岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
124 巻, 1 号
選択された号の論文の16件中1~16を表示しています
平成22年度岡山医学会賞受賞論文
総説
原著
  • 宮宗 秀明, 岩川 和秀, 稲垣 優, 木村 祐司, 西江 学, 濱野 亮輔, 徳永 尚之, 常光 洋輔, 大塚 眞哉, 岩垣 博巳
    2012 年 124 巻 1 号 p. 47-51
    発行日: 2012/04/02
    公開日: 2012/04/29
    ジャーナル 認証あり
    This study was aimed to clarify the prognostic factors in colorectal cancer patients with synchronous liver metastasis. Fifty-four patients were assessed to evaluate prognoses according to various clinico-pathological factors and therapeutic procedures. The patients' survival was significantly related to extrahepatic distant metastasis and therapeutic procedures. Regarding therapeutic procedures, the liver resection group showed significantly improved survival compared with the chemotherapy group, especially in liver metastasis Grade B. For colorectal liver metastases, it is clear that liver resection is the most effective treatment at present. Further improvement of patient prognoses is expected to be achieved by future research on combination chemotherapy.
症例報告
  • 濱野 亮輔, 稲垣 優, 木村 祐司, 磯田 健太, 北田 浩二, 西江 学, 野村 長久, 徳永 尚之, 高橋 健司, 宮宗 秀明, 常光 ...
    2012 年 124 巻 1 号 p. 53-57
    発行日: 2012/04/02
    公開日: 2012/04/29
    ジャーナル 認証あり
    A 35-year-old man was found to have a cystic mass in the pancreatic body on a routine health examination ; high serum CA19-9 was also detected. The enucleated cyst was diagnosed as a lymphoepithelial cyst (LEC). A 74-year-old man found to have a cystic mass in the pancreatic head by computer tomography as well as high serum CA19-9 was suspected of a cystic neoplasm of the pancreas (IPMN), and pylorus-preserving pancreaticoduodenectomy (PPPD) was performed. Pathologically, the cyst was found to be LEC. It is often difficult to diagnose pancreatic cyst as LEC preoperatively. Care should be taken not to do over-surgery for benign disease LEC.
  • 篠浦 先, 八木 孝仁, 貞森 裕, 松田 浩明, 楳田 祐三, 吉田 龍一, 佐藤 太佑, 内海 方嗣, 横道 直佑, 杭瀬 崇, 藤原 ...
    2012 年 124 巻 1 号 p. 59-62
    発行日: 2012/04/02
    公開日: 2012/04/29
    ジャーナル 認証あり
    We experienced a case of gastric aberrant pancreas with acute pancreatitis. The patient was a 42-year-old man. He was referred to our hospital because of epigastric pain. A CT scan and endoscopic examination revealed a gastric submucosal tumor with inflammation. His serum amylase level was high at 222 IU/l. Endoscopic ultrasonography revealed a hypoechoic mass lesion, 3 cm in diameter, at the body of his stomach. Endoscopic ultrasoundscopy-guided fine needle aspiration was performed. Pathological examination showed pancreatic tissue. So, he underwent partial gastrectomy due to gastric aberrant pancreas with pancreatitis. There are very few cases of gastric aberrant pancreas with pancreatitis on record.
  • 西崎 正彦, 藤原 康宏, 丁田 泰宏, 金澤 卓, 二宮 基樹, 藤原 俊義
    2012 年 124 巻 1 号 p. 63-66
    発行日: 2012/04/02
    公開日: 2012/04/29
    ジャーナル 認証あり
    A 59-year-old man with epigastric discomfort and anorexia was referred to our hospital. Endoscopy revealed a type 3 advanced gastric cancer with pyloric stenosis diagnosed as a poorly differentiated adenocarcinoma in the biopsy specimens. A gastrojejunal bypass operation was performed because of direct invasion to the pancreas. The patient was treated by three courses of neoadjuvant chemotherapy with S-1/CDDP. Follow-up abdominal CT scan revealed that the primary tumor had become smaller, suggesting that a partial response had been achieved. Distal gastrectomy with D2 lymphadenectomy was performed. The histopathological examination showed no residual cancer cells in the primary lesion or dissected lymph nodes. Final chemotherapy efficacy was evaluated as Grade 3. The patient was treated with S-1 for one year after the gastrectomy and lymphadenectomy and has been followed up for 18 months without evidence of recurrence.
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