thus made. We performed a robot-assisted, minimally invasive esophagectomy and D2 dissection. The postoperative diagnosis was pT1a (MM), N0, M0, vascular invasion+, stage 0. The patient ...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Yuzo Toyama Ryuji Nagahama Yu Kodama Izumi Kaieda Shingiro Sakai Gen Maeda Hidemitsu Nisizawa Shingo Asahara Yuji Mizokami Source Type: research
Dysphagia Aortica
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3558-24. Online ahead of print.NO ABSTRACTPMID:38522904 | DOI:10.2169/internalmedicine.3558-24 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Aritoshi Kobayashi Daisuke Miyagishima Yusuke Ofuka Toru Tsujibayashi Source Type: research
Usefulness of Mepolizumab for Mucus Plugs
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3531-24. Online ahead of print.NO ABSTRACTPMID:38522905 | DOI:10.2169/internalmedicine.3531-24 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Masamitsu Hamakawa Tadashi Ishida Source Type: research
Effect of Thyrocervical Artery Embolization for Mediastinal Hemangioma with Pleural Effusion
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3358-23. Online ahead of print.ABSTRACTA 72-year-old man was admitted to our hospital with a complaint of breathlessness. Computed tomography (CT) revealed a tumor with intense early enhancement and pleural effusion. Although the pleural effusion was not bloody, the tumor showed a hypervascular area on angiography. Left thyrocervical artery embolization was performed to prevent bleeding during the operation. After embolization, chest radiography revealed decreased pleural effusion. The tumor was resected and pathologically diagnosed as a mediastinal cavernous hemangiom...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Kazuya Kojima Kyoko Yagyu Haruhiko Matsushita Katsuyasu Ota Source Type: research
Do Not Overlook Dependent Edema
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3335-23. Online ahead of print.NO ABSTRACTPMID:38522907 | DOI:10.2169/internalmedicine.3335-23 (Source: Internal Medicine)
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Yohei Kita Teppei Koyama Shinji Machida Naohiko Imai Source Type: research
Secondary Pulmonary Alveolar Proteinosis Development during the Treatment for Anti-aminoacyl-tRNA Synthetase Antibody-positive Interstitial Lung Disease
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.3327-23. Online ahead of print.ABSTRACTA 70-year-old woman with anti-aminoacyl-tRNA synthetase (ARS) antibody-positive interstitial lung disease (ARS-ILD) received daily medications and regular cyclophosphamide cycles for recurring exacerbations. Approximately four years after immunosuppression initiation, the patient was admitted for progressive dyspnea on exertion. Chest computed tomography (CT) findings were suggestive of acute exacerbation. Despite intensified immunosuppressive treatment, the radiographic findings worsened, and serum Krebs von den Lungen-6 (KL-6) l...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Suzuka Matsuoka Keiichi Fujiwara Yuki Takigawa Saki Ito Sho Mitsumune Keisuke Shiraha Mayu Goda Tomoyoshi Inoue Miho Fujiwara Eri Nakamura Hiromi Watanabe Kenichiro Kudo Akiko Sato Ken Sato Takuo Shibayama Source Type: research
Amputation-free Home Management of Infected Lower Extremity Pressure Ulcer through Shared Decision-making: Enhancing the Quality of Life and Highlighting Societal Significance in Home Care
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.2881-23. Online ahead of print.ABSTRACTHome healthcare is important for allowing patients to live their lives. However, home-care bedridden patients often experience pressure ulcers in the lower extremities, which can lead to life-threatening infections requiring decisions on the need for amputation. We herein report a patient with an infected lower-limb pressure ulcer with a history of spinal injury. The patient, his family, and the home-care physician repeatedly shared decision-making to deliver home-based treatment instead of amputation. Administration of wound dres...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Kemmyo Sugiyama Toru Tsuboya Seitaro Nakagawa Toshihiro Kikuchi Yusuke Tanoue Source Type: research
A Case of Superficial Primary Malignant Melanoma of the Esophagus Detected and Treated at Stage 0
Intern Med. 2024 Mar 25. doi: 10.2169/internalmedicine.2454-23. Online ahead of print.ABSTRACTThe patient was a 79-year-old male. At three years and eight months after his initial presentation, upper gastrointestinal endoscopy revealed a black-flattened elevated lesion in the middle third of the esophagus, which was diagnosed as malignant melanoma on biopsy. No lymph node or distant metastasis was found. A diagnosis of cT1bN0M0 Stage I was thus made. We performed a robot-assisted, minimally invasive esophagectomy and D2 dissection. The postoperative diagnosis was pT1a (MM), N0, M0, vascular invasion+, stage 0. The patient ...
Source: Internal Medicine - March 24, 2024 Category: Internal Medicine Authors: Yuzo Toyama Ryuji Nagahama Yu Kodama Izumi Kaieda Shingiro Sakai Gen Maeda Hidemitsu Nisizawa Shingo Asahara Yuji Mizokami Source Type: research
