|
|
|
- ありおき つちた
- 5 years ago
- Views:
Transcription
1 LATE COMPLICATIONS FOLLOWING IRRADIATION FOR ESOPHAGEAL CANCER \ ANALYSIS ON 5-YEAR SURVIVORS \ Masashi TSUMURA*1, Mari TASHIRO*1, Keiko HIROKAWA*1, Yoshie TAKADA*1, Mariko SAKASHITA*1, Takuhito TADA*1, Toshiyuki NISHITA*1, Toshifumi NAKAJIMA*1, Yasuto ONOYAMA*2, Haruyuki FUKUDA*1 (Received 13 February 1995, accepted 23 June 1995) Abstract Severity and frequency of late complications were investigated in long-surviving patients who had received radiotherapy for esophageal cancer from 1980 to Ten patients who had survived more than 5 years were studied. Pathologically, squamous cell carcinoma was demonstrated in all 10 patients, which involved 8 males and 2 females aged 51 to 86 years (average, 69). The exposure dose was 70 Gy/35-38fr/7-7.5w in patients with external irradiation alone and Gy/27-32fr/ w externally and 6-16Gy/2-5fr/2-3w internally in patients with external and intracavitary irradiation. Stenosis appeared from 4 to 40 months after radiotherapy in 9 of the 10 patients, and 2 patients developed fistulas. There were 4 patients with serious complications requiring surgical treatment (severe stenosis in 3 patients and fistula with lung abscess in 1 patient). For patients treated with external and intracavitary brachytherapy, the severity of late complications increased when the total dose including both external and intracavitary irradiation exceeded 70Gy. Determining an appropriate therapeutic dose for esophageal cancer is extremely difficult, and a strict, long-term follow-up procedure must be performed along with appropriate treatment. Key words: Esophageal cancer, Radiotherapy, Late complication Department of Radiology, Osaka City University Medical School (1-5-7 Asahimachi Abeno-ku, Osaka, 545 JAPAN)
2
3 Table 1. Patients characteristics *Guide Lines for the Clinical and Pathological Studies on carcinoma of the Esophagus,March 1992 (8th edition) **Grade 0: no symptom and no radiologic abnomality, 1: minor symptom requiring non-surgical management 2: major symptom requiring surgical management, 3: life threatening status ***Intracavitary irradiation for recurrence 15 months after the initial treatment Table2. Serious complications and outcome Do: death from other disease, DoD: direct operative death, NED: no evidence of disease
4 津村 昌 他 284 を認 め 再 発 が 強 く疑 わ れ た(Fig.1 left)が 内 視 鏡, 生 検 で は 悪 性 所 見 は な く,経 過 観 察 と な っ た.81 か 月 後 の 透 視 で,造 影 剤 の 肺 野 へ の 大量 の 漏 出 を 認 め た(Fig.1right).食 道 切 除 と左 下肺 切 除 が 行 われ 経 過 は順 調 で あ っ た が,術 した.病 後3週 目 に突 然 死 理 組 織 学 的 に はsn1ま で の 組 織 欠 損 と, 新 鮮 な肉 芽 と古 い 肉 芽 組 織 が 認 め られ た が 腫 瘍 細 胞 は全 く認 め な か っ た.症 例6は8か 月 で 通 過 障 害 が 生 じ,24か 月で 摂 食 不 可 と な っ た ため 胃瘻 造 設 した.症 例7で は36か 月 後 よ り狭 窄 が 強 くな り60 か 月後 に 食道 抜 去,胃 管 に よ る再 建 を行 っ た.狭 窄 部 の病 理 組 織 は 粘 膜 下に 高 度 の線 維 性 肥 厚 を 呈 し,上 皮 の 異 型 性 が 高 度 に み ら れ た のみ で 腫 瘍 細 胞 は存 在 しな か っ た. 外 照 射 量 と腔 内 照 射 の線 量 に よ る障 害 の 程 度 を グラ フ に 示 した(Fig.2),症 例4は 局 所 再 発 例 の 腔 内照 射 再 施 行 例 の 為除 外 し た.症 例 数が 少 な く有 意差 は な い が 外 照 射 単独 群 に比 し,腔 内 照 射 例 で は障 害 が 強 くな る傾 向 に あ っ た.ま た腔 内 照 射 例 で は 外 照 射 量 と腔 内 照 射 線 量 の 合 計 が70Gyを 超 え る と障 害 が 強 くな る傾 向 で あ った. 考 案 Fig. I. 59-year-old female (case 5) (left) Esophagography 70months after radiotherapy: a fistula formation (arrow). (right) 食道 癌 放 射 線 治 療 後 の 合 併 症 と して の 放 射 線 脊 81months after to the lung. radiotherapy:penetration 髄 炎,心 膜 炎,放 射 線 肺 炎 な ど は,外 照 射 技 術 の 向 上,CTシ ミュ レー タ な ど の 利 用 に よ る治 療 計 画 の 精度 向 上,さ N=9 らに腔 内 照 射 の併 用 な ど に に よ り減 っ て い る1個')し か し長期 生 存 例 が 増 加 す る につ れ,治 療 後 あ る程 度 の 期 間 の後 に 生 じ る高 度 grade O-1 の狭 窄 や瘻 孔 な どの 外 科 的 処 置 が必 要 とな る 重篤 grade 2-3 な 合併 症 は 今 だ に 問題 とな る こ とが 多い5)-7). 放 射 線 治 療 にお い て照 射 線 量 が 多 くな れ ば 合併 症 の頻 度 お よ び程 度 は 高 くな る が,食 道癌 の 放 射 線 治 療 で は そ の 至適 線 量 の 幅 は非 常 に 狭 い もの と 思 わ れ る.外 照 射 単独 の 至 適 線 量に つ い て は,お お む ね7(IGy程 度 の線 量 の 報 告 が 多 い12)13.一 方, 障害 につ い て は,脊 髄 の 耐 容量 や範 囲,.回 は 照射 す る部 位 線 量 な ど に に 依 存 す る と言 わ れ る が 臨床 的 に は50Gy/25fr/5w程 度 と され,通 常 の 分 割 照 射 で50Gyで は 脊髄 炎が 生 じる 可能性 は少 ない1415). 多 分割 照 射 に よ り晩 発 障 害 と して の 脊髄 炎 の 発 症 の軽 減 が 期 待 され た が,予 測 に 反 して 耐 容 線 量は Fig.2. Corelation with exposure dose and complication grade. Patient no.4 was excluded because of reirradiation for recurrence. GradeO-1: requiring non-surgical management Grade2-3: requiring surgical management or life threatning status
5
6 4) Lepke, R. A. and Libshitz, H. I.: Radiation-Induced Injury of the Esophagus. Radiology. 148: , ) Hyden, E. C., Langholz, B., Tilden, T. et al.: External beam and intraluminal radiotherapy in the treatment of carcinoma of the esophagus. J. Thorac Cardiovasc Surg. 96: , ) Hishikawa, Y., Tanaka, S. and Miura, T.: Esophageal Fistula Associated with Intracavitary Irradiation for Esophageal Carcinoma. Radiology. 159: , ) Hishikawa, Y., Kamikonya, N., Tanaka, S. et al.: Esophageal Stricture Following High-Dose-Rate Intracavitary Irradiation for Esophageal Cancer. Radiology. 159: , ) Nakajima, T., Fukuda, H., Hosono, M. et al.: Intraluminal Irradiation for T2NO Esophageal Cancer: Effect of Patient Selection on Prognosis. Radiation Medicine. 10: , ) Sun, De-Ren: Ten-Year Follow-up of Esophgeal Cancer Treated by Radical Radiation Therapy: Analysis of 869 Patients. Int. J. Radiat. Oncol. Biol. Phys. 16: , ) Sauer, R. and Keilholz, L.: The Central Nervous System: Clinical Aspects. in Radiopathology of Organs and Tissues: ed. by Scherer, E. et al. Springer- Verlag. 1991, pp ) McCunniff, A. and Liang, M. J.: Radiation Tolerance of the Cervical Spinal Cord. Int. J. Radiat. Oncol. Biol. Phys. 16: , ) Wong, C. S., Dyk, J. V., Milosevic, M. et al.: Radiation Myelopathy following Single Courses of Radiotherapy and Retreatment. Int. J. Radiat. Oncol. Biol. Phys. 30: , ) Shrieve, D. C., Wara, W. M., Edwards, M. S. B. et al.: Hyperfractionated Radiation Therapy for Gliomas of the Brainstem in Children and in Adults. Int. J. Radiat. Oncol. Biol. Phys. 24: , ) Ang, K. K., Price, R. E., Stephens, L. C. et al.: The Tolerance of Primate Spinal Cord to Re-irradiation. Int. J. Radiat. Oncol. Biol. Phys. 25: , ) Yamada, S., Kakuto, Y., Sakamoto, K. et al.: An Analysis of Autopsied Esophageal Carcinoma Treated with Irradiation. J. Jpn. Soc. Ther. Radiol. Oncol. 6: 21-27, 1994.
7 38: , ) Tsujii, H., Tsuji, H., Inada, T. et al.: Clinical Results of Fractionated Proton Therapy. Int. J. Radiat. Oncol. Biol. Phys. 25: 49-60, ) Nag, S., Abitbol, A. A., Anderson, L. L. et al.: Consensus Guideline for High Dose Rate Remote Brachytherapy in Cervical, Endometrial, and Endobronchial Tumors. Int. J. Radiat. Oncol. Biol. Phys. 27: , ) Marinello, G., Pierquin, B., Grimard, L. et al.: Dosimetry of Intraluminal Brachytherapy. Radiother. Oncol. 23: , ) Taub, S., Rodan, B. A., Bean, W. J. et al.: Balloon Dilatation of Esophageal Strictures. Am. J. Gastroenterol. 81: 14-18, ) Song, H. Y., Choi, K. C., Kwon, H. C. et al.: Esophageal Strictures: Treatment with a New Design of Modified Gianturco Stent. Radiology. 184: , ) Coia, L. R., Myerson, R. J. and Tepper, J. E.: Late Effects of Radiation Therapy on the Gastrointestinal Tract. Int. J. Radiat. Oncol. Biol. Phys. 31: , 1995.
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
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.,
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
ANALYSIS OF RADIOTHERAPY FOR LUMBOSACRAL CARCINOMATOUS NEUROPATHY Masatoshi TANIGUCHI, Yuko KANEYASU, Kumiko KARASAWA, Noboru FUKUHARA Makiko TANAKA,
ANALYSIS OF RADIOTHERAPY FOR LUMBOSACRAL CARCINOMATOUS NEUROPATHY Masatoshi TANIGUCHI, Yuko KANEYASU, Kumiko KARASAWA, Noboru FUKUHARA Makiko TANAKA, Midori KITA-Okawa, Tomohiko OKAWA (Received 8 December
05_学術.indd
Arts and Sciences IMRT Optimal bladder volume in IMRT planning for prostate cancer 36076 51710 55385 46169 29333 Key words: Prostate cancer, IMRT, 3D-CRT, Treatment planning, Bladder volume summary As
1_2.eps
第32回 日本頭頸部癌学会ランチョンセミナー6 Pre-Meeting Abstract FDG-PET の頭頸部癌における臨床的有用性 司会 長 放射線治療センター長 講演 1 耳鼻咽喉科 部長 講演 2 PETセンター長 岡村 光英 先生 日時 2008年6月13日 金 12:00 13:00 会場 ハイアットリージェンシー東京 共催 第32回 日本頭頸部癌学会 日本メジフィジックス株式会社 136-0075
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
Survey of the Incidence of Dry Cough Caused by ACE Inhibitors MOTOHIRO YAGI*, MIKIO SAITO, MANABU ABE and KATSUJI UNO Pharmacy, Suibarago Hospital õ Received October 24, 1996 Accepted September 3, 1997
untitled
260 250 200 150 10 100 50 0 1960 1965 1970 1975 1980 1985 1985 1995 2000 2005 25% 56% 66% 60% 90 80 70 60 50 40 30 20 10 0 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 4 1999 1990 2003 2005 2010 500,000 70,000 100,000
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
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
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
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
The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursi
The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursing Professionals for Diabetic Outpatients Not Using
Fig. 1 Method of SRCA Table 1 Drug dose and treatment schedule in SRCA Table 2 Results of SRCA for renal cell carcinomas * Histological grading of the
SUBRENAL CAPSULE ASSAY FOR CHEMOSENSITIVITY TEST OF URINARY TRUCT CANCERS Jun Hasegawa, Yoshio Yamanaka, Kezutaka Horiuchi and Masao Akimoto Department of Urology, Nippon Medical School (Director: Prof.
Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Sh
Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Shoulder by HATA Yukihiko MURAKAMI Narumichi Department
1) University Group Diabetes Program: A study of hypoglycemic agents on vascular complica- in patients with adult-onset tions diabetes. I. Design, methods and baseline results. Diabetes 19 (suppl. 2):
Arthrodesis of the Carpometacarpal Joint of the Thumb by Umeo NISHIKAWA, Tetsuya NISHIKOORI Naotaka SHU and Hayato HIROTANI Department of Orthopaedics
Arthrodesis of the Carpometacarpal Joint of the Thumb by Umeo NISHIKAWA, Tetsuya NISHIKOORI Naotaka SHU and Hayato HIROTANI Department of Orthopaedics Shimane Medical School Shimane Japan We performed
2 The Bulletin of Meiji University of Integrative Medicine 3, Yamashita 10 11
1-122013 1 2 1 2 20 2,000 2009 12 1 2 1,362 68.1 2009 1 1 9.5 1 2.2 3.6 0.82.9 1.0 0.2 2 4 3 1 2 4 3 Key words acupuncture and moxibustion Treatment with acupuncture, moxibustion and Anma-Massage-Shiatsu
Key words: disinfectant, amphoteric surfactant, ethanol, Mycobacterium tuberculosis Table 1 Bactericidal effects of cresol soap and an amphoteric surfactant (ADG) against M. tuberculosis H37Rv : The numbers
The clinical characteristics of Mycoplasma pneumoniae pneumonia in children younger than 6 years old Nobue Takeda1,2),Tomomichi Kurosaki1),Naruhiko Ishiwada2),Yoichi Kohno2) 1)Department of Pediatrics,Chiba
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
52-2.indb
Jpn. J. Health Phys., 52 (2) 55 60 (2017) DOI: 10.5453/jhps.52.55 * 1 * 2 * 2 * 3 * 3 2016 10 28 2017 3 8 Enhancement of Knowledge on Radiation Risk Yukihiko KASAI,* 1 Hiromi KUDO,* 2 Masahiro HOSODA,*
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
医科的 に診 た外歯瘻 図1 症 例1:右 鼻翼 基 部の瘻 孔 図2 凝 血が付着 して いる 症 例1:初 耳 展 図3 症 例1:抜 歯 後4 50: 1 日 治癒 してい る 右上 犬歯 歯 肉 の発赤 腫 脹 が 見 ら れ る 図4 症 例2:初 図5 頬 部皮 膚の 浸潤 性 発 赤腫 脹 が 見 症 例2:蜂 窩 織 炎 の 所 見 を示 図6 症 例2:初 診 か ら10日 後 に瘻
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
Title 外傷性脊髄損傷患者の泌尿器科学的研究第 3 報 : 上部尿路のレ線学的研究並びに腎機能について Author(s) 伊藤, 順勉 Citation 泌尿器科紀要 (1965), 11(4): Issue Date URL
Title 外傷性脊髄損傷患者の泌尿器科学的研究第 3 報 : 上部尿路のレ線学的研究並びに腎機能について Author(s) 伊藤, 順勉 Citation 泌尿器科紀要 (1965), 11(4): 278-291 Issue Date 1965-04 URL http://hdl.handle.net/2433/112732 Right Type Departmental Bulletin Paper
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
untitled
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Int J Radiat Oncol Biol Phys 49 Cancer 101 Int J Radiat Oncol Biol Phys 60 Chest 124 Int J Radiat Oncol Biol Phys 56 Int J Radiat Oncol Biol Phys 49 Chest 124 Int J
Among 83 patients who had undergone the operation for intermittent exotropia, 15 patients had esotropia persisting longer than one month after the ope
Among 83 patients who had undergone the operation for intermittent exotropia, 15 patients had esotropia persisting longer than one month after the operation. We followed up these 15 patients and analyzed
４ ぼうこう又は直腸機能障害
第 9 章 ぼうこう 又 は 直 腸 機 能 障 害 第 1 障 害 程 度 等 級 表 解 説 1 等 級 表 1 級 に 該 当 する 障 害 は 次 のいずれかに 該 当 し かつ 自 己 の 身 辺 の 日 常 生 活 活 動 が 極 度 に 制 限 されるものをいう (1) 腸 管 のストマに 尿 路 変 向 ( 更 )のストマを 併 せもち かつ いずれかのス トマにおいて 排 便 排
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
_’£”R‡Ù‡©
29 31 38 2008 31 1) 2) 2) 3) 2) 1) 2008 302008 12 Activities of Daily Living ADL ADL 42 ADL ADL 1990 QOL Quality of Life QOL 1 QOL // 2 Activity of Daily Living ADL Performance Status PS ADL 3 1) 2) 3)
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
MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO
乳がん患者の放射線皮膚炎に対するスキンケアの指導の実際 がん放射線療法看護認定看護師とがん放射線治療に携わる看護師との比較 Educating practice of skin care for radiodermatitis of breast cancer patients: Comparison of the nurses with certified nurse in radiation therapy
36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: , 要旨 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visi
36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: 378 384, 2014 1 2 要旨 1999 2012 10 31 29 26 80 30 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visit time, chronological change はじめに 4 12 23 27 1 Japan
semen quality or those without WBC in semen. In the patients with azoospermia and normal FSH levels (normogonadotropic azzospermia), the antibody (IgG
CLINICAL STUDIES OF UROGENITAL INFECTIONS WITH CHLAMYDIA TRACHOMA TIS Report 2. The Epidemiology of Chlamydial Infections in Okayama District in Japan and Detection of Antibodies to Chlamydiae in the Sera
CHEMOTHERAPY JUN Citrobacter freundii 27, Enterobacter aerogenes 26, Enterobacter cloacae 27, Proteus rettgeri 7, Proteus inconstans 20, Proteus
VOL. 32 S-4 CHEMOTHERAPY Fig. 1 Chemical structure of sodium cefoperazone Fig. 2 Chemical structure of sodium cefoperazone CHEMOTHERAPY JUN. 1984 Citrobacter freundii 27, Enterobacter aerogenes 26, Enterobacter
Key words: E. coli O 157: H7, fosfomycin, verotoxin, mouse infection
Key words: E. coli O 157: H7, fosfomycin, verotoxin, mouse infection Table 1. Bacterial cell counts in feces of mice infected with Esclwrichia coli O 157: H7 NK2 before and during oral dosing with fosfomycin
VOL.27 CHEMOT S-1 HERAPY 185 に感 性 を示 して い たが,臨 床 的 に は無 効 で あ った 本 症 る 細 菌学 的 に も検 討 した が,起 炎菌 と考 え られ る細 菌 を 例 で は 基礎 疾 患 と して縦 隔 洞腫 瘍 が あ り,既 に 副 腎
CHEMOTHERAPY Table 1 Clinical evaluation of Mezlocillin treatment against respiratory and other infectious diseases *: fever, eruption, granulocytopenia, thrombocytopenia, GOT, GPT elevation (See table
;~ (Summary) The Study on the Effects of Foot Bathing on Urination Kumiko Toyoda School of Human Nursing, University of Shiga Prefecture Background Foot bathing is one of the important nursing care for
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
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
untitled
11-19 2012 1 2 3 30 2 Key words acupuncture insulated needle cervical sympathetick trunk thermography blood flow of the nasal skin Received September 12, 2011; Accepted November 1, 2011 I 1 2 1954 3 564-0034
indd
12 61 1 2011 原著 1)2)5) 1) 1)2) 1)2)5) 1)3)5) 1)2) 1)2)5) 1)2) 1)2) 2) 2) 4) 1) 1) 2) 3) 4) 5) 2010 10 6 2010 12 6 A Comparative Study of the Effect and Discomfort Produced by Pharyngeal Anesthesia with
PROGNOSTIC FACTORS OF LATERAL WALL OROPHARYNGEAL SQUAMOUS CELL CARCINOMA TOMOHIKO NIGAURI, M.D., SHIN ETSU KAMATA, M.D., KAZUYOSHI KAWABATA, M.D. MUNE
PROGNOSTIC FACTORS OF LATERAL WALL OROPHARYNGEAL SQUAMOUS CELL CARCINOMA TOMOHIKO NIGAURI, M.D., SHIN ETSU KAMATA, M.D., KAZUYOSHI KAWABATA, M.D. MUNENAGA NAKAMIZO, M.D., KATSUFUMI HOKI, M.D., HIROKI MITANI,
CHEMOTHERAPY APR Fig. 2 The inactivation of aminoglycoside antibiotics by PC-904 Fig. 3 Serum concentration of PC-904 (1) Fig. 4 Urinary recover
VOL.26 S-2 CHEMOTHERAPY Gentamicin (GM), Dibekacin (DKB), Tobramycin Fig. 1 Protein concentration and protein binding rate Table 2 Protein binding rate of PC-904 in serum of healthy adults, and patients
スライド 1
1 2006 msv 2 2011 3 CT 2011 10mSv 10 40mSv 4 2012 217mSv 5 (CT) 2012 50 60mSv 6 2012 510mSv BRCA25 310 10mSv3% BRCA60-280% 3 5m Sv 1m Sv 12% . http://www.rea.or.jp/ire/pdf/report4.pdf 1.10 20 SMR 1.00
Table 1. Autopsied patients and tumor characteristics.
UTOPSY FINDINGS IN 40 CSES OF ESOPHGEL CNCER TRETED WITH RDITION THERPY Michitk YMKW*1, Kzumi SHIOJIM*1, Mstoshi HSEGW*1, Iwo HSHID*1, Tkeo TKHSHI*1, Ttsuy OHNO*1, Reiko IMI*1, Norio MITSUHSHI*1, Yoichi
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
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.
29 表4. 図1. 左 室 流 入 血 流 速 パ タ ー ン(パ エ コ ー 図)の 異 常 例 長期 透析 患者 の 高血圧群 と透析 時低血 圧群 に お け る心 エ コー図検 査成 績 ル ス ドプ ラ ー心 よ び低 血 圧 を伴 い,HCM様 症 例 は10例(31%)で が 高 血 圧 で あ った 両 群 で のDCMお よびHCM様 例 の 出 現 頻 度 に 差 は な か
1) Asa, S. L., et al.: Immunohistochemical localization of neuron-specific enolase in the human hypophysis and pituitary adenoma, Arch. Pathol. Lab. Med., 108: 40 `43, 1984. 2) Chi, B. H. and Kim, R. C.:
Table 1 ICHs in young adults Table 2 Five cases of undetermined etiology
Table 1 ICHs in young adults Table 2 Five cases of undetermined etiology 神 1 1. left : in the right ted MRI, callosum. parietal. right : ICH in 保 洋 之 他 ICHs 4 Ti-weighthe 1. left: rrhagic corpus infarction
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
32 1 BRONJ BRONJ II BRONJ BRONJ 4 BP BRONJ 6 1 III BP BRONJ
29 1 31 40 2014 31 Bisphosphonate related osteonecrosis of jaw; BRONJ 2008 4 2012 3 36 98 8 11 19 BRONJ 0 13 2 5 3 1 1 0 BP 4 15 10 5 α-streptococcus 0 BRONJ BRONJ BP I Paget 1 409-3898 1110 2014 1 27
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
Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL
Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date 1958-01 URL http://hdl.handle.net/2433/111559 Right Type Departmental Bulletin
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
日本消化器外科学会雑誌第23巻第2号
Key words: carcinoma of the pancreatic head, carcinoma of the periampullary region, operative results of the pancreatic duodenal carcinoma, mode of tumor spread of the pancreatic duodenal carcinoma, factors
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 Clinical findings and extent of inflammation area in female urethrocystitis Fig. 2 Classification and distribution of female patients with blad
Key words: Female with bladder irritability, Subjective symptoms, Pyuria, Bacteriuria Fig. 1 Clinical findings and extent of inflammation area in female urethrocystitis Fig. 2 Classification and distribution
肺癌第49巻第1号
1 Department of Diagnostic Pathology, Graduate School of edicine, Chiba University, Japan; 2 Department of Thoracic Surgery, Chiba Rosai Hospital, Japan; 3 Work Environment Research Group, National Institute
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
untitled
twatanab@oncoloplan.com http://www.oncoloplan.com I II - III IV Fig 3. Survival curves overall and according to response Bruzzi, P. et al. J Clin Oncol; 23:5117-5125 25 Copyright merican Society of Clinical
CHEMOTHERAPY Fig. 1 Chemical structure of CXM-AX
Fig. 1 Chemical structure of CXM-AX NOV. 1986 Fig. 2 Sensitivity distribution of clinical isolates organisms (106 cells/ml) a Smurcus 27 strains d) P.m irabilis 15 strains b Ecol i 27 strains 111.morganii
CHEMOTHERAPY aureus 0.10, Enterococcus faecalis 3.13, Escherichia coli 0.20, Klebsiella pneumoniae, Enterobacter spp., Serratia marcescens 0.78, Prote
aureus 0.10, Enterococcus faecalis 3.13, Escherichia coli 0.20, Klebsiella pneumoniae, Enterobacter spp., Serratia marcescens 0.78, Proteus mirabilis 3.13, Proteus vulgaris 1.56, Citrobacter freundii 0.39,
37 Studies on the Color Planning of Clothing The warm-cool evaluation of the skin and lipstick color and their matching Masashi KOBAYASHI Osaka Shoin
37 Studies on the Color Planning of Clothing The warm-cool evaluation of the skin and lipstick color and their matching Masashi KOBAYASHI Osaka Shoin Women's University, Osaka, Japan Abstract In this study,
Table 1 Patients with various renal function * Ccr, Creatinine clearance ml/min per 1. 48 m2 ** C.V.D., Cerebral vascular disease ; C.R F., Chronic renal failure ; H.D., Hemoclialysis ; D., Dialyzer ;
840 Geographical Review of Japan 73A-12 835-854 2000 The Mechanism of Household Reproduction in the Fishing Community on Oro Island Masakazu YAMAUCHI (Graduate Student, Tokyo University) This
Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth
Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth and Foot Breadth Akiko Yamamoto Fukuoka Women's University,
明海大学歯学雑誌 ４３‐１☆／目次（４３‐１）
94 J Meikai Dent Med 43 1, 94 100, 2014 1 1 1 1 2 1 1 2 75 2 A Case of Occlusal Discomfort Treated by Fixed Partial Denture Fabricated by Double-cast Technique Takafumi FUJITA 1, Tomoaki IIZUKA 1, Takuya
Fig. 3 59 years old, male. A case of common bile duct stone. Endoscopic picture shows that an ellipsoid stone exists in the common bile duct. Fig. 1 77 years old, female. A case of common bile duct stone.
1章A_責了.indd
Ⅰ 章 赤 血 球 系 骨 髄 増 殖 性 疾 患 A 鉄 欠 乏 性 貧 血 Q 1 病 態, 診 断, 治 療 指 針 は? l 血 鉄 図 1 鉄 の 体 内 動 態 2 A. 鉄 欠 乏 性 貧 血 表 1 鉄 摂 取 量 の 年 次 推 移 ( 一 人 一 日 あたり) 年 鉄 摂 取 量 (mg) 1975 1980 10.8 10.4 1985 10.8 1990 11.1 1995
5 月 27 日 4 子 宮 頸 癌 1 GIO: 子 宮 頸 癌 の 病 態 診 断 治 療 について 理 解 する SBO: 1. 子 宮 頸 癌 の 発 癌 のメカニズムや 発 癌 過 程 について 説 明 できる 2. 子 宮 頸 癌 および 前 癌 病 変 の 分 類 ついて 説 明 でき
日 付 時 限 内 4 月 8 日 4 婦 人 科 腫 瘍 学 総 論 GIO: 女 性 に 特 有 の 腫 瘍 疾 患 を 総 論 的 に 捉 え 理 解 する 容 SBO: 1. 生 殖 器 の 解 剖 生 殖 器 腫 瘍 の 病 理 細 胞 診 断 画 像 診 断 などについて 説 明 ができる 2. 子 宮 頸 部 悪 性 腫 瘍 の 発 癌 メカニズム( 特 にHPV) 診 断 治 療 について
Table 1.Concentration of gatifloxacin (Middle-ear) Table 2.Concentration of gatifloxacin (Paranasal sinuses) Table 3.Concentration of gatifloxacin (Tonsil) Table 4.No.of patients studied Table 5.Background
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
Microsoft PowerPoint - 検討チーム甲状腺測定work20140930b2-sent
第 8 回 事 前 対 策 等 検 討 チーム 会 合 追 加 配 布 資 料 2 小 児 甲 状 腺 被 ばく 線 量 について ( 独 ) 放 射 線 医 学 総 合 研 究 所 REMAT 医 療 室 立 崎 英 夫 1 原 子 力 災 害 対 策 本 部 原 子 力 安 全 委 員 会 による 小 児 甲 状 腺 簡 易 測 定 2 3 4 小 児 甲 状 腺 簡 易 測 定 結 果 ( 福
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,
Fig. 1 Chemical structure of DL-8280
Fig. 1 Chemical structure of DL-8280 Fig. 2 Susceptibility of cl in ical isolates to DL4280 Fig. 5 Susceptibility of clinical isolates to DL-8280 Fig. 3 Susceptibility of clinical isolates to DL-8280 Fig.
Table 1 Results of acid-fast bacilli contamination within endoscopes and endoscope washers * The species of bacteria were not clarified of other bacte
Key words: contamination, endoscope, endoscope washer, atypical mycobacteria Table 1 Results of acid-fast bacilli contamination within endoscopes and endoscope washers * The species of bacteria were not
肺癌第42巻第6号
REPORT 99 78 5.9 n59 5 8. n5 5 6 c-stage 5 c-stage IAn687.5c-STAGE IBn665c-STAGE IIAn69 7.8c-STAGE IIBn793c-STAGE IIIAn3853.6c-STAGE IIIBn395 7.6c-STAGE IVn69.9 p-stage 5 p-stage IAn79.p-STAGE IBn88 6p-STAGE
02-Preface†i5†j
Past, Present, and Future of Radiation Oncology Masahiro Hiraoka, M.D. Department of Therapeutic Radiology and Oncology, Kyoto University Graduate School of Medicine NICHIDOKU-IHO Vol. 50 No. 1 98 104
...v.q.....r .C
March Cooper Medical College Sacrament Webster March March March March Kuakini Medical Center Young Men s Buddhist Association YMCA March March March March Eriko Yamamoto, THE EVOLUTION OF AN ETHNIC
Arthroscopic Subacromial Decompression for Impingement Syndrome by E. Shimozaki, K. Kitaoka, T. Matsumoto, H. Itokawa, T. Kobayashi and K. Tomita Depa
Arthroscopic Subacromial Decompression for Impingement Syndrome by E. Shimozaki, K. Kitaoka, T. Matsumoto, H. Itokawa, T. Kobayashi and K. Tomita Department of Orthopaedic Surgery, School of Medicine,
Key words: Antibodies to Leptospira, Tokyo, Uveitis
Key words: Antibodies to Leptospira, Tokyo, Uveitis Fig. 1 Distribution of Antibody Titers in Age Decade Fig. 3 Distribution of Antibody Titers in each Strain Fig. 2 Correlation between Antibody Titers
Title 乳幼児膀胱尿管逆流症の臨床的検討 Author(s) 国方, 聖司 ; 郡, 健二郎 ; 秋山, 隆弘 Citation 泌尿器科紀要 (1991), 37(11): Issue Date URL
Title 乳幼児膀胱尿管逆流症の臨床的検討 Author(s) 国方, 聖司 ; 郡, 健二郎 ; 秋山, 隆弘 Citation 泌尿器科紀要 (1991), 37(11): 1407-1413 Issue Date 1991-11 URL http://hdl.handle.net/2433/117382 Right Type Departmental Bulletin Paper Textversion
2) Dolphin, A., Jenner, P., Marsden, C,D., Pycock, C. and Tarsy, D. : Pharmacological evidence for cerebral dopamine receptor blockade by metoclopramide in rodents, Psychopharmacologia, 41 : 133, 1975.
Title 多房性嚢胞状腎細胞癌の 1 例 Author(s) 高木, 康治 ; 金井, 茂 Citation 泌尿器科紀要 (1992), 38(5): Issue Date URL Right T
Title 多房性嚢胞状腎細胞癌の 1 例 Author(s) 高木, 康治 ; 金井, 茂 Citation 泌尿器科紀要 (1992), 38(5): 553-556 Issue Date 1992-05 URL http://hdl.handle.net/2433/117554 Right Type Departmental Bulletin Paper Textversion publisher
東洋医学雑誌
Vol.67 No.2 123-130, 2016 Akiyo GUSHI a Chihaya KORIYAMA b Ryo YOSHINAGA c Hiromi YANO c Junichi TSUMAGARI d Eiichi TAHARA c a Gushi Dermatological Clinic, 45-3 Higashiohsyoji, Satsumasendai city, Kagoshima
Title 膀胱の粘膜下腫瘍が疑われたand glandularis Cystit cysticaの1 例 Author(s) 増田, 光伸 ; 北見, 一夫 ; 千葉, 喜美男 ; 熊谷, 治巳 Citation 泌尿器科紀要 (1989), 35(3): Issue Date 1
Title 膀胱の粘膜下腫瘍が疑われたand glandularis Cystit cysticaの1 例 Author(s) 増田, 光伸 ; 北見, 一夫 ; 千葉, 喜美男 ; 熊谷, 治巳 Citation 泌尿器科紀要 (1989), 35(3): 505-508 Issue Date 1989-03 URL http://hdl.handle.net/2433/116458 Right
図 表 1 1,000 万 円 以 上 高 額 レセプト ( 平 成 25 年 度 ) 順 位 月 額 医 療 費 主 傷 病 名 順 位 月 額 医 療 費 主 傷 病 名 順 位 月 額 医 療 費 主 傷 病 名 順 位 月 額 医 療 費 主 傷 病 名 順 位 月 額 医 療 費 主 傷
平 成 25 年 度 高 額 レセプト 上 位 の 概 要 健 保 連 が 行 う 平 成 25 年 度 の 高 額 医 療 交 付 金 交 付 事 業 に 申 請 された 医 療 費 のうち 1ヵ 月 の 医 療 費 が1,000 万 円 以 上 のものは 前 年 度 比 82 件 増 (32.28% 増 )の336 件 で 過 去 最 高 となった 全 336 件 のうち 先 天 性 疾 患 が125
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
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
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
Table 1 Characteristics of the study participants in Imari municipal hospital
Key words: tuberculosis, booster phenomenon, two-step tuberculin test Table 1 Characteristics of the study participants in Imari municipal hospital Fig. 1 Frequency distributions of size of the first tuberculin
Bull. of Nippon Sport Sci. Univ. 47 (1) Devising musical expression in teaching methods for elementary music An attempt at shared teaching
Bull. of Nippon Sport Sci. Univ. 47 (1) 45 70 2017 Devising musical expression in teaching methods for elementary music An attempt at shared teaching materials for singing and arrangements for piano accompaniment
) 5 Lawton QOL 4 4 QOL Lawton 4) Philadelphia Geriatric Center Affect Rating ScaleARS ARS QOL 5) HDS R
Vol. 12 No. 2 2002 389 397 Λ1 Λ2 16 10 30 1 2 Lawton Philadelphia Geriatric Center Affect Rating ScaleARS Lawton ARS + ARS 6 2 ARS 2 12:00 15:0017:00 11:30 16:00 1 2 ARS 1 2 ARS QOL QOL QOL 1) QOL QOL
Validation of a Food Frequency Questionnaire Based on Food Groups for Estimating Individual Nutrient Intake Keiko Takahashi *', Yukio Yoshimura *', Ta
Validation of a Food Frequency Questionnaire Based on Food Groups for Estimating Individual Nutrient Intake Keiko Takahashi *', Yukio Yoshimura *', Tae Kaimoto *', Daisuke Kunii *', Tatsushi Komatsu *2
Eleven Cases of Carcinoma of the External Auditory Canal and Middle Ear Hironori Miyawaki, Katsuhiro Hirakawa, Mamoru Suzuki, Kouji Yajin and Yasuo Ha
Eleven Cases of Carcinoma of the External Auditory Canal and Middle Ear Hironori Miyawaki, Katsuhiro Hirakawa, Mamoru Suzuki, Kouji Yajin and Yasuo Harada (Hiroshima University) Takako Ohya (Tsuchiya General