A rare case of cystic adventitial disease of the popliteal artery in a 42-year-old man is reported. He was admitted to our hospital suffering from intermittent claudication. DSA showed a smooth extrinsic compression of the right popliteal artery. At operation, a cystic adventitial lesion of the right popliteal artery, measuring 2×3cm, was surgically removed. The postoperative course was uneventful and all symptoms disappeared.

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We have experienced a case of Klippel-Trenaunay syndrome of the right lower limb in a 38-year-old patient who was treated by thrombolytic therapy and insertion of a filter into the inferior vena cava for repeated pulmonary embolism. The patient was also associated with a cavenous angioma, lymphatic varix, localized dilatation of vein, aneurysm of the popliteal vein, and popliteal aneurysm. This case was so specific that dilative dysplasia was seen in the entire vascular system. The patient had a syncope attack due to pulmonary embolism after an operation for varices, when he suffered an injury to the head which caused chronic subdual hematoma. Trephination was needed to remove the hematoma. Further strict follow-up observation is needed for the cavenous angioma in the gluteal region, aneurysm of the popliteal vein, and popliteal aneurusm.

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A 53-year-old male was admitted to the hospital because of a fever and general fatigue. Chronic pancreatitis with disseminated intravascular coagulation (DIC) and sepsis was suspected, and his symptoms subsided with medication. During the course of illness, this case was diagnosed as Weber-Christian disease by skin biopsy for red nodules of the bilateral lower legs.
Weber-Christian disease is rare but often fatal because of serious complication like DIC or sepsis. Pancreatic disease is scarcely known as its complication.

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The case presented was a 62-year-old woman who had undergone mastectomy for breast cancer in May, 1978. In 1988, 10 years after the mastectomy, ultrasonography and CT carried out because of liver dysfunction and a high serum CEA level revealed liver tumors in the right lobe and segment 3 of the liver. Right hepatic lobectomy and partial resection of the left lobe were performed with a diagnosis of metastasis of breast cancer. Histological examination revealed the liver tumors to be metastases from the beast cancer.
In 1995, 8 years after liver resection, an abnormal shadow of the left upper lobe of the lung was noticed and partial resection of the upper lobe was performed with a suspicion of metastasis from breast cancer. Histological examination demonstrated the lesion to be compatible with breast cancer metastasis.
Though treatments have been performed for breast cancer metastasis, curatively resected cases with both metastatic liver and lung tumors from breast cancer are a relatively rare. We describe such a rare case with a review of the literature.

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A rare case with metachronous triple tumors of gastric, gallbladder and common bile duct cancers in a 71-year-old man is reported. In February, 1987, this patient had undergone subtotal gastrectomy for gastric cancer (signet-ring cell carcinoma). He was admitted to the hospital because of a liver function abnormality in July, 1993. At this admission, he was diagnosed as having gallbladder and common bile duct cancers. Pancreatoduodenectomy, common bile duct resection and cholecystectomy with lymphnode dissection were carried out. Histopathological examination revealed that the common bile duct cancer was a tubular adenocarcinoma and that the gallbladder cancer was a papillary adenocarcinoma.
Our experience with this case emphasizes the significance and importance of an adequately planned examination schedule, allowing detection of the second and third cancers in an early stage.

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