Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 114, Issue 11
Displaying 1-6 of 6 articles from this issue
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Review article
Original article
  • Clinical Evaluation of 24 Cases of Primary Thyroid Malignant Lymphoma
    Masahiro Kikuchi, Shogo Shinohara, Keizo Fujiwara, Hiroshi Yamazaki, Y ...
    2011 Volume 114 Issue 11 Pages 855-863
    Published: 2011
    Released on J-STAGE: December 02, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.114.855
    JOURNAL FREE ACCESS
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    Objectives:
    We analyzed open biopsy in diagnosing primary thyroid lymphoma (PTL) and tumor management with compression symptoms and therapy.
    Methods:
    We retrospectively studied 24 subjects diagnosed with PTL from December 1997 to June 2010.
    Results:
    Open biopsy was done in 23 of 24 subjects. Incisional biopsy was done in 14, 13 of whom yielded sufficient materials in the first biopsy. Excisional biopsy was done in the remaining 9, 2 of whom developed permanent recurrent laryngeal nerve palsy after biopsy. The five with airway obstruction underwent incisional biopsy followed by immediate steroid administration of dexamethasone or methylprednisolone. All had histopathologically confirmed diagnosis and airway symptoms were resolved within a few days. Multidisciplinary therapy including chemotherapy, radiotherapy, and surgery was applied in 20 of 24 subjects. Single therapy was done in 4-chemotherapy in 2 and radiotherapy and surgery in 1 each. Overall results were satisfactory, with a 92% 10-year disease-free survival rate and an 86% 10-year overall survival rate based on the Kaplan-Meier method with 46-month median follow up.
    Conclusion:
    When diagnosing PTL, especially large tumors spreading into extrathyroid tissue, incisional biopsy is more advantageous in histopathological diagnosis than excisional biopsy due to the lower risk of surgical complications. In a case involving a small intrathyroidal nodule, excisional biopsy is safer and more diagnostically accurate.
    In an airway obstruction emergency, once a definitive diagnosis is made, steroid administration plus endotracheal intubation, if necessary, for airway management is optimal management. Subjects with stage IE mucosa-associated lymphoid tissue (MALT) lymphomas can be treated with radiotherapy or surgery alone. Those with diffuse large B-cell lymphoma (DLBCL) or greater than stage IE MALT lymphoma, however, should be treated with multidisciplinary therapy because they have a potentially poor outcome.
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  • Three Cases of Renal Cell Carcinoma Metastasizing to the Head and Neck
    Rie Ito, Suetaka Nishiike, Yoichiro Tomiyama, Tadashi Yoshii, Yoshifum ...
    2011 Volume 114 Issue 11 Pages 864-868
    Published: 2011
    Released on J-STAGE: December 02, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.114.864
    JOURNAL FREE ACCESS
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    Renal cell carcinoma (RCC) tends to metastasize hematogenously, although metastasis to the head and neck is rare. We report 3 cases of RCC head and neck metastasis within the last 6 years. Case 1: A 74-year-old woman presented with cervical metastasis from RCC 4 years after right total nephrectomy, involving modified neck dissection. She later had additional surgery and radiation for further distant metastases, survived almost 5 years after the first neck metastasis. Case 2: A 60-year-old man showed metastatic RCC in the right parotid gland 3 years after right total nephrectomy, involving superficial parotidectomy. Case 3: A 54-year-old man presented with a metastasis lesion from RCC to the right maxillary sinus 7 years after left total nephrectomy, involving total maxillectomy. Distant metastasis reportedly often occurs long after initial primary RCC treatment. Physicians considering metastatic RCC in differential head and neck diagnosis and resection could conceivably promote better prognosis.
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  • Non-specific Exercise Therapy for Benign Paroxysmal Postural Vertigo
    Toshiyuki Nomura, Masahiko Yamamoto, Mitsuya Suzuki, Tomoe Yoshida, Sa ...
    2011 Volume 114 Issue 11 Pages 869-874
    Published: 2011
    Released on J-STAGE: December 02, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.114.869
    JOURNAL FREE ACCESS
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    We treated 1145 patients diagnosed as having benign paroxysmal postural vertigo at the Toho University Medical Center Sakura Hospital from August 2007 to July 2009 by the exercise therapy developed by us. The most advantageous characteristic of our method is that patients can perform the exercises themselves at their own pace in their homes, even if the affected side cannot be identified and/or the patients have any orthopedic cervical and/or spinal problems. In 80.7% and 91.7% of the patients in our case series, the vertigo was no longer present at one and three months, respectively. In addition, the vertigo disappeared within two weeks in the patients who were examined within one week of the start of the symptom. The longer the period between the onset of vertigo and the hospital visit, the longer the period needed for control of the symptom.
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Educational lecture
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