日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
33 巻, 1 号
選択された号の論文の30件中1~30を表示しています
  • 由良 義明, 伊賀 弘起, 寺嶋 和義, 近藤 康夫, 宮上 憲司, 吉田 秀夫, 梁川 哲雄, 佐藤 光信
    1987 年 33 巻 1 号 p. 1-7
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Complement-fixation (CF) antibody activity raised against herpes simplex virus (HSV) was measured in the sera from 81 persons who visited the outpatient clinic of the Second Department of Oral and Maxillofacial Surgery, Tokushima University School of Dentistry. The 19 serum samples among the 81 examined were assayed simultaneously for HSV neutralization (NT) antibody as well as the CF antibody. Consequently, all of the sera containing HSV NT antibody were found to be positive for HSV CF antibody activity.The positive rate of HSV CF antibody activity was 28% in the 20-to-29-year age group, and 50% in the 30-to-39-year age group. These findings suggest that primary HSV infection occurs frequently in adults.
  • 三上 豊, 覚道 健治, 虫本 浩三, 白数 力也
    1987 年 33 巻 1 号 p. 8-13
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Recently some investigators have reported that several tumor markers were useful to diagnosis cancer patients.
    In this paper, the changes of serum level of tumor markers (CEA, IAP and FER) were investigated in 60 patients with head and neck cancer and 43 patients with benign disease as a control.
    The following results were obtained:
    1) The positive rate in head and neck cancer was 48.3% for IAP, 28.3% for CEA and 13.3% for FER.
    2) The positive rate of tumor markers was extremely high in the cases of maxillary sinus (CEA: 63.3%, IAP: 75.0%), hard palate (IAP: 83.3%) and floor of the mouth (IAP: 66.7%).
    3) The serum level of IAP and CEA seemed to correlated with the clinical course of head and neck cancer patients.
  • 第I報: 撮像手技について
    山口 孝二郎, 向井 洋, 川島 清美, 藤崎 誠, 若松 常信, 山下 佐英, 佐藤 強志, 野井倉 武憲
    1987 年 33 巻 1 号 p. 14-21
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    99mTc-Rhenium colloid lymphoscintigraphy was performed on 6 cases of oral cancer. The results were as follows:
    1) In respect of injection site, we selected the submucous area in the gingivobuccal fold of upper molar region and the subcutaneous area just beneath mastoid process.
    2) To obtain fine image of submandibular and cervical lymph nodes, it was necessary to simultaneously inject both intra-and extraorally.
    3) Adequate injection dose of RI colloid was approximately 1mCi per site.
    4) The images 3 to 6 hours after injection were thought to be desirable.
    5) Covering the injection site by a lead board and oblique-position photography were important for obtaining image.
  • 森本 伊智郎
    1987 年 33 巻 1 号 p. 22-31
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    The effect of occlusal alteration on the hyaluroic acid (HA) quantity in the synovial fluid of the monkey temporomandibular joint (TMJ) has been studied.
    At intervals of 3 days, 1, 6 and 16 weeks following experimental procedure, unilateral bite raising using metal splint, quantitative changes of HA were assayed biochemically by isotachophoresis.
    The quantity of HA in normal synovial fluid from each control animals was 3.97mg/ml. The quantity of HA decreased in synovial fluid 3 days or 1 week after experimental procedure, but it tended to restore to relatively normal limits 16 weeks after experimental procedure.
    These restoer suggest that TMJ disturbance of the monkey caused by occlusal alteration was followed by quantiative changes of HA in the synovial fluid.
  • 笹倉 裕一
    1987 年 33 巻 1 号 p. 32-42
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    The supernatant of sonicated Actinomyces viscosus (AVsup) and Actinomyces Israelii (Alsup) were examined for their mitogenecity to human peripheral blood lymphocytes.
    Peripheral blood mononuclear cells were separated into three groups: 1) mononuclear cell (unseparated) fraction, 2) T cell enrich (E-receptor positive cell) fraction, 3) B cell enrich (E-receptor negative cell) fraction.Each cell fraction was cultured with AI and AVsup respectively for 72 hrs and DNA synthesis was assayed. Streptococcal preparation (OK-432) and PWM were also tested as positive controls.
    AVsup induced a low increase of DNA synthesis on T cell enrich and B cell enrich fraction, but a higher increase on mononuclear cell fraction. Alsup did not induce any increase of DNA synthesis. OK-432 and PWM induced higher DNA synthesis on T cell enrich fraction as compared with B cell enrich fraction, and on mononuclear cell fraction, DNA synthesis was induced higher than T cell enrich or B cell enrich fraction. Furthermore, the change of T cell subsets were observed using FITC conjugated monoclonal antibodies at 24, 48, and 72 hrs cultures.AVsup did not induced increase of OKT3 (T cell), OKT4 (helper/inducer T cell), OKT8 (suppressor/cytotoxic T cell) antigen positive cell population.However, it increased OKDR antigen positive cell population included activated T cell, 70% of B cells, 55% of monocytes, but only monocytes were excluded by appropriate gating on the cytogram of the flow cytometer, although it failed to increase OKB7 (95% of B cells) antigen positive cell population.So the increasing of OK DR antigen positive cell population was considered not as B cells but activated T cells.
    It might be strongly suggested that AVsup induced T cell activation without being accompanied with remarkable blastogenesis and proliferation, and then the B cell was stimulated by the activated T cell.
  • 第3報: 正面頭部x線規格写真による経時的観察
    道脇 幸博, 吉田 広, 登倉 博子, 右田 大三彦, 月岡 克郎, 松井 澄子, 道 健一
    1987 年 33 巻 1 号 p. 43-52
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    The position of the proximal segments of mandible in 30 patients following intraoral oblique sagittal splitting osteotomy were longitudinally analysed with postero-anterior cephalograms at least 6 months after surgery.The subjects consisted of 15 cases of mandibular prognathism alone and 15 cases of mandibular prognathism with anterior openbite.
    Comparing pre- with immediate post-operative positon, the proximal segment shifted 2.5mm laterally in the pronathism alone cases.In the cases of prognathism with anterior openbite, the segment also moved 1.3mm laterally.During intermaxillary fixation, the segment shifted medially and approached the preoperative position in both groups.The amout of return was 1.0mm in prognathism alone cases and O.5mm in combined cases.
    After taking off the fixation, the proximal segments of both groups have been physioloically stable in the position at the fixation release.
  • 皮膚全層切除創の治癒過程に対する影響
    古内 泰生
    1987 年 33 巻 1 号 p. 53-65
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    The following experiments were performed to examine the effect of low-power density CO2 laser on wound healing process.
    1.The temperature alteration of normal rat dorsal dermi irradiated by CO2 laser, was measured by cromel-almel thermo-couple.
    2.The healing of full thickness skin defects, produced in rat's dorsums and irradiated by low-power density CO2 laser was examined by the following procedures.
    (1) Wound area was arithmetically measured daily.
    (2) Hydroxyproline content was spectrophotometrically determinedby Edward's method, and water content was determined at the same time.
    (3) Histological findings were obtained after staining with hematoxylin and eosin.
    The results were as follows.
    1.Rise of skin temperature was related to power density and irradiation time.
    2.The wound areas of irradiated groups reduced more than those of control group at 3-7 experimental days.
    3.At 4-14 experimental days, the hydroxyproline contents of the wounds increased more in irradiated groups than in control group.
    4.The wounds water content decreased and returned to normal level faster in irradiated groups than in control group.
    5.Histological findings of rat's dorsal dermis suggested that the wounds of irradiated groups healed swifter than those of control group, and the arrangement of collagen fibers were more well-ordered in irradiated groups than in control group.
    6.Low-power density CO2 laser had thermal effects, and these effects activated collagen synthesis in the early phases of wound healing.
  • 川嶋 龍一, 亀山 忠光, 江崎 誠治, 豊福 司生, 田中 俊一, 朱雀 直道
    1987 年 33 巻 1 号 p. 66-69
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Dermoid and epidermoid cyst of the oral region are generally found in the flooi of the mouth but are rare in the mandible.
    In this paper, a rare case of epidermoid cyst between the periosteum and mandible is presented and the literature reviewed.
  • 臼井 康裕, 戸塚 靖則, 野谷 健一, 福田 博, 佐藤 敬喜, 進藤 正信, 雨宮 璋
    1987 年 33 巻 1 号 p. 70-75
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Hemangiopericytoma is a rare vascular tumor which is characterized by the proliferation of pricytes around the capillaries.
    A case of malignant hemangiopericytoma of the parotid gland is presented.A 24-year-old female noticed a painless mass on the left parotid region five months prior to admission. During surgery a yellowish, multi-nodular and thinly encapsulated mass was found beneath the parotid gland and the mandibular ramus was resorbed.
    Histopathological examination revealed the proliferation of the tumor cells outside the basement membrane of the vessels. The tumor cells surrounded by reticulin fiber showed slight atypia and infiltration of the parotid gland. The tumor was histopathologically diagnosed as malignant hemangiopericytoma.
    Postoperative radiation therapy (50 grays) and chemotherapy (aclacinomycin A 280mg) were instituted.Also, adjuvant chemotherapy (carmofur 600mg/day) and immunotherapy (OK 432 2.0KE/week) was continued for two years. The patient has been feeling well three years after treatment
  • 山下 敏康, 榎本 道彦, 荒尾 宗孝, 神谷 祐二, 高井 克憙, 深谷 昌彦, 大田 裕美, 亀山 洋一郎
    1987 年 33 巻 1 号 p. 76-82
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Ameloblastoma is the most common tumor among odontogenic tumors.It is known that this tumor is frequently seen in the jaws, but is relatively rare in the soft tissue.This paper described two cased of peripheral ameloblastoma. Case I.The patient, a 34-year-old woman, was admitted to our hospital complaining of swelling in the 123 region labial gingiva. The surrounding gingiva and alveolar bone containing the tumor were removed.Case 2.The patient, a 46-year-old woman, was admitted to our hospital complaining of swelling in the 1234 region lingual gingiva.The tumor and surrounding soft tissues were removed.The prognosis of both cases was favorable.
  • 吉田 秀夫, 梁川 哲雄, 由良 義明, 浦田 満, 小林 章祐, 佐藤 光信, 東 富雄, 小守 昭, 上村 修三郎
    1987 年 33 巻 1 号 p. 83-88
    発行日: 1987/01/20
    公開日: 2011/09/13
    ジャーナル フリー
    Paget's bone disease (osteitis deformans) is characterised by abnormal resorption and apposition of osseous tissue in one or more bones.This disease is very rarely seen in Japan. We experienced a patient with Paget's bone disease, the outline of which we report here.
    A 70-year-old Japanese female visited our clinic with the chief complaint of expansion of maxilla. The upper alveolus showed bony outgrowth in both sides.Although radiographic features of skull and facial bones revealed typical mottled pattern or cotton wool appearance, the mandible was not affected.Histologic findings showed characteristic mosaic architecture of Paget's disease of bone.The patient was affected by low grade malignant lymphoma 8 months after visiting our clinic.The relationship between Paget's bone disease and malignant lymphoma in this patient remains to be proven
  • 伊東 節子, 水城 春美, 清水 正嗣, 大西 正俊, 塩田 重利, 大山 喬史, 佐々木 元賢
    1987 年 33 巻 1 号 p. 89-94
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Abstract: We described speech disorders and its treatment on a typical case of Freeman-Sheldon syndrome, and discussed the etiology of its speech disorders as follows.
    1.In speech, nasality, articulation disorders (weak consonant, glottal stop, omission) and retardation of speech development were recognized.
    2.The patient had hypofunction of the soft palate and the masticatory system.
    3.He showed abnormal behavior in that he hid his face with his hands and ran about the room of the clinic.
    4.He possessed normal intelligence and hearing.
    5.It was speculated that retardation of speech development and abnormal behavior were caused by his bad environment.
    6.It was thought that his speech disorders were caused by hypofunction of the lip, the tongue and the soft palate, and the hypofunction was induced by microstomia and abnormal shape of the lower lip.
    7.In speech therapy, 1) instructing his mother to improve the environment, 2) functional and 3) articulatory production training were applied with good results.
  • 深田 孝宏, 原田 利夫, 田中 雅彦, 大山 恒夫, 岸本 宏史, 吉村 安郎
    1987 年 33 巻 1 号 p. 95-100
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A case of multiple primary malignant tumors with squamous cell carcinoma of the mandibular gingiva and adenocarcinoma of the transverse colon which occurred in a 82-year-old female was reported and the Japanese literature from 1975 to 1984 on multiple primary malignant tumors involving the oral region was reviewed.
    The results of 72 cases documented statistically were as follows; The average age at first examination which almost consisted with cancer age, was 36.1% in the 7th decade, 25.0% in the 6th decade and 22.2% in the 8th decade individually.
    The ratio of male to female was 2.8:1. As for the diagnostic period of first cancer and secondary cancer, the synchronous cancer represented 31.9% and 68.1% in the metachronous cancer. Regard with the pairing of double cancer on oral region and other organs, digestive system such as, stomach, esophagus occupied the largest half of the pairing.
    Histologically, squamous cell carcinoma (scc) and carcinoma of the glandular origin or scc in their separate organ showed the highest pairing rate.
  • 堀越 勝, 長田 雅男, 岡 恭子, 藤村 長久, 朝比奈 泉, 宮沢 正純, 榎本 昭二, 茅野 照雄
    1987 年 33 巻 1 号 p. 101-104
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    The incidence of fibromatous tumor is rather frequent in the soft part of oral cavity. In most cases, their histological features show benign fibrous growth and not real neoplasms. However, in general, they are called fibroma. The common size ofthe tumor is 10 to 30 mm in diameter.
    Recently, the authors encountered a fist sized (110gr.) so-called fibroma of the maxillary gingiva and the case was reported.
  • 柴田 芳孝, 北山 誠二, 長尾 徹, 宇野 裕, 河合 俊彦, 織田 元, 山田 茂
    1987 年 33 巻 1 号 p. 105-109
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Ameloblastoma is one of the odontogenics tumor which is encountered frequently. The ameloblastoma originates chiefly in the mandibula, rarely in the maxilla.We encountered one ameloblastoma of the maxilla that grew from a right second premolar to a left canine, and was about 4.5×3.0×4.0cm. According to the WHO classification, the tumor was classified histopathologically for an acanthomatous type.There was no recurrence four years post-operatively.
  • 福田 容子, 戸塚 盛雄, 武田 泰典, 工藤 啓吾, 及川 理
    1987 年 33 巻 1 号 p. 110-116
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Pathological analysis of 4 cases (three males and one female) of chronic osteomyelitis of the jaws in childhood was performed.
    In case 1 of a 12-year-old male, histopathological finding of maxillary lesion showed typical chronic suppurative osteomyelitis in early stage, but became similar to finding of ossifying fibroma in latter stage.Case 2 of a 9-year-old male and case 3 of a 12-year-old female were diagnosed as chronic diffuse sclerosing osteomyelitis in the mandible. Case 4 of a 15-year-old male revealed a finding of Garre's osteomyelitis in the mandible.
    Since histopathologic findings of chronic osteomyelitis in childhood were composed of various patterns of osteomyelitis, the detailed clinical coursear and histopathological examinations in numerous areas were important for final diagnosis and treatment.
  • 大島 利洋, 高井 克憙, 森 一紀, 坂 達雄, 平松 幹子, 木下 靖朗, 辻 哲, 深谷 昌彦, 武居 道則, 亀山 洋一郎
    1987 年 33 巻 1 号 p. 117-122
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A case of mandible myxofibroma in a 25-years-old male was reported.
    Extraction of the second premolar and first molar and first molar and removal of the tumor were performed.The tumor was 20×15×10mm, red brown color, surfaced with myxomatous adhesion.
    Microscopically, the tumor was diagnosed odontogenic myxofibroma.
    The patient shows no evidence of recurrence of tumor eight months after surgery.
  • 望月 光治, 川上 哲司, 桐田 忠昭, 匠原 悦雄, 岡田 征夫, 堀口 元生, 杉村 正仁, 高田 千春, 古山 順一
    1987 年 33 巻 1 号 p. 123-131
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A case of basal cell nevus syndrome was reported.
    The patient, a 10-year-old boy, was referred to the Department of Oral and Maxillofacial Surgery, Nara Medical University, because of swelling at premola region in the left mandible.
    X-ray examination showed radiolucent areas involving 3 and 4 at the left upper jaw and 3 at the left lower jaw.
    General examination revealed increased cranial circumference, frontal bossing, broadened nasal root, ocular hypertelorism, fusion of eyebrows, synostosis of the fifth and sixth ribs on the right, palmar-plantar pits, spinal scoliosis, blue papule on the flexor surface of the left forearm and cryptorchism.
    Histopathological diagnosis identified that the multiple jaw cysts were odontogenic keratocysts and the blue papule was epidermal cyst.
    Chromosomal examination showed nothing unusual.
    Further, repair function of UV-induced DNA damage was examined in order to explore the possibility that the multiple basal cell carcinoma may arise in the syndrome.
  • 小川 純, 水野 智之, 秋山 友蔵, 佐藤 耕治, 宮田 秀美, 成田 令博, 内田 安信, 興石 義彦, 雨宮 隆太, 土手 剛
    1987 年 33 巻 1 号 p. 132-137
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Metastatic tumors of the oral region are comparatively rare, being only 1-2% of the overall oral malignancy spectrum.
    This paper presents a case with lung carcinoma which metastasized to the scalp, supraclavicular lymph nodes and mandible.
    A 51-year-old man with diagnosis of sqamous cell carcinoma of the lung was admitted to surgery of our hospital.
    Four months later he was referred to the oral surgery of the same hospital because of gingival swelling.
    A panoramic radiograph showed radiolucency in the area of the left mandibular premolar root tip.A biopsy specimen of the mandible indicated well-differentiated sqamous cell carcinoma and resembled histologically the one seen in the lung lesion.A histologic and clinical diagnosis of primary lung carcinoma metastatic to the mandible was made.
  • 中澤 光博, 網野 かよ子, 由井 俊平, 米田 俊之, 作田 正義
    1987 年 33 巻 1 号 p. 138-145
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A patient, a 69-year-old male, with malignant thymoma metastasing to maxillary gingiva and the other sites was reported.He visited our hospital because he noticed gingival tumor of the upper jaw (3-4). He had no symptoms to complain except gingival tumor and slight palpitation. A large tumor shadow was found in the mediastinum by roentgenological examination.During investigation of the relation between gingival tumor and mediastinal tumor, anemia, leukocytes increase and fatigue appeared.Then he was extremely weakned and died of gastric ulcer bleeding.The autopsy found that a mediastinal tumor was thymoma and had metastated to the bilateral suprarene, left kidney and prostate as well as gingiva. Distant metastasis and immunological disorder of thymoma are reviewed.
  • 和久本 雅彦, 吉田 広, 道脇 幸博, 秋月 弘道, 道 健一, 山名 裕見
    1987 年 33 巻 1 号 p. 146-149
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Cirsoid hemangioma is a rare disease presenting as a pulsating, compressible mass. It grows up rapidly and communicates with surround vessels.
    It is said that it occurs mainly on the face and neck.However, only few reports on the oral region have been published.
    A 65-year-old male with the cirsoid hemangioma is presented.He was referred to our hospital with complaint of upper lip swelling.The swelling showed pulsation and compressibility, and had rapidly increased in size from a month before.It was accordingly diagnosed as cirsoid hemangioma.
    This hemangioma was succesfully treated by surgical excision with upper lip artery ligation.
    The classification and differentiation of this lesion is discussed.
  • 山本 浩一, 白土 雄司, 栗原 憲二, 河野 勝寿
    1987 年 33 巻 1 号 p. 150-155
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Angiomyoma is a benign tumor derived from smooth muscle.It is uncommon in the oral cavity, probably because of the general abscence of smooth muscle there except in blood vessel walls and in the circumvallate papillae of the tongue.
    Recently, a 52-year-old Japanese man visited the 1st Oral Surgery Department of KyushuUniversity Dental Hospital, complaining of a small round painless mass in the upper lip. Oninspection and palpation, a round elastic soft mass, 6mm in diameter, was revealed.
    Under local anesthesia, the mass was excised.A histopathological diagnosis of a angiomyoma was made.
  • 稲村 彦衛門, 領家 和男, 渡部 隆夫, 森田 ますみ, 岡本 和己, 道田 章仁, 永見 輝生, 谷尾 和彦, 三上 有史, 小川 隆嗣 ...
    1987 年 33 巻 1 号 p. 156-162
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Oral lichen planus is a chronic inflammatory disease of unknown etiology.Malignant transformation of oral lichen planus is a controversial subject. A case of malignant transformation of lichen planus of the tongue was reported and the literature was reviewed.
    The patient was a 48-year old woman referred to our hospital with a chief complaint of contact pain of the lateral border of the tongue.Clinical and histopathological examination revealed lichen planus, with no malignancy signs. Despite treatment with corticosteroids locally and systemically and Etretinate, she showed little if any improvement and the lesion eventually developed to squamous cell carcinoma 5 years after the lichen planus diagnosis.
    The patient has been in good condition with no recurrence for 1 year and 10 months after removal of the tumor with co2 laser.
    We analized the data from the literature of malignant transformation of lichen planus.
    The following results were obtained.
    1) Transformation rate in foreign literature ranged from 0% to 10%, with an average of 3%, but only a single case in Japan.
    2) Of the 33 cases, carcinoma arose in 17 the erosive type, in 7 plaque type, and in 5 reticular type.
    3) The duration of oral lichen planus before transformation was 1.5 years to 40 years, with an average of approximately 10 years.
    More extensive investigations are needed to ascetain whether lichen planus is to be regarded as a precancerous condition.
  • 山下 眞里子, 杉原 一正, 大久保 章朗, 河田 政昭, 若松 常信, 山下 佐英
    1987 年 33 巻 1 号 p. 163-170
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Bird-headed dwarfism, a rare form of proportionate dwarfism, was recognized as an entity by Seckel in 1960.The condition comprises (1) dwarfism, (2) low birth weight, (3) microcephaly, (4) mental retardation, and (5) beak-like appearance of the mid-face.
    Recently, we experienced a case of Bird-headed dwarfism.She was 9 years 5 months old. The face and clinical features compared well with Seckel's descriptions, and were associated with submucosal cleft palate.The present study dealea with the oral malformations of this rare syndrome using roentgenographic analysis and radiographic cephalometry.
  • 松村 耕治, 早津 良和, 福田 てる代, 中島 嘉助, 篠崎 文彦
    1987 年 33 巻 1 号 p. 171-174
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Pleomorphic adenoma is the common neoplasm in the oral cavity. The usual location of this tumor is the parotid of the major salivary glands and the palate of the minor salivary glands;and this tumor rarely develops on the lips.Usually it appears between ages 20 and 50; few cases occur in childhood.
    We experiensed a case of pleomorphic adenoma on the upper lip of a child.The patient, a 11-year-old girl, visited our clinic with a complaint of a foreign mass on the upper lip. It was found by palpation to be size of the tip of one's little finger.It was easily movable, roundish and smooth.The tumor was removed completely under local anesthesia. The removed mass was oval and well encapsulated, and the cut surface was yellow-grey and solid. Microscopic findings showed the tumor consisted of sheets of glandular epithelial cells forming duct-like structures containing an eosinophilic secretion. Histopathological diagnosis was pleomorphic adenoma.
    The tumor has not recurred in the year since the operation.
  • 加藤 理恵, 牧 正啓, 田縁 昭
    1987 年 33 巻 1 号 p. 175-178
    発行日: 1987/01/20
    公開日: 2011/09/13
    ジャーナル フリー
    A rare case of primary clear cell adenoma of the minor salivary gland is described. The patient, a 33 year-old female, showed a papiloma-like lesion in the oral floor and was treated by surgical resection.
    Histo-pathologically, the tumor tissue was composed of clear cells arranged in solid nets. Glycogen was not observed in the cytoplasm.
    The patient is free from local recurrence and distant metastasis 3 years and 6 months after the operation.
  • 佐藤 公治, 阿部 麻子, 奥井 美枝, 辻川 孝昭, 日比 五郎, 岡 達
    1987 年 33 巻 1 号 p. 179-183
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    Gardner's syndrome is a hereditary disease characterized by the triad of soft tissue tumor, hard tumor (osteoma) and multiple intestinal polyposis and is also accompanied by a variety of dental abnormalities.It has been reported that early diagnosis is essential as intestinal polyposis in particular, has a high malignant pontential.In this paper, a case study is reported on a patient with complete Gardner's syndrome discovered on presentation for examination at our Department of Oral Surgery and a medical documentation is also included. The patient was a thirty-five years old male who presented for initial diagnosis with a hard tumor in both mandibular angles and a bean-sized atheroma-like tumor in theepithelium of the right oral angle. X-ray findings revealed osteoma-like radiopaque in the maxilla and mandibular as well as several impacted teeth.In addition, the patient had a history of tumor resection in the dorsal, right orbital epithelium. Based on the above findings, Gardner's syndrome was suspected and gastrointestinal surgery was subsequently conducted.Surgical findings revealed multiple polyps occurring in the region from the stomach through the small intestine to the large intestine and complete Gardner's syndrome was diagnosed.The largest polyp found in resected intestine was 5 cm in diameter, and although it was found to be pathohistologically adenoma, malignant findings were not observed.
  • 遠山 良成, 松本 光彦, 岩成 進吉, 三宅 正彦, 堀 稔, 田中 博, 西野 彰恭, 寺門 正昭, 佐藤 廣, 草間 薫, 茂呂 周
    1987 年 33 巻 1 号 p. 184-189
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A case was reported of squamous cell carcinoma arising in left upper neck of 61-for 1 year old male.
    The patient complained that had been suffered painful swelling in left upper neck region for 1 month since he had his left upper teeth extracted.
    An elastic hard tumor the size of a baby's fist with adhesion underneath was found in the first visit examination.An en-block resection of tumor with adhesive surroundings was performed, though preoperative biopsy showed no evidence of malignancy.
    Histopathological examination of the specimen revealed that the tumor was squamous cell carcinoma. Even though we had not found tumor cell remained on surgical margin area, 60Co (5, 000 rad) irradiation and Peplomycin (50mg) chemotherapy was performed after the resection. The patient was followed up for 2 years administering Picibanil (5KE/week) and had no local reccurance or metastasis.
    We concluded that this case was Branchiogenic carcinoma because of the below characteristics;
    1.Tumor was located between M. sternocleidmastoideus and V.juglaris internal of upper neck region.
    2.Tumor had cystic cavity with keratinized substance inside.
    3.Histopathological examination revealed that the cystic structure was not formed by necrosis caused by carcinoma.
    4.Numbers of lymphoid tissues with germinal center were found in the specimen.
    5.Even though we tried Otorhinolaryngologic, internal examinations and further research of maxillofacial region, we could not find any primary lesion so that the tumor of the upper neck was deened not metastatic.
  • 岩井 博, 鎌田 仁, 渡部 誠矢, 荒記 春雅, 志村 介三
    1987 年 33 巻 1 号 p. 190-193
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    A tongue carcinoma (T3N3M0 squamous cell carcinoma) of 62 year old woman was treated by low dose rate external radiation therapy and 55mg of peplomycin administration. Dose rate was 1.79cGy/min.Total doses and durations were 5, 760cGy/tongue, 7, 100 cGy/cervical lymph nodes/55h./113 D.respectively.Excellent control was observed nearly two years later without any recidivation or remote metastasis.
  • 長谷川 秀行, 白川 正順, 野村 健, 咲間 茂, 中村 愼, 伊藤 隆康
    1987 年 33 巻 1 号 p. 194-199
    発行日: 1987/01/20
    公開日: 2011/07/25
    ジャーナル フリー
    It is well known that stone is formed in various organs when abnormal conditionsdevelop in organisms.Sialoliths and Phleboliths are observed relatively frequently in the field of Oral and Maxillo-facial surgery. There are papers only describing observation of stonelike calcified material in the soft tissue other than these diseases.
    We experienced one case showing stone-like calcified material in the left buccal mucosa and carried out various studies. The aim of the present paper is to describe the findings and the outline of this case.
    The patient was a 51-year-old man with chief complaint of pain of the left buccal mucosal area.At oral examination, a movable mass of index finger tip size and bone-like consistency was palpated above the left papilla parotidea. Roentgenographic findings revealed an almost round, whirl-like radiopacity of index finger tip size in the left buccal area. Roentgenography of the parotid gland was performed for differentiation from parotid stone.However, any relation with parotid gland and Stenon's duct was seen.Under clinical diagnosis of buccal mucosal tumor, the tumor was resected for biopsy on Sept. 5, 1985. The tumor was covered with a capsule of connective tissue with no adhesion to the surrounding tissues and resected en bloc relatively easily.The resected tumor was made of somewhat round, calcified material 15×13×12cm in size covered with thinned capsule of connective tissue.The cut surface showed laminated structure as a whole.Histopathologically, it was calcified material showing lamellar structure associated with nuclear necrotic tissue in the center.
    The analysis of composition by infrared absorption spectrum revealed that the material consisted of 52% Ca3 (PO4) 2 and 48% CaCO3.Moreover X-ray diffraction analysis for determination of the crystalline structure, identified it as Ca3 (PO4) 2, nH2O, Ca5C1 (PO4) 3 with low crystallinity.
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