-
百武 靖之, 樋口 富士男, 徳安 英世, 八木 雅春, 久賀 養一郎, 柳田 巌, 井上 明生
1987 年 36 巻 1 号 p.
211-213
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We studied ten cases of Perthes' disease whose onset of the symptoms was over ten years old. These ten cases were classified into four groups by Catterall's classification. Although there was no tendency that they had rather severe involvement of the femoral head, the time durations to healing was almost more than three years.
抄録全体を表示
-
砂金 光蔵, 河合 伸也, 小田 裕胤, 海永 泰男, 中田 和男, 森山 繁実
1987 年 36 巻 1 号 p.
214-216
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
The sonography of the spine and spinal cord was performed in 25 patients. In all patients except for one with spinal dysraphism was performed intraoperative sonography. The techniques were easy, non-invasive and in essence the same whichever again is being scanned. With extradural masses, intraoperative spinal sonography (IOSS) indicated the exact size and location of the masses and confirmed their removal and/ or adequate spinal cord decompression. With intradural lesion, IOSS showed not only localizing and characterizing lesion but also was able to demonstrate the zone of transition between the lesion and normal tissue without opening the dura mater. In patients with bony defect of the posterior arch of the spine, such as spinal dysraphism and post surgical laminectomy, sonography fascilitated the diagnosis of spinal cord tethering and suggested to be useful in the preoperative evaluation of recurrent spinal cord tumors.
抄録全体を表示
-
陣内 祐一, 木田 浩隆, 吉浦 光三, 尾上 敏博, 永松 啓爾, 北島 純
1987 年 36 巻 1 号 p.
217-219
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Acute spinal epidural hematoma is rare, but dramatic cause of paralysis. In other countries approximately 140 cases have been reported, of which 25% of these cases showed that the hematomas were located in the cervical region. In Japan 22 cases have been reported, of which only 4 cases located in the cervical region. The myelo-CT that shows a mass in the epidural space has a very diagnotic value. If surgical decompression can be accomplished early, the results are favorable. Our case, a 67 years old woman with an acute cervical epidural hematomas, showed complete recovery after surgical treatment.
抄録全体を表示
-
宮里 剛行, 高良 宏明, 仲宗根 朝洋, 仲宗根 栄作, 吉川 朝昭, 屋良 哲也, 茨木 邦夫, 仲間 健
1987 年 36 巻 1 号 p.
220-225
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Two interesting cases of the spinal apoplexy who had surgical treatment and fair recovery were reported. The first case was a 46-year-old female whose paraparesis had gradually progressed during five months of illness. Intraoperative findings showed the hematomyelia at the level of T9.
The other case was a 12-year-old male who developed rapidly pentaplegia within short periods. Intraoperative findings showed widespread spinal cord necrosis due to vascular disturbance at the level of T7-T11 and spinal cord swelling at the cervical region. On the other hand, microscopic examination revealed a possibility of spinal cord tumor.
Including these two cases, it is suggested that MRI should be available in patients with acute non-traumatic transverse myelopathy. Finally, the difference between these cases and recently reported ones were discussed.
抄録全体を表示
-
村尾 哲, 萩原 博嗣, 荒木 茂正, 佐々木 邦雄, 芝 啓一郎, 植田 尊善
1987 年 36 巻 1 号 p.
226-229
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Intradural arachnoid cysts are rare lesions responsible for spinal cord compression. Our case is a 43-year-old woman presented with progressive spastic paraparesis. Plain radiographs were negative. At myelography (metrizamide) in the supine position, the cyst was not demonstrated. Only the wide-spread subarachnoid space was demonstrated and same findings at CTM and delayed CTM. At MRI, thoracic spinal cord was compressed anteriorly. Laminectomy was performed from Th
2 to Th
5 and Cyst was partially removed. At six months after surgery, clinical symptom was remitted.
抄録全体を表示
-
佐々木 宏, 馬場 逸志, 石田 了久, 住田 忠幸, 大田 修, 宮下 裕行
1987 年 36 巻 1 号 p.
230-232
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We experienced a case of intramedullary spinal cord tumor (astrocytoma). The patiant's chief complaint was disturbance of elevation of the left shoulder.
In the past, intramedullary astrocytomas have often been treated with biopsy or subtotal removal. But, in low grade astrocytomas, certain tumors have well-defined cleavage planes between their margin and that of the normal spinal cord, therefore, are appropriate for removal.
We have succeeded in removing almost all of the tumor.
M. R. I, has been useful for preoperative diagnosis.
抄録全体を表示
-
大浜 満, 新宮 彦助, 木村 功, 那須 吉郎, 塩谷 彰秀, 中寺 尚志, 田中 順一
1987 年 36 巻 1 号 p.
233-235
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
37 cases of spinal cord tumors were treated in our clinic. Seven cases were malignant tumors: astrocytoma, glioblastoma, malignant neurofibroma, reticulosarcoma, germinoma and malignant melanoma. 30 cases were benign tumors: 17 neurinomas, 4 meningiomas, 4 hemangiomas, 2 ependymomas, 2 epidermoid cysts and lipoma.
Prognosis of these tumors were not good, so that early diagnosis and atraumatic extirpation were necessary.
抄録全体を表示
-
長野 芳幸, 今給黎 尚典, 別府 徹己, 栄 四男, 牧 信哉, 吉留 鶴久
1987 年 36 巻 1 号 p.
236-238
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Palmar fracture dislocation of the PIP joint is very unusual. We reported one case who sustained this injury. The patient was a 35-year-old man. He sustained a palmar fracture dislocation of the PIP joint of the left long finger on a frontal clash of a car. The dorsal aspect of the middle phalanx seemed to be hit by a dashboard. X-ray photograph showed palmar dislocation of the middle phalanx with displaced dorsal base fracture fragment and depressed fracture of the articular surface. Open reduction and internal fixation with three Kirschner wires were performed at four days following the injury. Immobilization was continued for four weeks. The patient complained of no pain and acquired almost full ROM of the PIP joint at six months after surgery. This injury might occur when a great force was applied to the dorsal aspect of the middle phalangeal base on flexed PIP position.
抄録全体を表示
-
井上 善博, 小林 晶
1987 年 36 巻 1 号 p.
239-241
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A case of dislocation of the left pisiform occurred in bilateral fractures of the distal radius with fracture of the right ulna and fracture of the left ulnar styloid was reported.
The patient was a 14-year-old male. Closed reduction, pinning and splinting were performed, followed by excellent results. To be exact, this case seemed to be subluxation according to the description of Vasilas. The dislocation or subluxation of the pisotriquetral joint is easily overlooked. Meticulous attention should be paid to this disorder. The roentgenograms in semisupine position elucidate more distinct pathology.
抄録全体を表示
-
郡家 則之, 常岡 武久, 今村 宏太郎, 平野 英二, 岡崎 威
1987 年 36 巻 1 号 p.
242-247
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We have treated 21 wrists in 20 patiants. Sixteen wrists in 15 patiants (4 lunate dislocations, 4 perilunate dislocations, 8 transscaphoid perilunate dislocations) were reexamined clinically and radiographically. All were males aged from 22 to 64. Five wrists were reduced manually and 10 wrists were reduced surgically. The results of the treatment were as follows: 9 good, 6 fair, and 1 poor results. We have measured intercarpal angles of nine wrists on radiographies. Roentgenographic analysis of one good case showed lunohamate angle, capitolunate angle, and capitoscaphoid angle increased in opposite to uninjured wrist.
抄録全体を表示
-
緑川 孝二, 上崎 典雄, 松永 大助, 村上 陽太郎, 西崎 博巳, 西田 民夫, 松本 直之, 池田 正一, 井上 尚美
1987 年 36 巻 1 号 p.
248-251
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
This paper is a report on two cases of tuberculous tenosynovitis. This disease is a less common, and preoprative diagnosis is very difficult. One case, the patient was a 73 years old man, the synovectomy was performed and histological diagnosis was tuberculous tenosynovitis, At 1.5 years after operation, the patient had no diability. Another case was a 69 years old woman who had 5 years' history of swelling of the hand with crepitus. The synovectomy was performed and histological diagnosis was tuberculous tenosynovitis.
抄録全体を表示
-
木梨 博史, 松崎 昭夫, 城戸 正喜, 桜井 日出也, 白石 元英
1987 年 36 巻 1 号 p.
252-255
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Lipoma of the hand are infrequent, especially in Japan. Two patients, recently operated on for this condition, were reported in this paper.
Case 1 was a 59-year-old woman who complained of a painless swelling of the right palm and impossibility of thumb opposition. The swelling was increased gradually to its present size within 5-6 years, and since 1 year ago she noticed inability of opposition between thumb and fingers. Case 2 was a 71-year-old woman who complained of a tumor of left hand, first noticed 2 years ago. One month later, the tumor was increased in size causing limitation of closing between the thumb and the index finger.
抄録全体を表示
-
鈴木 睦朗, 林 泰夫, 上村 光治, 外園 不二夫, 伊達 徹, 小糸 博文, 前川 和道, 福田 和幸, Seiji Izumi
1987 年 36 巻 1 号 p.
256-258
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A 3 years and 5 months old child, who had lost distal shaft of the ulna after osteomyelits at the age of 6 months, had deformity of the left forearm and dislocation of the radio-humeral joint. She was treated by production of a one-bone forearm. The functional results were good.
抄録全体を表示
-
本多 重信, 兼光 智, 朝永 郁夫, 村上 潔, 平野 英二, 千葉 剛次
1987 年 36 巻 1 号 p.
259-263
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
In ten healthy men, we studied on the movement in pronation-supination of the forearm. A luminescent spot oscillating semicircularly on the surface of Braun tube was made to track by the movements of pronation-supination of forearm with the elbow flexed to 90°. EMGs by electrodes with 70μ enamel coating embeded in 4 muscles comprising the pronator quadrtus, the pronator teres, the supinator and the biceps brachii were integrated at the time-constant of 0.16 sec to get the integrated wave. Then mean values of difference between peak and bottom in integrated ENG were calculated and plotted in each frequency of 0.5 to 3Hz, and in the same way, mean values of bottom were obtained as the fruquency response of EMG. It is considered that each frequency responses represent dynamic or static activities of EMG respectively.
In this series, the complete pursuit was done within 1Hz. The pronator quadrates and the supinator indicate high activities below 1Hz. The pronator teres and the biceps brachii show high activities above 2Hz. On the other hand, static activities of EMGs of 4 muscles, all indicate high activity above 2Hz.
抄録全体を表示
-
田嶋 光, 平野 真子, 吉野 和孝, 匂坂 正明, 野村 一俊, 栄 輝巳, 水岡 二郎
1987 年 36 巻 1 号 p.
264-267
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
In ulnar nerve palsy, the recovery of pinch grip is more preferable than the correction of the claw fingers. We have operated on the five cases with ulnar nerve palsy for the adductor plasty of the thumb. Out of 5 cases, 3 cases suffered from only the ulnar nerve palsy, 2 cases from the combined ulnar nerve palsy with the median nerve palsy. All the cases were engaged in business before surgery, therefore required the early returning to their business.
We have mainly taken the procedure using EIP tendon for the adductor plasty, consequently almost good results have been acquired in cases with only the ulnar nerve palsy. On the contrary, in cases with the ulno-median nerve palsy, adductor plasty have given the worse opposition function. In such cases, a firm opponoplasty and the stabilization of the MP joint of the thumb must have been planned before an adductor plasty.
抄録全体を表示
-
佐久間 克彦, 水田 博志, 坂本 憲史, 久保田 健治, 前田 勇一, 石川 浩一郎, 北川 敏夫
1987 年 36 巻 1 号 p.
268-272
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Two cases complaining of pain of the ankle associated with os subtibiale were reported.
Case 1: A 22-year-old male complained of pain of his left ankle after skiing, with no history of any preceding injury. A point immediately below the medial malleolus was tender. Radiographs showed small ossicles just under both medial malleolus, and
99m Tc bone scintigraphy showed intense focal uptake in the left submalleolar region at the site of os subtibiale. Stress X-ray and arthrography showed no abnormal findings.
Case 2: A 17-year-old boy complained of aching of his left ankle after hop, step and jump. There was slight swelling, subcutaneous bleeding and tenderness similar to case 1, immediately below the medial malleolus. Radiographs of the ankles showed a small ossicle just under his left medial malleolus but normal medial malleolus of his right ankle.
Additionally, both cases had flat feet and a tendency to hyperpronation in a standing legheel alignment. Medial heel wedges were effective for pain relief of the ankles.
抄録全体を表示
-
原口 和史, 橘 寛, 吉田 光男, 森本 哲也
1987 年 36 巻 1 号 p.
273-276
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Stress roentgenograms before and after treatment of lateral ligament tears of the 15 ankles treated by cast immobilization were analyzed.
Eleven out of 15 ankles recovered roentgenographic stability satisfactorily.
To the above cases and chronic cases, we asked questionnaires based on Seligson scale by letter.
Results showed a tendency that the greater the roentgenographic instability of the ankle is, the lower the functional rating of the ankle is.
抄録全体を表示
-
藤田 雅章, 松坂 誠應, 寺本 司, 宮崎 昌利, 乗松 敏晴, 鈴木 良平
1987 年 36 巻 1 号 p.
277-280
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Recently we have noticed that many young patients, diagnosed as ankle instability, tended to complain not only of ankle pain, but also of other arthralgia. Consequently, it appeared to us that these arthralgia were based on general joint laxity. So we wished to conduct a comparative study between general joint laxity devised by Kuriyama (1986) and ankle instability.
26 cases (52 ankles) of general joint laxity, whose ages were from 12 to 29 years old (average, 18.9yrs.), were investigated. 3 cases were male and 23 cases were female. The anterior drawer test was performed on 30 healthy adults including 52 ankles of general joint laxity and 53 injured ankles. The varus stress test was performed manually on 100 healthy adults (200 ankles) and each of the above mentioned ankles.
The cases who had the history of ankle sprain showed abnormal range in anterior talar displacement (ATD, 5.60±0.83mm) and talar tilt angle (TTA, 10.50±2.00 degrees). On the other hand, the cases who had no history of ankle sprain showed normal range in ATD (2.81±0.45mm) and TTA (4.15±0.97 degrees). These data suggested that the history of ankle sprain was closely related to the ankle instability in the cases of general joint laxity.
抄録全体を表示
-
戸次 鎮昭, 田中 公次, 横田 清司, 花田 雄介, 戸次 鎮久
1987 年 36 巻 1 号 p.
281-285
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A 59-year-old woman had noticed a tumor in her left palm for the past 5 years. She had not noted any pain and had been left without further treatment. Because of the gradual increase in its size, she was admitted to the Department of Orthopaedic Surgery, Saiseikai Fukuoka General Hospital. Upon palpation, the tumor in her left palm was approximately 4×2.5×2cm in diameter without any signs of inflammation. Radiological and echographical examinations failed to demonstrate any abnormalities except for the fine network of tumor vessels and tumor stain in the angiography. The tumor was removed without any difficulty. The tumor was composed of elongated cells which were lined as in honey comb structures and showed occasionally hyperchromasia of the nuclei and mitotic appearence with the considerable presense of blood vessels. Histological diagnosis was Eccrine poroma.
抄録全体を表示
-
本多 知行, 松下 いく子, 鶴田 敏幸, 忽那 龍雄, 渡辺 英夫, 佐野 雅之, 杉原 甫, 米満 伸久, 中村 聡
1987 年 36 巻 1 号 p.
286-294
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We had two rare cases of Malignant Lymphoma which occurred from the leg with swelling, redness and pain. One case was intramuscular lymphoma and the other case was cutaneous malignant lymphoma. Both patients died within two or three months after diagnosis was confirmed.
They had following features;
1) Initial symptoms were acute inflammatory state.
2) Emergency operation was performed for the compartment syndrome of the leg.
3) General condition after operation became worse.
4) The diagnosis of malignant lymphoma was difficult to make in early stage.
抄録全体を表示
-
米村 憲輔, 中村 孝文, 加藤 悌二, 土屋 立昭, 高木 克公, 北川 敏夫
1987 年 36 巻 1 号 p.
295-297
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Two cases of giant cell tumor of tendon sheath of the toe are reported in this paper. The first is a 37-year-old male and the second is a 16-year-old female. The site of the lesion is the right second and the left third toe, respectively. On radiographic examination bony changes were apparent in the form of several discrete intraosseous cystic lesions with sclerotic margins. Both cases were treated with excision of the tumor, and consequently, the former was curetted, and the latter was curetted and bone chips were grafted in the intraosseous lesion. The histolgical diagnosis was made by microscopic examination.
Giant cell tumor of tendon sheath usually occurs in the finger and the bony involvement such as erosion of the cortex is slight in most cases. The two cases reported here are relatively rare and interesting in terms of these points.
抄録全体を表示
-
成沢 研一郎, 伊地知 正光, 伊藤 謙三, 田中 宏道, 加藤 幹雄, 南 芳樹
1987 年 36 巻 1 号 p.
298-301
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A 43-year-old housewife with a month history of paraplegia is presented. She had complained of lumbago for about two years and noticed voiding disturbance on the eighth of June 1986. She could not stand for 20 days after this disturbance and then one day suffered complete urinary stoppage. She was admitted to our hospital on the tenth of July. Myelography and CT scan were performed and showed multiple intradural tumors at the levels of Th
11 to L
3. Skin tumors was also found. The investigation of the CFS showed albumino cytologic dissociation. A laminectomy of Th
11-L
2 and resection of the intradural tumors of the cauda equina was performed on the 18th of July 1986. The tumors were rosary shape and linked one to another, in the cauda equina, which was sacrificed for the sake of tumor extirpation. Histologically, there was a discrepancy between the cauda equina tumors and one skin tumor. The skin tumor was neurofibroma, whereas the cauda equina tumor was neurilemmoma. Von Recklinghausen Disease was diagnosed. However, after a month she showed good recovery and is now able to lead an ordinary life.
抄録全体を表示
-
池辺 修二, 真角 昭吾, 原田 博文, 宇都宮 健治
1987 年 36 巻 1 号 p.
302-305
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Extradural hemangiolipomas are rare tumors, which account for about 0.14% of the spinal tumors. We have experienced a case of hemangiolipoma. A male patient aged 49 was admitted to our hospital with complaints of the progressive sensory/motor disturbances and dysuria. Myelography and Metrizamide CT revealed extradural tumor. Total excision of the lesion was performed. Histological diagnosis was hemangiolipoma. In order to prevent postoperative instability of the spine, Harrignton compression rods were used and iliac bone graft was added. Clinical signs were dramatically improved after the operation.
抄録全体を表示
-
亀山 博生, 日高 滋紀, 松元 信輔, 横山 良平, 篠原 典夫
1987 年 36 巻 1 号 p.
306-308
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A 77-year-old man was first pointed out right sciatica and low back pain. The X-ray examination showed osteolytic destructive change of L-5 vertevra, and next by CT scan we found giant retro-peritoneal tumor which invaded vertebra.
Clinically we made a diagnosis of malignant tumor, but this case was alive for 3 years and no sign of metastasis.
We performed operation of partial resection and examined histologically. The specimen showed Schwannoma and there was no evidence of malignancy.
抄録全体を表示
-
山県 昇, 前山 巌, 古瀬 清夫, 森本 兼人, 折戸 隆, 奥野 誠
1987 年 36 巻 1 号 p.
309-311
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Epidermoid cysts are found in practically no bones other than the skull and distal phalanges. A search of literature failed to find any other report of an epidermoid cyst of the sacrum. We experienced such a rare case.
A 45-year-old female with a 13-year history of urinary hesitancy had low-back and buttock pain 5 years before admission to our department. At an outside hospital physical examination revealed a large sacral mass. Roentgenogram showed rarefied defect of the sacrum. A sensory examination showed hypesthesia of the second to fifth sacral dermatome. We suspected chordoma. At surgery in October 1985, removal of the tumor with en block excision was impossible because of adhesion of external iliac vein. Accordingly the tumor was treated by curetting and filling with bone cement in June 1986.
Histologically the cyst wall was composed of a squamous epithelium, establishing a diagnosis of epidermoid cyst. Six months after the last operation she was ambulating with two crushes.
抄録全体を表示
-
中島 雅典, 山元 三郎, 清永 寛一郎, 小宮 節郎, 永田 見生, 井上 明生, 生田 久年
1987 年 36 巻 1 号 p.
312-316
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A school-girl aged nineteen complained of low back pain and stiffness without a history of trauma. Three weeks later severe pain and swelling were found on the right paralumbar spine area. X-ray showed no pathological findings, but CT scans demonstrated a lesion like periosteal reaction at the level of the right transverse process of the third lumbar vertebra. We suspected of the findings of malignant tumor from 99mTc bone scans, angiography and MRI. But after 7 weeks the low back pain diminished, and CT scans showed the characteristic bone shell. At operation the lump was found approximately five cm in diameter on the right transverse process of the third lumbar vertebra. Histologically, the feature of this lesion showed no malignancy but the characteristic zone phenomenon which consisted of a central undifferetiated zone, an intermediate zone and an outer zone of maturing bone. The lesion was diagnosed as pseudomalignant osseous tumor of soft tissue, described by Fine and Stout (1956).
抄録全体を表示
-
大森 啓司, 浜脇 純一, 米澤 元實, 岡 義春, 梶原 博毅
1987 年 36 巻 1 号 p.
317-321
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We have recently experienced a case of benign chondroblastoma which was located in the proximal epiphysis of the femur. The case was a ten-year-old girl, who was treated with curettage of the tumor and cancellous bone graft. Ten months postoperatively, there was no sign of recurrence.
On plain X-P, calcification in the radiopague tumor of the epiphysis was observed.
Microscopically, the tumor cell was elliptical and its cytoplasma is eosinophilic. Around the chondromatrix are the characteristic polynuclear giant cell arrangements.
抄録全体を表示
-
野口 蒸治, 吉田 健治, 井上 明生, 小宮 節郎, 中島 雅典, 向坂 彰二郎, Hiroshi Nakamura
1987 年 36 巻 1 号 p.
322-325
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Two rare cases of eosinophilic granuloma in the scapula were reported. One patient, a 10-year-old girl, had a history of the left scapular pain of one month's duration associated with night pain which was relieved with salicylates. The radiograph revealed central lucency with surrounding sclerosis just below the left scapular spine, suggesting benign osteoblastoma. A radical en bloc resection and bone graft was preformed. Histological examinations showed eosinophilic granuloma. The second patient, an 18-year-old female, had four weeks history of the left scapular pain. Radiograph revealed round area of osteolysis below the left scapular spine. She had a presumptive diagnosis of eosinophilic granuloma and underwent curettage of the lesion and a histological confirmation. After surgery, they were free from symptoms and had no recurrence.
抄録全体を表示
-
益川 眞一, 忽那 龍雄, 岡元 勉, 川口 宗義, 宮崎 澄雄, 徳島 美代子
1987 年 36 巻 1 号 p.
326-329
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A very rare case of multiple bone cysts in an 11-year-old boy was des cribed. In 1983, multiple radiolucent shadows were noted at the bones of extremities, rib, ilium, and skull occasionally, however, complaints and clinical findings were not observed, and further investigation was not performed. In March 1986, pathological fracture occurred in the right femur and he was admitted to Pediatrics. General examination revealed no metastatic lesion of the bone and callus formation was found at the fracture site. However, since he developed increased tenderness over the cppcsite left femur, operative treatment was performed. At operation, the cortex of the lesion was remarkably thined and the lesion was filled with the bloody serous fluid. After curettage of the wall of the cavity, bone graft was done. At present, the radiographical course showed good results.
抄録全体を表示
-
上平川 浩一, 横山 庫一郎, 篠原 典夫, 佛渕 孝夫
1987 年 36 巻 1 号 p.
330-332
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Fibrosarcoma is considered as a relatively rare soft tissue sarcoma. This sarcoma is capable of local recurrence and metastasis, but its prognosis is relatively good.
A case of fibrosarcoma, which primarily arose from right chest wall and metastasized to the right acetabulum 8 years after first excision, is reported.
A 39-year-old woman, who had a history of fibrosarcoma and its local recurrence, complained of right coxalgia 8 years after the first excision of the tumor. Radiographically, osteolytic lesion was found in the right acetabulum. No pulmonary metastatic lesion was identified. Wide excision and histological examination was performed. The tumor consists mainly of fibroblastic spindle cells, arranged in fasciles, partially showing a herring-bone pattern. So this tumor was diagnosed as metastasis of fibrosarcoma.
抄録全体を表示
-
貞松 俊弘, 平野 徹, 牧野 佳朗, 鈴木 良平
1987 年 36 巻 1 号 p.
333-336
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
An eighteen-year-old girl with Marfan syndrome, who was complicated with osteosarcoma of right humerus, was reported. She had the disorders of the skeleton (arachnodactyly, severe scoliosis and pectus excavatum), the eye (ectopia lentis and myopia) and the heart (mitral valve prolapse). According to these findings, she was diagnosed as Marfan syndrome by Pyeritz's criteria.
In Nov. 1985, she felt right shoulder pain and swelling and radiograms showed the abnormal shadow in the right proximal humerus. Bone biopsy disclosed typical histological appearance of osteogenic sarcoma and forequater amputation was carried out on May 15, 1986.
Relationship between the systemic disorders of the skeleton like Marfan syndrome and the occurrence of malignant bone tumor was discussed.
抄録全体を表示
