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Ann Thorac Surg 2007;83:1199-1201
© 2007 The Society of Thoracic Surgeons

Case Reports

Successful Steroid Treatment for Fibrosing Mediastinitis and Sclerosing Cervicitis

Koei Ikeda, MD, PhD, Hiroaki Nomori, MD, PhD*, Takeshi Mori, MD, Hironori Kobayashi, MD, Kazunori Iwatani, MD, Kentaro Yoshimoto, MD, Masakazu Yoshioka, MD

Department of Thoracic Surgery, Graduate School of Medicine, Kumamoto University, Kumamoto, Japan

Accepted for publication September 5, 2006.

* Address correspondence to Dr Nomori, Department of Thoracic Surgery, Graduate School of Medicine, Kumamoto University, Honjo 1-1-1, Kumamoto 860-8556, Japan (Email: hnomori{at}qk9.so-net.ne.jp).

The use of steroids to successfully treat a 75-year-old woman with fibrosing mediastinitis and sclerosing cervicitis causing a stricture of the left common carotid artery is reported. Biopsy specimens showed collagenous fibers and fibroblasts with moderate infiltration of lymphocytes. The mediastinal and neck lesions were significantly reduced, with almost complete resolution of arterial stricture, 3 months after initiating administration of prednisolone at 20 mg/d.




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