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86 巻, 11 号
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その頻度と症例報告吉野 邦俊, 馬谷 克則, 仙波 治, 宮原 裕, 佐藤 武男1983 年 86 巻 11 号 p. 1353-1359
発行日: 1983/11/20
公開日: 2008/03/19
ジャーナル フリーWe experienced a case of a 67-year-old female patient whose hypopharyngeal web was detected four years before the development of postcricoid carcinoma.
In 10 out of 46 patients (21.7%) with carcinoma either of the hypopharynx or of the cervical esophagus, the web was detected by the barium study. The web was found in 7 out of 105 patients (6.7%) who complained of discomfort or distressing sensation of the throat. The difference was statistically significant (p<0.02). We stress the necessity of the longitudinal follow-up study of the patients with hypopharyngeal web in view of the high combination rate of the carcinoma and web.抄録全体を表示PDF形式でダウンロード (1333K) -
丘村 煕, 近森 義則, 柳原 尚明1983 年 86 巻 11 号 p. 1360-1364
発行日: 1983/11/20
公開日: 2008/03/19
ジャーナル フリーThe principle of laryngeal cancer treatment at Ehime University Hospital was described, and the value of laser surgery for conservation of the laryngeal function was emphasized in this paper. As a primary treatment, irradiation of 3, 000 to 4, 000rad was applied to most of the cases. Then, the necessity of further surgical intervention was determined on the basis of laryngoscopic findings. The laryngeal laser surgery was applied; 1) to remove tumor completely, 2) to reduce the volume of tumor in order to enhance the effect of succeeding radiation therapy, and 3) to eradicate residual tumor after radiation. Sixty-nine cases of laryngeal cancer were treated under the above-mentioned principle of treatment for the last six and half years, and the cumulative five-year survival rate was 80 per cent.抄録全体を表示PDF形式でダウンロード (329K) -
坂口 幸作, 奥田 稔, 谷垣内 由之, 坂口 喜清, 大西 正樹, 渡辺 雄司1983 年 86 巻 11 号 p. 1365-1369
発行日: 1983/11/20
公開日: 2008/03/19
ジャーナル フリーWe have reported that the basophilic cells migrate on the mucosal surface of the nose and play an important role in the nasal manifestation of allergy, and that these surface basophilic cells also increase in patients with non-allergic nasal polyps. These facts suggested us that these cells increase as a consequence of nasal blockage. In order to confirm this suggestion, we counted the number of the cells in nasal scrapings from 14 laryngectomized patients and, as control, from 9 patients with irradiated laryngeal cancer.
As the results, the basophilic cells increased in 92% of the laryngectomized patients, while only in 25% of the irradiated patients. In the former patients, however, the increases were marked within 2 years (esp. a few months) after operation, and slight over 2 years.
In conclusion, breathing through tracheal opening possibly increases the number of surface basophilic cells, although a further study is necessary to know the reason why tracheostomatal breathing causes the increases of surface basophilic cells.抄録全体を表示PDF形式でダウンロード (315K) -
12症例の検討津田 守, 松永 亨, 伊藤 弘, 片岡 隆嗣, 杉本 和彦, 田中 昭男1983 年 86 巻 11 号 p. 1370-1376
発行日: 1983/11/20
公開日: 2008/03/19
ジャーナル フリーAccording to statistical studies of tuberculosis the number of patient has decreased dramatically since a new chemotherapy for this disease was introduced about 30 years ago. Tuberculosis can be found mostly in aged people nowadays. This is also true for a mortality due to tuberculosis. In recent years the occurrence of tuberculosis varied in districts; it is more frequent in the western part of Japan.
Twelve cases of laryngeal tuberculosis were reported in this paper. As with tuberculosis of other organs, patient's age was high compared with the previous studies. Laryngoscopic examination showed that a type of granulomatous proliferations was more frequent, hence it was difficult to differentiate them from laryngeal carcinoma. Asymptomatic tuberculosis of the lung was found in most of the patients.
In order to discover laryngeal tuberculosis at an early stage and to protect spreading of the infection, it is necessary to carry out a taking of detailed anamnesis, a precise inspection, a chest X-ray and an examination of sputum, and then to make the final diagnosis with a biopsy.抄録全体を表示PDF形式でダウンロード (1524K) -
長井 大二, 加我 君孝, 高森 晶裕1983 年 86 巻 11 号 p. 1377-1383
発行日: 1983/11/20
公開日: 2008/03/19
ジャーナル フリーAcute comatose patients were studied to assess the state of unconsciousness and prognostic values of three evoked potentials (auditory brain stem response... ABR, middle latency component... MLC and slow vertex response... SVR). For comparison, ocular responses were examined by ice-water caloric stimulus and Ohta's classification.
Our classification separates auditory evoked potentials into five stages. Stage A indicates coma with the presence of normal ABR, MLC and SVR. Stage B is coma with normal ABR and MLC and the absence of SVR. Stage C is coma with normal ABR and the absence of MLC and SVR. Stage D is coma with prolonged wave V latency of the ABR or disappearance of later waves and the absence of the MLC and the SVR. Stage E is coma with the absence of all auditory evoked potentials.
The relationship between the initial stages and the outcome at one month post-assesment in 54 acute comatose patients was as follows. The survival rate was 100% in stage A, 89% in stage B, 50% in stage C and 0% in stages D and E. These results indicate that presence of the MLC is probably a key for survival of patients. The classification will be useful in evaluating diagnostic efficiency as well as to measure the state of unconsciousness, prognosis and therapeutic effectiveness.抄録全体を表示PDF形式でダウンロード (482K) -
一時的動脈閉塞下抗癌剤動注療法垣内 弘, 岩橋 大介, 林 泰弘, 椋代 光夫, 嶽 良博, 加藤 寛, 九鬼 清典, 横田 昌也, 田端 敏秀, 川端 衛, 打田 和宏1983 年 86 巻 11 号 p. 1384-1392
発行日: 1983/11/20
公開日: 2008/07/08
ジャーナル フリーIt is known that transcatheter intraarterial drug delivery presents a higher concentration of drug in the tumors than intravenous administration only. In our field, a transcatheter arterial infusion from superficial temporal artery into tumor site has been commonly used for the treatment of head and neck tumors.
Recently, the intraarterial infusion under its temporary occlusion has been employed in the patients with hepatic tumors using double lumen balloon catheter. In this study, it was intended to use not only intraarterial infusion-occlusion system from superficial temporal artery, but also to reduce the systematic side effects of the drugs recirculating from regional area by means of direct hemoperfusion with charcoal filament.
The concentration level of anti-cancer drugs in the tissues received infusion-occlusion chemotherapy was significantly high. The hemoperfusion with chacoal filament, to eliminate the drugs in the blood recirculating from regional areas, worked successfully showing significant adsorption within 180 minutes after infusion.
We believe that a new system of intraarterial drug delivery by means of balloon occluded arterial with hemoperfusion proposed in the present study will be much effective for chemotherapy of head and neck tumors.抄録全体を表示PDF形式でダウンロード (646K)
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