2001 Volume 15 Issue 4 Pages 510-514
A 60-year-old man was admitted to our hospital for dyspnea and disturbance of consciousness. His arterial blood gas analysis showed Po2 33 torr and Pco2 34.6 torr. At once endotracheal intubation and artificial respiration, were done. Chest CT showed a posterior mediastinal tumor compressing the left main bronchus. The next day Dumon stent was inserted to maintain the lumen of the left main bronchus and soon his consciousness became clear, and he was weaned from the artificial respiration. Then the microscopic findings of a metastatic neck lymphnode revealed spindle-shaped cells with a storiform pattern in bizarre mixoid cells, and a malignant fibrous histiocytoma (MFH) was diagnosed. We performed radiotherapy for the tumor (40Gy for the mediastinal, 25Gy for the neck). After the radiotherapy, the tumor was reduced to about 80% of its original size.
