Substernal Pain

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S S Cheong - One of the best experts on this subject based on the ideXlab platform.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Case Reports, 2009
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached to the pericardium. Magnetic resonance coronal T2WI imaging (panel B) showed ovoid-shaped solid mass consisting of intermediate (small arrows) and low signal intensity (large arrow) in the right pericardial space. The patient underwent a complete resection of the tumour with a partial pericardiectomy. Operative findings showed a large amount of haemorrhagic fluid and a three-lobed mass (arrows) attached by a broad base to the parietal pericardium (panel C). Sectioning of the gross specimen, which measured about 6.0×5.0×2.5 cm, showed the protruding portion of the mass was surrounded by a glistening capsule and showed some ruptured areas that were haemorrhagic. Haematoxylin and eosin-stained sections (panel D) showed that the tumour was composed of monomorphic spindle cells in herringbone fascicular pattern (×100 magnification), and mitosis was counted to be 2 per 10 high power field. The immunohistochemical stains excluded the diagnoses of leiomyosarcoma, malignant schwannoma, synovial sarcoma, solitary fibrous tumour, and mesothelioma. The tumour was diagnosed as a malignant fibrosarcoma. The patient made an uneventful postoperative recovery and additional chemotherapy was planned.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Heart, 2008
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached …

S Y Yoo - One of the best experts on this subject based on the ideXlab platform.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Case Reports, 2009
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached to the pericardium. Magnetic resonance coronal T2WI imaging (panel B) showed ovoid-shaped solid mass consisting of intermediate (small arrows) and low signal intensity (large arrow) in the right pericardial space. The patient underwent a complete resection of the tumour with a partial pericardiectomy. Operative findings showed a large amount of haemorrhagic fluid and a three-lobed mass (arrows) attached by a broad base to the parietal pericardium (panel C). Sectioning of the gross specimen, which measured about 6.0×5.0×2.5 cm, showed the protruding portion of the mass was surrounded by a glistening capsule and showed some ruptured areas that were haemorrhagic. Haematoxylin and eosin-stained sections (panel D) showed that the tumour was composed of monomorphic spindle cells in herringbone fascicular pattern (×100 magnification), and mitosis was counted to be 2 per 10 high power field. The immunohistochemical stains excluded the diagnoses of leiomyosarcoma, malignant schwannoma, synovial sarcoma, solitary fibrous tumour, and mesothelioma. The tumour was diagnosed as a malignant fibrosarcoma. The patient made an uneventful postoperative recovery and additional chemotherapy was planned.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Heart, 2008
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached …

C B Park - One of the best experts on this subject based on the ideXlab platform.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Case Reports, 2009
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached to the pericardium. Magnetic resonance coronal T2WI imaging (panel B) showed ovoid-shaped solid mass consisting of intermediate (small arrows) and low signal intensity (large arrow) in the right pericardial space. The patient underwent a complete resection of the tumour with a partial pericardiectomy. Operative findings showed a large amount of haemorrhagic fluid and a three-lobed mass (arrows) attached by a broad base to the parietal pericardium (panel C). Sectioning of the gross specimen, which measured about 6.0×5.0×2.5 cm, showed the protruding portion of the mass was surrounded by a glistening capsule and showed some ruptured areas that were haemorrhagic. Haematoxylin and eosin-stained sections (panel D) showed that the tumour was composed of monomorphic spindle cells in herringbone fascicular pattern (×100 magnification), and mitosis was counted to be 2 per 10 high power field. The immunohistochemical stains excluded the diagnoses of leiomyosarcoma, malignant schwannoma, synovial sarcoma, solitary fibrous tumour, and mesothelioma. The tumour was diagnosed as a malignant fibrosarcoma. The patient made an uneventful postoperative recovery and additional chemotherapy was planned.

  • primary pericardial malignant fibrosarcoma presenting as sudden onset of Substernal Pain
    Heart, 2008
    Co-Authors: S Y Yoo, C B Park, S S Cheong
    Abstract:

    A malignant fibrosarcoma originating from pericardium is quite rare. A 30-year-old man was hospitalised for sudden-onset severe, Substernal and pleuritic chest Pain after strenuous exercise. Transthoracic echocardiography (panel A) showed a large amount of pericardial effusion and a multiple-echogenic mass (arrows) attached …

Shin Maeda - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic variceal ligation is a sufficient procedure for the treatment of oesophageal varices in patients with hepatitis c liver cirrhosis comparison with injection sclerotherapy
    Journal of Gastroenterology and Hepatology, 2002
    Co-Authors: Yasuo Hata, Eiji Hamada, Morio Takahashi, Shinichi Ota, Keiji Ogura, Shuichiro Shiina, Makoto Okamoto, Tsuyoshi Okudaira, Takuma Teratani, Shin Maeda
    Abstract:

    Aims: Endoscopic variceal ligation (EVL) is a recently developed alternative to endoscopic injection sclerotherapy (EIS) for the treatment of oesophageal varices. Endoscopic variceal ligation and EIS were compared in an attempt to clarify the efficacy and safety of EVL for patients with cirrhosis due to hepatitis C. Methods: Endoscopic variceal ligation was performed in 60 patients and EIS in 30. Varices were eradicated in all patients by EVL and 87% (26 out of 30) by EIS. Results: There was no significant difference between EVL and EIS in relation to the incidence of bleeding and the 5 year survival rate after treatment. There were no severe complications except mild Substernal Pain after EVL, while pulmonary embolism occurred in one patient receiving EIS. Conclusions: Endoscopic variceal ligation is a safe and effective technique for eradicating oesophageal varices in patients with hepatitis C cirrhosis.

Yasuo Hata - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic variceal ligation is a sufficient procedure for the treatment of oesophageal varices in patients with hepatitis c liver cirrhosis comparison with injection sclerotherapy
    Journal of Gastroenterology and Hepatology, 2002
    Co-Authors: Yasuo Hata, Eiji Hamada, Morio Takahashi, Shinichi Ota, Keiji Ogura, Shuichiro Shiina, Makoto Okamoto, Tsuyoshi Okudaira, Takuma Teratani, Shin Maeda
    Abstract:

    Aims: Endoscopic variceal ligation (EVL) is a recently developed alternative to endoscopic injection sclerotherapy (EIS) for the treatment of oesophageal varices. Endoscopic variceal ligation and EIS were compared in an attempt to clarify the efficacy and safety of EVL for patients with cirrhosis due to hepatitis C. Methods: Endoscopic variceal ligation was performed in 60 patients and EIS in 30. Varices were eradicated in all patients by EVL and 87% (26 out of 30) by EIS. Results: There was no significant difference between EVL and EIS in relation to the incidence of bleeding and the 5 year survival rate after treatment. There were no severe complications except mild Substernal Pain after EVL, while pulmonary embolism occurred in one patient receiving EIS. Conclusions: Endoscopic variceal ligation is a safe and effective technique for eradicating oesophageal varices in patients with hepatitis C cirrhosis.