巻号一覧
44 巻 (1995)
- 4 号 p. 1199-
- 3 号 p. 857-
- 2 号 p. 449-
- 1 号 p. 1-
44 巻, 1 号
選択された号の論文の109件中101～109を表示しています
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礒辺 康行, 南崎 剛, 奥野 誠, 山本 吉藏, 古瀬 清夫, 広瀬 方志1995 年 44 巻 1 号 p. 413-416
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーEight patients treated with total knee reconstruction and tumor resection surgery were evaluated using quantitative gait analysis. Histological diagnosis included: three patients with osteosarcoma, two with chondrosarcoma, two with giant cell tumor (GCT) and one primitive neuroectodermal tumor (PNET). The most frequent tunor location was the distal femur for six patients. Seven cases were reconstructed using Kotz's prosthesis and the remaining case using a long stem ceramic prosthesis. The mean follow-up period for clinical evaluation was 44 months (range: 9 to 106). Postoperative function was evaluated according to Enneking's criteria. A comparison of the operated and non-operated limbs was made using a ratio of the following characteristic points from gait analysis: vertical component (Fz), fore-aft component (Fy) and stance time.
The functional evaluation was rated excellent in one, good in four, fair in two and poor in one, scoring 24.6 points (range: 17 to 33) out of maximum of 35 points. In the six cases in which the quadriceps muscle group (quads) were resected, the average ratio of stance time was 82.8%, however in the two cases in which quads were preserved, the stance time ratio were 101.7% and 91.2%. Similar trends were observed for the Fz impulse and deceleration and acceleration impulse phase of Fy. However there was no significant correlation between the gait analysis parameters and the functional evaluation after surgery.抄録全体を表示PDF形式でダウンロード (445K) -
松元 光生, 梅津 龍哉, 有馬 博隆, 酒匂 崇1995 年 44 巻 1 号 p. 417-420
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーWe experienced two cases of bone lesions associated with ATL as the primary sites. Case 1 was a 45-year-old man who complained of right hip joint pain. Radiographically, there was an osteolytic lesion in the femoral neck. The patient was positive for HTLV-I antisera and ATL like cells were found in his peripheral blood. Biopsy of the femoral neck demonstrated a Non-Hodgkin lymphoma, diffuse pleomophic cell type. We therefore diagnosed ATL of bone origin. Case 2 was a 62-year-old man who complained of neck pain and eruption. On X-ray, C3 was compressed and biopsy of the eruption, positive HTLV-I antisera and examination of the peripheral blood all confirmed the diagnosis of ATL.
Since ATL with bone lesions as the primary site is easily misdiagnosed as a metastatic tumor of unknown origin, careful diagnosis is needed in patients with bone lesions from an unknown primary site.抄録全体を表示PDF形式でダウンロード (2557K) -
平野 徹, 吉田 伍一, 馬場 秀夫, 岩崎 勝郎, 神代 敏之, 早田 みどり1995 年 44 巻 1 号 p. 421-423
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーWe studied the incidence of osteosarcoma in Nagasaki Prefecture and the four prefecture districts, Kennan, Shimabara, Kenhoku and remote islands. A high incidence of 2.54 cases per million people was seen in Nagasaki Prefecture. The age distribution showed peaks in the second and seventh decades of life. In regard to the four prefectural districts, the incidence was 0.93 cases per million people in Shimabara but ranged from 2.38 to 3.78 in the other three districts. Further investigation into regional variance could help to shed light on the pathogenesis to osteosarcoma.抄録全体を表示PDF形式でダウンロード (307K) -
前田 和成, 平野 徹, 奥村 正彦, 岩崎 勝郎, 神代 敏之, 林 靖之1995 年 44 巻 1 号 p. 424-429
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーSeven patients who had metastatic bone tumors were treated with a combination of Intraoperative radiotherapy and fractionated external radiotherapy.
Successful local control was obtained clinically and radiologically in five patients who had a dose of 20 Gy for intraoperative radiotherapy. Histological examination in two autopsy patients revealed complete necrosis of the tumors in the irradiated field.
Our results suggested that intraoperative radiotherapy could be of use for metastatic bone tumors.抄録全体を表示PDF形式でダウンロード (4783K) -
山田 昌登嗣, 諫山 照刀, 葉 山泉, 立川 大介, 緒方 公介1995 年 44 巻 1 号 p. 430-432
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリー全身骨転移中約30%を占めると言われている骨盤骨転移の実態は明らかではない. 当科受診患者中, 骨盤部に骨転移を確認できた62症例について年齢・性別・症状・転移部位・原発腫瘍の種類・予後などを調査した. 全62例, 男性42例女性20例, 20歳から84歳平均59.2歳. 初診時の症状は, 腰痛, 下肢痛で約5割を占め, 転移部位は腸骨部に約50%が集中していた. 原発腫瘍を検索したところ前立腺癌, 肺癌, 直腸癌で約50%であった. また骨盤内臓器からの転移例は25例 (47.2%) と高率であった. 初診時原発病巣不明であったものの55.2%は骨盤内原発であり, 肺原発を加えると80%を越える. 予後は前立腺癌のみが平均2年以上の生存期間を有す他は, 平均半年から1年と予後不良であった.抄録全体を表示PDF形式でダウンロード (1389K) -
松本 英裕, 小林 靖幸, 田中 宏道, 永井 孝明, 立木 豊和1995 年 44 巻 1 号 p. 433-436
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーWe report a rare case of infiltrating lipoma (intramuscular lipoma) arising in the rhomboid muscle of a child.
Echography, computed tomography and magnetic resonance imaging were used to diagnose and evaluate the localization of this tumor.
This case (infiltrating lipoma) was histologically shown to be a benign tumor, but as the tumor size was increasing and we suspected functional disturbance, we decided to treat it surgically.
Wide resection including removal of some normal tissue must be recommended to prevent local recurrence in this case.抄録全体を表示PDF形式でダウンロード (3989K) -
土井 俊郎, 岩本 幸英, 津村 弘, 杉岡 洋一, 草場 謙, 佐藤 昌司, 三好 真琴1995 年 44 巻 1 号 p. 437-439
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリー妊婦に発生した粘液型脂肪肉腫という貴重な一症例を経験した. 妊婦では, 腫瘍の治療のほか, 胎児の娩出の時期, 出産後の母子関係など多くの問題があり, 適切な対処が必要である.抄録全体を表示PDF形式でダウンロード (1750K) -
善明 美千久, 柿添 光生, 小宮 節朗, 平岡 弘二, 井上 明生1995 年 44 巻 1 号 p. 440-442
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーA series of 69 cases of aspiration biopsy cytology of soft tissue tumors were reviewed and discussed regarding sensitivity, specificity and accuracy of the true diagnosis. Sensitivity was 66.6%, specificity 98%, and accuracy of true diagnosis 90%. From these results, aspiration biopsy cytology was shown to be a useful procedure for screening of malignant soft tissue tumor.抄録全体を表示PDF形式でダウンロード (269K) -
南崎 剛, 礒邉 康行, 奥野 誠, 山本 吉藏, 古瀬 清夫1995 年 44 巻 1 号 p. 443-447
発行日: 1995/03/25
公開日: 2010/02/25
ジャーナル フリーThirty-two locally recurrent soft-tissue sarcomas, which were treated in our hospitals from 1973-1994 were investi gated clinically and the method of surgery discussed. Twenty-eight cases had extirpation as the first treatment. Therefore one of the reasons for recidivation appears to be improper diagnosis and surgery. In the prognosis of soft tissue sarcomas, there is no significant difference between relapsing and non-relapsing cases, with the prognosis of relapsing cases dependent on the histological grade. The most important thing is to achieve a strict margin in resection surgery, and to add chemotherapy or radiation therapy for treating tumors of high grade malignancy.抄録全体を表示PDF形式でダウンロード (4337K)