[Xiphoidectomy in a Patient with Severe Xiphodynia Induced by Asthma Attack:Report of a Case].

Xiphodynia is a rare condition, and only a few reports of xiphoidectomy have been published. A 48-year-old male patient was admitted to our medical department because of xiphodynia induced by a severe asthma attack. Computed tomography showed that his xiphoid process protruded forward, with a xiphisternal angle of 160 degrees. It was suggested that the pain induced at severe asthma attack was caused by the prominent xiphoid process and we performed xiphoidectomy, The postoperative course was uneventful, and xiphodynia was dramatically improved.

[Salvage Surgery after Radical Chemotherapy for N3 Non-small Cell Lung Cancer].

A 49-year-old man was admitted to our hospital for an abnormal chest shadow. Computed tomography showed a pulmonary nodular shadow in the right upper lobe and swelling of the right hilar, mediastinal and supraclavicular lymph nodes. A positron emission tomography(PET) scan showed fluorodeoxyglucose accumulation in the tumor and swollen lymph nodes. He was diagnosed with stage cT1aN3M0 (ⅢB) pulmonary adenocarcinoma and was treated with a combination of cisplatin and paclitaxel. After 6 cycles of chemotherapy, serum carcinoembryonic antigen (CEA) level was markedly decreased. A PET scan showed fluorodeoxyglucose accumulation only in the primary site. He was diagnosed with stage ycT1aN0M0(ⅠA) disease, and the salvage surgery was scheduled. As chemotherapy had resulted in severe fibrosis of the lung hilum, he underwent a partial resection. After partial resection of the right upper lobe, he has been alive without recurrence for 8 years.