The Tokai journal of experimental and clinical medicine
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Tokai J. Exp. Clin. Med. · Jul 2018
Case ReportsRectal Neuroendocrine Tumor with Synchronous Pancreatic Metastasis: A Case Report.
Gastrointestinal neuroendocrine tumors (GI-NETs) often show hematogenous metastasis, with the liver being the most common metastatic site; however, metastasis to the pancreas is rare. ⋯ More case reports on metastatic NETs are needed to arrive at a consensus for a standardized treatment regimen.
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Tokai J. Exp. Clin. Med. · Jul 2018
Case ReportsAnesthetic Management in Tracheal Dilatation for Severe Tracheal Stenosis.
We report the anesthetic management of a 65-year-old woman with recurrent, severe tracheal stenosis who underwent tracheal dilatation. She had visited the Department of Respiratory Medicine at our hospital for respiratory distress approximately 20 years ago, and had undergone laser ablation under local anesthesia. Because of recurrence and aggravation of respiratory distress, she now presented at the Department of Thoracic Surgery, and was scheduled for surgery. ⋯ After restoration of spontaneous respiration and consciousness, the patient was extubated in the operating room and returned to the intensive care unit. In anesthetic management of patients with tracheal stenosis, treatment of hypoxia is important. In this case, we collaborated with the attending physician, clinical engineers, and operating room nurses throughout, and consequently, were able to perform the operation safely.