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Kazuhide MATSUNAGA, Kazunori MORI, Shinichi ASAMURA, Tetsuji NAGATA, N ...
2008 Volume 33 Issue 6 Pages
829-836
Published: 2008
Released on J-STAGE: July 07, 2009
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We evaluated swallowing function in four tongue cancer patients who underwent hemiglossectomy and reconstruction with the pectoralis major myocutaneous flap at 12 months postoperatively . The size of the pectoralis major myocutaneous flap was almost 12 × 5 cm in those four patients. In all patients, the flaps decreased in comparison with the size one month postoperatively. We performed functional evaluation. All patients were capable of oral ingestion. Patients who underwent excision of less than 50% of the radix linguae could consume an approximately normal diet. However, patients who underwent excision of more than 50% of the radix linguae required strict dietary limitations. We evaluated video fluorography findings. None of the patients could hold the test diet in the oral cavity. All patients could shift the residual tongue to the flap side as a compensatory function and the residual tongue could make good contact with the hard palate. There was no aspiration in any patient. Widening of the esophageal entrance during swallowing appeared good in all patients. We suggest that swallowing function in patients who underwent hemiglossectomy and reconstruction with a pectoralis major myocutaneous flap was good approximately at 12 months postoperatively.
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Taiki KOJIMA, Takanori MATSUI, Hiroshi KOJIMA, Michitaka FUJIWARA
2008 Volume 33 Issue 6 Pages
837-841
Published: 2008
Released on J-STAGE: July 07, 2009
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Takehiro SAKAI
2008 Volume 33 Issue 6 Pages
842-845
Published: 2008
Released on J-STAGE: July 07, 2009
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Yoshihiro MORIWAKI, Masayuki IWASHITA, Hiroshi TOYODA, Takayuki KOSUGE ...
2008 Volume 33 Issue 6 Pages
846-851
Published: 2008
Released on J-STAGE: July 07, 2009
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Kazuhide MATSUNAGA, Shinichi ASAMURA, Noritaka ISOGAI
2008 Volume 33 Issue 6 Pages
852-855
Published: 2008
Released on J-STAGE: July 07, 2009
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Toshiaki NUMAJIRI, Takashi FUJIWARA, Maki UENAKA, Yoshihiro SOWA, Shid ...
2008 Volume 33 Issue 6 Pages
856-861
Published: 2008
Released on J-STAGE: July 07, 2009
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Nobuhisa MATSUHASHI, Masahiro TAWADA, Hiroyuki Tomita, Shinji OGURA
2008 Volume 33 Issue 6 Pages
862-867
Published: 2008
Released on J-STAGE: July 07, 2009
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Hiromichi ITOH, Satoshi YODONAWA
2008 Volume 33 Issue 6 Pages
868-871
Published: 2008
Released on J-STAGE: July 07, 2009
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Koshi NAGANO, Noritoshi NISHIYAMA, Hiroyuki HAMBA, Katsumi IKEDA
2008 Volume 33 Issue 6 Pages
872-875
Published: 2008
Released on J-STAGE: July 07, 2009
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Yasuro FUJIWARA, Takemasa MIDORIKAWA, Hidefumi YAGI, Kunitoshi AITA, K ...
2008 Volume 33 Issue 6 Pages
876-879
Published: 2008
Released on J-STAGE: July 07, 2009
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Kazuhiro SUZUMURA, Shiro MORIKAWA, Toshihiro OKADA, Koushi OH, Nobukaz ...
2008 Volume 33 Issue 6 Pages
880-883
Published: 2008
Released on J-STAGE: July 07, 2009
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Naoki HAYASHI, Seiji OHHIGASHI, Shintaro SAKURAI, Hisashi ONODERA
2008 Volume 33 Issue 6 Pages
884-888
Published: 2008
Released on J-STAGE: July 07, 2009
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Satoshi HATANO, Tatsuya MIYAZAKI, Masaru YOKOYAMA, Keiichiro ISHIBASHI ...
2008 Volume 33 Issue 6 Pages
889-892
Published: 2008
Released on J-STAGE: July 07, 2009
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Keijiro SUGIMURA, Hitoshi MIZUNO, Toshikazu ITO, Tsunekazu MIZUSHIMA, ...
2008 Volume 33 Issue 6 Pages
893-897
Published: 2008
Released on J-STAGE: July 07, 2009
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Takehiro SAKAI
2008 Volume 33 Issue 6 Pages
898-902
Published: 2008
Released on J-STAGE: July 07, 2009
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Keisuke UEHARA, Seiichiro YAMAMOTO, Shin FUJITA, Takayuki AKASU, Hirok ...
2008 Volume 33 Issue 6 Pages
903-907
Published: 2008
Released on J-STAGE: July 07, 2009
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Abscess formation is one of the most common complications of colorectal cancer. The presence of abscesses and accompanying fibrosis sometimes makes it difficult to correctly diagnose the extent of tumor invasion, thereby affecting the choice of surgical procedure. We report the case of a 57–year–old male with locally advanced rectosigmoid cancer complicated by widespread scrotal and perineal abscesses. The patient was treated by total pelvic exenteration, total emasculation, and combined partial resection of the ileum to achieve en bloc excision of the tumor and all of the scrotal and perineal abscess cavities. Histological examination of the surgical specimen revealed cancer cells floating in the abscess cavity of the ileal mesentery but not in the scrotal and perineal abscess cavities. Colorectal cancer patients with widespread abscess formation sometimes require extended surgery to achieve microscopically complete resection, because it is impossible to reliably discriminate between cancerous tissue and the surrounding inflammation accompanyed by fibrosis pre– or intra–operatively. Although extended surgery is necessarily followed by impaired quality of life, it is the most promising treatment available in terms of a cure.
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Kojin ENDO, Kunitoshi NAKAGAWA, Terutada KOBAYASHI
2008 Volume 33 Issue 6 Pages
908-911
Published: 2008
Released on J-STAGE: July 07, 2009
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Kunitoshi NAKAGAWA, Shinichi YABUUCHI, Terutada KOBAYASHI, Kojin ENDO, ...
2008 Volume 33 Issue 6 Pages
912-915
Published: 2008
Released on J-STAGE: July 07, 2009
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Makoto WATASE, Takuji MORI, Atsuhiro OGAWA, Satoshi ASAI, Hideaki NISH ...
2008 Volume 33 Issue 6 Pages
916-919
Published: 2008
Released on J-STAGE: July 07, 2009
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Yuya UEHARA, Joe SAKURAI, Akiyoshi NODA, Hideyuki KATAGIRI, Ryoji MAKI ...
2008 Volume 33 Issue 6 Pages
920-922
Published: 2008
Released on J-STAGE: July 07, 2009
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