Significant Pericardial Involvement of Immunoglobulin G4–Related Disease  Takehiro Morita, MD, Atsushi Izawa, MD, Hideaki Hamano, MD, Naoko Asano, MD,

Slides:



Advertisements
Similar presentations
Squamous Cell Carcinoma of the Pericardium Found During Coronary Bypass Surgery of Possible Cutaneous Origin  Alan P. Kypson, MD, Curtis A. Anderson,
Advertisements

BRCA1 Gene Mutation in Thymic Malignant Melanoma
Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device
Left Video-Assisted Thoracoscopic Surgery Esophagectomy in a Patient With Situs Inversus Totalis and Kartagener Syndrome  John Peel, BHSc, Gail Darling,
Successful Lung Transplantation for Pulmonary Disease Associated With Erdheim– Chester Disease  Kohei Hashimoto, MD, Kentaroh Miyoshi, MD, Hisao Mizutani,
Thymic Cavernous Hemangioma With a Left Innominate Vein Aneurysm
Left Ventricular Bronchogenic Cyst
Immunoglobulin G4-related multiple cardiovascular lesions successfully treated with a combination of open surgery and corticosteroid therapy  Meikun Kan-o,
Jennifer Tomich, MD, Mohit Bhasin, MD, Jonathan Philpott, MD 
Collision Tumor of Esophagus: Report of Three Cases
Immunoglobulin G4–Related Periaortitis Involving the Aortic Arch Mimicking a Mediastinal Tumor  Min Jae Cha, MD, Semin Chong, MD, Yang Soo Kim, MD, Byungjoon.
IgG4-Related Disease Causing Rapid Evolution of a Severe Aortic Valvular Stenosis  Samuel Bruls, MD, Audrey Courtois, MS, PhD, Philippe Delvenne, MD, PhD,
Aortic and Mitral Valve Replacement Due to Extensive Inflammatory Immunoglobulin G4–Related Pseudotumor  Josef Besik, MD, Jan Pirk, MD, Ivan Netuka, MD,
Anthracotic Intrapulmonal Lymph Nodes Mimicking Lung Metastases
Thoracic Pseudoaneurysm Caused By Malignant Lymphoma
Sarcoid-Like Reaction Mimics Progression of Disease After Induction Chemotherapy for Lung Cancer  Masayuki Chida, MD, PhD, Takashi Inoue, MD, Koichi Honma,
Sameer A. Hirji, BS, John C. Haney, MD, Ian Welsby, MD, Frederick W
A Rare Case of Partial Anomalous Pulmonary Venous Return to Azygos Vein Without Direct Connection to Great Cardiac Vessels  Jae Gun Kwak, MD, Soo-Jin.
Christopher B. Horn, MD, Nikhil R. Patel, BA, Jennifer A
Serum β-hCG as an Indicator of Recurrence After the Complete Resection of a Malignant Solitary Fibrous Tumor of the Pleura  Hiroshi Yabuki, MD, Akira.
Right Ventricular Outflow Tract Obstruction Due to Immunoglobulin G4–Related Disease  Masaru Ishida, MD, Taichi Sakaguchi, MD, PhD, Shigeru Miyagawa,
Ray K. Chihara, MD, PhD, Seth D. Force, MD 
Metachronous Germ Cell Tumors of the Mediastinum
Repair of Circumflex Aortic Arch in an Adult
Misdiagnosis of a Small Cell Lung Cancer Resulting From Inaccurate Pathology  Tie-niu Song, MD, Jian-hua Zhang, MD, PhD, Bin Li, PhD, Hui Zhou, BA, Peng.
Masatsugu Hamaji, MD, Joel W. Neal, MD, PhD, Bryan M. Burt, MD 
Meta-Analysis of Positron Emission Tomographic and Computed Tomographic Imaging in Detecting Mediastinal Lymph Node Metastases in Nonsmall Cell Lung Cancer 
H. Volkan Kara, MD, MS, Jeffrey Javidfar, MD, Thomas A. D’Amico, MD 
Bilateral Intrathoracic Kidneys and Adrenal Glands Associated With Posterior Congenital Diaphragmatic Hernias  Michael W. Dingeldein, MD, Derek Kane,
Mesenchymal Cystic Hamartoma of the Lung
Kimura's Disease Presenting as the Middle Mediastinal Mass
Makio Hayama, MD, Hiroya Maeda, MD  The Annals of Thoracic Surgery 
Nodular Lymphoid Hyperplasia of the Lung: A Very Rare Disease Entity
Cardiac Tamponade Caused by Incarcerated Small Bowel in the Pericardium After Coronary Bypass Grafting Using the Right Gastroepiploic Artery  Beverley.
Sternal Plating to Correct an Unusual Complication of the Nuss Procedure: Erosion of a Pectus Bar Through the Sternum  Gary W. Raff, MD, Michael S. Wong,
Immunoglobulin G4-Related Disease Presenting as an Obstructing Tracheal Mass: Consideration of Surgical Indications  Edward M. Kobraei, MD, Tae H. Song,
Primary De Novo Angiosarcoma of the Pleura
Salvage Operation in Case of Oligometastatic Disease
Joshua K. Knight, MS (MD Candidate), M. Blair Marshall, MD 
Thymic and Mediastinal Lymph Node Metastasis of Colon Cancer
Constrictive Pericarditis Caused by Immunoglobulin G4–Related Disease
Sternal Closure With Tie Bands: A Word of Caution
Multimodality Therapy for Large Cell Neuroendocrine Carcinoma of the Thymus  Naoko Ose, MD, Masayoshi Inoue, MD, Eiichi Morii, MD, Yasushi Shintani, MD,
Retrosternal Implantation of the Cardioverter-Defibrillator Lead in an Infant  Hiroaki Hata, MD, PhD, Naokata Sumitomo, MD, PhD, Toshiko Nakai, MD, PhD,
Pericardioscopy for Diagnosing Penetrating Cardiac Trauma
Atypical Presentation of an Atypical Carcinoid
Michael G. Astudillo, BS, Andrew P. Dhanasopon, MD, Anthony W. Kim, MD 
Acute Delayed Tension Pneumopericardium: The First Reported Case After Elective Lobectomy  Salvatore Torre, MD, Jennifer Lee, MB, BCh, Stephen O’Connor,
Pulmonary Sclerosing Hemangioma With Metastasis to the Mediastinal Lymph Node  Hiromichi Katakura, MD, Manami Sato, MD, Fumihiro Tanaka, MD, Hiroaki Sakai,
Daniel J. Weber, MD, MS, Ahmad Y. Sheikh, MD, Brian S. Cain, MD, Jay I
Mediastinal Abscess Caused by an Expanded Polytetrafluoroethylene Membrane  Kanji Matsuzaki, MD, Toru Tsukada, MD, Masataka Sato, MD, Yasunori Watanabe,
Surgical Management of Pulmonary Mucosa-Associated Lymphoid Tissue Lymphoma Associated With Light-Chain Deposition Disease  Juan A. Muñoz-Largacha, MD,
Thymoma With Pure Red Cell Aplasia and Good's Syndrome
Primary Pulmonary Rhabdomyosarcoma in an Adult With Neurofibromatosis-1  Jae-Sung Choi, MD, PhD, Jong Sun Choi, MD, PhD, Eung-Joong Kim, MD, PhD  The Annals.
Arteriovenous Malformation in the Anterior Mediastinum
Surgical Treatment in a Case of Cogan's Syndrome Complicated With Proximal Aortic Vasculitis  Mehmet Kaya, MD, Korhan Erkanlı, MD, Furkan Kılınç, MD,
Anirudh Vinnakota, MS, Robert Stewart, MD, Gosta Pettersson, MD, PhD 
Histopathology of the Longest-Lived Saphenous Vein Graft in a Patient With Kawasaki Disease  Satoru Domoto, MD, Kiyoharu Nakano, MD, Kojiro Kodera, MD,
Ahmet Basoglu, MD, Burcin Celik, MD, Tulin Durgun Yetim, MD 
Alexandra McMillan, MD, Carolina A. Souza, MD, PhD, John P
Bilateral Familial Elastofibroma Dorsi: Is Genetic Abnormality Essential?  Tevfik İlker Akçam, MD, Ufuk Çağırıcı, MD, Alpaslan Çakan, MD, Haluk Akın, MD 
Pericardial Window for Methicillin-Resistant Staphylococcus aureus Pericarditis  Hiroaki Oizumi, MD, Hideomi Ichinokawa, MD, Hironobu Hoshino, MD, Jun.
Mature Cystic Teratoma With Malignant Transformation to Adenocarcinoma
Sequential Mediastinal Lymphadenectomy of an Unknown Primary Tumor
Extramedullary Plasmacytoma Arising From the Anterior Mediastinum
Christopher Hazzard, BS, Andrea S. Wolf, MD, Mary B
Pericardial mesothelioma: the diagnostic dilemma of misleading imaging
Mark I. Block, MD  The Annals of Thoracic Surgery 
Ectopic Pancreatic Tissue in the Thoracic Cavity: Report of Two Cases
Use of Baclofen in the Treatment of Esophageal Stent-Related Hiccups
Presentation transcript:

Significant Pericardial Involvement of Immunoglobulin G4–Related Disease  Takehiro Morita, MD, Atsushi Izawa, MD, Hideaki Hamano, MD, Naoko Asano, MD, Ayako Kozuka, MD, Hideaki Moteki, MD, Megumi Fuke, MD, Jun Koyama, MD, Jun Amano, MD, Uichi Ikeda, MD  The Annals of Thoracic Surgery  Volume 98, Issue 2, Pages e47-e49 (August 2014) DOI: 10.1016/j.athoracsur.2014.04.069 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomography scan image showing diffuse thickening of the pericardium (arrows). (B) Anterior (left) and posterior (right) images of 67-gallium scintigram showing an enhanced uptake around the heart. The Annals of Thoracic Surgery 2014 98, e47-e49DOI: (10.1016/j.athoracsur.2014.04.069) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Tissue sections of the pericardium showing (A) massive infiltration of mononuclear cells and plasma cells (H&E, ×100) (inset, H&E, ×200), and (B) IgG4-positive plasma cells (IgG4, ×100) (inset, ×200). (Bars = 50 μm; H&E = hematoxylin and eosin; IgG4 = immunoglobulin G4.) The Annals of Thoracic Surgery 2014 98, e47-e49DOI: (10.1016/j.athoracsur.2014.04.069) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Tissue sections of the mediastinal lymph node showing (A) follicular hyperplasia (H&E, ×20), (B) marked infiltration of plasma cells (H&E, ×100) (inset, H&E, ×200), and (C) IgG4-positive plasma cells. (IgG4, ×100) (inset, ×200) (Bars = 50 μm; H&E = hematoxylin and eosin; IgG4 = immunoglobulin G4.) The Annals of Thoracic Surgery 2014 98, e47-e49DOI: (10.1016/j.athoracsur.2014.04.069) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Computed tomography scan images showing bilateral enlargement of the submandibular glands (arrows), which subsequently demonstrated (B) significant reduction in size after 8 weeks of corticosteroid treatment. (C) Reduction in the pericardial thickening (arrows) was also observed. The Annals of Thoracic Surgery 2014 98, e47-e49DOI: (10.1016/j.athoracsur.2014.04.069) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions