タイトル
Vol.37 No.7 contents Japanese/English

- Case Report -

An Operative Case of Quadruple Cancer Including Malignant Fibrous Histiocytoma Originating in the Mediastinum

Hirohisa Inaaba, shinichiroh Ohta, Toshihiko Nishimura, Kazuya Takamochi, Itaru Ishida and Atsuroh Honda*
Department of respiratory Tract Surgery and Respiratory Diseases*, Shizuoka General Hospital, Shizuoka, Japan

67-year-old man with a past history of total gastrectomy for gastric cancer and right nephrectomy for renal pelvic cancer was admitted to our hospital because of left chest abnormal shadows. His chest X-ray film revealed a tumor shadow with pleural indentation in left S3 and another nodular shadow adjacent to the aortic arch in the left upper lung field. The tumor in left S3 was diagnosed as primary lung cancer, but the nodule in the para-aortic region could not be diagnosed. Left upper lobectomy and resection of the nodule with mediastinal pleura and adventitia of the aorta was performed. Histopathological diagnosis of this nodule was malignant fibrous histiocytoma which had originated in the mediastinum and invaded the left lung. Malignant fibrous histiocytoma originating from the mediastinum is very rare.
key words: Malignant fibrous histiocytoma, Mediastinal tumor, Primary lung cancer, Quadruple cancer

Received: September 1, 1997
Accepted: October 13, 1997

JJLC 37 (7): 1035-1040, 1997

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