Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
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Volume 23, Issue 3
Displaying 1-16 of 16 articles from this issue
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  • Histopathological Study on the Relationship Between Macroscopical Findings and Prognosis of the Resected Gastric Cancer.-Evidence by histological study-
    CHIAKI ISHIBASHI
    1977 Volume 23 Issue 3 Pages 355-370
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.355
    JOURNAL FREE ACCESS
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    It is well known that the depth of carcinomatous infiltration into the gastric wall influences on the prognosis after removal of the stomach cancer. It has been clarifid by many investigations that macroscopical findings of stomach cancer should be important for conjecture of the depth of carcinomatous infiltrations into the gastric wall. The extension of the lymph node metastasis should be closely related to the prognosis and it should be also very important to decid the extent of surgical removal of lymph nodes. Five handred thirty six stomach cancers, which were diagnosed and resected in our clinic from April 1967 to March 1974, were studied clinicopathologically to make clear the relationship between the macroscopical findings and the extension of the lymph node metastasis and the prognosis. These materials were macroscopically clossified into early type and advanced type. It was evidently demonstrated that the macroscopical findings and the size of gastric cancer had a close correlation with the extension of lymph node metastasis and prognosis and should be very important to decide the extent of surgical removal of lymph nodes.
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  • Histopathological Study on Minute Cancers Associated with the Autrum Gastritis.
    MITSUHIRO YOSHIDA
    1977 Volume 23 Issue 3 Pages 371-384
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.371
    JOURNAL FREE ACCESS
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    The well differentiated early gastric cancer was conclusively originated from antral gastritis with minute cancers with the diameter of less than 5 mm. For the present study, 92 cases of well differentiated early gastric cancers including minute cancers, 110 cases of various benign gastric diseases (30 cases of duodenal ulcer, 30 cases of gastric hyperplastic polyp, and 50 cases of gastric ulcer), 25 cases of control, and 8 cases of gastric atypical epithelium (A.T.P.) were studied histopathologically in relation to their antral gastritis. The histological study revealed the protruded type (Type I) of early gastric cancer closely related with the gastric hyperplastic polyp, and the elevated type (Type II a or II a + II c) also closely related with A.T.P Many depressed or excavated types (Type II c, II c+ III or III) with shallow ulcers (U1-II) would be originated from the secondary ulcer in depressed type without ulcers. Many depressed or excavated types with deep ulcers (U1-III or U1-IV) wocld be originated from deep benign gastric ulcers (U1-III or U1-IV). It was concluded that a close relationship was present between well differentiated type of early gastric cancer and intestinal metaplasia.
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  • Obessions as a Common Sense Dissolution
    --At the Onset of Symptoms--
    FUMITERU MATSUMURA
    1977 Volume 23 Issue 3 Pages 385-396
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.385
    JOURNAL FREE ACCESS
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    I have thought that the considerable part of obsessive-compulsive reactions could be regarded as a common sense dissolution at the onset of symptoms. I have devided them into three types and have described about them in practical cases as follows. Type I : At the onset of symptoms by losing the trust on common sense; the common sense, regarded by people as the self-evident, has instability and fragility which betray the trust of people in it. It should be varied according to different periods or place. Such characters of comon sense might bother some people and make them obsessive. Type II : The fear to be separated from common sense world would be noticed. The common sense is authorized by support of people with common feeling, but the authority has taboo. The patients might not avoid to confront with the taboo of common sense, while they fear it deeply. Type III : The faifure of skillful adjustment to common sense which involves discrepancies would be recognized. The common sense has discrepancies which ordinary people overcome skillfully. But such overcoming has a tendency to self-deception. Although the patients are not skillful enough to adapt the common sense world fluently, their attitudes of direct gazing at discrepancies might have a piece of truth. The common sense dissolution in obsessive-compulsive patients might be the result of mutual interacion of both patients and common sense itself. Their rigid and formal attitudes make it difficult to adjust themselves to the common sense world. On the other hand, the common sense --the preconcert of people-- disregards sometimes fears and discrepancies, which are inevitable in actual human life The security which the common sense insures is not always stable, and therefore some people get distrust and confusion about the common sense. Also the authority of the common sense making taboo might confuse some people and thre- aten them to some kinds of conflict.
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  • Carcinoma of the Breast
    --Retrospective Analysis of 1056 Mammograms--
    YOSHITAKA HIGASHI, HITOSHI KATAYAMA, MITSUO TOKUNAGA, TOSHlO KOIDE, HA ...
    1977 Volume 23 Issue 3 Pages 397-402
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.397
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    From March 1974 to September 1976, Mammography were performed in one thousand and fifty six cases at Department of Radiology, Juntendo University Hospital. Two hundred and five cases of them were studied pathohistologically and ninety-eight cases were proved to be carcinoma of the breast. Through retrospective analysis, the following results were obtained. 1) 79.6 % of the breast cancer were diagnosed correctly by mammography, whereas, 74.4% by ultrasonic examination. 2) The incidence of signs indicating carcinoma of the breast was tubulated. The incidence of the increased density, irregular border and minute calcifications were found in 76%, 56% and 18.1%, respectively in carcinoma. 3) Most of the false negative cases were atypically circumscribed carcinoma or highly invasive duct carcinoma which showed a faint mass density without calcifications. On the other hand, circumscribed benign mass lesions were occassionally misinterpreted as carcinoma.
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  • A Case of Fabry's Disease
    TADAHIRO, KURASAWA, SHOICHI KATO, YOSHIJI YAMANE
    1977 Volume 23 Issue 3 Pages 403-406
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.403
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  • A study of Quantitative Analysis and Pathogenesis of Pancreatic Lithiasis.
    --An Autopsy Case of Pancreatic Lithiasis with small Cancer of the Head--
    HIROMICHI IMAI, KEISUKE HASHIMOTO
    1977 Volume 23 Issue 3 Pages 407-414
    Published: September 10, 1977
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.23.407
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    Quantitative analysis and histopathological examination of pancreatic lithiasis were done for the purpose to clear the pathogenesis of the stone formation. Our results and references from the literature suggest that the stone should be made after stagnation and concentration of pancreatic juice with trigger action such as chronic alcoholism, chronic relapsing pancreatitis and cancer of pancreas head. The main component of the stone is calcium salts (34%) and a few of Mg, Zn and Phosphate are recogized. Typical histopathological changes of pancreatic lithiasis was observed with late stage of chronic pancreatitis called pancreatic fibrosis. 1. Dilatation of small pancreatic ducts with marked neutrophilic infiltration and abscess formation. 2. Granulation tissues, bleeding and deposition of hemosiderin particles in the duct wall. 3. Marked atrophy and fibrosis of acini and a few of Langerhans islets remained. The remaining islets were often hypertrophic. 4. Marked perineural lymphocytic proliferation were observed, some makes lymphoid follicles.
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