巻号一覧
33 巻 (1982)
- 6 号 p. 409-
- 5 号 p. 351-
- 4 号 p. 281-
- 3 号 p. 211-
- 2 号 p. 71-
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33 巻, 6 号
選択された号の論文の9件中1～9を表示しています
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大畑 正昭1982 年 33 巻 6 号 p. 409-419
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーMalignant tracheal tumors are extremely rare in the respiratory tract. Recently there has been no report of early tracheal carcinoma, while bronchogenic carcinomas have increased markedly in Japan. The survival from bronchogenic carcinoma is highly dependent upon the stage at the time of detection and treatment.
This article will review the definition, pathohistology and, in particular, the detection of early bronchogenic carcinoma. For the purpose of definition, early bronchogenic carcinoma was divided into two categories according to the location.
Early bronchogenic carcinoma in the hilar region was defined when it is located in the central bronchus and up to the subsegmental bronchus, without lymphnode metastasis and distant metastasis.
Early peripheral bronchogenic carcinoma was defined when it is located in the more peripheral region of the lung and the size of the tumor is less than 2.0 cm in diameter, without lymphnode metastasis, distant metastasis and pleural infiltration.抄録全体を表示PDF形式でダウンロード (5344K) -
内視鏡的診断・治療を中心として斎藤 成司1982 年 33 巻 6 号 p. 420-424
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーIt should be emphasized that when an early cancer of the vocal cord is suspected, a histopathologicalinvestigation with serial sections on the whole tissue, which was obtained by an excision biopsy under microlaryngoscopy, is extremely useful to make an exact diagnosis and also to establish a suitable therapeutic method. If there is no malignancy in every part of the serial sections, the voice will be phonosurgically restored. If there is no malignancy at the excised edge in case of malignant lesions, no further treatment is necessary because malignant lesions are thought to be completely removed. It is the author' s opinion that when malignancy exists at the edge, a radiation therapy should be performed for aged patients, and a functional surgery including cordectomy with displacement of the false vocal cord for younger patients avoiding a late radiation change which might occur in years after radiation.抄録全体を表示PDF形式でダウンロード (4571K) -
金子 昌弘, 小野 良祐, 池田 茂人1982 年 33 巻 6 号 p. 425-429
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーEarly hilar lung cancer is frequently detected in heavy smokers who complain of bloody sputum and cough. In such cases, a mass shadow is rarely revealed by chest roentgenography, while findings of infiltrating shadow and atelectasis are often observed. Since it is not uncommon that no abnormal finding is clearly seen on chest roentgenographs, sputum cytology is important for the detection of early hilar lung cancer. Because of low incidence of positive result in a single trial, multiple sputum cytosmear tests should be performed continuously for more than three days. Polypoid and nodular infiltrating type lesions are easily diagnosed through bronchoscope. While in superficial infiltrating lesion without stenosis, it is somewhat difficult to evaluate it exactly. Slight change in tone, luster, regularity and folding of mucosa should be checked carefully in every possible case. Engorgement of minute blood vessels in bronchial epithelium is also a valuable diagnostic sign. When it is macroscopically obscure, it can also be determined by means of selective cytosmear and/or laser irradiation.抄録全体を表示PDF形式でダウンロード (896K) -
沢村 献児, 井内 敬二, 長岡 豊, 森 隆, 中村 憲二, 中元 賢武, 李 龍彦, 古瀬 清行, 河原 正明, 荒井 六郎, 山本 暁 ...1982 年 33 巻 6 号 p. 430-435
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーFifty six early lung cancers including 6 unresected cases had been treated during the periodof 1969 through 1981. They were 32 cases of central type and 24 cases of peripheral type.
The central type cancers were all seen in male, 30 cases or 93.8% were among high risk group (smoker male with age over 40) and 31 cases or 96.9% were squamous cell carcinomas. While in the peripheral type, only 8 or 33.3% were female and 20 or 83.3% were adenocarcinoma.
Twenty-two cases or 68.8% of central type were found through complaints such as cough, sputum, fever, and/or hemosputum, and only 6 cases or 18.8% were found by means of mass survey. 17 cases or 70.8% of peripheral type, on the other hand, were found by chest X-ray findings on mass survey.
Reviewing 50 surgical cases (26 central and 24 peripheral), 2 deaths relating surgery, 2 from unrelated diseases and 2 relapses were reported in the central type. While in the peripheral type, one death relating surgery, one unrelated disease and 4 relapses of cancer were reported. Out of 6 non-operated cases, 3 were treated with radiotherapy, and one with bronchial arterial infusion. 3 out of these 6 died after more than 5 year survival.
Survival rates of operated cases are 88.2% at 1 year, 83.7% at 3 years and 77.9% at 5 years in the central type, and 95.7%, 77.5% and 37% respectively in the peripheral type. Curative resection demonstrated 100 % survival at 5 years.抄録全体を表示PDF形式でダウンロード (1114K) -
半沢 儁, 和田 源司, 木村 秀樹1982 年 33 巻 6 号 p. 436-442
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーFifteen cases of early lung cancer resected in our clinic for the last seven years were examined.
Four of them were hilar type. Three cases were male heavy smokers and taken to the hospital on account of bloody sputum and slight fever. The localization of the tumor was revealed by bronchoscopy in all cases. Pre-operative diagnosis, three squamous cell carcinomas and one adenocarcinoma, was established by biopsy and/or brushing cytology. Lobectomy was performed in two cases, and in other two cases lobectomy with sleeve resection of bronchus and segmentectomy with wedge resection of bronchus were carried out. The case with limited resection was lost by matastasis in the opposite lung eighteen months after the operation.
Eleven cases, one male and ten females, were peripheral type. Only one case was smoker. Complaints were seen in only three cases. Eight cases were asymptomatic and seven of these eight were detected by mass X-ray survey. Among those eleven cases, five were diagnosed by percutaneous needle biopsy. The final diagnoses were adenocarcinoma in nine cases, squamous cell carcinoma in one and carcinoid in the remainder. Lobectomy was performed in ten cases, and partial resection was done in one case because of poor pulmonary function. All cases are alive and the longest post-operative course is six years and six months.
A case of well differentiated papillary adenocarcinoma in hilar region and a case of moderately differentiated squamous cell carcinoma in peripheral region were demonstrated.
The value of limited operation for early lung cancer and the utility of mass survey with X-ray and sputum cytology for the early detection of lung cancer were discussed.抄録全体を表示PDF形式でダウンロード (6253K) -
鈴木 隆1982 年 33 巻 6 号 p. 443-452
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーPatients undergoing tracheobronchoplasty have increased in number. Some patients who undergo wide resection of the carina cannot realize the retention of sputum and lose ability to cough it out by themselves for several days after the operation. Many factors may be involved in this disturbance of expectoration.
Under the assumption that one of these factors is injury to the nervous system of the airway, the author studied the innervation of the large airway.
Specimens were obtained from the 20 autopsies within at most 4 hours after death. For the identification of the nerves, silver impregnation (Namba's method) and acetylcholinesterase stain (Karnovsky and Roots' technique) were performed.
In the trachea, carina and main bronchi, the longitudinal chains of nerves in the membranous portion and the plexus around the tracheobronchial arteries were demonstrated by both silver impregnation and acetylcholinesterase stain. At the carina many ganglia were also found by these stains. Arborizations of nerve fibers in the epithelium were found only by silver impregnation and distributed densely at the carina. Acetylcholinesterase-containing nerves were not demonstrated in the epithelium but were found in the submucosal plexus, smooth muscles and bronchial glands. It was considered that the arborizations in the epithelium could be sensory fibers as reported by Spencer and Fisher.
At the lobar bronchi and the more distal airways, the nerve fibers stained by the two methods were distributed more sparsely than in the larger airways.
In conclusion, this study shows that the tracheal bifurcation is the main pathway of the nerves of the airway and that it has many arborizations of sensory fibers in the epithelium. These findings may explain the mechanism why patients undergoing wide resection and reconstruction of the carina tend to have dysfunction of detecting and expectorating sputum postoperatively.抄録全体を表示PDF形式でダウンロード (13837K) -
その臨床と文献的考察小林 英人, 大野 吉昭, 渡辺 行雄, 大橋 直樹, 吉田 行夫, 水越 鉄理1982 年 33 巻 6 号 p. 453-456
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーA case of congenital esophageal web in childhood was reported and discussed with special reference to the literature.
A 6-year-old Japanese female child presenting of habit vomiting visited our clinic. A full blood examination was normal. Barium swallow showed a stricture in the upper esophagus. Esophagoscopy under general anesthesia revealed a web bulding from the wall of the upper esophagus. The web was biopsied endoscopically and then dilated by bougienage. Histologically, the web was found to be composed of squamous epithelium without muscular tissue. Post-operative barium swallow showed a residual margin of the web but an adequate filling of the upper esophagus. After operation, she was free from habit vomiting and became to eat solid foods without difficulty.
The importance of esophagoscopy in habit vomiting children is stressed.抄録全体を表示PDF形式でダウンロード (3828K) -
新川 敦, 三宅 浩郷, 松川 純一, 小松 信行, 秋田谷 直1982 年 33 巻 6 号 p. 457-460
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーWe developed a new buttery-type flexible fiberscope for the diagnosis of naso-pharyngo-larygeal disorders, which can be used without anesthesia or vasoconstrictor in poor risk patients or new-born babies at their bed side. This fiberscope is able to be used both by butteries orlight guided fiber. The buttery handle is a Welch-Allyn type that contains rechargeable butteries usually used for otoscopy. One of the disadvantages of the buttery fiberscope is that a visual field is somewhat dark (79 lx), and photography and video recordings are impossible.抄録全体を表示PDF形式でダウンロード (4216K) -
瀧野 賢一1982 年 33 巻 6 号 p. 462-463
発行日: 1982/12/10
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (536K)
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