The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 35 , Issue 2
Showing 1-50 articles out of 75 articles from the selected issue
  • Type: Cover
    2013 Volume 35 Issue 2 Pages Cover1-
    Published: March 25, 2013
    Released: October 29, 2016
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  • Type: Appendix
    2013 Volume 35 Issue 2 Pages App1-
    Published: March 25, 2013
    Released: October 29, 2016
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  • Type: Appendix
    2013 Volume 35 Issue 2 Pages App2-
    Published: March 25, 2013
    Released: October 29, 2016
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  • Type: Appendix
    2013 Volume 35 Issue 2 Pages App3-
    Published: March 25, 2013
    Released: October 29, 2016
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  • Type: Index
    2013 Volume 35 Issue 2 Pages Toc1-
    Published: March 25, 2013
    Released: October 29, 2016
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  • Type: Index
    2013 Volume 35 Issue 2 Pages Toc2-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 127-128
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 129-130
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 131-132
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 133-134
    Published: March 25, 2013
    Released: October 29, 2016
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  • Kazuhide Sato, Yoshihiro Takeyama, Toshio Kato, Hiroyuki Hashimoto, Ya ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 135-139
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Breast cancer tends to recur often after long-term latency. Most recurrence is within 5 years after curative surgery, it is uncommon to recur after over 15 years. We can correctly diagnose the recurrence of breast cancer after long-term latency to the contralateral pleura and hilar lymph nodes by transbronchial biopsy (TBB). Case. A 73-year-old woman was referred to our hospital because of abnormal shadows on her chest X-ray film. She had undergone right radical mastectomy 15 years before. Chest CT revealed multiple nodules continued from the pleura of her left lung. Bronchoscopy was performed to biopsy of the nodules. Although her breast cancer was on the right side and the nodules in her chest were on the left, we suspected the nodules were pleural with hilar lymph nodes metastases from the recurrence of her breast cancer. With pathological approach by immunostainings, it was diagnosed. Conclusion. With immunostaining, TBB by bronchoscopy is very useful to accurately diagnose the pleural and hilar lymph nodes metastases from the recurrence of breast cancer after long-term latency following the radical mastectomy.
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  • Kyuto Tanaka, Katsuhiko Naoki, Nobufumi Kamiishi, Yohei Funatsu, Satos ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 140-144
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Broncholithiasis is defined as the presence of calcification in the bronchial wall. The incidence of broncholithiasis is around 0.8% among patients with hemoptysis. Case. A 71-year-old man presented with chest discomfort and hemoptysis (around 100ml). We performed bronchial artery embolization for repeated hemoptysis. As the amount and frequency of bloody sputum decreased, the patient underwent bronchoscopy to ascertain the location of the bleeding point. Bronchoscopy showed a white broncholith in the left B^<1+2>c without active bleeding. After discharge, he intermittently coughed up small amount of bloody sputum. Six months later, when he had coughing, a stone was discharged. Bronchoscopy revealed that there was no broncholith and the orifice of the left B^<1+2>c was open. After the lithoptysis, bloody sputum disappeared and the banding and linear shadow on CT diminished. Conclusion. Spontaneous lithoptysis is rare, occurring in about 10% of all broncholithiasis cases. In such cases, lithoptysis may sometimes improve the symptoms.
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  • Akihiro Takahagi, Eisuke Matsuda, Hiroyuki Tao, Toshiki Tanaka, Fumiho ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 145-149
    Published: March 25, 2013
    Released: October 29, 2016
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    Case. A 75-year-old man had been admitted to another hospital because of pleural effusion and inflammatory findings. Chest computed tomography revealed irregular pleural thickening and encapsulated effusion in the side of the left thorax. We suspected infection, including acute empyema, but the possibility of malignant tumor could not be ruled out by blood examinations and cytologic examination of pleural fluid. Video-assisted thoracic surgery (VATS) pleural biopsy under general anesthesia yielded a diagnosis of epithelial type malignant pleural mesothelioma. His serum granulocyte colony stimulating factor (G-CSF) level was elevated to 356 pg/ml. We further confirmed G-CSF-positive tumor cells by immunohistochemical staining. Taken together, we diagnosed with G-CSF-producing malignant pleural mesothelioma. He refused chemotherapy, and died 3 months after the diagnosis. Conclusions. Intractable pleuritis with inflammation could be malignant pleural mesothelioma producing G-CSF. Thoracoscopic biopsy is required to collect sufficient specimen to diagnose pleural malignancy mimicking acute empyema with malignant cytological findings of pleural effusion or elevation of tumor markers.
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  • Ken Uchibori, Kozo Suhara, Sahoko Chiba, Kimitake Tsuchiya, Toshihide ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 150-155
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Bronchoesophageal fistula in lung cancer is very rare. While these cases usually receive an implanted expandable stent in the esophagus or trachea, no standard therapeutic strategy has been developed. Case. Our patient was a 63-year-old woman who had visited a local clinic because of productive cough. Lung cancer was suspected from her chest CT findings and an additional work-up with bronchoscopy and sputum cytology revealed squamous cell cancer of the lung. She also had obstructive pneumonia caused by a severe stricture from the trachea to the left main bronchus. Radiochemotherapy was begun for treatment of the obstruction by the tumor, with concurrent administration of antibiotics. In spite of apparent improvement of the disease by the fifth week of treatment, a large bronchoesophageal fistula appeared at the inlet of the left main bronchus. Stent implantation was judged contraindicated for either the trachea or the esophagus, because of the large size of the fistula. We performed an esophageal bypass procedure in an attempt to restore her dysphagia. She regained oral intake ability and she required no antibiotic administration for pneumonia after the procedure. Conclusion. We performed an esophageal bypass for the treatment of a bronchoesophageal fistula that had occurred during radiochemotherapy for lung cancer. The procedure was successful and the patient regained the ability to eat from the mouth. The esophageal bypass procedure might be a viable choice of treatment for tracheo- or bronchoesophageal fistula in lung cancer patients.
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  • Katsuyoshi Tomomatsu, Tsuyoshi Oguma, Hiroto Takiguchi, Hiromi Tomomat ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 156-161
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Exogenous lipoid pneumonia (ELP) is a rare disorder caused by the aspiration or inhalation of fat or oil. We report a case of vegetable oil-induced ELP complicated with Mycobacterium fortuitum infection. Case Report. An 82-year-old woman underwent radiation therapy for carcinoma of the maxillary sinus. Seven months later, she was referred to our hospital for evaluation of persistent cough and abnormal chest roentgenogram. She underwent fiberoptic bronchoscopy with bronchoalveolar lavage (BAL). The BAL fluid separated into 2 distinct layers, an upper yellowish layer and a lower aqueous layer, containing a large number of vacuolated macrophages, and was positive for M. fortuitum. We subsequently found that the patient had regularly consumed a nutritional product, consisting mostly of vegetable oil, for dry mouth caused by radiation therapy. She was placed on antimicrobial and corticosteroid therapy but with little relief. Conclusion. Aspiration of vegetable oil used for radiation therapy-induced xerostomia caused ELP superimposed with M. fortuitum infection. Lipids in alveoli might have pathogenetic effects on mycobacterial infection.
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  • Takeshi Kitazaki, Yuichi Fukuda, Misato Adachi, Naoki Iwanaga, Hiroshi ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 162-165
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Mucinous bronchioloalveolar carcinoma (BAC) with goblet cell features causes bronchorrhea and pneumonia-like consolidation, and does not produce surfactant protein (SP). This subtype of lung cancer is known to harbor K-ras mutations, resulting in resistance to treatment with the epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor gefitinib. Case. However, we report a case in which gefitinib improved bronchorrhea from mucinous BAC with high serum SP-D levels. The tumor cells had an EGFR mutation, and did not show the features of goblet cells. Conclusion. Mucinous BAC is heterogeneous, and high serum SP-D levels may be a useful marker of treatment benefit with gefitinib.
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  • Hiroshi Ishii, Hisako Kushima, Kosaku Komiya, Jun-ichi Kadota
    Type: Article
    2013 Volume 35 Issue 2 Pages 166-171
    Published: March 25, 2013
    Released: October 29, 2016
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    Case. A 58-year-old male smoker was admitted because of bilateral reticular shadows on a chest radiograph which were identified during a regular checkup. Chest computed tomography showed subpleural ground-glass attenuation predominantly in both lower lobes and slight mediastinal lymphadenopathy. After 3 months of smoking cessation, high levels of serum markers, such as KL-6, were observed to have decreased. The bronchoalveolar lavage fluid revealed an increase in the total number of cells, including elevated levels of eosinophils and neutrophils. Transbronchial lung biopsy (TBLB) specimens showed the accumulation of alveolar macrophages in the alveolae, hyperplastic alveolar pneumocytes, and slight thickening of the alveolar walls. An improvement in the chest computed tomography findings was seen without any treatment 5 months after the first visit. Therefore, a diagnosis of desquamative interstitial pneumonia (DIP) associated with smoking was made. Conclusion. In general, the diagnosis of DIP is normally based on the findings of surgical lung biopsy specimens; however, distinctive findings of bronchoalveolar lavage fluid and TBLB, and the clinical course may help to make such a diagnosis without the need to perform a surgical lung biopsy.
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  • Yuko Horio, Ryo Sato, Keisuke Kojima, Shinsuke Tsumura, Sho Saeki, Shi ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 172-178
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Aspergillus tracheobronchitis, one type of invasive pulmonary aspergillosis, is induced as an opportunistic infection, but it is rare and not well known. We report here a case of Aspergillus tracheobronchitis successfully treated with voriconazole. Case. A 28-year-old woman with common variable immunodeficiency underwent liver transplantation from living donors twice because of fulminant hepatitis and had been received immunosuppressive drugs and corticosteroids to prevent chronic rejection. She had persistent cough. Chest CT showed multiple nodules with cavity formation and thickening of tracheal wall and bronchial wall. Bronchoscopy revealed white plaques in the trachea and bronchi, and Aspergillus flavus was cultured from the white plaque. Thus, we diagnosed Aspergillus tracheobronchitis. Treatment with 200mg/day of voriconazole resulted in improvement of the symptoms and the white plaque. Conclusion. In immunocompromised hosts with persistent cough, it is necessary to consider Aspergillus tracheobronchitis, and a bronchoscopic approach is valuable to confirm the diagnosis.
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  • Hiroaki Saito, Yuta Adachi, Takaaki Yamashita, Yoko Wakai, Kazuhito Sa ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 179-183
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Endobronchial capillary hemangioma is a very rare lesion and occurs mostly in infants. We report a case of an endobronchial capillary hemangioma with bloody sputum in an adult. Case. A 61-year-old man presented with bloody sputum. The chest X-ray film findings were normal, but fiberoptic bronchoscopy revealed a polypoid lesion, reddish and smooth surfaced, in the left main bronchus. Excisional biopsy removed the lesion. Histological examination led to the diagnosis of a capillary hemangioma. Two months later, fiberoptic bronchoscopy revealed recurrence of the lesion. We treated the lesion with Nd-YAG laser vaporization. Six months later follow-up bronchoscopy revealed normal mucosal surface at the site of the former lesion. Conclusion. Histopathological findings of a transbronchial biopsy showed the patient with bloody sputum had a capillary hemangioma. Nd-YAG laser vaporization eliminated the tumor. Such cases of endobronchial capillary hemangioma in adults are rare.
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  • Rie Kanaoka, Ryo Okamura, Teruka Higaki, Hitoshi Dejima, Satoko Koizum ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 184-187
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. There have been few reports concerning hemothorax caused by a pulmonary arteriovenous malformation rupture. Case. The patient was a man in his 20's who was brought to our hospital by an ambulance due to sudden chest pain. A chest X-ray film showed the presence of pleural fluid in his left lung. Thoracocentesis of the pleural fluid indicated the presence of a hemorrhage. A chest contrast-enhanced CT detected a mass 5cm in size in his left S^<10>. It was diagnosed as hemothorax caused by a rupture of the mass. Thoracoscopic surgery was performed to remove the mass. A black mass adhering to the diaphragm as well as dark red intrapleural fluid was observed at the left lower lobe on the dorsal side. Pathological analysis of the dissected mass indicated that the mass consisted of massive hemorrhage in the diffuse alveolar space associated with a pulmonary arteriovenous malformation showing an incomplete media elastic lamina. Conclusion. Hemothorax caused by a pulmonary arteriovenous malformation rupture is sometimes a fatal complication; therefore, it is recommended that early surgical removal of a mass caused by a pulmonary arteriovenous malformation is necessary.
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  • Koji Takashima, Naoyuki Imai, Izumi Hashimoto, Kenichi Nakahira, Shige ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 188-192
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Although most cystic mediastinal diseases are benign, it should be noted that malignant tumor could appear as a cystic lesion. We report a case of mediastinal parathyroid cyst with a brown tumor of the rib, initially suspected to be a malignant tumor with bone metastasis. Case. A 63-year-old man was hospitalized because of dysphagia and hoarseness. A PET-CT showed a cystic mass in the upper mediastinum and an osteolytic lesion in the left rib accompanied with increased uptake of FDG. We performed EBUS-TBNA of the mediastinal mass and found no malignant findings. Blood examinations also revealed no abnormalities. Biopsy of the rib lesion revealed the possibility of a brown tumor due to hyperparathyroidism and blood examinations revealed a high blood parathyroid hormone. The mediastinal parathyroid cyst was resected and the bone lesion reduced in size. Conclusion. Ectopic mediastinal parathyroid cyst with rib brown tumor is very rare. When we see a tumorous legion with hypercalcemia, parathyroid hormone measurements would be performed to rule out ectopic parathyroid tumors.
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  • Takefumi Nikaido, Yoshinori Tanino, Hiroyuki Minemura, Hiroshi Yokouch ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 193-197
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Pulmonary actinomycosis is a chronic suppurative granulomatous disease caused by oral anaerobic Actinomyses spp. Because it is difficult to diagnose pulmonary actinomycosis by bronchoscopic biopsy or culture, the diagnosis is often made after surgical resection, especially in cases with hemoptysis. Case. A 40-year-old man was referred to our hospital because of a 2-year history of hemoptysis and increased size of a solitary shadow on a chest radiograph which had been followed up for 2 years. Computed tomography revealed a tumor with a cavity in the right upper lobe. Fiberoptic bronchoscopy was performed, and showed a proximal ulcerative lesion in the right B^2b. We diagnosed actinomycosis by histopathological findings of the transbronchial biopsy specimen. Because hemoptysis continued in spite of 20-day antibiotic therapy by ampicillin, and a bronchial arteriogram showed bronchial artery pulmonary artery shunt (BP shunt), bronchial artery embolization was performed. After the procedure, hemoptysis completely disappeared, and the antibiotic therapy was continued. After one month, the antibiotic was changed to oral amoxicillin, and the patient was discharged. Conclusion. Although surgical treatment is usually performed for hemoptysis from thoracic actinomycosis, bronchial artery embolization with prolonged penicillin therapy is another treatment option.
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  • Masahiro Shimada, Kimihiko Masuda, Atsuhisa Tamura, Naoko Higaki, Ryou ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 198-204
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. We experienced 2 patients with poor lung function, who contracted intractable pneumothorax which was successfully treated by medical thoracoscopy under local anesthesia. Case Presentation. Case 1: A 64-year-old male patient with chronic interstitial pneumonia, treated with steroids and immunosuppressants, was diagnosed as pneumothorax combined with respiratory insufficiency. Pneumothorax was unchanged by conservative treatment with a chest drainage tube. Surgical treatment for intractable pneumothorax was estimated to involve a high risk of inducing acute exacerbation of the interstitial pneumonia. Case 2: A 62-year-old man with asbestos-related lung disease had been surgically treated for lung cancer twice, with extensive adhesion of his chest cavity revealed at the second surgery. He developed pyothorax and pneumothorax. His condition was unchanged with conservative treatment. Surgical treatment for intractable pneumothorax, for example a thoracotomy, was deemed too invasive. Results. Thoracoscopy was successfully performed in both cases to repair the ruptured lungs. We directly sealed the fistula with fibrin glue. Conclusion. Fibrin glue sealing by thoracoscopy under local anesthesia was useful and is a safe alternative to surgical treatment for intractable pneumothorax.
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  • Etsuko Nakasone, Hideaki Yamasawa, Ayako Takigami, Masayuki Nakayama, ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 205-209
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. It is known that the sensitivity of rapid tests using a nasopharyngeal swab is low in cases with influenza H1N1 and definitive diagnosis is difficult in some cases. Case. A 33-year-old man complained of fever and cough, and received a rapid influenza test using a nasal swab at a nearby clinic in February 2011, which was negative. Since dyspnea appeared and a chest X-ray film showed ground-glass shadows in both lungs, he was referred to our clinic. Although 4 rapid nasopharyngeal swab tests were negative and reverse transcription polymerase chain reaction (RT-PCR) for influenza A (H1N1) using a nasal swab also was negative, RT-PCR using bronchoalveolar lavage fluid (BALF) was positive and influenza (H1N1) was diagnosed. He developed severe pneumonia complicated with acute respiratory distress syndrome (ARDS), but daily repeated infusion of peramivir ameliorated it. Conclusion. Sample collection from the lower airway and RT-PCR were useful for definitive diagnosis in this case. Further accumulation of such cases is needed to show the efficacy of repeated infusion of peramivir.
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  • Norihisa Ohata, Kohei Yokoi
    Type: Article
    2013 Volume 35 Issue 2 Pages 210-214
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Airway injury is a rare complication during esophageal surgery. We report a case of intraoperative injury of the tracheal membranous wall repaired with a pedicled intercostal muscle flap. Case. A 63-year-old woman underwent esophagectomy for esophageal cancer through a posterolateral thoracotomy at the 5th intercostal space. The membranous wall of the trachea was injured during the operation. Although direct suturing of the injured portions was attempted, one of them widened and then maintenance of mechanical ventilation became impossible. The torn portion was repaired with a pedicled 6th intercostal muscle flap. The postoperative course was uneventful. Although bronchoscopic findings 2 weeks after the operation showed the intercostal muscle flap bulged locally into the tracheal lumen, the patient's respiratory condition was maintained well. Conclusion. A pedicled intercostal muscle flap was very useful in the surgical treatment of membranous wall injury of the trachea during esophagectomy.
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  • Gaku Yamaguchi, Hiroyuki Miura, Eiji Nakajima, Hidenobu Takahashi, Nor ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 215-219
    Published: March 25, 2013
    Released: October 29, 2016
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    Background. Intra-pulmonary and endobronchial metastases are the most frequently encountered types of metastases from renal cell carcinoma to the respiratory system, while pleural metastases are rare. We report a patient of renal cell carcinoma who presented with pleural metastases without any associated pulmonary or endobronchial metastases, and the diagnosis was made by thoracoscopy under general anesthesia. Case. A 75-year-old man visited our department with a chief complaint of malaise. A plain chest X-ray showed right pleural effusion and a chest CT scan revealed pleural tumors with effusion. One week later, the patient presented with dyspnea associated with increased pleural effusion. He was admitted to the hospital, and intercostal tube drainage was performed. Cytology of the pleural aspirate was non-diagnostic on two occasions; therefore, thoracoscopy was performed under general anesthesia, which revealed hemorrhagic pleural nodules. Histopathological examination revealed that the nodules were composed of metastatic clear cell nests, suggesting metastatic renal cell carcinoma. Conclusion. Thoracoscopy is useful and safe for the diagnosis of pleural effusion and pleural tumors, especially in cases in which pleural fluid cytology proves non-diagnostic.
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  • Type: Appendix
    2013 Volume 35 Issue 2 Pages 220-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 221-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 221-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 221-222
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 222-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 222-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 222-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 222-223
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 223-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 223-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 223-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 223-224
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 224-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 224-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 224-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 224-225
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 225-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese]
    Type: Article
    2013 Volume 35 Issue 2 Pages 225-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 225-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 225-226
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 226-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 226-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 226-
    Published: March 25, 2013
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2013 Volume 35 Issue 2 Pages 226-
    Published: March 25, 2013
    Released: October 29, 2016
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