Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
Search
Advanced search
OR
Browse
Search
Volume 114, Issue 12
Displaying 1-6 of 6 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
Review article
Original article
  • Thyroglobulin Concentration Measurement in Fine-needle Aspiration Fluid from Cystic Cervical Lymph Node Metastases of Papillary Thyroid Carcinoma
    Yozo Inagaki, Koji Sakamoto, Yasuhiro Inoue, Yorihisa Imanishi, Toshik ...
    2011 Volume 114 Issue 12 Pages 912-916
    Published: 2011
    Released on J-STAGE: January 28, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.114.912
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Background: Combining ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI) and fine-needle aspiration cytology (FNAC) usually results in the best preoperative diagnosis of cervical masses, including neoplasms. This may not be true, however, especially in occult papillary thyroid carcinoma (PTC) associated with single cystic cervical lymph node metastasis. We assessed the role of thyroglobulin measurement in FNA fluid (FNATg) in differentially diagnosing cystic cervical mass lesions, including PTC cystic lymph node metastasis.
    Methods: We reviewed the records of 17 subjects with cervical cystic masses undergoing both FNATg measurement and surgery. FNA was done under ultrasonographic guidance. We also measured FNATg concentrations from extrathyroid lesions, consisting of cystic cervical lymph node metastases and benign cystic lesions.
    Results: Pathological diagnosis involved 5 PTC lymph node metastases, 3 lateral cervical cysts, 7 thyroglossal duct cysts, and 2 squamous cell carcinoma (lung and oropharynx) lymph node metastases. FNATg of PTC lymph node metastasis was much higher than the reference range of blood serum thyroglobulin, although much lower for the lateral cervical cyst detection threshold. FNAC and FNATg measurement are thought to be mutually complementary in the differential_diagnosis of PTC cystic lymph node metastasis.
    Conclusion: High concentrations of FNATg in a cystic cervical mass is considered specific to PTC lymph node metastasis, indicating its usefulness in distinguish PTC cystic metastasis from other cystic lesions. Including FNATg measurement with FNAC may thus improve preoperative diagnosis accuracy without additionally stressing subjects with PTC cystic lymph node metastasis.
    View full abstract
    Download PDF (335K)
  • Comparison of Open Essence Scent Identification Test Card and Conventional Olfaction Tests
    Eri Mori, Yoshinori Matsuwaki, Chieko Mitsuyama, Momoko Yamazaki, Tets ...
    2011 Volume 114 Issue 12 Pages 917-923
    Published: 2011
    Released on J-STAGE: January 28, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.114.917
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Japan's medical insurance covers only the intravenous olfaction test, which is invasive and painful, and the T&T olfactometry recognition threshold test, which is not commonly used. The alternative open essence (OE) test recently developed and has shown clinical utility. Using a cross-over technique, we compared the OE test to other olfaction tests, administering it to 122 Japanese subjects diagnosed with olfactory dysfunction. Subjects scored olfactory function using the visual analog scale (VAS) and the Japan Rhinologic Society Self-Administered Odor Questionnaire (SAOQ). They also took the Japanese standard olfactory test (T&T olfactometry) and intravenous olfactometry (Alinamin test). Statistically significant correlations were seen among scores, the OE, SAOQ, VAS, T&T olfactometry recognition threshold, and Alinamin test, further indicating the OE test's clinical olfactory function evaluation. Menthol should, however, be eliminated from the OE formulation lineup due to its strong carry-over effect.
    View full abstract
    Download PDF (583K)
  • Coblation Tonsillectomy under Surgical Microscopy
    Keiji Fujihara, Masamitu Kohno, Masashi Ogami, Masaki Hayashi, Akihisa ...
    2011 Volume 114 Issue 12 Pages 924-927
    Published: 2011
    Released on J-STAGE: January 28, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.114.924
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Numbers of tonsillectomies may be decreasing in Japan due to troublesome bleeding involved in managing in a small viewing field and relatively low national health insurance point for tonsillectomy. We found coblation tonsillectomy to have advantages of less bleeding, shorter operating time, and less postoprerative pain than conventional tonsillectomy. We found that 40% of those on whom a coblator was used reported no postoperative throat pain, and noted a quick learning curve in decreasing postoperative bleeding in coblation tonsillectomy.
    View full abstract
    Download PDF (584K)
Educational lecture
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top