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Volume 40, Issue 2
Displaying 1-9 of 9 articles from this issue
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Two Rare CasesJUNJI OHTA, JINRYO TAKEDA, KIKUO KOUFUJI, ISSEI KODAMA, YOSHIAKI TSUJI ...1993 Volume 40 Issue 2 Pages 41-44
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSFrom 1976 to 1991, 1, 640 cases of gastric cancer were resected in our department. Of these, 659 (40.2%) cases were early gastric cancer (EGC). The prognosis after resection of an EGC is generally good, with a 5-year survival rate of 95%. The incidence of an EGC with synchronous liver metastasis is very rare. To our knowledge, only 15 cases of an EGC with synchronous liver metastasis have been reported in the Japanese literature. From 10 cases adequately described the EGC with synchronous liver metastasis derived only from sm-cancers (cancers confined to the submucosa) of medullary type, histologically, more commonly occurring in males than EGC generally, (of elevated type) and with positive lymph node metastasis. Here we report two additional rare cases of EGC with liver metastasis.View full abstractDownload PDF (520K) -
YOSHIAKI TSUJI, JINRYO TAKEDA, KIKUO KOUFUJI, ISSEI KODAMA, MASAFUMI M ...1993 Volume 40 Issue 2 Pages 45-48
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSFrom 1976 to 1992, a total of 714 cases of early gastric cancer (EGG) were treated by resection in the First Department of Surgery, Kurume University Hospital. For EGG, the overall lymph node metastasis rate is generally 10%, with the lymph node metastasis observed mainly in the Group 1 perigastric nodes in both mucosal cancer and submucosal cancer. Three rare cases of an early gastric cancer with Group 3 juxta regional lymph node metastasis are described because Group 3 lymph nodes are rarely discovered. To our knowledge, only 14 other cases of EGG with juxta regional lymph node metastasis have been reported in the Japanese literature.View full abstractDownload PDF (453K) -
AKIO KATAOKA, TAKASHI NISHIDA, TORU SUGIYAMA, SHUN-ICHIRO OHTA, JUN-IC ...1993 Volume 40 Issue 2 Pages 49-52
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSA strumal carcinoid arising in a benign cystic teratoma of the left ovary was reported in a 41 year-old woman. The solid tumor was histologically a trabecular carcinoid tumor associated intimately with thyroid follicle-like structures. By Grimelius staining, argyrophil granules were found in the cytoplasm of the tumor cells. The final diagnosis of strumal carcinoid, however, was established by the confirmation of thyroid tissue.View full abstractDownload PDF (4373K) -
JINRYO TAKEDA, KIKUO KOUFUJI, ISSEI KODAMA, YOSHIAKI TSUJI, MASAFUMI M ...1993 Volume 40 Issue 2 Pages 53-57
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSFrom 1984 to 1990, 922 cases of gastric cancer underwent resection in the First Department of Surgery, at Kurume University Hospital. Of these, 381 (41.3%) cases were early gastric cancer (EGC). Among these EGC, synchronous double early gastric cancer (double EGC), according to the diagnostic criteria of Moertel, was found in 49 (12.9%) cases involving 98 foci. In cases of a double EGC, the primary and secondary foci can be distinguished. Double EGC occurred more frequently in males than females (7.1:1). In the elderly, the incidence of a double EGC was higher than the incidence of a single EGC. Double EGC occurred more frequently in the lower third of the stomach than a single EGC. And a macroscopically elevated and histologically differentiated type primary focus was more frequently found in double EGC than in single EGC. Of the 49 secondary foci in the double EGC, 12 (24.5%) foci were a microcarcinoma of less than 5 mm in greatest diameter, and 48 (98%) were limited to the mucosa (m-cancer). Therefore, a preoperative detailed examination of the whole stomach by endoscopy and an intraoperative careful search under gastrotomy must be made in the remnant of the stomach in cases of distal or proximal partial gastrectomy to ensure adequate excision.View full abstractDownload PDF (524K) -
YOICHIRO ICHIKAWA, MASAZUMI SAISHO, HIDEYUKI KOGA, SIRO TOKISAWA, NAOT ...1993 Volume 40 Issue 2 Pages 59-63
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSA case with biopsy-proven subclinical lymphocyticc alveolitis in association with asymptomatic primary biliary cirrhosis is described.View full abstractDownload PDF (5607K) -
YOICHIRO ICHIKAWA, HIDEAKI NINOMIYA, MAKO KATSUKI, MARIKO HOTTA, MASAK ...1993 Volume 40 Issue 2 Pages 65-67
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSBronchiolitis obliterans organizing pneumonia (BOOP) is a pathologic entity characterized by intraluminal fibrosis of distal air spaces. Corticosteroids have been widely used for the treatment of this condition, and most patients showed a dramatic response to it. However, long-term treatment with corticosteroids, which often increases the risk of several undesirable side-effects, is usually required because a relapse tends to occur soon after termination of treatment. We administered erythromycin (EM) at low-dose (600 mg daily) for 3-4 months to 6 patients with BOOP, and obtained a good clinical, radiological, and physiological improvement. This suggests that EM can be successfully used, instead of corticosteroids, in the treatment of BOOP.View full abstractDownload PDF (370K) -
KYO ADACHI, YOSHINAO YAMASHITA, AKIRA NOZUHARA, YUJI SUGIU, HIRONORI T ...1993 Volume 40 Issue 2 Pages 69-80
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSTo clarify the abnormalities of myocardial membrane structure in cardiomyopathy, the density of intramembranous particles (IMP) of mitochondria, sarcoplasmic reticulum and sarcolemma, and the number of caveolar necks was evaluated by freeze-fracture morphology. The subjects consisted of 17 patients with hypertrophic cardiomyopathy (HCM), 6 patients with dilated cardiomyopathy (DCM), and 7 patients as controls. The results showed that the numbers of IMPs on the membrane faces of mitochondria, sarcoplasmic reticulum and sarcolemma were significantly decreased in HCM and DCM, and that they were decreased more markedly in DCM than in HCM. The number of caveolar necks was significantly decreased in DCM. Thus, the decreased numbers of IMPs on myocardial membranes and the decrease in caveolar necks may be important characteristics resulting from abnormal myocardial membrane metabolism in cardiomyopathies, HCM and DCM.View full abstractDownload PDF (14437K) -
YOSHITO AKAGI, YASUMI ARAKI, YUTAKA OGATA, TATSUHISA MORODOMI, KAZUO S ...1993 Volume 40 Issue 2 Pages 81-88
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSDuring the past 17 years, 1, 463 cases of cancer of large intestine, there were 117 cases (8.0%) with overlapping cancer in other organs. The male/female ratio was 1.0:1.1 and the mean age was 65.8 years old. The region of existence in other organs was in the order of frequency: stomach 28.3%, uterus 26.3%, and liver 8.1%. The location and histology showed almost similar results to that of single cancer. In comparison with single cancer, overlapping cancer cases showed a high complication rate of adenoma. So it was suggested that a region of cancer development was present but latent. The preceding cases of cancer of the uterus almost all underwent radiotherapy. About 36% of their histology of colon cancer were mucinous carcinoma suggesting at least the development of cancer by radiation.View full abstractDownload PDF (909K) -
TAKEO OHSUGI, MASANOBU CHINAMI, KENTARO YUGE, NAOKI HACHIYA, MASAHISA ...1993 Volume 40 Issue 2 Pages 89-91
Published: August 25, 1993
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSDownload PDF (1798K)
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