Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 112 , Issue 12
Showing 1-10 articles out of 10 articles from the selected issue
Review article
Monthly report; Treatment of pancreatic cancer: Current status and future perspective
Case report
  • Hajime SASAKI, Hiroyuki KANETO, Tomoya IIDA, Yumiko NAGANAWA, Shuji SA ...
    2015 Volume 112 Issue 12 Pages 2135-2143
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    A 65-year-old man was referred to our hospital with a primary complaint of unintentional weight loss. Upper gastrointestinal endoscopy showed a large duodenal tumor, and computed tomography (CT) showed tumor invasion of the pancreatic head, associated with lymph node swelling around the tumor and abdominal aorta. After 4 courses of chemotherapy with 5-fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6), follow-up upper gastrointestinal endoscopy and biopsy showed no evidence of a duodenal tumor. However, follow-up CT showed persistent lymph node swelling near the superior mesenteric artery. The patient therefore underwent pancreaticoduodenectomy with curative intent. At 18 months after the surgery, there were no findings suggestive of tumor recurrence.
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  • Mariko OGINO, Yoshinori SUZUKI, Kazuyuki YAMAMOTO, Yo KAWARADA, Shunic ...
    2015 Volume 112 Issue 12 Pages 2144-2151
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    A 72-year-old man underwent transverse colostomy for sigmoid colon cancer with multiple liver metastases. Subsequent chemotherapy effectively reduced liver metastases, and sigmoidectomy was performed. However, the liver metastases recurred and the patient developed stomal varices due to portal hypertension. To control the resulting massive variceal bleeding, we performed percutaneous sclerotherapy through a varicose vein, which was puncutured directly under ultrasound (US) guidance. Although the patient recovered from variceal bleeding, he eventually died due to the primary cancer.
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  • Norio NOGUCHI, Naoharu MATSUNAGA, Kenji MORI, Isao SAKAIDA
    2015 Volume 112 Issue 12 Pages 2152-2159
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    We report abdominal bleeding caused by an arteriovenous fistula (AVF) of the gastroepiploic artery. A 20-year-old man visited our hospital with epigastric pain and hypovolemic shock. Contrast-enhanced abdominal computed tomography revealed a high-density region within a huge low-density mass. Angiography revealed AVF of the gastroepiploic artery. Therefore, we performed transcatheter arterial embolization using n-butyl-2-cyanoacrylate (Histoacryl®) to control the intraperitoneal hemorrhage.
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  • Midori HIRAYAMA, Hiroshi NAKAGAWARA, Takashi MIYATA, Toshimi TAKAHASHI ...
    2015 Volume 112 Issue 12 Pages 2160-2167
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    A 70-year-old man with liver cirrhosis presented to us with abdominal distention. Computed tomography revealed a giant retroperitoneal tumor. Examination of a biopsy specimen led to a diagnosis of primary inflammatory fibrosarcoma of the retroperitoneum. However, disease progression was rapid, and the patient died 6 weeks after the onset of the disease. Autopsy revealed that the tumor arose from the retroperitoneum and infiltrated the omentum and mesentery. Prognosis of inflammatory fibrosarcoma is poor if resection is incomplete. Establishment of treatment for unresectable cases is necessary.
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  • Toshiyuki SUZUKI, Yasunori ICHIKI, Takashi KAMIHIRA, Mai AKAMINE, Masa ...
    2015 Volume 112 Issue 12 Pages 2168-2175
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    A woman in her 80s was admitted to our hospital on account of jaundice, abnormal liver function tests, and leukocytosis. She was diagnosed with adult T-cell leukemia on the basis of the presence of anti-human T-cell leukemia virus type I (HTLV-I) and the results of flow cytometric analysis of peripheral blood. She also showed lung consolidation and cavitation, and a sputum smear and culture revealed cryptococcal infection. Therefore, she was diagnosed with pulmonary cryptococcosis. However, the cause of the abnormal liver function tests and jaundice remained unclear, and the patient subsequently died. On autopsy, multiple granulomas were observed throughout the liver, consistent with cryptococcal bodies. Herein we report this rare case of hepatic cryptococcosis with predominant hepatobiliary complaints.
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  • Toshihiro KAWAGUCHI, Ichiro MIYAJIMA, Ryouhei KAJI, Shigenari SAKAKIBA ...
    2015 Volume 112 Issue 12 Pages 2176-2182
    Published: December 05, 2015
    Released: December 05, 2015
    JOURNALS FREE ACCESS
    A 55-year-old man presented with general malaise in May 2012. On reviewing his clinical records in 1989, we found that he had a hepatocellular carcinoma (HCC) in the left lobe, for which he had undergone left lobectomy in November 1989. However, there was no record of any follow-up examination from 1996 to 2011. Computed tomography in May 2012 revealed a right adrenal gland tumor measuring 8.5×6.5cm, which we treated by right adrenalectomy. Postoperative pathological examination showed this to be a metastasis of poorly differentiated HCC. To the best of our knowledge, no previous study has reported HCC recurrence such a long duration after HCC resection.
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