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Volume 55, Issue 4
Displaying 1-10 of 10 articles from this issue
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Y. Usui, S. Kitamura2002 Volume 55 Issue 4 Pages 175-178
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSReports on carcinoma in situ of squamous cell carcinoma of the anal canal are very rare. We experienced, however, a case with an incidentally discovered carcinoma in situ of squamous cell carcinoma during microscopic examination of anal tissue resected for treatment of a mucosal prolapse. We report it because this is the first case of clinically unsuspected carcinoma in situ in Japan. The patient was a 72-year-old female who had experienced bleeding during defecation for 30 years. Two years before, she experienced anal prolapse and came to our center. At the initial medical examination, a mucosal prolapse was found, and surgery was performed. The dissected mucosal prolapse was submitted for pathologic diagnosis, which found a squamous cell carcinoma, five mm in size, an located very close to the dentate line, and in contact with adenoma and mucosal prolapse.View full abstractDownload PDF (4443K) -
A. Fukazawa, K. Maruyama, T. Nakamura, H. Kashiwabara, K. Sunayama, K. ...2002 Volume 55 Issue 4 Pages 179-183
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSIn a 50-year-old female with Crohn' s disease with right hip joint pain and high fever, a huge right psoas abscess near the right hip joint was diagnosed by abdominal computed tomography. Following the administration of total parenteral nutrition and antibiotics, the symptoms did not improve. Then ultrasonographic-guided percutaneous drainage of the abscess was performed. Though the Real fistula was left for over three months after percutaneous drainage, ileocecal resection and surgical drainage were carried out. The re-sected specimen showed external fistula in the 24 cm-oral side ileum from Bauhin valve and longitudinal ulceration. Magnetic resonance imaging showed no recurrence of the abscess three months after surgical treatment. In Japan, 26 cases of psoas abscess complicating Crohn' s disease have been reported including this case. This complication will be seen more often because Crohn' s disease appears to be increasing in incidence. A case of large psoas abscess complicating Crohn' s disease was reported in which surgical treatment after percutaneous drainage was very effective.View full abstractDownload PDF (4921K) -
Y. Tsukioka, K. Oyama, N. Koyasaki, G. Nishimura2002 Volume 55 Issue 4 Pages 184-188
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSA case of supralevator abscess due to perforation of the rectum probably caused by a glycerin enema instrument is reported. A 90-year-old female was admitted to the hospital because of abdominal pain, high fever and shock. The diagnosis was a rectal perforation and perirectal abscess by pelvic CT and colonoscopy. She underwent an emergency operation for colostomy and antibiotic therapy. However, three days after, the intrapelvic abscess was aggravated. Therefore, drainage was performed through rectal ulcer with 22 French drainage tube. One month later, the abscess was not found.View full abstractDownload PDF (4777K) -
S. Tateishi, S. Arima, K. Futami, K. Kawahara, K. Naritomi, N. Takayam ...2002 Volume 55 Issue 4 Pages 189-194
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSThe distribution of metastatic lymph nodes in 104 cases with right-sided colon cancer, in which curative resection had been performed, was studied. Lymph node (LN) metastasis along the bowel was not evident at a distance of more than 5 cm from the tumor, with the exception of two cases in which the tumor measured more than 8 cm in diameter. In cecal colon cancer, LN metastasis was recognized only in the nodes along the ileocolic artery, except for one case in which the tumor measured 8 cm in diameter, and in proximal ascending colon cancer, it was also recognized only in the nodes along the ileocolic artery. In mid-ascending colon cancer, LN metastasis was recognized extensively, regardless of tumor size. In distal ascending colon cancer, LN metastasis was recognized only in the nodes along the right colic artery, except for one case in which the tumor measured 8.5 cm in diameter, whereas in right-sided transverse colon cancer, it was not recognized in any nodes along the ileocolic artery, except for one case in which the timor measured 10 cm in diameter. These findings suggest that ileocecal resection may provide sufficient radicality for both cecal colon and proximal ascending colon cancers, and that surgical preservation of the ileocecal junction may be feasible for both proximal ascending colon and right-sided transverse colon cancers, except for cases in which the tumor measures more than 8 cm in diameter.View full abstractDownload PDF (390K) -
H. Itoh, E. Bando, H. Fujita, T. Kawamura, T. Ii, S. Takegawa, M. Kiri ...2002 Volume 55 Issue 4 Pages 195-199
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSClinicopathological characteristics and prognosis of 66 patients with primary colorectal cancer with macroscopic invasion into the adjacent organs were evaluated. The patients were operated on at our hospital from 1983 to 1999. Fifty-five of the 66 patients underwent combined resection of colorectal tumor and the adjacent organs, resulting in curative resection in 35 patients. The invasion was frequently seen in the peritoneum, urinary bladder and small intestine. These were predominantly located in the transverse colon and cecum, and were predominantly poorly-differentiated adenocarcinoma and had a significantly higher incidence of lymph node metastasis. However, only 33/58 (57%) cases were verified microscopically to have invasion. The five-year survival rate in all cases was 34 %, and according to the curability, that of A was 61 %, B was 19%, and C was 0%. The five-year survival rate of patients with positive lymph node metastases was significantly worse than that of negative ones in the surgically curative cases. No significant difference in prognosis between patients with direct invasion and those without such invasion was found. The results indicate that combined resection of the adjacent organs may enhance prognosis in colorectal cancer, if it is suspected to have direct invasion in possibly surgically curative cases.View full abstractDownload PDF (407K) -
H. Watanabe, K. Matsumoto, M. Watanabe, T. Takagi, Y. Ono, K. Iwakawa2002 Volume 55 Issue 4 Pages 200-201
Published: 2002
Released on J-STAGE: June 05, 2009
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T. Utsunomiya, S. Kikuta, N. Akahosi2002 Volume 55 Issue 4 Pages 202-203
Published: 2002
Released on J-STAGE: June 05, 2009
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K. Tsuchiya2002 Volume 55 Issue 4 Pages 204-205
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (130K) -
2002 Volume 55 Issue 4 Pages 206-214
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (903K) -
2002 Volume 55 Issue 4 Pages 215-223
Published: 2002
Released on J-STAGE: June 05, 2009
JOURNAL FREE ACCESSDownload PDF (839K)
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