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Volume 39, Issue 6
Displaying 1-14 of 14 articles from this issue
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Takurou ENOMOTO, Masanori NAKAMOTO, Yuichi TAKEUTI, Seiko IKOMA1993 Volume 39 Issue 6 Pages 949-952
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA patient presented with tinnitus and sensorineural hearing loss. The disorder was thought to be partially due to aortitis syndrome, and was reactive to steroids. In future cases of sensorineural hearing loss, aortitis syndrome should be considered, as reported in this case.View full abstractDownload PDF (6803K) -
Takashi KONDO, Yasuhisa HASEGAWA, Hidehiro MATUURA1993 Volume 39 Issue 6 Pages 953-962
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSUse of informed consent was studied in twenty-five cases of reconstructive surgery for malignant tumors in the head and neck regions. It was possible to inform the patient and family of the cancer or malignant tumor in all cases. Full disclosure of the nature of the illness through the use of informed consent was found to be beneficial to the mental and physical status of the patients and their families, especially in cases entering the terminal stages of the illness.View full abstractDownload PDF (21213K) -
Keiji MORIYA, Toru SEKITANI, Yoshihiko OKINAKA, Kenji OKAMI1993 Volume 39 Issue 6 Pages 963-966
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMonomorphic adenomas of the minor salivary glands are rare lesions that generally occur as an asymptomatic swelling of about 2 cm in diameter, most often in the upper lip of patients over 60 years of age. Treatment is complete surgical excision. The literature reports no recurrences of the adenomas on followup examinations of the patients. We report here a rare case of monomorphic adenoma which developed in the minor salivary gland of the hard palate of a 74-year-old woman. The adenoma was treated by limited extracapsular excision, and the hard palate perforation well covered by a dental plate.View full abstractDownload PDF (8743K) -
Takuya SUGIMOTO, Takuya UEMURA, Hiroshi HASHIMOTO1993 Volume 39 Issue 6 Pages 967-975
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFifty-eight cases of nasopharyngeal carcinoma were analyzed clinicopathologically. The overall five year survival rate was 50%. Nasal or aural symptoms outnumbered that of cervical mass as initial symptoms. Vth, Vlth, IXth and Xth cranial nerve involvement was more common than involvement of the other nerves. The initial N-stage provided prognostic correlation, but histological typing, T-stage and treatment did not correlate with patient prognosis. Squamous cell carcinoma (SCC) occurred more often in older patients of both sexes than did other types of carcinoma such as undifferentiated (UC) or nonkeratiniz- ing (NKC). Moreover, advanced cervical metastases were more common in UC than in SCC.View full abstractDownload PDF (16194K) -
Teruhiro OGAWA, Keiko NISHIOKA, Kuninori MYOUKAI, Humio NAKAGAWA, Hiro ...1993 Volume 39 Issue 6 Pages 976-981
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA rare case of small cell carcinoma of the nasal cavity in a patient with hepatocellular carcinoma of the liver is reported. WE stain and other stains (EGC stains) revealed inclusive cytoplasmatic granules of the neuroendocrine granules which were not visualized under electron microscopy. Now that multiple extrapulmonary or extraesophageal sites for this tumor have been identified, these regions should be investigatded with any case of suspected small cell carcinoma that cannot be readily attributed to that of the lung or esophagus.View full abstractDownload PDF (12527K) -
Hirohisa SATOH, Mamoru TUKUDA, Izumi MOCHIMATU, Seiichiroh YUYAMA, Shi ...1993 Volume 39 Issue 6 Pages 982-993
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSix hundred and seventy-eight cases of head and neck malignant tumors were treated in our clinic during the ten year period from Jan. 1979 to Dec. 1988. These cases consisted of 636 cases of epithelial malignant tumors and 42 cases of non-epithelial malignant tumors.
(1) Epitherial malignant tumors (Head and Neck cancer): Laryngeal Carcinoma cases were the most prevelent comprising (34.7%) of the group. The annual number of cases with mesopharyngeal carcinoma has gradually increased while that with paranasal cavity carcinoma has decreased. The sex ratio was 4.0. The number of the cases in their sixth decades were the most numerous in all groups. The majority of carcinoma cases were Stage III and IV, except for laryngeal carcinoma cases. The incidence of cervical lymph-node metastasis was high (48.8%). Historogically, most of the group showed squamous cell carcinoma (94.5%).
(2) Non-epitherial malignant tumors: This group consisted of 35 cases of malignant lymphoma. In malignant lymphoma, the sex ratio was 0.78 and the largest number of cases were in their sixth decade of life. Cases with Stage IV were in the majority.View full abstractDownload PDF (18854K) -
Yoshiyuki TANIGAITO, Tadao ASAI, Akiko MORI, Hirokazu YOSHIDA, Kotaro ...1993 Volume 39 Issue 6 Pages 994-998
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFrom June 1984 to May 1992, four cases of acinic cell tumor of the parotid gland were treated. None of the cases were diagnosed as acinic cell tumor preoperatively. Although there was some indication that the tumors might be malignant, they were diagnosed as benign tumors and treated surgically. In two cases, branches of the facial nerve were involved by the tumors and partial resection necessary and, in one case, transplantation of the greater auricular nerve. Postoperative diagnoses were acinic cell tumor of the parotid gland. Histologic study of the capsule and surrounding tissues of tumors revealed benign plemorphic adenoma of parotid gland, but the relation between the facial nerve and tumor was inconsistent with that of pleomorphic adenoma. In these cases of acinic cell tumor, the connective tissues of the tumor capsule involved the facial nerves. Surgical management of the tumors involved more bleeding than is experienced with cases of common pleomorphic adenoma. Histological findings revealed many capillaries in the tumor and surrounding tissues. This finding suggests that we must give attention not only to lymphatic metastasis but also to hematogenic metastasis.View full abstractDownload PDF (9891K) -
Koji TORIHARA, Masayuki YAMASAKI, Yuichirou ADACHI, Fujihiko KASANO, K ...1993 Volume 39 Issue 6 Pages 999-1003
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSPost-intubation granulomas of the larynx treated at Miyazaki Medical College Hospital between 1981 and 1992 were studied. The average length of intubation for surgical operations and/or respiratory insufficiency was 42.4 hours. Twelve of the 16 patients were female. Six of the granulomas involved the right side of the larynx, four involved the left side, and six involved both sides. Granulomas were removed by laryngomicrosurgery using CO2 laser under general anesthesia in nine cases, and in five cases the lesions were also injected with steroid solution. All histological specimens revealed non-specific inflammatory granuloma. In three of the seven non-operated cases, the granuloma disappeared without special therapy.View full abstractDownload PDF (8342K) -
Nanami NARITA, Toshio YOSHIHARA, Akio SHINO, Tetuo ISHII1993 Volume 39 Issue 6 Pages 1004-1009
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSOne-hundred-twelve cases of major salivary gland tumors treated in our department from 1982 to 1992 were reviewed and analyzed clinically. One-hundred of the cases were parotid gland tumors, 16 of which were malignant. The remaining 12 cases were of submandibular gland origin, one of which was malignant. The age distribution at the time of occurence covered a wide range but most tumors occurred during the patients' fifth decade of life. Pleomorphic adenomas were the most common salivary gland tumors, comprising 54% of the benign parotid gland tumors. Mucoepidermoid carcinomas were the most common type of malignant parotid gland tumor. Tumor diagnosis was made using sialography, enhanced CT scan, ultrasonography, and RI-scintigraphy. The most significant preoperative symptom of the malignant cases were facial palsy and pain. Partial lobectomy was the usual procedure performed on the benign parotid gland tumors. Radio and/or chemotherapy were performed on some of the malignant parotid gland tumors after surgical treatment. Total extirpation of the gland was performed in all cases of submandibular gland tumors.View full abstractDownload PDF (10798K) -
Hitoshi OGINO, Toru MATSUNAGA1993 Volume 39 Issue 6 Pages 1010-1017
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThis is report on a private plan to develop new unified criteria for the evaluation of acute lacunar tonsillitis. These evaluation criteria constitute a simple method in which the three items of pharyngalgia, tonsillar redness, and coating are classified into the two categories of (+) and (-), and then these evaluations are combined to determine clinical efficacy. When evaluation the criteria proposed here are used, the clinical efficacy continuously changes even in the same subject, but we feel that these are still useful criteria which allow for an accurate the evaluation of the efficacy of various drugs.View full abstractDownload PDF (13601K) -
Akio INOUE, Masaoki UCHIDA, Shizumi MATSUURA, Bunsuke SATAKE, Masamich ...1993 Volume 39 Issue 6 Pages 1018-1025
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTo evaluate the efficacy and toxicity of combined chemotherapy for advanced head and neck cancer, a randomized comparative trial carried out at the Head and Neck divisions of 14 cancer centers in Japan. 117 cases were registered from May, 1986 to March, 1988 and they were then divided into two groups according to the following methods.
Regimen A (PPM) CDDP 80mg/m2 i. v.(day1) PEP 15mg/body s. c. or I. V. H.(day2-5) MTX 40mg/m2 i. v.(day2) every 3-4 weeks/course
Regimen B (PP) 80mg/m2 i. v.(dayl) 15mg/body s. c. or I. V. H.(day2-5) every 3-4 weeks/course
Ninety-eight of the cases were evaluable. In 46 cases given Regimen A the response rate was 61% (CR 2 and PR 26) while in 52 cases given Regimen B it was 23% (CR 2 and PR 10, p<0.01). The response rate in 30 cases of initial treatment with Regimen A was 67% while in 25 cases with Regimen B it was 32%. In the recurrent cases the response rate was 50% in the Regimen A and 15% in Regimen B.(p<0.05) The duration of response in these cases were 13 days to 388 days. No severe side effects were observed in this trial. Therefore Regimen A was found to be more effective than Regimen B in this trail.View full abstractDownload PDF (12527K) -
Akio INOUE, Masaoki UCHIDA, Shizumi MATSUURA, Bunsuke SATAKE, Masamich ...1993 Volume 39 Issue 6 Pages 1026-1033
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTo evaluate the efficacy and toxicity of combined chemotherapy for advanced head and neck cancer, a randomized comparative trial was carried out at the Head and Neck divisions of 16 cancer centers in Japan. 111 cases were registered between April, 1988 and March, 1990 and were then divided into two groups according to the following methods.
Regimen A (PPM) CDDP 80mg/m2 i. v.(day1) PEP 10 mg/m2 s. c. or I. V. H.(day2-5) MTX 40 mg/m2 i. v.(day2) every 3-4 weeks/course
Regimen B (PPF) CDDP 80 mg/m2 i. v.(day1) PEP 10 mg/m2 s. c. or I. V. H.(day2-5) 5FU 500 mg/m2 i. v. or I. V. H.(day2-5) every 3-4 weeks/course
Ninety-eight of the cases were evaluable. In the 44 cases given Regimen A, the response rate was 48% (CR 3 and PR 18) while in the 54 cases given Regimen B, it was 50% (CR 2 and PR 25). The response rate in 24 cases offer the initial treatment with Regimen A was 54% and 39 cases with Regimen B was 56%. In recurrent cases, it was 40% in Regimen A and 33% in Regimen B. No severe side effects were observed in this trial. Therefore combined chemotherapy were found to be useful for advanced head and neck cancer cases and there was no significant differences between Regimen A and B.View full abstractDownload PDF (10774K) -
[in Japanese]1993 Volume 39 Issue 6 Pages 1035-1039
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
[in Japanese]1993 Volume 39 Issue 6 Pages 1040-1043
Published: November 20, 1993
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS
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