The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 9 , Issue 2
Showing 1-35 articles out of 35 articles from the selected issue
  • Type: Cover
    1987 Volume 9 Issue 2 Pages Cover1-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Cover
    1987 Volume 9 Issue 2 Pages Cover2-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App1-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Index
    1987 Volume 9 Issue 2 Pages Toc1-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Index
    1987 Volume 9 Issue 2 Pages Toc2-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App2-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App3-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App4-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1987 Volume 9 Issue 2 Pages 101-102
    Published: September 25, 1987
    Released: September 15, 2016
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  • T. Mouri
    Type: Article
    1987 Volume 9 Issue 2 Pages 103-114
    Published: September 25, 1987
    Released: September 15, 2016
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    Farmer's lung disease (FLD) is one type of hypersensitivity pneumonitis caused by inhalation of thermophilic actinomycetes and is characterized by an increased number of lymphocytes in bronchoalveolar lavage (BAL) fluid. On the other hand, some asymptomatic dairy farmers have serum precipitin. The cells obtained by BAL from 14 patients with FLD, 9 sero-positive asymptomatic dairy farmers, 14 patients with sarcoidosis and 10 control non-smokers were analysed and compared with each other. The asymptomatic farmers were sero-positive to Micropolyspora faeni and Thermoactinomyces vulgaris, although they had no signs of any respiratory diseases and their chest roentogenogram and pulmonary function were normal. BAL was performed in the middle lobe bronchus. The cellular population was studied by May-Giemsa staining. T-lymphocyte subsets were identified by FITC-labeled monoclonal antibodies (OKT3, OKT4 and OKT8) and counted by flow cytometry. I concluded from the cell analysis of BAL fluid that 1) Lymphocyte reaction in FLD is different from that in other type of hypersensitivity pneumonitis such as pigeon breeder's lung and summer type hypersensitivity pneumonitis which reveal a predominant reaction of OKT8^+lymphocyte ; 2) An increased percentage of lymphocytes in asymptomatic farmers suggests the presence of subclinical alveolitis ; and 3) It is very difficult to make a differential diagnosis between FLD and sarcoidosis because of an occasional predominant reaction of OKT4^+ lymphocyte in FLD.
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  • Mitsuko Kondo, Takao Takizawa
    Type: Article
    1987 Volume 9 Issue 2 Pages 115-121
    Published: September 25, 1987
    Released: September 15, 2016
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    Sputum from patients with bronchial asthma or chronic bronchial infection, was centrifuged and the supernatant was obtained. It was, then, applied to frog palate mucous membranes and ciliary beat frequency was measured using the microphoto-oscillation method. Slurry sputum from asthmatics suppressed ciliary beat. However, the cilia recovered their normal beat frequency after washing off the supernatant with medium-199. Neither mucoid sputum from asthmatics nor purulent sputum from cases of chonic bronchial infection suppressed the beat. Moreover, the beat frequency was independent of the viscosity and pH of the supernatant. We conclude that slurry sputum has a viscosity and pH-independent cilia beat suppressing factor.
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  • Harumi Itoh, Kiyoshi Murata, Giro Todo, Kanji Torizuka, Takateru Izumi ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 122-128
    Published: September 25, 1987
    Released: September 15, 2016
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    Computed Tomography (CT), especially the recently developed high resolution CT, provides true tomographic images with better contrast and spatial resolution. Such advantages of CT may be useful to obtain more specific images by which pathologic processes of diffuse pulmonary diseases can be predicted. For the past 10 years we have performed radiologic-pathologic correlative studies on inflated and fixed lung specimens. Meanwhile, using radiographic and stereomicroscopic techniques we have shown specific relations between the pathologic lesions and preexisting structures of the lung such as the airways, vasculature, air space and the interstitium. In this paper we focus on two important structures ; the perivascular interstitial space and secondary pulmonary lobule. These structures are large enough to be imaged on CT in a diseased condition and have been proven to be involved in many interstitial and air space diseases. The prime findings observed in CT and lung specimens are summarized as follows. (1) Perivascular Interstitial Space This space comprizing connective tissues, lymphatics and bronchial arterial circulation encloses large and small airways and pulmonary vessels. Under normal conditions this space in not thick enough to affect the vascular images in CT. However, they become irregularly thickened when tumors, granulomas or inflammatory cells fill the space. Such abnormality is observed in lymphangitis carcinomatosa, sarcoidosis, interstitial pneumonia and mycoplasmal infection. Parenchymal changes around the pulmonary vessels represent another factor influencing vascular contorurs on CT images. Such condition is observed in interstitial pneumonia, where fibrosis is frequently marked near the vessels. (2) Secondary Pulmonary Lobule The secondary pulmonary lobule is a macroscopic lung unit including 3 to 5 acini on average. The lobule is bounded by the interlobular septa, pulmonary veins, pleura and extralobular bronchi and pulmonary arteries. The distance from the terminal and respiratory bronchioles to the lobular border is 2 to 3 mm and fairly constant throughout the lung. Since the location of the pleura and pulmonary arteries and veins are determined clearly on CT, the hilum of the acinus (centrilobular or centriacinar) is predicted on CT using this distance. Centrilobular nodules are observed in diffuse panbronchiolitis, pneumoconiosis, bronchopneumonia and tuberculosis. CT images of them are characterized by clear margin of the pulmonary veins, while the arteries are involved within the nodules at the extreme end of their branching. Lobular and multilobular involvement are found in the lung specimens with pulmonary edema, hemorrhage, bronchopneumonia, tuberculosis and interstitial pneumonia. Lobular involvement is predicted on CT by clear and straight margins of the lesions. The lesions are homogenous in airspace diseases and honeycomed in interstitial pneumonia.
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  • Hiroshi Nishio, Takahiko Sakuma, Shinichiro Nakamura, Takeshi Horai, H ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 129-135
    Published: September 25, 1987
    Released: September 15, 2016
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    Bronchoscopically, adenocarcinoma occasionally shows the type of longitudinal tumor infiltration that is frequently found in small cell carcinoma. We have evaluated the clinical characteristics of this type of adenocarcinoma in comparison with other adenocarcinomas of the lung. The incidence of longitudinal infiltration in adenocarcinoma was 0% in resected cases and 10.8% in nonresected cases, constituting 6.0% of all cases examined by fiberoptic bronchoscopy. This type of adenocarcinoma often showed an ill-defined infiltrative shadow or mass shadow accompanied by non-homogeneous reticular opacity on chest X-ray film, while most of the other adenocarcinomas showed a peripheral mass shadow. The positive rates of sputum cytology in the two types of adenocarcinoma were 82% and 45%, respectively. Bone and lung metastases were found in this type of adenocarcinoma more frequently than in the others. Some cases of this type of adenocarcinoma were pathologically considered to be tubular adenocarcinoma of the bronchial gland cell type. From these clinical features and characteristic findings of fiberoptic bronchoscopy, it is suggested that this type of adenocarcinoma may be an unique clinical entity. Further investigation should be carried out especially on the morphologic characteristics.
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  • Masatake Suzuki, Shinya Kusachi, Masumi Kurashige, Hideaki Suzuki, Yas ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 136-141
    Published: September 25, 1987
    Released: September 15, 2016
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    The patient was an 81 year-old male and his Brinkmann index was over 600. His chief complaints were cough and bloody sputum. The chest roentgenogram revealed complete atelectasis of the right lung field. The bronchoscopic findings revealed a tumor completely obstructing the lumen of the right main bronchus. This patient was old and his general condition was poor because of hypoxia due to atelectasis. Therefore, we first aimed to relieve his atelectasis. Nd-YAG laser irradiation (total 14300 Jules) was performed under the fiberoptic bronchoscope. After Nd-YAG laser irradiation the chest roentgenogram revealed a few areas of aeration in the right lung field, and his general condition improved. However the tumor enlarged rapidly and small cell carcinoma was strongly suspected based on the results of pathological examination. Since it was thought that completely vaporization of the tumor was impossible ^<60>Co radiotherapy (total 50Gy) was performed. After the radiotherapy the tumor vanished and the atelectasis of the right lung was nearly completely disappeared. It was considered that Nd-YAG laser treatment was a useful treatment in cases of lung carcinoma with atelectasis due to a tumor growing in the lumen of large bronchi.
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  • Yukio Saitoh, Takehiko Fujisawa, Norikazu Urabe, Tositaka Ogawa, Hiroa ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 142-146
    Published: September 25, 1987
    Released: September 15, 2016
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    Two cases treated with endoscopic Nd-YAG Laser for airway stenosis caused by granulomatous changes of anastomosis after sleeve lobectomy were reported. Case 1. A 65-year-old man complained of a dry cough five months after right upper sleeve lobectomy, and bronchoscopic examination revealed severe stenosis due to granulation at the anastomotic site. After admission Nd-YAG Laser irradiation (12, 500 Joules) via a bronchofiberscope removed the granulomatous tissue. The airway was completely reopened and good patency has been maintained four months since the last laser treatment. Case 2. A 55-year-old man complained of a dry cough and bloody sputum five months after right upper sleeve lobectomy. His right main stem bronchus was obstructed by granulomatous tissue at the anastomotic site. After Nd-YAG Laser irradiation of 3, 648 Joules, the airway was successfully reopened and his complaints disappeared. Good patency of the bronchial anastomotic portion had been maintained for 41 months until his death due to recurrence of lung cancer. We think that Nd-YAG Laser can be useful for the treatment of stenosis due to granulomatous tissue after bronchoplastic surgery.
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  • Keigo Takagi, Hideo Masuda, Keiichi Kikuchi, Toshiro Ogata, Eiichi Tak ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 147-152
    Published: September 25, 1987
    Released: September 15, 2016
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    In a case of a 61 year-old man who had squamous cell carcinoma, stenosis by granular tissue occurred at the anastomotic site one month after right upper sleeve lobectomy. Endoscopic Nd-YAG laser irradiation (2, 600 Joules) was temporarily effective to open the stenotic airway, but restenosis without recognizable malignancy occurred three weeks later. Seven weeks after the operation, endoscopic Nd-YAG laser irradiation (3, 700 Joules) was performed again and then 20 Gy Linac irradiation of the site of restenosis was performed during a period of ten days. This combined treatment was effective to suppress the proliferation of the granulation and repair the restenosis. The patient is enjoying good quality of life 20 months after operation.
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  • Nobuyoshi Shimizu, Hiroshi Date, Shinsaku Kawada, Yuuichi Kobashi, Kei ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 153-156
    Published: September 25, 1987
    Released: September 15, 2016
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    Primary tumors of the trachea are occasionally encountered, but metastatic tracheal tumors are rarely reported. Metastasis of lung cancer can occur in any organ, but few cases of metastasis in the trachea have been known. We treated a case with an onset of pneumonia and dyspnea together with tracheal stenosis due to recurrence of pulmonary squamous cell carcinoma in the trachea, originating in the right lower lobe bronchus, exactly one year after operation. Vaporization of the tracheal stenosis with a YAG laser was successful and thereafter the tumor was completedly eliminated by 60 Gy Linac irradiation. Subsequently, no malignancy was detected by bronchial biopsy and sputum cytology. The tumor in this case, was considered to be present only in the trachea, and the response to laser treatment was very good.
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  • Kaoru Hamada, Ryuuichi Higashiguchi, Kazuhiko Miyataka, Moka Tamura, M ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 157-161
    Published: September 25, 1987
    Released: September 15, 2016
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    Intratumoral injection of 99.5% ethanol via a flexible bronchofiberscope was performed in a 71-year-old woman with obstruction of the truncus intermedius by adenocarcinoma with marked effect. About 2ml of ethanol wa injected once a week and after 12 treatments, the intraluminal tumor was disappeared. However an extrabronchial tumor shadow was found on chest CT and radiotherapy was performed in addition. Though the effects are temporary, intratumoral injection of 99.5% ethanol can be useful for endoscopic treatment by bronchial obstruction with malignancy.
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  • Sumiki Miyachi, Tatsuo Hisatomi, Tatsuo Kosuda, Kazuo Akiyama, Masaru ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 162-165
    Published: September 25, 1987
    Released: September 15, 2016
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    A 43 year old male presented with hemoptysis in 1976. He had undergone left upper lobectomy for tuberculosis 16 years previously, at which time he had been examined by rigid bronchoscopy. No abnormality was mentioned to the patient after the rigid bronchoscopy, but the clinical records had been lost during the 16 year interval. In January 1976, bronchofiberscopy revealed multiple firm nodular lesions on the frontal and side walls of the tracheal and the main bronchial mucosa, excluding the membranous part. Submucosal bony deposits were found in the biopsy specimens. From 1976 to 1986, bronchofiberscopy was repeated every year for follow up. Practically no change of the lesion took place during the period. There are not many reports regarding long term follow-up of tracheobronchopathia osteochondroplastica. Van Nierop found no interval change of this disease during a follow-up period of 8 years. Together with our observation, it seems that this disease in general does not progress rapidly, if it ever does.
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  • Naoto Iijima, Yoshio Torii, Shinsuke Ito, Koji Hiramatu, Masayuki Suzu ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 166-170
    Published: September 25, 1987
    Released: September 15, 2016
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    A 68 year-old, female was admitted with cough, fever and left chest pain. Left pleural effusion and a huge mass shadow recognized in the left lung field on chest X-ray film. Bronchoscopic examination showed an ivory-colored polyp in the left upper lobe originating from the left main bronchus. The polyp was 3cm in size. Only necrotic tissues were obtained by transbronchial biopsies. Giant cell carcinoma was diagnosed by percutaneous needle biopsy. Despite intensive therapy patient died on the 36th day of hospitalization with respiratory failure. We considered it to be a rare case of giant cell carcinoma.
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  • Hirotsugu Kishimoto, Masami Mori, Sadaaki Yamori, Masamitsu Iwata, Tat ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 171-175
    Published: September 25, 1987
    Released: September 15, 2016
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    A 45 year old man who had been treated as bronchial asthma was referred to our hospital. Chest X-ray film revealed a large tumor (poorly differentiated Squamous cell carcinoma) protruding into the tracheal lumen. Because of the sudden onset of severe dyspnea and cyanosis on the following day, emergency endoscopic-electrosurgery was performed. The treatment brought him remarkable improvement. No complication was obserbed. Endoscopic-electrosurgery could be applied safely for the emergency situation.
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  • Shirou Yamazaki
    Type: Article
    1987 Volume 9 Issue 2 Pages 176-182
    Published: September 25, 1987
    Released: September 15, 2016
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    The results of bronchoscopy performed in 164 patients with primary lung cancer prior to treatment from May, 1983 through April, 1984 at the M.D.Anderson Hospital, Houston, Texas, are reviewed. Bronchoscopic findings are summarized according to the histologic type of lung cancer detected ; moreover, the diagnostic sensitivity of 3 diagnostic methods-bronchial biopsy using forceps, bronchial brushing and washing-were compared. In 34 (61.8%) of 55 cases with squamous cell carcinoma, the tumor was visible bronchoscopically and in 15 of 17 cases with bronchial obstruction the cause of obstruction was tumor growth in the bronchus. No findings were obtained in 10.9% of the cases with squamous cell carcinoma. Of 44 cases with adenocarcinoma 13 (29.5%) had a visible tumor and bronchial obstruction was seen in only 3 cases. However, the patients with adenocarcinoma accounted for a larger percent of cases with findings of swelling, thickening and irregularity of bronchial mucosa than did the cases of other histological types. In 17 (56.7%) of 30 cases with small cell carcinoma, tumor was seen and swelling of bronchial mucosa and bronchial stenosis were also found in a high percentage of cases. The author recognized no findings in only one of the cases of small cell carcinoma. Positive results were found in 122 (74.4%) of 164 patients ; 92 (76.0%) of 122 bronchial biopsies, 58 (55.8%) of 104 bronchial brushings and 37 (41.1%) of 90 bronchial washings gave positive results. The histological accuracy of these 3 diagnostic procedures was compared in 64 cases who underwent thoracotomy and were diagnosed histopathologically. As a result, 18 (66.7%) of 27 bronchial biopsies, 11 (61.6%) of 18 bronchial brushings and 6 (85.7%) of 7 bronchial washings gave the same histological diagnosis as that made by examining the surgically obtained specimens.
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  • [in Japanese]
    Type: Article
    1987 Volume 9 Issue 2 Pages 183-184
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 185-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 185-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 185-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 186-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 186-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 186-
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 186-187
    Published: September 25, 1987
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1987 Volume 9 Issue 2 Pages 187-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App5-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App6-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Appendix
    1987 Volume 9 Issue 2 Pages App7-
    Published: September 25, 1987
    Released: September 15, 2016
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  • Type: Cover
    1987 Volume 9 Issue 2 Pages Cover3-
    Published: September 25, 1987
    Released: September 15, 2016
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