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Volume 29, Issue 10
Displaying 1-33 of 33 articles from this issue
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-TEMPERATURE PROFILE AND ANTITUMOR EFFECT FOR TRANSPLANTATED TUMOR TO NUDE MICE-Shinji HIRAI, Hiromasa KASHIMURA, Akira NAKAHARA, Hisayuki FUKUTOMI, T ...1987 Volume 29 Issue 10 Pages 2141-2151
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSHyperthermia has therapeutic benefit to the cancer patient, however the technology for producing safe and effective gastrointestinal hyperthermia is very difficult. In an attempt to obtain basic data for endoscopical local hyperthermia using non-contact Laser irradiation, the temperature profiles and the antitumor effect have been studied using cultured cells of human hepatocellular carcinoma (PLC/PRF/5) and nude mice bearing transplanted tumor of the same carcinoma cells. The surface and internal temperature of the tumor exposed to Argon Laser (514.5 nm), Argon dye Laser (630 nm), and Nd-YAG Laser (1060 nm) measured with the infrared thermography and the gold plated thermister. As a result, Nd-YAG Laser was the most effective Laser for the local hyperthermia in point of the elevation rate of intratumor temperature. The antitumor effect was assessed by both single and double treatment of 30 minutes local hyperthermia using Nd-YAG Laser and/or 2.0 mg/kg of MMC I. P.. The central surface temperature of the tumor was controlled to 46°C by the infrared thermography. Relative mean tumor volumes were minimal after 1 week of treatment. T/C ratios were control group 100%, MMC group 58.2%, hyperthermia group 32.1%, and hyperthermia+ MMC group 13.9% respectively. Histological changes were also studied. Histological findings, which were examined immediately after local hyperthermia, showed that degenerative changes of tumor cells were mild but marginal microvascular injuries of the tumor were remarkable. The fundamental studies suggest that the local hyperthermia using non-contact Nd-YAG Laser irradiation with or without chemotherapy may be one of the most beneficial therapeutic method for human gastrointestinal cancer.View full abstractDownload PDF (6144K) -
Yuo NAGAI1987 Volume 29 Issue 10 Pages 2153-2165
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSSince the Endoscopic Microwave Coagulation Therapy (EMCT) was considered to be effective as curative treatment of early gastric cancer, this study was carried out. In the fundamental study, the coagulative effect of the ball type electrode which was newly used for early gastric cancer was clarified, and 5 to 10 seconds at 40w in output was concluded to be proper. In 63% of preoperatively coagulated cases whose tumors seemed to be completely coagulated, no malignant finding was seen in the histopathological series and these results suggested that EMCT might effect a radical cure locally. In all the 17 cases which were unable to undergo an operation, malignant findings disappeared after 1 to 5 times of EMCT with an average of 2.3 times. From an analysis of the clinical results, it was suggested that a lesion could be completely cured by only one session of EMCT, if it was within 20 mm in diameter, macroscopically protruded, histologically well differentiated, mucosal in depth and endoscopically at full face. Ultrasonically the coagulated area changed to be hyperechoic immediately after EMCT and was surrounded with a hypoechoic layer one day after, suggesting that EUS might be able to judge the effect of EMCT. It is concluded that EMCT can coagulate lesions successfully and safely by using both needle and ball type electrodes, and that curative treatment of early gastric cancer may be acquired by EMCT under strict indication and accurate judgement of effect.View full abstractDownload PDF (5789K) -
-WITH SPECIAL REFERENCE TO CASES TREATED WITH ENDOSCOPIC INJECTION SCLEROTHERAPY FOR ESOPHAGEAL VARICES-Keiichiro KATO1987 Volume 29 Issue 10 Pages 2166-2177
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe author studied endoscopic, histological and ultrastructural features of gastric mucosa in patients with liver cirrhosis. The morphological changes of the gastric mucosa was investigated in patients who had endoscopic injection sclerotherapy (EIS) for esophageal varices. The gastric mucosa in liver cirrhosis with esophageal varices was compared with that of normal controls and superficial gastritis. 1) Redness and edema were observed frequently on the gastric mucosa in liver cirrhosis on endoscopic examination ; Especially, linear reddeing and petechial hemorrhage were usually found not only in patients with advanced esophageal varices, but also in patients one month postoperatively of EIS. 2) In microscopic and electronmicroscopic study, the redness of the gastric mucosa seen in liver cirrhosis was not associated with inflammatory process as seen in superficial gastritis but was produced by a marked dilatation of capillaries secondary to portal hypertension ; Edema of the gastric mucosa in liver cirrhosis was noninflammatory and was due to transudation by an elevated intraluminal pressure of gastric capillaries secondary to portal hypertension. It is assumed that linear reddeing is related to a marked dilatation of the capillaries and that petechial hemorrhage observed endoscopically is due to leakage of erythrocytes from the capillaries. 3) The result of this endoscopic study suggests that the presence of linear reddeing and petechial hemorrhage of gastric mucosa in liver cirrhosis with hemorrhagic tendency is an ominous sign of gastric bleeding which precipitates hepatic coma.View full abstractDownload PDF (12297K) -
Yutaka SAITO, Atsushi KANO, Eiji FUJIMAKI, Hiroki KAMATA, Shinya NOTO, ...1987 Volume 29 Issue 10 Pages 2179-2187_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIn 5 years and months between Sep.1980 and Apr. 1986, 72 patients were admitted to our department for ingestion of corrosive chemicals, of whom 17 patients were examined by early panendoscopy. In 8 patients who had taken Paraquat, which has been recently regarded as a social problem, redness and erosion in the oral cavity were observed, and redness, edema and erosion extended to E. G. J. involving both upper and lower esophagus. Severely affected patients showed ulceration and stenosis, but the effect on the stomach and duodenum was slight. In the cases of swallowing acid mistake, 4 cases of cresol showed redness and edema in the esophagus and stomach, and 2 cases of organophosphate only a slight redness in the stomach. Hydrochloric acid and f ormalin, each taken by one patient, caused erosion and ulceration in the stomach and duodenum, rather than in the esophagus. One patient who had taken a toilet cleaner containing hydrochloric acid (10% HCI) developed stricture at the entrance of esophagus at 4 months after the accident, for which gastrostomy was done. As compared to the other acute upper GI lesions, the lesions produced by corrosives tended to be marked in the oral cavity and esophagus, and to be slight in the stomach and duodenum, being accompanied by marked congestion and edema. Early panendoscopy was helpful in evaluating the lesion and making a decision about treatment though it was contraindicated in patient with poor general condition.View full abstractDownload PDF (4287K) -
Hitoshi MIZUO, Satoaki MIMA, Hiroshi KANAGAWA, Masahiro IJIRI, Toshio ...1987 Volume 29 Issue 10 Pages 2188-2199
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSMacroscopic findings obtained by peritoneoscopic study on patient with possible liver cirrhosis sometimes serve as important hallmark to the progression of the disease process. In the present study, the specific finding as designated as patchy liver pattern was examined in a number of cases with various stages of chronic hepatitis. Subjects studied in the present series of study covers 40 cases with patchy liver pattern with laparoscopy who reexamined after one year period. Twenty-five cases had B type hepatitis, and 15 cases had NANB hepatitis. Sex ratio was 27:13. Sequental peritoneoscopic studies performed over 1 year periods were analysed. Thirteen cases with B hepatitis (52%) were confirmed to progress to definite cirrhosis by macroscopic as well as hitopathologic examination by biopsy. Stationary cases were 5 (20%) and apparent improvement took place in 7 cases (28%). In NANB hepatitis cases, on the other hand, a slight progression to cirrhosis, were noted in 10 cases (67%), whereas stationary cases were noted in 5 cased (33%). Among 12 cases who showed marked improvement and stationary over one year periods, eAg was positive in 9 cases, however, 8 cases (87%) changed to negative and 5 cases (56%) showed seroconversion. In cirrhosis group, eAg persisted in 82% of cases. These results indicate that histology of chronic type B hepatitis at the stage of patchy liver improves after seroconversion.View full abstractDownload PDF (8922K) -
WITH SPECIAL REFERENCE TO SERUM PEPSINOGEN IAkira INBE, Koji SUMII, Naomi UEMURA, Manabu KIMURA, Ken HARUMA, Kenji ...1987 Volume 29 Issue 10 Pages 2200-2206
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSFollow up study was made in 195 patients either with or without H2 receptor antagonists in maintenance dose after their ulcer healed, group I medication with full maintenance dose, group II : intermittent and group III : discontinued medication. In patients with PGI < 68ng/ml (50 patients, 25.8%), there was no statistical significance in three groups classified by medication. In patients with 68ng/ml≤ PGI <95 ng/ml (63 patients, 32.1%), 13.3% of group I, 45.2% of group II and 29.4% of group III showed recurrence, which was statistically significant between group I and II (p <0.05). In patients with 95 ng/ml≤ PGI < 141 ng/ml (53 patients, 27.2%), 33.3% group I, 80.8% of group II and 73.3% of group III showed recurrence, which was statistically significant in three groups (p <0.01 : between group I and II, p <0.05 : between group I and III). In patients with PGI 141 ng/ml (29 patients, 14.9%), all of group II and III, and 66.7% of group I showed recurrence. There was no statistical significance in three groups. It was concluded from this study PGI is useful for the determining maintenance dosages.View full abstractDownload PDF (691K) -
Kou NAGASAKO, Kaori HASEGAWA, Bunei IIZUKA, Kurato YASHIRO, Toshio TAN ...1987 Volume 29 Issue 10 Pages 2207-2213
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA ratio of various epithelial tumors at the five segments of the large intestine (rectum, sigmoid c., descending c., transverse c. and ascending colon) war studied. At the rectum, the ratio of advanced cancer is the highest (36%) while that of adenoma is far lower. At the sigmoid colon the ratio of larger adenoma and early cancer is higher than that of smaller adenoma and advanced cancer. Early cancer is lower in ratio compared to the ratio of smaller adenoma and advanced cancer at the right colon. The reason of the segmental difference of each type of tumors were studied and the followings were hypoth-esized. (1) The growth pattern of tumor is not necessarily the same at segments of the large intestine. (2) Tumors of the rectum grow rapidly compared to those of other segments. (3) Some tumors of the right colon grow rapidly while most of them grow slowly.View full abstractDownload PDF (771K) -
Tomohiro KATO, Ryuichi KAMOI, Eizo KAYASHIMA, Kazushi KOZUKA, Sadaomi ...1987 Volume 29 Issue 10 Pages 2214-2218_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSObjects that are accidentally or deliberately swallowed descend to the lower alimentary tract and are eliminated in due time. However, in some cases, they lodge in the esophagus, inducing serious complications such as rupture and perforation of esophagus. Therefore, it is necessary to make an accurate diagnosis as quickly as possible and foreign bodies in the esophagus sgould be removed by esophagoscopy. We experienced 7 interesting cases of foreign bodies including meat, fish bone, dry mushroom and Press-Through-Pack drug tablet, lodged in the esophagus with no basic impairment. The methods of foreign body removal are presented herein together with some discussion of the related literature.View full abstractDownload PDF (7434K) -
Kinichiro SUWAKI, Shuzo NISHIHARA, Norio URABE, Jinki NISHIYAMA, Kouic ...1987 Volume 29 Issue 10 Pages 2219-2224_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThree methods of endoscopic hemostasis were performed in 66 cases showing upper gastrointestinal hemorrhage from an ulcer base with exposed vessels. Patients ranged from 19 to 88 in age. The mean age in males and temales was b 3 years and 66 years, respectively. There were 46 cases of gastric ulcer (69.7%), 9 of duodenal ulcer (13.6%), 6 of gastric cancer (9.1%), and 5 of other diseases (post-polypectomy 3, Mallory-weiss syndrome 1, esophageal ulcer in diverticulum 1). Twenty seven cases (41%) had severe primary diseases and 6 cases (9%) died from other causes. The severity of hemorrhage was as follows : projectile or pulsatile, 9 cases (14%) ; oozing, 31 cases (47%) ; hemostasis at emerencv endoscopic examination. 26 cases (39%). The three kinds of endoscopic hemostasis method were as follows : method A (7 cases), local injection of pure ethanol ; Method B (16 cases), combined method of A and direct-coating with sucralf ate ; method C (43 cases), combined method of A and direct-coating with sucralfate-thrombin mixture. Hemostatic rates in methods A, B and C were 86%, 94% and 100%, respectively. Furthermore, a 100% hemostatic rate was obtained in 27 cases with severe primary diseases. The results indicate that our methods using endoscopic hemostasis are valuable for upper gastrointestinal hemorrhage from the ulcer base with exposed vessels.View full abstractDownload PDF (2871K) -
Mitsuru OHASHI, Masao NAKANE, Akihiko HORIGUCHI, Yoichi SUGITA, Hirosh ...1987 Volume 29 Issue 10 Pages 2227-2231_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe technique of injection sclerotherapy (IS) of esophageal varices using 2% soduim tetradecyl sulfate (TSS) was developed by clearing up the mechanism for its hemostasis. In clinical trials, 36 of 37 bleeding cases controlled by our method. But we experienced some complications in 51 of 121 treated with IS. Ulcers was formed in 46 patients and as one of the major complication, the perforation of esophagus was experienced in one patient. The essential of its technique is to pool the sclerosant in the collaterals of esophageal varices.View full abstractDownload PDF (7501K) -
Katsutoshi OBARA, Mono MASAKI, Hiroaki SAKAMOTO, Katsutoshi IWASAKI, H ...1987 Volume 29 Issue 10 Pages 2232-2236_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe effectiveness of injection sclerotherapy (ST) done in 116 patients with esophageal or gastric varices using EO method or EO-AS combination method was studied. Effective rate of EO method done in 54 patients and EO-AS combination method done in 62 patients were 89.5% and 98%, respectively. With EO-AS combination method, varices were completely disappeared in all cases, whereas they were incomplete in some cases with EO method. In studing the prognosis of 64 patients who were observed for 1 to 5 years after ST, the following conclusions were made. No recurrence of hemorrhage was observed in patients with complete disappearance of varices including gastric ones. On the other hand, recurrence of the hemorrhage was observed in patients with incomplete disappearance of varices, especially gastric varices. Therefore, the gastric varices communicating with esophageal ones should be treated to the most end of the gastric varices with ST using EO mixed with constrast media done under X-ray monitoring. Isolated varices of the stomach without communication to the esophageal varices were difficult to be treated with ST.View full abstractDownload PDF (5256K) -
Shinichi FURUYA, Hideharu TSUJI, Masahiko TAKAMASU, Shoji MITSUFUJI, K ...1987 Volume 29 Issue 10 Pages 2237-2240_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 69-year-old male was admitted to our hospital with the chief complaint of dysphagia. Upper G-I series with barium meal and esophageal endoscopy revealed the pedunculated tumor on the esophageal orifice. It was diagnosed to be a submucosal tumor. Endoscopic polypectomy was performed safely. The resected tumor was 28 × 25 × 15mm in size and it was diagnosed as f ibroma by histological examination. Fibroma of the esophagus is very rare and only 5 cases reported in Japan. This is the first case which was removed by endoscopic polypectomy in Japan. Endoscopic polypectomy is considered to be an effective and safe procedure for the elevated lesion of the esophagus.View full abstractDownload PDF (5205K) -
Shoji TANIGUCHI, Yoshiaki KODAMA, Jiroichi ONO, Taketo KATSUKI1987 Volume 29 Issue 10 Pages 2241-2244_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA successfully treated case with broncho-esophageal fistula (B-E fistula) complicated after endoscopic sclerotherapy for esophageal varices was reported. A 55-year-old man threatened with ruptured esophageal varices was admitted. Emergency endoscopic sclerotherapy (ES) was performed intravariceally with 15m1 of 5% ethanolamine oleate. He became being suffered from cough when lying on bed and abdominal fullness one month after ES. Endoscopic examination and Gastrographin esophagogram revealed the B-E fistula with deep and wide esophageal ulcer. Abstaining from food with intravenous hyperalimentation (IVH) for one month, the ulcer resolved but the B-E fistula did not closed. Curetting the B-E fistula followed by injection of a fibrin coagulum into the fistula were repeated for four times with Olympus GIF-P 3. The fistula was completely healed within 2 months.View full abstractDownload PDF (5582K) -
Hideki ISHIKAWA, Suguru OKAZAWA, Toshimichi INOUE, Kenji SAWADA, Seiic ...1987 Volume 29 Issue 10 Pages 2247-2252_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 72-year-old woman had a Billroth I partial gastrectomy for gastric ulcers. Sixteen years later, she visited hospital for dizziness, due to anemia. Endoscopic examination showed a pedunclated polypoid lesion on the gastrojejunostomy site. The biopsy specimens from the polypoid lesion revealed only hyperplastic foveolar epithelium. However, four months later, the polypoid lesion increasd in size and a deformity was demonstrated by gastroscopy. Histologically, the lesion was diagnosed as a well differentiated adenocar-cinoma, and total gastrectomy was performed. The resected specimen showed that proper muscle layer with muscularis mucosae occupied central portion of the stalk. The caudal portion of the polypoid lesion consisted of many cystically dilatated glands. This his-tological features were similar to the gastritis cystica polyposa (GCP). Cancer cells of well -differented type were completely surrounded by the cystically dilated glands. This case was remarkably different from previously reported cases. Therefore, mechanical factors regarding the previous operation, but not bile reflux, may be related to the development of GCP. These findings indicated that GCP may play an important role in the development of gastric cancer in the gastric remnant.View full abstractDownload PDF (8985K) -
Harumi HIROSE, Kimie KUROKAWA, Masataka MARUYAMA, Satoshi YOKOYAMA, Hi ...1987 Volume 29 Issue 10 Pages 2253-2262_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 71-year-old male referred to our hospital because of anal bleeding. Polyposis throughout the colon was found by colonoscopy. After the nutritional therapy, diarrhea was developed and the ectodermal changes rapidly deteriorated. Clinical course and effect of the therapy were studied on above-mentioned case and the other two followed-up cases of Cronkhite-Canada syndrome (CCS) since 1981.(1) The initial symptoms were hypogeusia and anorexia. (2) It is suggested that polyposis might be proceded prior to the ectodermal changes. (3) The patients, condition gradually deteriorated during the follow-up period.Though the clinical status was slightly improved in one case by the nutritional control, the additional steroid therapy was needed for all cases to improve markedly the disease process. (4) In one case, the steroids has been administered for eleven months and then polyposis recurred after stopping the steroids for three months. (5) Investigation of the malignant lesion may be necessary since the gastric cancer was complicated in one case and the adenomas of the colon were observed in two cases.View full abstractDownload PDF (7999K) -
Mitsukazu MIYAZAKI, Kazuo NABESHIMA, Masanobu YAMADA, Michio KOBAYASHI ...1987 Volume 29 Issue 10 Pages 2263-2271
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 21-year-old female was admitted because of abdominal pain. Abdominal ultrasonography and computed tomography of the abdomen failled to detect gallbladder. Gallbladder and cystic duct were not visualized by intravenous cholangiography and endoscopic retrograde cholangiography. Cystic artery was not observed by celiac arteriography. These findings of the graphic studies suggest a possibility of congenital absence of the gallbladder and cystic duct. In order to make a difinite diagnosis, peritoneoscopy was performed. It was confirmed that gallbladder was absent on the inferior surface of the liver, and that the falciform ligament was also lacked. Furthermore, the right lobe and the left lobe were isolated from earch other and the left lobe was lobulated into two segments. As a nonoperative procedure, peritoneoscopy was very useful for the diagnosis of this desease.View full abstractDownload PDF (11797K) -
Yujiro TAKAO, Kiyoshi ASHIDA, Hideki TADA, Imei REI, Itirou HIRATA, Yo ...1987 Volume 29 Issue 10 Pages 2272-2277_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 70-year-old male visited one doctor for upper abdominal pain and loss of weight and was pointed out the enlargement of the cervical lymphnodes. Lymphnode biopsy revealed adenocarcinoma. Therefore, he was referred to our hospital for the evaluation of origin of cancer. Serum levels of CA19-9 and CEA were remarkably high. ERCP with the cannulation through major papilla showed the short and dendriform ventral pancreatic duct without pathological changes and normal cholangiogram. The cannulation into minor papilla was failed. Angiogram of the celiac artery revealed the remarkable encasement of the splenic artery. And, thus, dorsal pancreatic cancer accompanied with pancreas divisum was highly suspected. The pancreatogram on outopsy demonstrated that the dorsal pancreatic duct was abruptly interrupted about 9cm apart from the minor papilla. And these findings proved to be the changes caused by pancreatic cancer. The histological findings of the pancreas tumor was moderately differentiated adenocarcinoma. It seemed that the further examination of the dorsal pancreas should have been performed because pancreatic cancer might be accompanied with pancreas divisum like our case.View full abstractDownload PDF (7440K) -
Masahiko TAKAMASU, Shoji MITSUFUJI, Hideharu TSUJI, Shin-ichi FURUYA, ...1987 Volume 29 Issue 10 Pages 2278-2282_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 69-year-old male visited our hospital with complaints of melena and hematemesis. He had been treated with corticosteroid for 10 years because of rheumatoid arthritis. The first endoscopic examination showed a gastric ulcer with blood clots on the lesser curvature of the prepyloric region. Two weeks later at the second endoscopic examination, this lesion was found to become deeper. The third endoscopic examination performed six weeks later revealed a healed gastric ulcer and an accessory opening on the lesser curvature near the pylorus. Upper GI series also disclosed a gastroduodenal fistula communicating between the lesser curvature of the prepyloric region and the duodenal bulb. The fourth endoscopic examination carried out two months later revealed a small ulcer at the pyloric septum. Three months later at the fifth endoscopic examination, seven months after the initial endoscopic examination, the double pylorus had fused and formed a large single pylorus. Of 61 cases of double pylorus reported in Japan, only five cases developed a fused single pylorus. This case was very rare, because repeated endoscopic examinations could observe the whole process of a double pylorus leading to the fusion.View full abstractDownload PDF (5498K) -
Toshiro TANAKA, Masayuki OSABE, Masahiro SENJUH, Shiro FUNATU, Minoru ...1987 Volume 29 Issue 10 Pages 2285-2291
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSRecently, 3 cases (2 males of 17 and 13 of age, 1 female of 15 of age) of solitary ulcer syndrome of the rectum were experienced by us. This disease was proposed as a disease entity by Madigan and Morson in 1969. In Japan, it remains an uncommon disease. All the 3 cases had a chief complaint of frequent muco bloody stools. Endoscopically, the lesions mainly evevated existed within the extent of 10 cm from the anal verge. None of these findings were obvious on x-ray examination. Histologically, a characteristic finding of f ibromuscular obliteration was obtained. The disease period was one year in one, 7 years in other two cases to whom treatment for ulcerative colitis has been given. Since this disease is refractory to treatment, it is important for physicians to recognize this and to provide an appropreate symptomatic treatment, and to educate patients about the features of the disesae.View full abstractDownload PDF (6562K) -
Kiichi SATOH, Masahiro TANAKA, Nobuyuki MATSUHASHI, Norio ISODA, Norif ...1987 Volume 29 Issue 10 Pages 2292-2296_1
Published: October 20, 1987
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 14-year-old boy was admitted to Jichi Medical School Hospital with complaints of intermittent bleeding and mucous secretion from the anus. Digital examination disclosed a hard tumorous lesion circumferentially involving the lower rectal wall at 4 cm from the anal verge. Fiberscopical examination of the rectum revealed a ring form elevated lesion adjacent to the anorectal portion. The surface of the lesion were erythematous change and superficial ulceration on the top. Histological findings of biopsy specimen taken from the lesion were as follows; 1. fibromuscular obliteration in the rectal mucoua. 2, sparse round cell infiltration and the depletion of goblet cells. Those were characteristic of histological features in the lesion. In the majority of solitary ulcer of the rectum, single ulcer alone is usually found on the anterior wall of the lower rectum. In the literatures, however, solitary ulcer syndrome of the rectum with the shape just like an annular lesion with circumferential growth had been rarely reported. In such cases including the present case, it was very difficult to differentiate from rectal cancer or sarcoma only by endoscopical and radiological examinations. Histological confirmation of biopsy specimen, therefore, combined with endoscopy and X-ray examination would be extremely important to establish a definite diagnosis.View full abstractDownload PDF (5868K) -
[in Japanese]1987 Volume 29 Issue 10 Pages 2297-2298
Published: October 20, 1987
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[in Japanese]1987 Volume 29 Issue 10 Pages 2299-2303
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Kazuhiko ATSUMI1987 Volume 29 Issue 10 Pages 2304-2305
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[in Japanese]1987 Volume 29 Issue 10 Pages 2306-2308
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J. F. Riemann, M. Harloff1987 Volume 29 Issue 10 Pages 2309-2317
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[in Japanese]1987 Volume 29 Issue 10 Pages 2318-2319
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[in Japanese]1987 Volume 29 Issue 10 Pages 2320
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Takeo MIYAKE1987 Volume 29 Issue 10 Pages 2321-2322
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[in Japanese]1987 Volume 29 Issue 10 Pages 2323-2344
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[in Japanese]1987 Volume 29 Issue 10 Pages 2345-2375
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[in Japanese]1987 Volume 29 Issue 10 Pages 2376-2386
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[in Japanese]1987 Volume 29 Issue 10 Pages 2387-2401
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[in Japanese]1987 Volume 29 Issue 10 Pages 2402-2410
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