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Volume 9, Issue 8
Displaying 1-16 of 16 articles from this issue
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(Comparison of Cytological Findings of the Tissues and Smears from Various Sites of Body)Kunisuke UTSUMI, Michio AKAHORI, Ichiro KADOI1955 Volume 9 Issue 8 Pages 569-576
Published: 1955
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSSince the publication of Papanicolaou's work on cytological diagnosis of uterine carcinoma, cytological diagnostics in malignant tumor has been tried by many investigators. However, many problems still remain, such as cytological criteria of malignancy, various conditions leading to misdiagnosis, especially, cytological diagnosis of early stages of malignant tumor. The present paper deals with these problems.
The specimens examined were taken from the patients in the 2nd Tokyo National Hospital. The total number of our cases was 200, of which 600 slides were examined, and several surgical and autopsy specimens were also examined. Materials for cytological examination were vaginal smears, scratches of portio mucous membrane, gastric juice, pleural fluid, ascites, urine, sputum and tracheo-bronchial mucous membrans. Papanicolaou's etheralkohol method was used and hematoxylin-eosin staining was also made.
Results and conclusions are as follows:
1) Decisive evaluation of cytological findings of the malignant tumor in smears was extremely difficult. Consequently a certain limitation for cytological diagnosis of malignant tumor should be provided.
2) In the areas of inflammation, proliferation and regeneration of tissue, those cells, seemingly malignant, were occasionally encountered in configuration and in their staining effect.
3) There were various conditions hindering the collection of tumor cells for smear examination.
4) Generally, it was comparatively difficult to estimate the origin of tumor on the basis of cytological findings in pleural fluid and ascites.
5) Wandering cells, such as leucocytes, lymphocytes and erythrocytes were not always available for the cytological diagnosis.
6) Investigators who engage in cytological diagnosis should be highly requested to have more or less the back ground of histopathological experiences.View full abstractDownload PDF (4689K) -
(1) Late Results of Artificial Pneumothorax in 907 PatientsSadatomo WATANABE1955 Volume 9 Issue 8 Pages 577-582
Published: 1955
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSThis report presents the results of artificial pneumothorax in 907 patients with pulmonary tuberculosis treated during the twelve year period from 1936 to 1947 and followed for four to sixteen years.
Of all patients, 57.8 per cent were alive, 37.5 per cent dead, and 4.7 per cent were indistinct at the time of this report.
Seventy-five per cent of the patients discontinued the collapes therapy within two years, while most of them discontinued within five years.
Chances of survival were less than, about equal to, and better than the death rate, respectively among the patients who continued the pneumothorax for a year or less, for two years, and for three years or more.
Majority of the patients in this series had to discontinue the pneumothorax because of the complications; such as adhesion of pleura, exacerbation, pleurisy, empyema, spontaneous pneumothorax, diarrhoea, etc. Only 66 patients discontinued the therapy after they were cured.
Of those who survived more than ten years after the pneumothorax, 86.3 per cent had infiltration and 13.7 per cent had cavernous type of lesion. Of those who died despite the treatment by pneumothorax, 61.6 per cent had infiltration and 38.4 per cent had cavernous type of lesion. Number of death was higher among the patients with infiltration in one third of a lung field, than those with less area of infiltration.
Pneumothorax had little effect on the patients with cavities, and should be treated with thoracoplasty.View full abstractDownload PDF (1140K) -
Tokio OSHIMA1955 Volume 9 Issue 8 Pages 583-589
Published: 1955
Released on J-STAGE: December 02, 2011
JOURNAL FREE ACCESSIn 1941, the author proposed a mean of radiological classification of pulmonary tuberculosis in 5 digit codes, and 10 digit code classification in 1953. We also proposed a classification of pulmonary tuberculosis in 5 digit code togetherwith a few statistics in 1943. Lately, we were reported with the classification of pulmonary tuberculosis in 4 digit code (J. Holm, Denmark & H. E. Hillebooe, USA, 1946) which is similar to our idea, but their details differ from each other. The author presents in the following his method:
I. Decimal radiological classification of pulmonary tuberculosis (DX)
1) The 1st and 2nd digit are of principal classification (Type on TB) (Table 1)
2) The 3rd digit is of extent of lesion (Table 2)
3) The 4th digit is of situation of principal lesion (Table 3)
4) The 5th and 6th digits are of state of pleura, or operation.
5) The 7th and 8th digits are of pleura of opposite lung.
6) The 9th digit is of situation of lesion.
7) The 10th digit is of character of lesion (homogenious, nodular, indulative) Example: DXL 834753. 7315 (left: thoracoplasty; right; pneumothorax)
II. Decimal case classification of pulmonary tuberculosis (DK)
1) FK: 1st digit is of fever (maximal temperature and type by month) (Table 4)
2) GK: 2nd digit is of nutrition (hight and weight)
3) RK: 3rd digit is of erytrocyte sedimentation rate (mean value)
4) SK: 4th digit is of spcitum (number and tubercule bacilli) (Table 5)
5) XK: 5th digit is of x-ray findings (extent of lesion and cavity: 3rd digit of DX) (Table 2) Each symbol is classified into 10 degrees. K is the mean value of 5 digits Calculation: addition (s) reduction (r) 0≤Ki≤10 Example: DK 24' 23. 6=3.2 Clinical course (Q) Ka: beginning, Kg: end, k=Ka-Ke, Q=k/Ka×100, (Q=-k/(10-k)x100)
III. Practical applications:
1) memorandum (DX, DK)
2) determination of clinical status (K)
3) determination of clinical course (Q)
4) determination of the effects of treatments (Q) Marking method (P): if cases are plenty, mean Q=mean PView full abstractDownload PDF (1342K) -
Toshio ITAKURA1955 Volume 9 Issue 8 Pages 590-593
Published: 1955
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSThe present paper deals with the results of the bacteriological investigation of 69 tuberculous lesions from 22 resected lungs.
1) Detection rate of TB bacilli in sputum (through culture method) in cases before surgical operation was almost equal to the rate in their resected lesions.
2) Almost all the TB bacilli positive cases in both smear and culture tests had cavities. Those cases which were bacilli-positive in smear but negative` in culture had capsulated caseous lesions in about 50%. Those cases which were negative in smear test and positive in culture test had frequently capsulated caseous lesions and aggregated nodular lesions. Among negative cases in both smear and culture tests, about 50% had aggregated nodular lesions.
3) As for the relation between the duration of preoperative chemotherapy (SM plus PAS or INAH plus PAS) and the rate of TB bacilli-positive (by culture) in resected lesions: In cases, which had chemotherapy for less than six months, rate of positive bacilli in cavities was 81, 8%; in non-cavity lesions, 29, 0%. (capsulated caseous lesion, aggregated nodular lesion and cicatrix). In cases of long-term chemotherapy of more than six months, it was often negative in cavities and it was 95% negative in non--cavity lesions.View full abstractDownload PDF (855K) -
Taketomo AKIYAMA, Koji OTSUKA, Fukutaro SAWAJI, Hiroshi OSADA, Shozo H ...1955 Volume 9 Issue 8 Pages 594-599
Published: 1955
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSThe present paper deals with the effects of x-ray irradiation on the phosphorus metabo-lism, especially, nucleic acid metabolism of tuberculous bacilli, by means of radioactive phosphorus. In order to determine the quantity of nucleic acid, Schmidt-Thauhauser method was used, to determine the quantity of phosphorus, Fiske-Subbarow method was used for the phosphorus fraction containing organic phosphorus and for inorganic phosphorus, Delory method was used. As for wet ashing, hydrogen peroxide and nitric salphuric acid method was used. 0.5 c of K_HP32O3 in 1.0cc of Sauton culture solution, from which K2HP31O3 excluded previously, was cultured for 6 hours after each x-ray irradiation.
1) Through the culture, TB bacilli took the radioactive phosphorus and it was allowed to count the radioactivity by each phosphorus fraction. Growth of bacilli was not regarded.
2) Sedimentation of the bacilli in the Sauton culture did not take radioactive phosphorus, that means interruption of metabolism.
3) It is characteristic that TB bacilli contain more lipoid phosphorus and less desoxyribonucleic acid (DNA) phosphorus than cocci.
4) Lipoid metabolism was disturbed through x-ray irradiation. As for protein phosphorus metabolism, ribonleic acid (RNA) phosphorus was stabilized while DNA was disturbed remarkably, so that rate of radioactivity and quantitative value were both reduced.
5) As for acid soluble phosphorus, acid soluble organic phosphorus decreased slightly, while acid soluble inorganic phosphorus was stabilized.View full abstractDownload PDF (1410K) -
Masao OKUHARA1955 Volume 9 Issue 8 Pages 600-603
Published: 1955
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSIn order to give a theoretical explanation for the intermediate peripheral leucocytosis, the author tried an analogical application of the theory of the mechanism of discharge in the circuit containing condenser (capacity of C) and coil (inductance of L).
According to the author's theory, intermediate peripheral leucocytosis shall occur through the temporal mobilization of leucocytes from the reservoir of leucocytes into peripheral blood vessels, in accordance to the declined leucocyte-regulating activity through x-ray irradiation, in the whole system, which consists from the reservoir of leucocytes (capacity of C), leucocytes-regulation mechanism (its ability considered as inductance of L).View full abstractDownload PDF (524K) -
Masakazu ABE, Hirotsugu KAMIKURA, Yoshiko NAGASHIMA1955 Volume 9 Issue 8 Pages 604-607
Published: 1955
Released on J-STAGE: October 19, 2011
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Masao OKUHARA, Hiroshi TSUNEMOTO1955 Volume 9 Issue 8 Pages 608-610
Published: 1955
Released on J-STAGE: October 19, 2011
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Kei ISHIDA1955 Volume 9 Issue 8 Pages 611-614
Published: 1955
Released on J-STAGE: October 19, 2011
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Sankei WAKABAYASHI1955 Volume 9 Issue 8 Pages 615-619
Published: 1955
Released on J-STAGE: October 19, 2011
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Iwao OGAWA1955 Volume 9 Issue 8 Pages 620-621
Published: 1955
Released on J-STAGE: October 19, 2011
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Hajime SUGIMOTQ1955 Volume 9 Issue 8 Pages 622-624
Published: 1955
Released on J-STAGE: October 19, 2011
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Satoru MIKI1955 Volume 9 Issue 8 Pages 625-627
Published: 1955
Released on J-STAGE: October 19, 2011
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Mizuho YAMADA1955 Volume 9 Issue 8 Pages 628-629
Published: 1955
Released on J-STAGE: October 19, 2011
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Kiyoshi YAMAGUCHI1955 Volume 9 Issue 8 Pages 630-633
Published: 1955
Released on J-STAGE: October 19, 2011
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Toshio GOTO, Ryoichi SHIGIYA, Kenzo OSHIMA, Toyojiro KATO, Yoshio WADA1955 Volume 9 Issue 8 Pages 634-651
Published: 1955
Released on J-STAGE: October 19, 2011
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