I.qxd
|
|
|
- こうざぶろう かわらい
- 4 years ago
- Views:
Transcription
1 128 Gastrointestinal Stromal Tumor A Case of a Difficult-to-diagnose Gastrointestinal Stromal Tumor in the Lesser Omentum Akira Sogawa, Kazuto Yamada, Junichi Hamada, Hiroaki Nagata, Yuen Nakase, Hisashi Amaike and Seishiro Inaba Department of Surgery, Nara City Hospital CT mm No. a DOG- c-kit CD DesminS- GIST GIST GIST Gastrointestinal stromal tumor GIST EGIST Abstract The patient was a -year-old woman. Her main complaint was black stools and stomach-ache. Ulcerative lesions with bleeding were noted in the antrum of the stomach on upper gastrointestinal s-akira@koto.kpu-m.ac.jp doi:. /jkpum...
2 endoscopy; however, the biopsy specimen did not show malignant findings. Thickening of the stomach wall and swelling of the lymph nodes of the lesser curvature were noted on computed tomography. The ulcers did not improve thereafter. Since lymph node enlargement was recognized, gastric cancer was diagnosed, and surgery laparoscopic distal gastrectomy was performed on the patient. After the surgery, intraperitoneal infection occurred but the symptoms were relieved by conservative treatment. The patient was discharged on the th postoperative day. The pathologic result did not reveal malignant findings for the gastric mucosal surface. The lymph nodes of the lesser curvature were positive for DOG-, c-kit, CD and negative for desmin and S-. On the basis of these findings, the tumor was diagnosed as a gastrointestinal stromal tumor GIST of the lesser omentum. GISTs are mesenchymal tumors arising from the gastrointestinal tract; they rarely originate from the retroperitoneum or the mesentery. Here, we report a case of a GIST of the lesser omentum that was difficult to diagnose together with a literature review. Key Words: Gastrointestinal stromal tumor, EGIST, Lesser omentum. GIST interstitial cells of cajal ; ICC ICC GIST GIST CT a b Fig. a b Abdominal computed tomography image showing that the wall of the antrum is thickened. Abdominal computed tomography image showing that the lymph nodes of the lesser curvature are enlarged arrow.
3 GIST. cm. kg BMI=. CEA CA - CT mm Fig. a b Fig. D Roux-enY mm Fig. mm mm mm H.E High power field HPF Fig. a DOG- c-kit Fig. Gastric endoscopy image showing ulcerative lesions in the antrum. Fig. Macroscopic examination showing that a mm tumor was present in the antrum.
4 寒 442 川 玲 ほか a b c d Fig. 4a Microscopic examination showing that the tumor was composed of spindle cells, and the mitotic count was 7 per 50 high-power fields hematoxylin-eosin stain. b, c, d Immunohistochemical examination showing that the tumor was positive for DOG-1 b and c-kit c, CD34 d. CD34 陽性であり Fig. 4b c d Desmin およ る腫瘍とされ 多くの例で免疫染色 CD34 c-kit び S-100 SMA は陰性であった 小弯側の腫瘤 陽性を呈する 2 ICC は腸管の蠕動を調整する が病理組織学的に胃と連続性がなかったことか ペースメーカー細胞として消化管壁に存在する ら 小網原発の GIST と診断された modified- ため GIST の発生部位としては半数以上を胃が Fletcer 分類より高リスク 腫瘍径 17mm 大 占めている 次いで小腸に発生す 核分裂像数 7/50HPF るものが多く 大腸 5 十二 発生部位 胃以外 術後 一過性の腹腔内感染をきたしたものの 指腸 食道が続く しかし近年 消化管以外か 保存的に軽快し 術後 18 日目に退院となった ら発生する GIST の報告例が散見されるようにな 初診時より 15 ヶ月経過した現在も無再発であ り Weiss らは免疫組織学的には GIST の像を呈 る するが消化管との連続性を持たない腫瘍を extra- 考 察 gastrointestinal stromal tumor EGIST として 定義した 3 また Miettinen らは消化管外に ICC GIST は消化管から発生する間葉系腫瘍のうち や平滑筋細胞などの細胞にも分化しうる未分化 最も頻度の高いものであり 全消化管腫瘍のう な前駆細胞の存在を提唱し 櫻井は大網の表 ち とされている 1 また紡錘形細胞 面 中皮細胞直下に KIT CD34 に陽性を示す双 ないし類上皮様細胞の増殖を示す ICC に由来す 極性紡錘形細胞の存在について報告しているこ
5 GIST ICC EGIST EGIST - EGIST PubMed GIST lesser omentum EGIST GIST EGISTGIST GIST H.pylori H.pylori PPI EGIST GIST GIST GIST c-kit EGIST c-kit GIST GIST modified- Fletcher cm / HPF GIST GIST EGIST GIST GIST
6 GIST: -,. Hirota S, Isozaki K, Moriyama Y et al. Gain-offunction mutations of c-kit in human gastrointestinal stromal tumors. Sience, : -,. Weiss SW, Goldblum JR. Soft tissue tumors. Fourth Edition. Mosby, St Louis, -,. Miettinen M, Monihan JM, Sarlomo-Rikala M, et al. Gastrointestinal stromal tumors/ smooth muscle tumors GIST primary clinicopathlogic and immunohistochemical study of cases, Am J Surg Pathol, : -,. GIST : -,. Seiichi H, Isozaki K. Pathology of gastrointestinal stromal tumors. Pathol Int, : -,. : -,. gastorointestinal stromal tumor : -,. gastrointestinal stromal tumor : -,. EGIST : -. yamamoto H, Oda Y, Kawaguchi K et al. c-kit and PDGFRAMutations in extragastrointestinal stromal tumor gastrointestinal stromal tumor of the soft tissue. Am J Surg Pathol, : -,.
Dr. Kawamura.doc
GIST の診断に有用な免疫染色 社会医療法人財団大和会東大和病院病理細胞診断科河村淳平, 傳田珠美, 原田邦彦, 桑尾定仁 はじめに 消化管に発生する間葉系腫瘍は, 消化管間質腫瘍 (gastrointestinal stromal tumor; GIST), 平滑筋腫瘍, あるいは神経鞘腫などが知られている. この中で発生頻度のもっとも高い腫瘍が GIST である. GIST は消化管壁の筋間神経叢に局在する
8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio
7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine
28 1 1a 1b 2 MRI T2 3 CT C3 N95 N95 6ml 90
2015 28 1 89 93 CT C3 Tb PCR XP WBC 7 600/mm 3 CRP 4 08mg/dl MRI MRI CT MRI WBC 9 700/mm 3 CRP 6 09mg/dl CT C3 C2 C7 low density area CT 89 28 1 1a 1b 2 MRI T2 3 CT C3 N95 N95 6ml 90 28 1 4 CT C2 C7 low
_06.indd
30, 35-39, 2010 0.15% 1 C 40 20 1 cm 5 mm WBC 9,400, RBC 259 10 4, Hb 8.5 g/dl, Ht 25.5%, Plt 29 10 4, BUN 116 mg/dl, Cr 7.9 mg/dl, 125 mg/dl, HbA1c 4.3%, ft3 1.97 pg/ml, ft4 1.05 ng/dl, TSH 1.09 μiu/ml,
40: 127-130, 1994 11) Damjanov I, Moriber K, Catalano E, et al: Myelolipoma in a heterotopic adrenal gland. Light and electron microscopic findings. Can cer 44: 1350-1356, 1979 12) DeNavasquez S: Case
Fig. 1. Chest X-ray film on admission showed a mass in the left middle lung field and multiple nodular densities in the bilateral lung fields. Fig. 3.
A Case of Slow-growing Mucous-producing Adenocarcioma of the Lung Key words: Mucous-producing lung adenocarcinoma, Slow-growing, Bronchial gland cell type adenocarcinoma, Adenoid cystic carcinoma Table
日本消化器外科学会雑誌第30巻第3号
Key words : gastric cancer, progltostic factor. multivariate analysis Factors selected after Coffelation- after Stepwise rnitrally check check H o s t l A g e C O 2 S e x C O 3 Pre-op. compliation O Treatment
Unknown
Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.2, No.3 July 2013 Report The 30 th Meeting of Japan Association of Breast and Thyroid Sonology... 1 Department of Organ
Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple b
congenital bronchial atresia, obstructive pneumonia Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple
BUN, CRP K mg/ cm, 49.6 kg, BMI /72 mmhg, 92/ Hb 6.7 g/dl PT-INR CT 1 MRI 2a, b T1 T2 T1 MRI
20 2 2015 1 2 3 85 K CT Abstract A case of renal subcapsular hematoma resulting from trigger point injection under excessive effect of anticoagulant YAMANE Tateki, UMEDA Akira and SHIMAO Hitoshi An 85-year-old
日本職業・災害医学会会誌第51巻第5号
太田ら 同時多発性高血圧性脳葉出血の 1 手術例 図 1 搬入時 CT 上段 単純 CT 下段 造影 CT 図 2 術後の脳血管撮影検査では明らかな出血源は認めない 379 Reprint request: MULTIPLE SIMULTANEOUS HYPERTENSIVE LOBAR HEMORRHAGE Hirotsugu OHTA M.D. 1) and Akira YOKOTA M.D.
06_学術_関節単純X線画像における_1c_梅木様.indd
Arts and Sciences X The formulation of femoral heard measurement corrected enlargement ratio using hip joints X-ray Imaging 1 2 1 1 1 2 Key words: Bipolar Hip Arthroplasty (BHA) Preoperative planning Enlargement
04_学術.indd
Arts and Sciences Creating a report form of image reading by radiological technologists in population-based screening for gastric cancer 1 15555 2 44891 3 34541 4 431 5 6 12 34 5 6 Key words: Gastric cancer
Group5 tub1 CT ct4b cn1 ch0 cp0 cm0 cstage a D3 A V Type5 muc tub1 pt4b pn1 1/28 No. 201 pstage a UFT/UZEL 5
91 113 117 2015 1 2015 2 4 2015 2 23 73 3 Group5 tub1 CT ct4b cn1 ch0 cp0 cm0 cstage a D3 A V Type5 muc tub1 pt4b pn1 1/28 No. 201 pstage a UFT/UZEL 5 22 Key words: Ⅰ 0.2 1 0.01 2 1 D3 1 Ⅱ 73 2012 12 Takeshi
69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification
69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification 70 (878) Fig. 1 A and B, preoperative (correction) finding of anterior chest surface with an asymmetrical
Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesio
Ryoji KANDA, M.D. and Seiichiro HATA, M.D. Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesion, Showing
硫酸アルミニウムカリウムタンニン酸注射液（ALTA）による内痔核硬化療法後にフルニエ症候群をきたした1例 第65巻02号0075頁
65 V A Case Report of Fournier s Gangrene after Sclerosing Therapy for Internal Hemorrhoids with Aluminum Potassium Sulfate and Tannic Acid (ALTA) Injection Aluminum potassium sulfate and tannic acid
明海大学歯学雑誌 ３７‐２／１．秦泉寺
J Meikai Dent Med 37, 153 158, 8 153 1 7 5ml /1 min Wong-Baker Face Rating Scale FS 5 1 9. g 3 5ml /1 min, FS 1 66 6ml /1 min FS 5 1 9. g 3 6ml /1 min, FS 3 Two Cases of Xerostomia that Showed an Improvement
日本消化器外科学会雑誌第25巻第11号
Key words: intestinal nerve plexus, hypoxic perfusion, immunohistochemistry, 5-100 protein Table I (A) Sroo staining reactivity of nerve tissue normal partly mildly declined all mildly declined partly
2708 日本 臨 床 外 科 学 会雑 誌 Table 1 Laboratory data 66巻 on admission Fig. 2: Gastrointestinal the left hollow hollow was endoscopy the was the afferent was
2708 日本 臨 床 外 科 学 会雑 誌 Table 1 Laboratory data 66巻 on admission Fig. 2: Gastrointestinal the left hollow hollow was endoscopy the was the afferent was the transverse Fig. 3: Abdominal demonstrated efferent
1) Perissat J, Collet DR, Belliard R : Gallstones ; laparoscopic treatment, intracorporeal lithotripsy followed by cholecystotomy on cholecystectomy. Endoscopy 21 : 373-374, 1989 2) Kato K, Matsuda M,
食道がん化学放射線療法後のsalvage手術
2006 2 17 52 Daly JM, et al. J Am Coll Surg 2000;190:562-573 Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study Daly JM, et al. J Am Coll Surg 2000;190:562-573
Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.2, No.1 January 2013 Overview History of JABTSJapan Association of Breast and Thyroid Sonology : Dawn of a JABTS Age; The
œ 58 / J JSCAS vol.2 no.2 Table 1 Patients' profile. IORT: intraoperative radiation therapy, PpPD: pylorus preserving pacreatoduodenectomy. Bypass: ga
Virtual Pancreatoscopy of Pancreatic Cancer Yutaka Tanizawaa *, Toshio Nakagohria, Taira Kinoshitaa, Masaru Konishia, Kazuto Inouea, Tatsuya Odaa, Takanori Nishimoria, Takehide Asanob, Takenori Ochiaib,
DOI: /jjmu. JJMU.R.130 REVIEW ARTICLE( 第 16 回教育セッション )( 乳腺 ) 抄録,, 1 surrounding stroma 2 edematous stroma 2., TDLU,,.,.,,.,.,,.,.,,,,,. Ultraso
DOI: 10.3179/jjmu. JJMU.R.130 REVIEW ARTICLE( 第 16 回教育セッション )( 乳腺 ) 抄録, 1 surrounding stroma 2 edematous stroma 2, TDLU,,,.,,,,,, Ultrasound understanding and observation method of normal mammary gland
A comparison of abdominal versus vaginal hysterectomy for leiomyoma and adenomyosis Kenji ARAHORI, Hisasi KATAYAMA, Suminori NIOKA Department of Obstetrics and Gnecology, National Maizuru Hospital,Kyoto,
J. Jpn. Acad. Nurs. Sci., Vol.25, No.1, pp.13-22, 2005 Decision Making under the Uncertainty; Process of Decision from Diagnosis to Preventive- Operat
J. Jpn. Acad. Nurs. Sci., Vol.25, No.1, pp.13-22, 2005 Decision Making under the Uncertainty; Process of Decision from Diagnosis to Preventive- Operation in Patient with Asymptomatic Cerebrovascular Diseases
.\...pwd
2007.2.1 200757 1,31-46 1) 629-0392 Department of Basic Oriental Medicine, Meiji University of Oriental Medicine Hiyoshi-cho, Nantan-shi, Kyoto, Japan 629-0392 57 1 2) 700 216 91 1 2 31 12 91 13 38 5 37
Title 前立腺部尿道に発生した乳頭状腺腫 - 1 例報告と本邦 61 例の集計 - Author(s) 佐藤, 直秀 ; 桜山, 由利 ; 石川, 尭夫 ; 高沢, 博 Citation 泌尿器科紀要 (1990), 36(5): Issue Date URL h
Title 前立腺部尿道に発生した乳頭状腺腫 - 1 例報告と本邦 61 例の集計 - Author(s) 佐藤, 直秀 ; 桜山, 由利 ; 石川, 尭夫 ; 高沢, 博 Citation 泌尿器科紀要 (1990), 36(5): 623-626 Issue Date 1990-05 URL http://hdl.handle.net/2433/116895 Right Type Departmental
11_土居美有紀_様.indd
1 1 2 3 4 127 14 5 6 7 1997 2003 2007 2003 2005 3 2006 2003 2007 2010 2010 128 2007 1998 2010 41 2012 9 24 12 9 1 1 2012 9 24 10 15 16 19 2 2012 10 8 10 19 129 14 3 2 2012 10 23 12 9 15 1 4 2 10 23 12
口腔癌の早期発見のために For the early detection of oral cancer Kazumasa Sugihara Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and M
Title 口腔癌の早期発見のために Author(s) 杉原, 一正 Citation 鹿児島大学歯学部紀要, 34: 3-11 Issue Date 2014 URL http://hdl.handle.net/10232/20682 http://ir.kagoshima-u.ac.jp 口腔癌の早期発見のために For the early detection of oral cancer Kazumasa
CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study
CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study VOL. 41 S 1 Table 2. Levels (Đg/ml or Đg/g) of S-1006 in serum, bile, and tissue (gallbladder) after oral administration
Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results M Both grea
Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results 1. 49 M Both great toes 2 years Cured after 4 months 2. 11 F Both great
Key words : 7432-S, Oral cephem, Urinary tract infection Fig. 1. Chemical structure of 7432-S.
Key words : 7432-S, Oral cephem, Urinary tract infection Fig. 1. Chemical structure of 7432-S. Table 1. Clinical summary of acute uncomplicated cystitis patients treated with 7432-S UTI : Criteria by the
静 脈 学 Table 1 Patient characteristics Symptom Case Age Sex Site PE Cause Treatment 1 44 M RSCV swelling (+) unknown UK, anticoaglant patent Result 2 5
Paget-Schroetter 3 Paget-Schroetter 3 1 1 1 3 86 42 Paget-Schroetter 2013 24 1 71- Paget-Schroetter 3 Table 1 1 44 1 CT 1 2012 4 19 CT CT Fig. 1 2 54 CT Fig. 2 71 静 脈 学 Table 1 Patient characteristics
rectomy as the subjects of study, urinary steroid hormones were measured, and simultaneously the enzyme work and enzyme pattern related to the steroid metabolism, as proposed by Yoshida of our laboratory,
Fine needle aspiration cytology in gynecologic malignancy Nao KINO1), M. D., Masaki FUJIMURA1), M. D., M. I. A. C., Takako SHIRAI1), M. D., M. I. A. C
Fine needle aspiration cytology in gynecologic malignancy Nao KINO1), M. D., Masaki FUJIMURA1), M. D., M. I. A. C., Takako SHIRAI1), M. D., M. I. A. C., Michiko TAKAHASHI1), M. D., M. I. A. C., Katsutoshi
脈管学55巻11号 pp
Online publication December 10, 2015 191 原 著 55 21 1 2 2 1 2 2 2 2 1 要旨 : 8 21 19 2 4 1 20 SMA short segment J Jpn Coll Angiol 2015; 55: 191 196 Key words: superior mesenteric artery, dissection, conservative
日本職業・災害医学会会誌第54巻第6号
Reprint request: A CASE OF PRESENTED VARIOUS FUNCTIONAL DISTURBANCES AFTER AN INJURY Taketoshi NOGAKI, Nobusuke HOUCHI, Tomoko SUGIUCHI, Naohiko WATANABE and Hiroyuki ZUSHO Department of Otolaryngology,
Table 1 Laboratory findings on admission Figure 2. Clinical course after admission 1-a 1-b 1-c 3-a 3-b 3-c Figure 1. CT findings on first admission: S
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF Vol. 32, pp. 105 110, 2004 FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF 1 1 1 1 1 1 1 1 2 2 1 1 16 4 13 72 CRP
; cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml Mφ 6 7, 8 9
32, 21-25, 2012 CASLE 1 1 80 26 6 5 4 cm 1 2 CEA 3 4 CEA 2 44 22 2 3 1.5 cm 22 1. 1 ; 6 5 4 cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml 0-40 5 Mφ 6 7, 8 9 23 6. ; 9. ; 7. ; 10. ; 8. 7 10 CK3 CK3 24 1,2 3 2 8% 4,5
Gastroenterol. Endosc. 30 : 2191 `2196, 1988 Tohru KAJIYAMA Differential diagnosis of submucosal tumor of the stomach by endoscopic ultrasonography.
Gastroenterol. Endosc. 30 : 2191 `2196, 1988 Tohru KAJIYAMA Differential diagnosis of submucosal tumor of the stomach by endoscopic ultrasonography. 2192原 著 Table 1 Classification of EUS Echo 梶 山 Level.
Fig.1 Case 1,E.H.Clinical Course of Campylobacter Meningitis Table 1 Case 1.E.H.
Key words: Campylobacter fetus,meningitis Fig.1 Case 1,E.H.Clinical Course of Campylobacter Meningitis Table 1 Case 1.E.H. 273 昭 和61年3月20日 Table 2 Case 2.T.N. Fig.3 Case2,T.N.Clinical Campylobacter Fig.2
日本職業・災害医学会会誌第51巻第1号
内野ら 下腿骨骨折におけるハイブリッド創外固定器の有用性 31 図 2 軟部組織損傷程度と機能成績 Gustilo IIIB 以上の開放骨折では Gustilo IIIA 以下の開放骨折 及び皮下骨折よりも明らかに機能低下が認められた 図 1 年齢と機能成績 60 歳未満の若年者の方が明らかに良好な成績を示した a b c 図 3 a Gustilo Type IIIB b, c AO 分類 Type
Pitted Keratolysis
655-662 Pitted Keratolysis Fig. 1 Histology of Case 1 (H & E) Pit is confined to stratum corneum. Fig. 2 High Power Magnification of Fig. 1 Microorganisms are seen at superficial layer. Fig. 3 PAS-positive
03_学術.indd
Arts and Sciences CT Approach to the incidental discovery of early-stage breast cancer on a chest CT 33393 Key words: Breast cancer. CT. Mammography Abstract Recently, we have treated two patients in our
1) Tatelman M: The angiographic evaluation of cerebral arteriosclerosis. Radiology 70: 801-810, 1958. 2) Elkeles A: A comparative study of calcified 8) Limpert JD, Vogelzang RL, Yao JST: Computed tomography
Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic c
Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic clinic, Department of Ophthalmology, (Director: Prof
2012 Vol. 23 No pseudothrombophlebitis pseudothrombophlebitis
pseudothrombophlebitis 5 424 163 38.1 26 6.1 5 1.2 230 2 3 66.4 51 80 2 3 2 2 1 2012 23 3 261-265 pseudothrombophlebitis 1 2011 7 11 30 2010 2 5 47 Fig. 1 Ultrasonography showed a low echoic cyst in the
CT 5 HE PSA PAP 6 1 1
45 2140 145 2006 70 PSA 33.32 ng/ml Gleason score 5+4=9 MRIcT4N1M1b 4 PSA 1 4 PSAPAP 1 11.9 1 1.9-70 PSA33.32 ng/ml Gleason score 5+4=9 2006 5 10 570-8540 5-55 1 MRI2 3 ct4n1m1b 4 PSA NSAIDs 11 4 37.4
24
24 1) Hales M, Resenau W, Okerlund MD, et al: Carcinoma of the thyroid with a mixed medul lary and follicular pattern: morphologic, im munohistochemical, and clinical laboratory studies. Cancer 50: 1352-1359,
Toshiya CHIHARA,M.D. and Takakazu SHIBATA, M.D.
Toshiya CHIHARA,M.D. and Takakazu SHIBATA, M.D. Fig. 1 Clinical Appearrance on the Head and Face of Case 1 on the First Arrival Fig. 2 Clinical Appearrance on the Shoulder and Arm of Case 1 on the First
Ⅱ Hb 4.1g/dl S LST G S ESD 10 S S 4 4 S D mL tub1 muc SS ly0 v0 PM0 DM0 N0 0/27 S tub1 tub2 SS
92 183 188 2016 1 1,2) 1) 1) 1) 1) 1) 3) 1) 2016 2 1 2016 3 11 84 S 2011 10 S 30 40 2 tub1 muc SS ly0 v0 PM0 DM0 N0 0/27 S 30 30 2 tub1 tub2 SS ly0 v0 PM0 DM0 N0 0/19 stage tub1 M ly0 v0 HM0 VM0 stage
VOL.42 S-1
CHEMOTHERAPY APR. 1994 VOL.42 S-1 CHEMOTHERAPY APR. 1994 Table 1. Criteria for evaluation of clinical efficacy by the Japanese Society of Oral and Maxillo-Facial Surgeons Grades of symptoms and numerical
Metastatic Carcinoma of the Sigmoid Colon to the Thyroid Gland Yuhei SHIBUTANI 1), Daisuke INOUE 1), Toshihiko YOKOTA 2), Jyoji OKUDA3) and Toru MORI3
Metastatic Carcinoma of the Sigmoid Colon to the Thyroid Gland Yuhei SHIBUTANI 1), Daisuke INOUE 1), Toshihiko YOKOTA 2), Jyoji OKUDA3) and Toru MORI3) 1) Department of Internal Medicine, Hyogo Prefectural
Web Stamps 96 KJ Stamps Web Vol 8, No 1, 2004
The Journal of the Japan Academy of Nursing Administration and Policies Vol 8, No 1, pp 43 _ 57, 2004 The Literature Review of the Japanese Nurses Job Satisfaction Research Which the Stamps-Ozaki Scale
Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi
Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi Shinomiya and Tetsuo Kanno Department of Neurosurgery,
Table 1. Numbers of Cancerous Pleurisy Cases According to Primary Site Table 2. Histological Type of Lung Carcinoma with Cancerous Pleurisy at Autopsy
Clinicopathological Studies on Cancerous Pleurisy, with Emphasis on Extra-Pulmonary Malignancy Table 1. Numbers of Cancerous Pleurisy Cases According to Primary Site Table 2. Histological Type of Lung
理学療法検査技術習得に向けた客観的臨床能力試験(OSCE)の試行
An Application of an Objective Structured Clinical Examination for Learning Skills in Assessment of Physical Therapy A Task Involving Measurements on the Range of Motion Test Chikako Fujita1) Hiroyasu
16_.....E...._.I.v2006
55 1 18 Bull. Nara Univ. Educ., Vol. 55, No.1 (Cult. & Soc.), 2006 165 2002 * 18 Collaboration Between a School Athletic Club and a Community Sports Club A Case Study of SOLESTRELLA NARA 2002 Rie TAKAMURA
1) Delbet P: Retrocissement du choledoque. Cholecysto-duodenostomie. Bull Mem Soc Nat Chir 50: 1144-1146, 1924 2) Wiesner RH, LaRusso NF: Clinicopathologic Features of the Syndrome of Primary Sclerosing
Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery
Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery, Osaka Kosei-Nenkin Hospital K. Izawa and S. Wakitani
05_藤田先生_責
This report shows innovation of competency of our faculty of social welfare. The aim of evaluation competency is improvement in the Social welfare education effects, by understanding of studentʼs development
Osamu NEMOTO, M.D. Clinical and Bacteriological Research of Sucrose/ Povidone-Iodine Ointment (U-PASTA kowa) for Pressure Sores and Skin Ulcers Osamu Nemoto Department of Dermatology,Tonan Hosptal
The Eevaluation One Bottle Type Silane Coupling Agents Masahiro Aida, Hideo Kanaya, Taira Kobayashi, Keiji Utsugizaki, Yoshizumi Murata, Tohru Hayakaw
The Eevaluation One Bottle Type Silane Coupling Agents Masahiro Aida, Hideo Kanaya, Taira Kobayashi, Keiji Utsugizaki, Yoshizumi Murata, Tohru Hayakawa* and Kozo Horie* Abstract: Here is investigated the
日本消化器外科学会雑誌第31巻第7号
Key words: obstructive jaundice, biliary drainage, bile refeeding, hepatectomy Fig. 1 Animal models a: experiment I b: experiment 2 silicon tube Fig. 2 Experimantal design Sham Ope J - l r bile duct Zweeks
名称未設定-1
Study on Clinical Factors Affecting the Fungal Culture Test - Relevance of Dry Mouth - Yoshiko YAMAMURA, Yukihiro MOMOTA, Hideyuki TAKANO, Koichi KANI, Katsumi MOTEGI, Fumihiro MATSUMOTO, Masayuki AZUMA
48-3 ‰{”R†i74-84†j
Metallic Stents in the Gastrointestinal Tract Shiro Miyayama, M.D., Tetsuya Komatsu, M.D., Keiichi Taki, M.D., Tetsuya Minami, M.D., Chiharu Ito, M.D., Rieko Shinmura, M.D., Shigeyuki Takamatsu, M.D.,
88(88) 日呼 外 会誌 chondromyxoid 瘍 の1彩 fibromaの 以 下 と比 較 的 稀 で,男 に 多 く,30歳 図5 切 図6 病 理 組 織像 発 生 頻 度 は 全 骨腫 女 比 はや や 男性 ま で の 若 年 者 に 多 く見 ら れ る3-7). 除 標 第3巻1号 (平成 元 年3.月) 本 発 生 部位 と して は長 幹 骨 の 末 端 に 発生 す
日本消化器外科学会雑誌第29巻第9号
Table 1 Oligonucleotide primers used for RT-PCR and internal probes used for Southern blot hybridization Cytokine Primer Sequence (5'-3') 5' 3' Internal probe s' 3' Internal probe 5' 3' Internal probe
Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly notified cases of all fo
Kekkaku Vol. 79, No. 1: 17-24, 2004 17 (Received 21 Aug. 2003/Accepted 18 Nov. 2003) Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly
1) Wante AL, Trevino E: Diagnostic features of mucocele of the appendix. Arch Surg 84: 516-524, 1962 2) Aho Aj, Heinonen R, Lauren P: Benign and malignant mucocele of the appendix: His tological types
DISTRIBUTION OF NEUROPEPTIDES IN THE INFERIOR NASAL TURBINATE MUCOSA OF PATIENTS WITH ALLERGIC RHINITIS KAZUHIRO YAMAMOTO. M.D. Department of Otolaryngology, School of Medicine, Kitasato University, Sagamihara
CHEMOTHERAPY APRIL 1992 Table 2. Concentration of meropenem in human prostatic fluid Table 1. Background of 21 chronic complicated UTI cases * NB + BPH, NB + Kidney tumor, NB + Kidney tuberculosis Table
Unknown
Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.3, No.3 July 2014 Original Article Clinical significance of classification of mixed-pattern tumor by breast ultrasound...
The vaginal smears obtained from a 63-year-old woman revealed malignant features such as hyperchromasia, coarse gnanular chromatin and enlarge- ment of N/C ratio. Tadpole and fiber shaped malignant cells
Original Article Abstract Key words
Original Article Abstract Key words Original Article Abstract Key words Case Report Abstract Mycobacterium tuberculosis Key words Field Activities Abstract Key words The 78th Annual Meeting Special Lecture
外来化学療法を受けるがん患者のケアプログラム試案の作成 患者の困難や苦悩とニーズに焦点を当てて 1 2 2 Abstract A purpose of this study is to develop the tentative care program of cancer out-patients undergoing chemotherapy. We did the literature reviews
TUBERCULOSIS OF THE PENIS : REPORT OF A CASE AND REVIEW OF THE LITERATURE Katsumi TANIKAWA, Kazuo MATSUSHITA and Masaaki OHKOSHI From the Department o
Title 陰茎結核の 1 例 Author(s) 谷川, 克己 ; 松下, 一男 ; 大越, 正秋 Citation 泌尿器科紀要 (1985), 31(6): 1065-1070 Issue Date 1985-06 URL http://hdl.handle.net/2433/118504 Right Type Departmental Bulletin Paper Textversion publisher
181 平成9年3月 Table A 1. Laboratory findings on admission C B 1A, B, C. Double contrast esophagogram performed in Sept (A), on admission (B), 3 mon
A case of esophageal intramural pseudodiverticulosis complicated with primary biliary cirrhosis and mixed connective tissue disease. Yasutaka IGUCHI, Kenji OHMOTO, Norikuni SHIBATA, Ichiro MIYAKE, Seiichi
t Uhlenhaut NH, Jakob S,Anlag K, et al. Somatic sex reprogramming of adult ovaries to testes by FOXL2 ablation. Cell. 2009;139(6): ll3o-42. 2 Chalvardjian A, Scully RE. Sclerosing stromal tumors of
顔面神経麻痺を来したMPO―ANCA 陽性の中耳炎２症例
11367 : MPOANCA MPO ANCA MPOANCA 134EU MPO ANCA 67EU MPOANCA ANCA : MPOANCAANCA antineutrophil cytoplasmic antibody ; ANCA Davies IgG ANCA PR3proteinase3ANCA MPOmyeloperoxidaseANCA Wegener PR3ANCA MPO
indd
24 61 1 2011 調査 研究 1 2 1 1 2 4 1 3 4 1 2 1 2 1 2 1 2 2 1 1 2 3 4 2010 11 11 2011 1 7 Infection Control in an Endoscopy Room Multi - society Guideline and Current Status at Fukushima Medical University
Fig. 1 Chemical structure of TE-031 Code number: TE-031 Chemical name: (-) (3R, 4S, 5S, 6R, 7R, 9R, 11R, 12R, 13S, 14R)-4-[(2, 6-dideoxy-3-C-methyl-3-
Fig. 1 Chemical structure of TE-031 Code number: TE-031 Chemical name: (-) (3R, 4S, 5S, 6R, 7R, 9R, 11R, 12R, 13S, 14R)-4-[(2, 6-dideoxy-3-C-methyl-3-O-methyl-a-L-ribo-hexopyranosyl) oxy]-14-ethyl-12,
原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 要旨 Gy Key words はじめに 1 70Gy 2 2 QOL
原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 1 2 1 2 要旨 2011 1 2013 9 33 0 1 6 16 17 60Gy Key words はじめに 1 70Gy 2 2 QOL 3 4 2014 6 16 2015 4 17 連絡先 359 0042 3 2 Phone 04 2995 1511 Fax 04 2995 0633
29 33 58 2005 1970 1997 2002, pp.3-8 2001 2002 2005b 2000 pp.137-146 2005c 7 34 Ma and Cartier eds. 2003 1970 1980 1979 2002 2000 1) 1980 1990 1991 1993 1995 1998 1994 1993 20031972 2003 2005 1997 2005a
Fig. 1 A: Effects of intramuscular injection of glucagon on the blood glucose levels (changes from basal, ƒ BG) as compared with effects of scopolamin
Fig. 1 A: Effects of intramuscular injection of glucagon on the blood glucose levels (changes from basal, ƒ BG) as compared with effects of scopolamine butylbromide during upper gastrointestinal endoscopy.
53 (763) Fig. 4 Resected tumor specimen. Fig. 1 Lateral view of chest X-ray film showing a tumor shadow in the right anterior chest wall. Fig. 5 Micro
52 (762) osteosarcoma, rib, chest wall tumor, adjuvant chemotherapy 53 (763) Fig. 4 Resected tumor specimen. Fig. 1 Lateral view of chest X-ray film showing a tumor shadow in the right anterior chest wall.
日本消化器外科学会雑誌第25巻第12号
Key words: poorly differentiated gastric carcinoma, medullary gowth pattern, Grimelius staining, immunohistochemistry, c-erbb-2 Fig. 2 Acinar type tumors. Several neoplastic cells aggregated and formed
6 1Bulletin of Tokyo University and Graduate School of Social Welfarepp73-86 2015, 10 372-0831 2020-1 2015 5 29 2015 7 9 : : : 1 A B C D E 4 A B A B A B A ] AB C D E 4 8 73 17 2 22 750 1 2 26 2 16 17 32
Gastroenterol Endosc 1997 ; 39 : 2272-78. Toru HIYAMA A Case of Primary Gastric T-cell Malignant Lymphoma. 2274 ガド伊1 日li亨 ほ カ πol.39(11i,n{ v.1997 ab Figure2a,blEndoscopicfindingof1.hestomachshowsanirregu且arexcavatedlesionwith
前頭蓋底の再建術式の標準化と外傷への応用
52 4 226 234 2009 watertight watertight 53 5 temporal musculo pericranial flap frontal musculo pericranial flap 1984 5 5 60 1 2 3 2 8 38 226 52 4 1 2/3 1 2 3 50 905 912 2007 7 3 1 A B C 2 loose areolar
ON A FEW INFLUENCES OF THE DENTAL CARIES IN THE ELEMENTARY SCHOOL PUPIL BY Teruko KASAKURA, Naonobu IWAI, Sachio TAKADA Department of Hygiene, Nippon Dental College (Director: Prof. T. Niwa) The relationship
mm mm , ,000 Fig. 1 Locality map of the investigation area NE SW Fi
5 Report on the Landslide Disaster in the Upper Part of the Abukuma River, Fukushima Prefecture, Due to Heavy Rainfall in August 1998 By Takashi INOKUCHI National Research Institute for Earth Science and
Mechanism of painful breast induced by cold stimulus Yoshinori ITOH (Nagoya) Dept. of Physiol., Nagoya Univ, Sch, of Med., Nagoya, Japan Abstract Cold colic pain response was first mentioned in Kinkiyoryaku,
日本職業・災害医学会会誌第51巻第5号
Reprint request: TREATMENT FOR CALCANEAL FRACTURE Yumiko ISHIBASHI, Hiroshi HIEDA, Katsuya KANESAKI, Takashi TAMAKI, Yoshimasa HIRAI, Tojiro YANAGI and Yoshifumi KUNO Department of Orthopedic Surgery,
2 10 The Bulletin of Meiji University of Integrative Medicine 1,2 II 1 Web PubMed elbow pain baseball elbow little leaguer s elbow acupun
10 1-14 2014 1 2 3 4 2 1 2 3 4 Web PubMed elbow pain baseball elbow little leaguer s elbow acupuncture electric acupuncture 2003 2012 10 39 32 Web PubMed Key words growth stage elbow pain baseball elbow
Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood
Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood Fig.1 Distribution of the cases with bacterial meningitis by age and pathogens Chiba