The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 10 , Issue 2
Showing 1-50 articles out of 98 articles from the selected issue
  • Type: Cover
    1988 Volume 10 Issue 2 Pages Cover1-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Cover
    1988 Volume 10 Issue 2 Pages Cover2-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App1-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App2-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App3-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App4-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App5-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App6-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App7-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 2 Pages App8-
    Published: June 25, 1988
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  • Type: Index
    1988 Volume 10 Issue 2 Pages Toc1-
    Published: June 25, 1988
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  • Type: Index
    1988 Volume 10 Issue 2 Pages Toc2-
    Published: June 25, 1988
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 129-
    Published: June 25, 1988
    Released: September 15, 2016
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  • Ryuta Amemiya, Osamu Taira, Hiroshi Okitsu, Akitoshi Sato, Hiroko Amem ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 130-139
    Published: June 25, 1988
    Released: September 15, 2016
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    Bronchofiberscopic findings observed during the course of case of lung cancer undergoing treatment usually can be devided into three periods, i.e. before, during and after operation. The primary purpose of preoperative bronchoscopic examination is mainly to obtain specimens to establish a histological diagnosis. Also evaluation of the clinical stage and concerning the indications and/or operative procedure is made on the basis of this examination. The accuracy of selection of preoperative method based on the endoscopic examination is approximately 92.6% in cases of primarily mucosal type lung cancer and 84.4% in primarily submucosal type. Bronchoscopic examination during operation is usually performed to decide on the extent of resection in cases of tracheo- or bronchoplasty. In rare cases it can be used for removing a foreign body which has dropped and blocked contralateral bronchus, liken the pointed tip of a polypoid squamous cell carcinoma with necrotic tissue which was removed surgically. Postoperative bronchoscopic examination is mainly performed for the purpose of bronchial toilet. Approximately 86.9% of thoracic surgery cases received bronchial toilet with 4 days after surgery. According to the operative procedure and the lobes resected, several types and degree of deformation of the residual bronchus can be observed most predominantly in cases of left upper lobectomy. Sometimes bronchial stenosis occurs due to deformation and protrusion. Tumor reccurence generally resembles primarily submucosal type of lung cancer. The findings of granulation around a suture or surgical stump can mimic a nodular type tumor. It can be difficult to point out small bronchial fistulae endoscopically. The risk of the occurrance of large bronchial fistulae can be predicted by the method of Fluorescein assisted endoscopic imaging. By this method the vasculature and possible ischemic changes in the mucosa around the surgical stump can be clearly defected in these cases. Postoperative bronchoscopic examination in lung cancer patients for follow-up is as important as chest X-ray examinations, and it provides much information which can not be obtained from the latter.
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  • A Okano, A Sato
    Type: Article
    1988 Volume 10 Issue 2 Pages 140-147
    Published: June 25, 1988
    Released: September 15, 2016
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    This study investigated the reduction of nitroblue tetrazolium (NBT) by pulmonary alveolar macrophages (PAM) in normal controls and patients with pulmonary diseases. The reduction of PAM-NBT in controls and patients was increased by smoking, compared with the Creactive protein of the peripheral blood. The reduction of PAM-NBT was more increased in the patients with acute pneumonia, diffuse panbronchiolitis (p<0.0025), chronic bronchitis, pulmonary tuberculosis (p<0.01), primary lung cancer (p<0.025) and pulmonary diseases associated with collagen vascular diseases. On the other hand, the reduction of PAM-NBT was decreased in the patients with pneumoconiosis, pulmonary alveolar proteinosis and paraquat lung (p<0.05). The changes of the reduction of PAM-NBT in the presence of LPS was negligible in the patients with primary lung cancer, idiopathic interstitial pneumonia and pulmonary alveolar proteinosis (p<0.025). These results suggest that the reduction of PAM-NBT is useful for the study of the activity of PAM as local pulmonary defense against bacteriological pathogens and for evaluating PAM function in patients with pulmonary diseases.
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  • Shinya Kusachi, Masumi Kurashige, Hideaki Suzuki, Yasumasa Taguchi, Mi ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 148-152
    Published: June 25, 1988
    Released: September 15, 2016
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    The results of 21 percutaneous needle aspiration cytology procedure in case of peripheral lung lesions using a gyro-fluoroscope were analyzed. Of 19 malignant lung lesions, 18 were diagnosed cytologically, and two tuberculomas were diagnosed bacteriologically. Of 21 patients, in 20 (95.2%) were diagnosed correctly. Slight transient hemoptysis was experienced in only one case, but there was no case of pneumothorax or dissemination. The gyro-fluoroscope yielded high accuracy with few complications.
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  • Riichiro Morita, Eiichi Akaogi, Kiyohumi Mitsui, Isao Ogawa, Shigemi I ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 153-159
    Published: June 25, 1988
    Released: September 15, 2016
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    X-ray-negative early stage lung squamous cell carcinoma was detected in a 73-year-old male by a sputum cytology mass screening. Bronchoscopy revealed a tumor at the orifice of right B^6_a. Right S^6 segmentectomy was performed. Four months later two other squamous cell carcinoma lesions were detected, one at the orifice of left B^3_<b+c> and the other at the bifurcation of left B^<1+2>_<a+b> and B^<1+2>_c. After radiotherapy the lesions disappeared. Four months later, another early bronchogenic carcinoma was detected at the orifice of left B^8 and B^9. Radiotherapy was performed again. Because of the possibility of multicentric tumors, it is important to follow up X-ray negative bronchogenic carcinoma carefully. Especially, at operation, procedures should be as limited as possible. For the inoperable case other therapeutic procedures, e.g. laser treatment and ^<60>Co irradiation, should be performed.
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  • Kenji Nobuhara, Tadashi Uyama, Suguru Kimura, Kounosuke Hashioka, Masa ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 160-165
    Published: June 25, 1988
    Released: September 15, 2016
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    A 62-year-old asymptomatic woman was referred to our department for detailed investigation of abnormal chest shadows. Chest X-rays revealed a mass shadow in right S^3 and atelectasis of the right middle lobe. Bronchoscopy revealed a polypoid mass occluding the middle lobe bronchus. Preoperative diagnosis was leiomyoma of the right middle bronchus associated with lung cancer. Right upper and middle lobectomies were performed. Histological examination showed a benign leiomyoma originating from the middle lobe bronchus and well differentiated adenocarcinoma of the right upper lobe. Including the present case, there have been 43 cases of endobronchial leiomyoma reported in Japan. This is the first report of endobronchial leiomyoma complicated by lung cancer in Japan.
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  • Hiroyuki Doi, Seiichiro Nakahira, Takashi Haku, Tadashi Nakayama, Shin ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 166-169
    Published: June 25, 1988
    Released: September 15, 2016
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    A 70 year-old male was admitted with hemoptysis. Reticulolinear shadows were recognized in the both lower fields on chest ^x-ray film, but there was no coin lesion. A reddish tumor with bleeding at B^<4+5> was observed by fiberoptic bronchoscopy. Resection of the right middle lobe was performed, and the post operative coures was good. It was diagnosed as cavernous haemangioma of the bronchus by pathological examination. In the majority of cases, cavernous haemangioma of the lung is located in the periphery and has no direct communication to the bronchus. In this case, the tumor occurred in a Large bronchus and presented as a polyp in the bronchial lumen.
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  • Osamu Kuwahara, Shinichi Takeda, Hideki Dohi, Kiyohiro Fujiwara, Nobut ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 170-174
    Published: June 25, 1988
    Released: September 15, 2016
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    An eighteen-year-old female suddenly expectorated almost 150ml of blood, and subsequently 200&acd;450ml a day for 5 days. On admission, bronchofiberscopy was performed and a small tumor was found in the right B^8. During the examination slight bleeding from the right basal bronchus was observed. Bronchial arteriography showed abnormally thick zigzag arteries around the right hilar bronchus and anastomoses with the right pulmonary artery (PA^<10>). The cause of hemoptysis was diagnosed as due to these abnormal bronchial arteries, and right lower lobectomy was performed. Histological findings of this small tumor in right B^8 proved it to be the wall of an abnormally thick bronchial artery. The top layer of this artery in the bronchus and the bronchial epithelium was destroyed and covered with fibrin. The cause of hemoptysis proved to be this destroyed artery. No abnormal artery was found in the other lung. From these findings, this case was diagnosed as primary racemose hemangioma of the bronchial artery. Previously only 4 cases of this disease were reported in the literature in Japan.
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  • Kiyoshi Shibuya, Yutaka Yamaguchi, Toshitaka Ogawa, Shinichirou Mitsun ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 175-178
    Published: June 25, 1988
    Released: September 15, 2016
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    A very rare case of Psittacosis with multiple granulomas in the central airway space was reported. A 39 year-old man was admitted to our department with a chief complaint of dry cough. His chest roentgenogram showed an infiltrative shadow in the right upper lung fields close to the mediastinum. Bronchoscopic findings revealed multiple polypoid lesion in the trachea and main bronchi, and histological examination showed inflammatory granuloma. We diagnosed this case as Psittacosis, because of the positive localization of chlamydiapsittaci in the granuloma by an immunofluorescence study and the elevated titer of serum antibody to chlamydia. Nd-YAG laser and ethanol interstitial injection was carried out, resulting in the improvement of his complaint and respiratory function, including FEV_<1.0%>.
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  • Noboru Takayanagi, Yushiro Kuratomi, Tatsuhiko Mieno, Rokuro Matsuoka, ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 179-184
    Published: June 25, 1988
    Released: September 15, 2016
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    A 60 year-old female complained of cough and stridor. Chest X-ray film showed bilateral hilar lymphadenopathy and atelectasis of the right middle lobe and left upper lobe. Fiberoptic bronchoscopy revealed multiple nodules and stenosis of left main bronchus. Bronchial biopsy and transbronchial lung biopsy revealed epithelioid cell granuloma and a diagnosis of sarcoidosis was made. After administration of 40mg per day prednisolone, the bronchial mucosal lesion almost disappeared. So far we have performed fiberoptic bronchoscopy 281 times in 176 cases of sarcoidosis, but none has been complicated by atelectasis. Only three such cases have been described in the Japanese literature.
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  • Satomi Takei, Nahoko Kurashina, Fusayo Wagai, Satoshi Kitamura
    Type: Article
    1988 Volume 10 Issue 2 Pages 185-190
    Published: June 25, 1988
    Released: September 15, 2016
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    Two cases of sarcoidosis with large nodular lesions on chest X-ray films are presented. The first case was a 18-year-old female in whom her chest X-ray initially showed infiltration and bronchoscopy test revealed obstruction of left B^4 and B^5 by a white necrotic mass. Since her PPDS was positive, the case was diagnosed as pulmonary tuberculosis, and her general condition showed a tendency to recovery with administration of INH, EB and RFP. However nodular lesions become recognizable on the chest X-ray film. At that time, bronchoscopy demonstrated edema and mucosal dilation, and the histological diagnosis was sarcoidosis. After administration of prednisolone, she recovered completely. The second case was a 20-year-old male, whose chest X-ray film showed bilateral hilar lymphadenopathy and large nodular lesions. Biopsied specimens obtained by transbronchial lung biopsy yielded a diagnosis of sarcoidosis. The incidence of lung nodular lesions in sarcoidosis is less than 4%, and 95% of much cases are patients aged under 40. The present two patients showed acute onset with large nodular lesions in their chest X-ray films. Transbronchial lung biopsy is recommended to obtain a definitive diagnosis in such cases.
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  • Tadashi Uyama, Kohnosuke Hashioka, Kenji Nobuhara, Suguru Kimura, Tosh ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 191-195
    Published: June 25, 1988
    Released: September 15, 2016
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    Invasive thymoma usually extends into neibouring structures such as the pericardium, mediastinal pleura, innominate vein, superior vena cava, or lung. Endobronchial growth of thymoma is very rare. We present a patient with recurrent thymoma showing endobronchial extension. A 59-year-old woman complained of hoarseness and hemosputum. She had undergone resection operation of an invasive thymoma six years previously. Chest roentgenograms and CT revealed a mass in the left hilum. Bronchoscopy revealed a polypoid mass obstructing the upper division bronchus of the left upper lobe. The patient received systemic chemotherapy with Cisplatin, Vincristine, Doxorubicin and Cyclophosphamide. The tumor regressed after two courses of the anticancer treatment. In the treatment of invasive thymoma, we should take unusual growth patterns, such as endobronchial extension, into consideration.
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  • Hiroyuki Miura, Harubumi Kato, Chimori Konaka, Harumasa Sakai, Takaaki ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 196-199
    Published: June 25, 1988
    Released: September 15, 2016
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    A 79 year-old male, who had been diagnosed as sputum cytology class D on a mass survey (which means that the degree of squamous metaplastic atypia is severe) two years previously and had been followed up, was referred to our hospital because of a pneumonia-like shadow on his chest X-ray films. Bronchofiberscopic examination revealed bronchial fistula between the left and the right main bronchi. Acid-fast bacilli were observed in the specimen of the bronchial biopsy at the orifice of the fistula in the right main bronchus and Mycobacterium tuberculosis was detected by its culture. No malignant findings were observed pathologically or cytologically. The case was therefore diagnosed as bronchial fistula due to bronchial tuberculosis. The patient had no complaints and no findings indicating a bronchial lesion, so bronchofiberscopic examination was useful for definitive diagnosis of this case.
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  • Hidenori Nakamura, Hideki Sasaki, Toumei Tsukamoto
    Type: Article
    1988 Volume 10 Issue 2 Pages 200-205
    Published: June 25, 1988
    Released: September 15, 2016
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    A 65-year-old female was hospitalized on July 27, 1987 because of fever and malaise of one month's duration, which had failed to respond to treatment with any antibiotics. On admission the physical examination revealed diffuse goiter and small bubbling rales in her right upper field. The chest roentogenogram showed a right upper infiltrative shadow with pleural effusion and later extension to bilateral lower fields. Pathological examination of all material obtained by 3 transbronchial lung biopsy (TBLB) procedures, organizing inflammatory exudates in the alveolar ducts and alveoli and alveolitis were seen. Although bronchiolitis obliterans could not be demonstrated in TBLB specimens, cryptogenic organizing pneumonia and/or bronchiolitis obliterans organizing pneumonia (BOOP) was suspected and treatment with steroids (prednisolone 40mg) was commenced. There was dramatic response and the patient almost immediately afibrile. One month later, the lung infiltrates had cleared. These clinical findings and the histology of TBLB specimens suggested this was a case of BOOP.
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  • Takuya Fujishima, Yasuhito Honda, Tomofumi Igarashi, Michio Hirasawa, ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 206-211
    Published: June 25, 1988
    Released: September 15, 2016
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    A case (12y.o.male) of a bronchial foreign body is reported. He complained of a productive cough and exertional dyspnea, and he sufferred from pneumonia in 10 moths, 6 and 7 years old. A foreign body was found in the orifice of left basal bronchus at the bronchofiberscopy. Left pneumonectomy was done because the plain chest radiograph and chest CT showed the atelectasis of the left lower lobe and the severe bronchiectasis of the whole left lung. The foreign body was a plastic goods and it had 8mm in diameter and 15mm length. These findings suggested that he had inhalated it about 8 years old on the basis of the process of a symptom and a development of a normal bronchial diameter, and it was assumed that the foreign body had retended for at least 4 years. Many cases of a bronchial foreign body complicates a bronchiectasis distal to obstruction. However, in this case, a bronchiectasis was also seen in left upper lobe which was not directly concerened in the bronchial foreign body. We have discussed the several mechanisms of the bronchiectasis of upper lobe.
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 212-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 212-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 212-213
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 213-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 213-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 213-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 213-214
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 214-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 214-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 214-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 214-215
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 215-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 2 Pages 215-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 215-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 215-216
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 216-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 216-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 216-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 216-217
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 217-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 217-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 217-
    Published: June 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 2 Pages 218-
    Published: June 25, 1988
    Released: September 15, 2016
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