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Dixit R, Goyal M, Kasliwal N, Somson HT, Agarwal S. Spontaneous expectoration of tumor tissue in primary adenocarcinoma lung. Avicenna J Med 2021; 11:46-48. [PMID: 33520790 PMCID: PMC7839265 DOI: 10.4103/ajm.ajm_97_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Spontaneous expectoration of the tissue fragments in primary lung carcinoma is an extremely unusual event. Expectoration of tumor fragments is a significant event that should not be ignored as it serves itself as a noninvasive tool to diagnose underlying malignancy if such samples are immediately preserved and subjected to histopathological examination. More so, expectoration of a large-sized fragment may provide substantial relief from the breathlessness. Reported here is the case of a middle-aged male patient with adenocarcinoma in the right lung, and mass extended up to trachea, who spontaneously coughed out pieces of tumor tissue.
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Affiliation(s)
- Ramakant Dixit
- Department of Respiratory Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India
| | - Mukesh Goyal
- Department of Respiratory Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India
| | - Neena Kasliwal
- Department of Pathology, J. L. N. Medical College, Ajmer, Rajasthan, India
| | - Hasha T Somson
- Department of Respiratory Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India
| | - Shreya Agarwal
- Department of Pathology, Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, India
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Gorsi HS, LeGolvan M, Mangray S, Denardo B, Welch J. Spontaneous expectoration of pulmonary metastases in a child with osteogenic sarcoma. Pediatr Blood Cancer 2019; 66:e27611. [PMID: 30637924 DOI: 10.1002/pbc.27611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 12/26/2018] [Accepted: 12/28/2018] [Indexed: 11/07/2022]
Affiliation(s)
- Hamza S Gorsi
- Division of Hematology Oncology, Department of Pediatrics, Wayne State University and Children's Hospital of Michigan, Detroit, Michigan
| | - Mark LeGolvan
- Department of Pathology, Brown University and Rhode Island Hospital, Providence, Rhode Island
| | - Shamlal Mangray
- Department of Pathology, Brown University and Rhode Island Hospital, Providence, Rhode Island
| | - Bradley Denardo
- Division of Hematology Oncology, Department of Pediatrics, Brown University and Hasbro Children's Hospital, Providence, Rhode Island
| | - Jennifer Welch
- Division of Hematology Oncology, Department of Pediatrics, Brown University and Hasbro Children's Hospital, Providence, Rhode Island
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Shimizu Y, Dobashi K, Kusakbe T, Nagamine T, Oikawa M, Satoh T, Haga J, Ishii Y, Ohkubo T, Kamiya T, Arakawa K, Sano T, Tanaka S, Shimizu K, Matsuzaki S, Utsugi M, Mori M. In-Air Micro-Particle Induced X-ray Emission Analysis of Asbestos and Metals in Lung Tissue. Int J Immunopathol Pharmacol 2008; 21:567-76. [DOI: 10.1177/039463200802100309] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Inhalation of asbestos increases the risk of lung cancer and pulmonary fibrosis. It is difficult to directly assess the distribution and content of inhaled particles in lung tissue sections. The purpose of this study is to employ an in-air micro particle induced X-ray emission (in-air micro-PIXE) system for assessment of the spatial distribution and content of asbestos and other metals in lung tissue. A proton ion-microbeam from this system was applied to irradiate lung tissue of patients with or without asbestosis, tumor tissue from both groups, and asbestos fibers ( in vitro). The content of each element composing asbestos and those of other metals were calculated and their distribution was assessed from the characteristic X-ray pattern for each element obtained after irradiation. This in-air micro-PIXE system could identify the location of asbestos bodies composed of Si, Mg, and Fe in lung tissue sections. Macrophage and lymphocytes accumulated in that area. This new system also revealed deposits of titanium, nickel, and cobalt in the lung tissues, in addition to asbestos bodies. The Si and Fe content were higher in lungs with asbestosis than in lungs without asbestosis or in tumor tissue. Analysis of asbestos fibers composed of chrysotile, crocidolite, and amosite showed that the ratios of Si, Fe, and Mg corresponded with those for the chemical structures. In-air micro-PIXE analysis is useful for assessing the distribution and quantities of asbestos bodies and also other metals in lung tissue comparing to immune-related cell localizations, and is also useful for analysis of standard asbestos fibers.
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Affiliation(s)
| | - K. Dobashi
- Gunma University Faculty of Health Science
| | - T. Kusakbe
- 21st Century COE Program, Gunma University Faculty of Health Science, Gunma
| | - T. Nagamine
- 21st Century COE Program, Gunma University Faculty of Health Science, Gunma
| | - M. Oikawa
- 21st Century COE Program, Gunma University Faculty of Health Science, Gunma
| | - T. Satoh
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - J. Haga
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - Y. Ishii
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - T. Ohkubo
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - T. Kamiya
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - K. Arakawa
- Japan Atomic Energy Agency, Takasaki Advanced Radiation Research Institute, Gunma
| | - T. Sano
- Department of Tumor Pathology, Gunma University Graduate School of Medicine
| | - S. Tanaka
- Department of General Surgical Science, Gunma University Graduate School of Medicine
| | - K. Shimizu
- Divisiont of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Gunma, Japan
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Ghetie C, Davies M, Cornfeld D, Suh N, Saif MW. Expectoration of a Lung Metastasis in a Patient with Colorectal Carcinoma. Clin Colorectal Cancer 2008; 7:283-6. [DOI: 10.3816/ccc.2008.n.037] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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