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Key Clinical Message: Although lung cancer rarely metastasizes to the breast, we report a case of breast metastasis from lung adenocarcinoma harboring an epidermal growth factor receptor mutation. This breast metastasis was initially considered recurrent breast cancer and was later diagnosed based on histopathological and molecular examinations as metastasis from lung cancer. [ABSTRACT FROM AUTHOR]

Key Clinical Message Spontaneous pneumothorax following radiotherapy for pulmonary malignancy is an unusual clinical condition. Here, we report a case of a 78-year-old male suffering from dyspnea during radiotherapy for squamous cell lung cancer of the right main bronchus. Imaging studies and fiberoptic bronchoscopy revealed that pneumothorax was due to a bronchopleural fistula. [ABSTRACT FROM AUTHOR]

We report a case in which lung metastases disappeared spontaneously after nephroureterectomy from sarcomatoid carcinoma of the renal pelvis. A 58-year-old man presented with gross hematuria. Computed tomography (CT) revealed a left renal tumor and multiple lung metastases. Intravenous pyelography revealed a filling defect in the upper renal calyx. Urine cytology was positive. Left renal pelvic cancer was diagnosed and nephroureterectomy performed. The resected specimen was diagnosed pathologically as sarcomatoid carcinoma of the renal pelvis. Approximately 5 months later, CT revealed that the lung metastases had disappeared. There has been no evidence of disease for 46 months postoperatively. [ABSTRACT FROM AUTHOR]

A new genus and species of an elasmosaurid plesiosaur, Futabasaurus suzukii, is described based on a partial skeleton from the Inoceramus amakusensis Zone (Lower Santonian, Upper Cretaceous) of the Irimazawa Member of the Tamayama Formation, Futaba Group, in Fukushima Prefecture, Japan. The new taxon is characterized by a number of characters such as the wide space between the orbit and external naris, posterior extension of the interclavicle, relatively long humerus and prominent femoral muscle scar. The holotype includes a partial skull and mandible, posterior cervicals to sacrals, ribs, clavicular arch, pelvic girdle and four limbs. The remains are mostly in articulation, and exhibit evidence of predation/scavenging by sharks. The distribution of elasmosaurid species in the circum-Pacific region remains unclear due to the lack of diagnostic materials. The occurrence of F. suzukii is geographically and stratigraphically significant, because it allows species-level comparison; as a diagnosable elasmosaurid specimen, F. suzukii is the first and the oldest from the northern Pacific. [ABSTRACT FROM AUTHOR]

Porous diaphragm syndrome describes a defect in the diaphragm in which substances pass from the peritoneal cavity to the pleural space. Defects may be congenital or acquired. Acquired defects are caused by the thinning and eventual splitting of collagen fibres in the tendinous part of the diaphragm. We report a case of porous diaphragm syndrome with recurrent thymoma that presented with massive ascites. Increasing intra‐abdominal pressure by ascites and diaphragmatic thinning due to malnutrition by malignancies resulted in the formation of an artificial hole. Thoracentesis changed the balance of hydrostatic pressure, which initiated the influx of a large volume of ascites to the pleural cavity through a hole in the diaphragm. Porous diaphragm syndrome is a defect in the diaphragm in which substances pass from the peritoneal to the pleural cavity. Increasing intra‐abdominal pressure by ascites and diaphragmatic thinning due to malnutrition by malignancies resulted in the formation of an artificial hole. [ABSTRACT FROM AUTHOR]