Between 1987 and 1990, Tsuchiura Kyodo Hospital treated a total of 153 cases of squamous cell carcinoma of the uterine cervix after establishing definitive diagnosis. Of the total, 46 cases in stage 0, 43 cases in stage Ia and 21 cases in stage Ib were studied retrospectively in order to investigate the sensitivity of cytological and histological tests and the rate of agreement between cancer diagnoses made by the two departments. As a result, it was confirmed anew that there is much to be done to improve the diagnostic accuracy, which is vital to the success of the treatment for early cancer of the uterine cervix.
A summary of the findings is as follows:
The cytological examination data showed that the positive results were obtained in 69.6% of the cases in stage 0, 67.4% in stage Ia and 84.2% in stage Ib. The corresponding percentages in the histological examination were 50%, 67.5% and 89.5% respectively. The argreement rations were as low as 30% in stage 0, 53.8% in stage Ia and 84.2% in stage Ib.
Similar study was made on 43 cases of conization which is regarded as a useful means of detecting cervic cancer, The ratio of detection of early cervic cancer was 29.4% before conization. After conization, the ratio jumped to 74.4%.
The present level of diagnostic accuracy is such that the routine conization procedure is indispensable. For the treatment of cervical cancer in stage 0, it is advisable to perform hysterectomy. For the stage Ia cancer, semi-radical hysterectomy should be indicated. Lymph-node clearing is not always required.
In stage 0, diagnostic conization should be followed by treatmental conization or by removal of the remaing part of the uterus after making sure that the conization procedure was appropriate and taking into consideration the patients' age and fertility. In light of the present level of medical technology, however, hysterectomy may be the first to be considered.

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In this study, disease aspects and background factors affecting prognosis were reviewed and analyzed in a total of 45 aged patients (≥70 years old) who had undergone emergency operations for acute abdomen.
1) Colorectal cancer accounted for 70 per cent of malignant disorders. All the colorectal cancer patients but one had non-curative operations.
2) The incidence of perforated appendicitis was high (58.7%) as in the past. But no great difference was found in clinical course between aged patients and younger patients.
3) Incarcerated hernia occurred only in females advanced in years (mean age: 80.6 years). All the patients with incarcerated hernia have been suffering from prolapse long since but they had not been informed that they were at risk.
4) Preoperative complications were found in 81.8% of all the cases. Arrythmia, hypertension, and diabetes were observed most frequantly.
5) The most common postoperative complication was pneumonia. Preoperative complications were well controllable and causead no serious postoperative complications.
6) The one-year uneventful survival rate was 93.5% in the patients without malignacy. We concluded that this percentage was satisfactory, considering that their mean age was 76.8 years. On the other hand, in the patients with malignancy, the establishment of medical check-ups for early detection of colorectal cancer would have resulted in better prognosis.

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This is a report on the precision controlled gastric mass screenings conducted under the sponsorship of the Welfare Federation of Agricultural Cooperatives in Nagano Prefecture and the assessment test using some samples of radiographic stomach images.
Physicians and x-ray technicians participated in the test and interpreted in their own ways the radiographs of 30 healthy cases and 20 cases of cancer of the stomach. Experienced physicians and technicians made better scores on the test than those less experienced in reading radiographs. Physicians read a little better that technicians in checkups of different parts regardless of years of experience, but the difference was not significant. In terms of FP and FN percentages (?), physicians scored 40.5% and 20.8% on the first tryout, and 34.0% and 29.0% on the second tryout.
The 1988 mass screening found 67.4% of cancer in antral and angular areas and 23.8% on the lesser curvature side of the angular area.
Grade 5 means that “No doubt about the existence of cancerous lesions.” In the 1983 screening, 25% of the grade 5 cases turned out to be nothing wrong upon close examination. The figure went down to 5.9% in the 1988.

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This report deals with 71 cases of sudden deafness treated and diagnosed as such in the Department of Otolaryngology, Shirakawa Kohsei General Hospital, from 1984 through1992. There were 37 males and 34 females and no difference in side of ear.The patients were devided into 3 groups. The first group (SGB group) was treated with the stellate ganglion blocking method and drugs (steroid, vitamin B¹² etc). The second group (standard group) was treated with (steroid, dextran, vitamin B¹² etc). The third group (batroxisobin group) was treated with batroxisobin and the drugs for the standard group. To compare the efficacies between the groups, the combined rates of complete and marked recoveries were recorded simlpy as the rate of improvement.
I: In the cases, which had more than the 70 dB average pure tone the improvement rate was 28.6% in the SGB group, 72.2% in the standard group and 80.0% in the batroxisobin group.
II: In the cases, which showed an average difference of 35 dB in the ability to hear pure tones between left and right ears, the improvement rate was 44.4% in the SGB group, 72.0% in the standard group and 83.3% in the batroxisobin group.

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