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Volume 46, Issue 3
Displaying 1-14 of 14 articles from this issue
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Noboru SAKAI, Jun-ichi MATSUSHIMA, Noriko NISHIZAWA, Takehiko KOKUBUN, ...2000 Volume 46 Issue 3 Pages 175-179
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe herein report a simple and easy method for performing in-office myringoplasty and describe our results. Regarding this procedure, the epithelium around the perforations was transmeatally removed following local anesthesia using an anesthetic for the eardrum, and thereafter a skin graft from the extenal ear was placed using the over-lay method. This method was parformed on 30 patients which included 24 patients with otitis media, 5 perforations after inserting tubes for secretory otitis media and 1 case of traumatic perforation. A total of 83.3% (25/30) of the patients demonstrated a successful closure after the initial surgery and 5 perforations could also be successfull closed by the same operation. Our surgical technique is relatively easy to perform and is therefore appropriate for in-office operations. The advantages of this method include a decreased invasiveness with minimal anesthesia and no ear canal packing or fixatives are needed. In addition, there is also a plan to study the usefulness of this method by further increasing the number of cases undergoing this surgical procedure.View full abstractDownload PDF (8954K) -
Katsuhiro MIYAZAKI, Masahiro ISHIKAWA, Kouichi SUGIHARA, Takeshi KUSUN ...2000 Volume 46 Issue 3 Pages 180-184
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIt is said that the first case of laryngocele was reported by Larry in 1829 while Virchow named this disease in 1863. Laryngocele seems to be caused by air-incorporation and the expansion of the Morgagni laryngeal saccule while is elongated upwards from the laryngeal ventricle. We experienced a case of lateral type laryngocele that appeared to be attributable to pressure elevation in the respiratory tract due to stenosis caused by bilateral recurrent paralysis. The patient was a 57-year-old male. He visited the hospital with the chief complaint of swelling in the left submaxillary region. The tumor had a flat surface and was elastic and solid. On tomography of the larynx, hypertranslucency with a smooth margin was observed in the left cervical region. Since cystic disease was suspected on CT, the tumor was extracted by a percutaneous incision. The tumor originated from the inter-thyroid membrane. In the pathological examination, the inside of the cyst was covered with multiple lines of ciliated epithelium and the infiltration of a few inflammatory cells consisting mainly of lymphocytes under the epithelium was found. The tumor was thus diagnosed to be a laryngocele.View full abstractDownload PDF (10574K) -
A case of Warthin's tumor of the bilateral parotid glands with high serum CEA and SCC antigen levelsHidekazu YAMAMOTO, Hiroshi AZUMA, Nanako TAMURA, Masashi KAKIUCHI2000 Volume 46 Issue 3 Pages 185-189
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSCarcinoembryonic antigen (CEA) and squamous cell carcinoma-related antigen (SCC antigen) have been clinically shown to be effective tumor markers for adenocarcinoma and squamous cell carcinoma, respectively. A case of Warthin's tumor of the bilateral parotid glands occurring in a 70-year-old male is reported. The serum CEA level was 11.3ng/ml and the SCC antigen level was 2.9ng/ml based on the preoperative examination. The high serum tumor marker level quickly decreased to within the normal range after surgery. An immunohistological distribution of CEA, CA19-9 and cytokeratin in the tumor tissue was observed. The findings suggest that CEA and SCC antigen can thus be used as effective tumor markers for Warthin's tumor.View full abstractDownload PDF (11675K) -
Atsuji MATSUYAMA, Junji MIYAZAKI, Seiji TAKAGI, Kuniyoshi TSUDA, LIQIN ...2000 Volume 46 Issue 3 Pages 190-196
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe have treated 16 patients with cervical nodal metastasis of unknown primary sites over the past 18 years. The histopathological diagnosis of the cervical masses were as follows; ten cases had squamous cell carcinoma (one case was suspected to have branchiogenic carcinoma), two cases had adenocarcinoma, and the other included one case of either undifferentiated carcinoma, transitional cell carcinoma, follicular carcinoma or malignant lymphoma. Metastatic lymph nodes were found in the superior internal jugular nodes in seven patients, in the middle internal jugular nodes in seven patients, and in the supraclavicular nodes in six patients. Primary lesions became evident in six patients. The primary lesions of three patients were evident during the therapeutic process, and they were located in the pyriform sinus, the gingiva, and the kidney-urinary tract, respectively. The primary lesions of the other three patients were evident at autopsy, and they were also located in the lung, the gall bladder and the uterine cervix, respectively. Despite performing an autopsy, no primary lesions could be found in three cases. The crude two-year survival rate was 33.3%. Combined therapy with a radical neck dissection, radiation and/or chemotherapy preceded by a thorough time-saving examination is thus recommended for unknown primary tumors.View full abstractDownload PDF (16005K) -
Hideaki KATORI, Jun UKAI, Tetuya URUMA, Takasi YOSIZUMI, Bunsuke SATAK ...2000 Volume 46 Issue 3 Pages 197-200
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwenty-three patients with cervical lymph node metastasis from an unknown primary carcinoma treated at the Gunma Cancer Center were analyzed. The origin of the metastatic lymph nodes was determined in 10 cases during the treatment, while the origins of 5 casas were determined at autopsy. At the time of diagnosis for cervical lymph node metastasis from and unknown primary carcinoma, it is necesary to sufficiently inspect the mucous membrane of the head and neck, and also keep in mind the possibility of metastasis from other organs. Even if the cancer origin is unknown, a neck dissection should be performed whenever possible.View full abstractDownload PDF (7728K) -
Satoshi MATSUO, Kei NAKAHARA, Rie HAMASAKI, Hiromi TAKEUCHI, Hisaaki I ...2000 Volume 46 Issue 3 Pages 201-204
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 70-year-old male with recurrent hypopharyngeal cancer was referred to our hospital for uncontrollable severe cervicodynia due to invasion of the cervical vertebra. Oral morphine (90mg/day) was administered and gradually increased to 500mg/day until adequate pain relief was finally achieved. One month later, however, the pain abruptly increased, most likely due to tumor invasion of the spinal cord. As a result, we changes from oral morphine to 8mg/h. i. v. morphine and the dose of morphine then had to be rapidly increased to 400mg/h. In this case, the rapid increase and high-dose morphine treatment resulted in adequate pain relief without any undesirable side effects such as respiratory suppression.View full abstractDownload PDF (6552K) -
Hiroyuki MIZOKAMI, Ken-ichiro KUSANO, Motohiro SAWATUBASHI, Junji MIYA ...2000 Volume 46 Issue 3 Pages 205-209
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMalignant fibrous histiocytoma (MFH) is a common soft-tissue sarcoma which usually occurs in the limbs and retroperitoneum. However, it is relatively rare in the head and neck region. The histologic diagnosis of MFH is difficult, especially when based on biopsies, because of its pleomorphism. We herein report a case of MFH arising primarily in the left maxillary sinus. The patient, a 27-year-old male, had suffered from sinusitis for 20 years. It was thus difficult to make a diagnosis based on the clinical behavior and the first biopsy findings of the tumor. The tumor was removed by a partial maxillotomy, and MFH was there-after diagnosed. Immunohistochemical and electron microscopic studies were useful for differential diagnosis. Although neither local recurrence nor distant metastasis has been noted at 4 months after the operation, an extensive removal of the tumor, radiotherapy and combination chemotherapy may be required if the tumor should recur.View full abstractDownload PDF (13050K) -
Akio SHINO, Toshio YOSHIHARA, Miwa SHINO, Takumi YAMASAKI, Tetsuo ISHI ...2000 Volume 46 Issue 3 Pages 210-216
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of adenoid cystic carcinoma found in a 46-year-old man is reported. The chief complaint was a right nasal obstruction, and a computed tomography (CT) scan suggested it to be a malignant tumor arising from the nasal septum which invaded the hard palate. The histological analysis based on an in incisional biopsy revealed it to be an adenoid cystic carcinoma showing a cribriform pattern. The tumor was resected with the nasal septum and hard palate. After the operation, both radiotherapy and chemotherapy were performed. A local recurrence was found after 64 months and a reoperation was thus performed including a resection of the posterior wall of the maxillary bone, the pterygoid process and muscle. To date, neither any further local recurrence nor distant metastasis has been found. As far as we could ascertain in a literature search, only 15 cases of such tumors have been previously reported in Japan.View full abstractDownload PDF (16612K) -
Takumi YAMASAKI, Toshio YOSHIHARA, Tetuo ISHII, Toshihiko SHIMIZU2000 Volume 46 Issue 3 Pages 217-222
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAdenocarcinoma occurring in the paranasal sinus is relatively rare. The case of a 53-year-old male adenocarcinoma in the ethmoid sinus is reported. The patient presented complaining of headache, nausea and a disturbance of consciousness. The initial diagnosis was a brain tumor. The brain tumor was extirpated by a neurosurgeon. The final pathological daignosis was adenocarcinoma. The patient was thereafter introduced to our department for an investigation of the primary lesion. MRI and CT examinations demonstrated the primary lesion to be in the ethmoid sinus. Up to now, only 14 cases of adenocarcinoma of the ethmoid sinus have been reported in Japan.View full abstractDownload PDF (13343K) -
Correlation between QOL and background factorsSatoshi OGINO, Morihiro IRIFUNE, Yoshikiyo SAKAGUCHI, Mariko NIBU, Ken ...2000 Volume 46 Issue 3 Pages 223-229
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe previously reported that patients with Japanese-cedar pollinosis often complained of a substantially decreased QOL. In this study, we examined the correlation between the QOL score and background factors in Japanese-cedar pollinosis using a SF-36 questionnaire. The subjects, who consisted of 240 patients with Japanese-cedar pollinosis, were the same as those investigated in the previous study. No relationship was observed between the QOL score and the duration of pollinosis. The higher the number of consultations from January. to March, the greater the decrease in the QOL score. Smoking had no effect on the QOL score. On the other hand, the patients who drank alcohol showed a better QOL than non-drinkers. From these results, we concluded that various background factors influence the QOL in Japanese-cedar pollinosis patients.View full abstractDownload PDF (10345K) -
Taichi FURUKAWA, Etsuyo TAMURA, Masami OGURA, Naoyuki KOHNO, Satoshi K ...2000 Volume 46 Issue 3 Pages 233-238
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSInspection is an important technique for the diagnosis of laryngeal lesions because they are not palpable. It is very important for the laryngologists that we inquire the cases of laryngeal lesion with disagreement of macroscopic findings and histopathological findings. A 71-year-old man visited our hospital with chief complaint of hoarseness for 6 months. His Blinkman index was 2,000. Solitary mass like vocal cord nodule involved in each vocal cords. Telescopic examination showed that left lesion existed at the free edge and had irregular surface with white lesion, and right lesion existed at the slightly lower lip side and had relatively regular surface. These laryngeal lesions were suspected to be cancer for the left and reactive nodule for the right. However, laryngostroboscopy showed that no wavemotion and no vibration at the mass and the rear portion of bilateral vocal cords. Laryngomicrosurgery was performed and the results of histopathological examination was that right lesion was well differentiated squamous cell carcinoma and left lesion was carcinoma in situ. We report the review of this case at the point of pre-operative diagnosis.View full abstractDownload PDF (15935K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2000 Volume 46 Issue 3 Pages 239-240
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
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[in Japanese]2000 Volume 46 Issue 3 Pages 241-242
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
2000 Volume 46 Issue 3 Pages 243-245
Published: May 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (5558K)
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