Inflammatory pseudotumor of the liver.

Inflammatory pseudotumor of the liver is an extremely rare entity. Because of its unusual clinical presentation and confusing histologic picture, a diagnosis of malignancy is frequently made. Thus the surgeon is closely involved with the case and extensive procedures are not uncommon.

Prostate carcinoma: an autopsy evaluation of the influence of age, tumor grade, and therapy on tumor biology.

This report represents a review of 1,641 routine autopsies. Prostate carcinoma was identified in 172 cases (10% of all autopsies) and was the direct or contributing cause of death in 29 (2%). Frequency of prostate carcinoma increased with increasing age, but the mortality rate was inversely related to age as indicated by 30% mortality in those younger than 60 years old, 24% of those between 60 and 70 years old, and 7.

Peripheral adenoid cystic carcinoma of the lung.

The large peripheral lung mass found in a 63-year-old female veteran proved to be adenoid cystic carcinoma of the lung. These rare primary lung tumors should be distinguished from adenocarcinoma, as the biologic activity and prognosis are much more favorable.

Large cell carcinoma of the lung with isolated jejunal metastasis.

Isolated small bowel metastasis of bronchogenic carcinoma is so distinctly unusual that only three previous case reports have been located. The authors report the case of a 59-year-old white male, who succumbed due to complications of a jejunal metastasis two months after left upper lobectomy for large cell carcinoma. The diagnosis was suspected preoperatively on the basis of a CT scan.

Massive retropubic hemorrhage after needle biopsy of the prostate.

This case of postoperative retropubic hemorrhage after needle biopsy of the prostate is reported to remind all who perform the procedure and all who refer patients for it that serious hemorrhage can result from improper management of the biopsy needle. If the biopsy needle is passed completely through the gland, the periprostatic vascular plexus is penetrated, and further advancement can place the point of the needle in the rich pudendal vascular plexus. The biopsy maneuver done with the cutting end of the needle in one of these vascular areas can result in serious hemorrhage.