An elderly woman presented with dyspnoea secondary to extensive mediastinal invasion by a primary well differentiated liposarcoma of the mediastinum. Five years after partial resection and postoperative radiotherapy (45 Gy) she is alive and well. To our knowledge, long term survival has not previously been reported for a non-encapsulated mediastinal liposarcoma treated by incomplete resection -...

Primary cutaneous diffuse large B-cell lymphoma, leg type (PCDLBL-LT) is a primary cutaneous B-cell lymphoma of intermediate behavior. The disease predominantly affects elderly patients. A 76-year old man presented with red to violaceous nodules in the anterior aspect of both tibias. Histology confirmed the diagnosis of PCDLBL-LT. A thorough clinical and laboratory investigation was negative fo...

A 50-year-old-male was admitted to our hospital in March 2007, complaining of cough and hemoptysis for 3 months. Postero-anterior chest X-ray showed an opacity on right upper zone. Computed tomography of the thorax showed a mass lesion occupying the right upper lobe and superior segment of the lower lobe and invading the mediastinum. Fiberoptic bronchoscopy showed total occlusion of the right u...

With emerging techniques for tracking and gating methods in radiotherapy of lung cancer patients, there is an increasing need for efficient four-dimensional Monte Carlo (4DMC) based quality assurance (QA). An automated and flexible workflow for 4DMC QA, based on the 4DdefDOSXYZnrc user code, has been developed in python. The workflow has been tested and verified using an in-house developed dosi...

Bone, air passages, cavities, and lung are elements present in patients, but challenging to properly correct for in treatment planning dose calculations. Plastic scintillator detectors (PSDs) have proven to be well suited for dosimetry in non-reference conditions such as small fields. The objective of this study was to investigate the performance of a commercial treatment planning system (TPS) ...

A main challenge in radiotherapy is to precisely take into account organs deformation and motion in order to adapt the treatment to each patient. This is particularly important in lung cancer where breathing leads to large displacements. In this work, breath holding techniques (with Active Breath Control device) were used to reduce movements during treatment. We study thorax and lung deformatio...

a 50-year-old male underwent a check-up for an insurance company. chest x-ray revealed a large ball-like lesion in the posterior mediastinum. the finding was confirmed by computed tomography (ct) scan (figure 1). the patient was referred to our center, where he had a successful mass removal surgery (figure 2). pathology identified the mass as neurinoma.

background: chest trauma is responsible for 50% of deaths due to trauma. this kind of death usually occurs immediately after the trauma has occurred. objectives: the aim of this study was to evaluate the various aspects of chest trauma in patients admitted to two main trauma centers located in the isfahan province, iran. conclusions: since hemothorax is the main complication of blunt chest trau...

conclusions performing the routine chest ct in high-energy blunt trauma patients (with a mean injury severity of 9), although leading to the diagnosis of some occult injuries, has no impact on the outcome and does not decrease the in-hospital stay and icu admission time. it seems that performing the routine chest ct in these patients may lead to overtreatment of nonsignificant injuries. the dec...