Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 104 , Issue 7
Showing 1-13 articles out of 13 articles from the selected issue
Review article
Monthly report; The present situation and the prospects of the endoscopic treatment for the large bowel epithelial tumor
Round-table discussion; The present situation and the prospects of the endoscopic treatment for the large bowel epithelial tumor
Original article
Case Report
  • Shoji HIRASAKI, Junro KATAOKA, Junichirou NASU, Minoru MATSUBARA, Fusa ...
    2007 Volume 104 Issue 7 Pages 1051-1056
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    The endoscopic examination of a 63-year-old man revealed a IIc lesion, 5mm in diameter, in the lesser curvature of the gastric body. His serum alpha-fetoprotein (AFP) level was high at 14.3ng/ml. Immunohistological studies on the biopsy specimens showed a positive reaction for AFP. Endoscopic ultrasonography revealed that the tumor was limited to the second layer of the gastric wall and this tumor was diagnosed as mucosal cancer. The final diagnosis was AFP-producing mucosal gastric cancer (AFPMGC). Cases of AFPMGC are rarely encountered. The present case suggested that even minute mucosal gastric cancer could produce AFP.
    Download PDF (540K)
  • Hiroshi MIHARA, Seiko YOSHIDA, Mitsuru YAGI, Hiroyuki ITO, Hiroshi NAN ...
    2007 Volume 104 Issue 7 Pages 1057-1062
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    A 40-year-old man complaining of epigastralgia for one week was admitted. Subacute chronic idiopathic portal thrombosis was diagnosed and he improved by anti-coagulation and fibrinolytic therapy. No predisposing factor was identified. As there are many idiopathic portal thrombosis cases in Japan, and there is a possibility that some inherent thrombus predisposing factors are hidden, further study of this condition is necessary.
    Download PDF (737K)
  • Katsuaki KOJIMA, Wataru YAMAMURO, Takayuki MORI, Soichirou HATA, Yota ...
    2007 Volume 104 Issue 7 Pages 1063-1068
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    A 62-year-old man with a 20-year history of diabetes mellitus presented with appetite loss was found and a large niveau was found in the right subphrenic space on abdominal X-ray film. Ultrasonography and computed tomography showed a large hepatic abscess with gas formation and cholecystitis with a gallstone. Klebsiella pneumoniae was isolated from the abscess, which communicated with the bile duct and was treated with antibiotics and percutaneous drainage. It should thus be noted that increased anaerobic catabolism by microbes and impaired transport of end products may cause gas-formation in patients with diabetes mellitus.
    Download PDF (449K)
  • Akira KAWANO, Ryo NAMITOME, Takashi MATSUNAGA, Toshihiro MARUYAMA, Ich ...
    2007 Volume 104 Issue 7 Pages 1069-1075
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    We reported a case of advanced malignant melanoma with multiple metastases to the liver and the gastrointestinal tract. A 69-year-old man was found to have multiple liver tumors and was referred to our hospital. He had a history of chronic hepatitis C, but HCV-RNA was negative and AFP and PIVKA-II were not elevated. Metastatic liver tumors were suggested by abdominal dynamic CT and ultrasonography. Multiple small blackish spots were detected in the gastrointestinal tract. Malignant melanoma was diagnosed by biopsy from the liver tumor and the gastrointestinal tract and remarkable elevation of 5-S-CD 436.4nmol/l. A blackish, slightly elevated lesion was detected in the oral cavity and was thought to be primary site. The patient chose palliative therapy and died 69 days after his first visit to his local doctor.
    Download PDF (759K)
  • Toru ISHIKAWA, Hiroteru KAMIMURA, Atsunori TSUCHIYA, Kouji WATANABE, K ...
    2007 Volume 104 Issue 7 Pages 1076-1081
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    We report a case of a 34-year-old woman who tested positive for HBs Ag with fibrolamellar hepatocellular carcinoma of the liver. The sister of this patient, who was also positive for HBs Ag, died of hepatocellular carcinoma (HCC). The patient showed elevation of alpha-fetoprotein. Abdominal CT scan showed a tumor in the posterior segment of the liver and hepatic angiography revealed marked neovascularity in the tumor. Partial resection of the liver was performed, and the histological diagnosis was fibrolamellar hepatocellular carcinoma. The patient is now tumor free and doing well 20 months after the operation.
    Download PDF (575K)
  • Madoka MINOGUCHI, Nobuyuki YANAGAWA, Chisato ISHIKAWA, Junpei SASAJIMA ...
    2007 Volume 104 Issue 7 Pages 1082-1087
    Published: 2007
    Released: July 05, 2007
    JOURNALS FREE ACCESS
    Pancreatic metastasis of malignant melanoma is rarely diagnosed while the patient is alive. We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for malignant melanoma of the vagina. Twelve months later, lung metastasis was also resected. EUS-guided fine needle aspiration (EUS-FNA) identified that the pancreatic tumor was histologically and immunohistochemically identical to the surgical specimen of her lung neoplasm. Imaging studies including US, CT, and MRI have limited value to distinguish the tumors from primary ductal adenocarcinoma. EUS-FNA can provide tissue diagnosis from pancreatic masses, specifically when other modalities have failed.
    Download PDF (670K)
feedback
Top