Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 110, Issue 3
Displaying 1-14 of 14 articles from this issue
Special contribution
Review article
Monthly report; Inflammatory bowel disease and colorectal cancer
Original article
  • Yoshitaka TAKUMA, Hiroyuki TAKABATAKE, Youichi MORIMOTO, Nobuyuki TOSH ...
    2013 Volume 110 Issue 3 Pages 403-411
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    The efficacy and safety of radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) were compared between elderly (age≥75 years, n=82) and non-elderly groups (age<75 years, n=158). No significant differences were observed in complications between the two groups. Elderly patients had a lower survival rate compared to the non-elderly patients. Multivariate analysis showed that age was not a significant factor for survival on tumor recurrence. Matching by propensity score revealed no significant differences were observed in survival on tumor recurrence rate. The prognosis of elderly patients undergoing RFA might be considered poorer than that of non-elderly patients. However, when considering the clinical background, RFA might be safe and effective in elderly patients, as well as non-elderly patients.
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Case report
  • Masaaki SATAKE, Takakazu FURUTANI, Hirokazu OZAWA, Tomomi KONISHI, Mit ...
    2013 Volume 110 Issue 3 Pages 412-418
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A 56-year-old man was admitted with obstructive jaundice. Abdominal computed tomography and endoscopic retrograde cholangiopancreatography showed circumferential stenosis with irregular wall in lower bile duct, but the cytology of biliary brushing was no malignancy. The patient was given a diagnosis of gastric carcinoma with bone and skin metastasis. He died 2 months after the first hospital admission and autopsy was performed. The histological findings of gastric and bile duct tumor revealed signet ring cell carcinoma. The immunohistological findings of both tumors were identical. We definitively diagnosed this case as metastasis of gastric carcinoma to the bile duct.
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  • Ryosuke NAKAGAWA, Reiki EGUCHI, Takehiro OTA, Kenji YOSHITOSHI, Takeha ...
    2013 Volume 110 Issue 3 Pages 419-425
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    The patient was a 69-year-old woman with a chief complaint of melena, who had a palpable firm mass and tenderness on digital rectal examination. Colonoscopy (CS) showed a depressed hemorrhagic lesion 2cm in diameter on the left anterior wall of the anal canal near the dentate line. Biopsy examination yielded a diagnosis of basaloid cell carcinoma. On the basis of a diagnosis of clinical stage I (T1N0M0) anal canal cancer, chemoradiotherapy was performed. After treatment, no tumor cells were detected on biopsy. Basaloid cell carcinoma, accounting for about 1.6% of anal canal cancers, is rare. Only 4 among 62 reported cases (including our patient) received chemoradiation therapy.
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  • Satoshi OKUBO, Kazuo KIRIYAMA, Takeo USUI, Tadaharu TAKEMURA, Kouichir ...
    2013 Volume 110 Issue 3 Pages 426-431
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A 70-year-old woman, who had hepatitis-C related liver cirrhosis died suddenly. Autopsy showed a massive retroperitoneal hematoma and ruptured splenic vein, as well as densely bloody ascites. This suggested that chronic and unnoticed retroperitoneal leak from the ruptured vein preceded the acute and fatal outcome of the intra-abdominal bleeding. Spontaneous rupture of the splenic vein is rarely reported in liver cirrhosis despite the presence of portal hypertension. This rare association is discussed with a literature review.
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  • Mayuko KITAOKA, Hiroshi SAKAEDA, Mika SUZUKI, Toshifumi MIKI, Junko SA ...
    2013 Volume 110 Issue 3 Pages 432-440
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A 72-year-old man presented with consciousness disturbance. The results of brain magnetic resonance imaging and cerebrospinal fluid examination were normal, but triphasic waves were noted on electroencephalography. His plasma ammonia level was elevated due to which encephalopathy secondary to hyperammonemia was suspected. However, his liver function was normal, and no evidence of cirrhosis or portal-systemic shunt was noted. The patient's medical history revealed that he had a tendency to excessively consume pulse products since childhood, and an amino acid analysis showed elevation of citrulline and arginine levels. Thus, we diagnosed the patient with an extremely rare case of adult-onset type II citrullinemia, which was triggered by cessation of the intake of pulse foods (soybeans and peanuts) due to dental problems.
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  • Yu NISHIDA, Hideki FUJII, Atsushi HAGIHARA, Etsushi KAWAMURA, Shuji IW ...
    2013 Volume 110 Issue 3 Pages 441-448
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A man in his 70's was admitted to our hospital for treatment of a huge hepatocellular carcinoma (HCC) by transcatheter hepatic arterial embolization (TAE). After treatment, anuria occurred, and laboratory examinations revealed a diagnosis of tumor lysis syndrome (TLS). He underwent conservative therapy including hemodialysis, resulting in complete remission of TLS. On the other hand, poor hepatic functional reserve was seen temporarily. After conservative therapy, biochemical markers returned dramatically. TLS is a group of metabolic complications in cancer therapy. It may occur in highly sensitive tumors, resulting from a rapid release of cytoplasmic degradation products of malignant cells. Generally it is rare in the treatment of solid tumors. In the case of TAE for huge HCC, we should keep the possibility of TLS in mind.
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  • Mizuna TAKAHASHI, Naoto SENMARU, Hiroshi KAWASE, Ryo TAKAHASHI, Hiroyu ...
    2013 Volume 110 Issue 3 Pages 449-455
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A 65-year-old woman who had been followed up for a cystic lesion of the tail of the pancreas was found to have cancer of the body of the pancreas. ERP showed stenosis of the main pancreatic duct (MPD) with dilatation of the distal side of the duct, and communication between the cystic lesion and MPD. She underwent distal pancreatectomy under a diagnosis of intraductal papillary-mucinous neoplasm associated with cancer of the body of the pancreas. Clinicopathologic investigation revealed that the diagnosis of the cystic lesion was serous cystadenoma having the communication with MPD. It was also indicated by the histopathologic findings that inflammatory changes of MPD caused by stenosis might contribute to the development of serous cystadenoma.
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  • Yoko KOMINAMI, Hiroshi AIKATA, Ken HIRAMATSU, Mio TANAKA, Noriaki NAES ...
    2013 Volume 110 Issue 3 Pages 456-464
    Published: 2013
    Released on J-STAGE: March 05, 2013
    JOURNAL OPEN ACCESS
    A 61-year-old man was admitted to our hospital for examination of the cause of rapid growth of a liver cyst. We found a slight dilatation of bile duct in the vicinity of the liver cyst. Then, we underwent ERCP and found a communication between the bile duct and liver cyst. Bile cytodiagnosis revealed a large quantity of clonorchis eggs. The patient like to do eat raw freshwater fish and we suspected that the acute expansion of the cyst was due to clonorchiasis. Following administration of 40mg/kg praziquantel, the blood clonorchis antibody disappeared and the liver cyst also disappeared after 6 months. We encountered a case of clonorchiasis complicated with growth of a liver cyst. Medical interviews should be conducted carefully along with meticulous examinations.
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