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Volume 40 (1988)
- Issue 6 Pages 711-
- Issue 5 Pages 615-
- Issue 4 Pages 437-
- Issue 3 Pages 291-
- Issue 2 Pages 133-
- Issue 1 Pages 1-
Volume 40, Issue 2
Displaying 1-9 of 9 articles from this issue
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Yoshiro HANADA, Jiro OKUMURA, Gen YAMASHITA, Katsumi TUKAMOTO, Keiko Y ...1988 Volume 40 Issue 2 Pages 133-142
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSPrognostic factors were assessed in 100 women treated for primary malignant ovarian tumor by multivariable statistical analysis using performance status as the dependent variable. It was found that the clinical stage and the size of the residual tumor after surgery are the most important factors influencing survival.
We analyzed more precisely these two factors using the life-table method, and found that the significance of the size of the remaining tumor decreased with the period after primary surgery. The results show that more ;effective treatment strategies are required after surgery for patients with malignant ovarian tumor.View full abstractDownload PDF (1374K) -
Koji HASHII, Shingo FUJII, Ikuo KONISHI, Yoshihiko NANBU, Hirofumi NON ...1988 Volume 40 Issue 2 Pages 143-148
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSA case with multifocal neoplastic lesions in the uterus associated with thecal and hilar cell hyperplasia of the ovaries is presented. A 71-year-old woman with a complaint of postmenopausal vaginal bleeding, diagnosed as having endometrial adenocarcinoma stage Ib, underwent a total hysterectomy with bilateral salpingo-oophorectomy. Histologically, the uterus contained three distinct neoplastic lesions ; well-differentiated adenocarcinoma of the endometrium, müllerian adenosarcoma-like lesion of the uterine corpus, and “adenocarcinoma in situ” of the uterine cervix. In addtion to the above lesions, endometrial hyperplasia and mitotic activity of myometrial smooth muscle cells were observed. Mucin-production of endocervical glands and stratification of the squamous epithelium were prominent. Bilateral ovaries possessed many luteinized theca cells and hyperplastic hilar cells, both of which showed the immunohistochemical positivity to anti-estradiol and anti-testosterone in the cytoplasm. These histological findings implied that diffuse hyperplastic changes in both epithelial and mesenchymal components might be elicited under the influence of ovarian sex steroids. On the basis of the diffuse hyperplastic changes in the uterus, possibly with an additional unknown factor, multifocal neoplastic lesions may have developed.View full abstractDownload PDF (8211K) -
Takefumi BESSHO, Hideaki SAWAI, Katsushi DAIMON, Yoji FUNAUCHI, Shozo ...1988 Volume 40 Issue 2 Pages 149-154
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSVaginal culture were obtained from 963 mothers on admission to the labour floor. The vaginal flora of patients who had premature rupture of the membranes (PROM) was compared to that of those who did not. In full-term pregnancies, E. coli, Group B Streptococcus (GBS) and Staphylococcus epidermidis were found significantly more often among patients who had PROM. Although in preterm pregnancies, no specific organism was found more often among them, the frequency of positive culture of preterm patients with/without PROM was significantly higher than full-term patients. Amniotic fluid was cultured from 44 patients with rupture of the membranes at the time of delivery. The rate of bacterial colonization was proportionate to the duration between the time of delivery and rupture of the membranes. The major organisms cultured were E. coli, Staphylococcus epidermidis and GBS, respectively. Despite the high percentage of positive bacterial colonization of amniotic fluid, the morbidity of neonates was not so higher than expected, possibly due to the early use of antibiotics to mothers. The possible explanation for the discrepancy was also discussed.View full abstractDownload PDF (729K) -
Yoshitomi SUGIMOTO, Daisaku KURIYAMA, Akira NAKAYA, Shigeru FUKANO, Ke ...1988 Volume 40 Issue 2 Pages 155-158
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSAlthough peripheral muscle weakness, along with involvement of respiratory, cardiac and smooth muscle and especially dysphagia in association with myotonic dystrophy are well known, large bowel involvement has rarely been reported and only two cases of elongation of the sigmoid colon have been cited in the Japanese literature.
Our patient, a 43-year-old female with uterine myoma, was hospitalized for myotonic dystrophy and acute abdominal distention. Radiological studies revealed marked dilatation and elongation of the sigmoid colon. She did not respond to conservative treatment. Abdominal total hysterectomy was done under spinal and epidural anesthesia. During surgery, no necrotic or stenotic portions of the sigmoid colon were seen, so resection was not done.
There was no muscle rigidity or recurrence of ileus during the postoperative course.View full abstractDownload PDF (4182K) -
Masaki GOTO, Masatsugu UEDA, Takashi SANO, Takemichi TSURUNAGA, Yoshin ...1988 Volume 40 Issue 2 Pages 159-164
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSTwo patients were seen in our clinic with metastatic adenocarcinoma from primary stomach cancer. One had a metastasis to the cervix uteri and the other to the vagina.
The cervical smear of a 35-year-old housewife with abdominal distension and uterine cervical cancer showed abnormal cells with a very high N/C ratio and hyperchromatic nuclei on a relatively clear background. Abnormal cells with mucous vacuoles were also seen sporadically.
The vaginal smear of a 65-year-old housewife who had had a partial gastrectomy for stomach cancer and had two small tumors on the anterior vaginal wall showed abnormal cells in papillary clusters and sheet-like arrangements. The cells were large and almost round, and the cytoplasm was light-green and usually contained small vacuoles. Signet ring cells were also seen.View full abstractDownload PDF (7855K) -
Treatment and management of pregnant women with idiopathic thrombocytopenic purpuraMasayuki OKAMURA, Hajime KAWAMURA1988 Volume 40 Issue 2 Pages 165-172
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSIdiopathic thrombocytopenic purpura (ITP) is an aquired disorder characterized by the production of antiplatelet antibodies, which results in thrombocytopenia.
This disorder has come to the attention of Obstetricians and neonatologists because ITP occurs in women of childbearing age, complicates their pregnancies and route of delivery and causes fetal-neonatal ITP.
The following is a description of a case involving a pregnant woman with ITP in remission. She was affected with ITP at the age of 14. Her platelet count decreased to 92, 000platelets/mm3, but we performed no treatment. Her neonate wasn't effected by neonatal ITP.
We will now present this case's history and review the treatment and management of pregnant women with idiopathic thrombocytopenic purpura.View full abstractDownload PDF (1231K) -
Kazuhiro IWASAKU, Itsuo OHTANI1988 Volume 40 Issue 2 Pages 173-177
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSWe report a rare case of uterine didelphia with left hematocolpos and ipsilateral renal agenesis.
A 12-year-old girl, was admitted to our hospital because of intermittent abdominal pain. Menarche occurred 4 months prior to the patient's admission. Rectoabdominal examination revealed a suspicious torsion. An ovarian tumor or retrovesical tumor was suspected by ultrasonography and X-ray CT scan.
Laparotomy revealed an enlarged bicornuate boggy uterus, normal ovaries and a retrovesical tumor. The cervix was displaced to the right side due to a soft mass, which was considered to be an obstructed uterine horn with hematocolpos. By the vaginal approach, the mass was incised and drained, yielding about 600ml of chocolate material.
An intravenous pyelogram revealed the absence of the left kidney. Gynecologically, uterine didelphia is not rare, however the combination of uterus didelphia with unilateral hematocolpos due to imperforate vagina is very rare.View full abstractDownload PDF (4005K) -
1988 Volume 40 Issue 2 Pages 209-217
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSDownload PDF (3530K) -
1988 Volume 40 Issue 2 Pages 219-285
Published: March 01, 1988
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSDownload PDF (25310K)
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