All issues
Volume 41, Issue 1
Displaying 1-8 of 8 articles from this issue
- |<
- <
- 1
- >
- >|
-
Yuji OKUDA, Hiroshi FUJIWARA, Yoshiki JINNO, Norio HIMENO1989 Volume 41 Issue 1 Pages 1-9
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThe multiparous patient, 26y. o, with toxemia of pregnancy admitted in our hospital. Difficulties to control her blood pressure after her cesarean section due to deceleration of the fetal heart beat propelled us to investigate her serologically.
The secretion rate of aldosterone was increased, low renin activity and hypokalemia were noted. 17-KS and 17-OHCS in the urine were within normal limit. Scintigraphy and CT revealed left adrenal tumor. These results indicated the existence of primary aldosteronism.
Surgically, partial resection of the left adrenal cortex was performed. Adrenocortical adenoma was demonstreted. Ultrastructurally, spironolactone bodies and fenestrations were visible. Cytological intranuclear inclusion bodies were in accordace with, ultrastructurally, so-called “Cytoplasmic protrusion.” Cytological vacuoles of various sizes in the cytoplasma were various electron dence vacuoles, electronmicroscopically. Namely, following features were observed. Homogenous materials with characteristics of lipid, the homogenous materials with white spots, the homogenous materials and homogenous materials with white spots around the myelin figure and/or the thread-like structures, vacuoles contained with thread-like structure fusing with each other, and large fused vacuoles.
Above obseration suggested that the cells with many large vacuoles came from dark cells and relatively clear cells.View full abstractDownload PDF (12183K) -
Kenji ARAHORI, Hisasi KATAYAMA, Suminori NIOKA1989 Volume 41 Issue 1 Pages 11-16
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSIt is well known that there are two different methods of simple total hysterectomy, i. e. abdominal (AT) and vaginal hysterectomy (VT). Because of the smoother postoperative course and cosmetic result, our main procedure (over 90 percent) has been vaginal hysterectomy since 1985. That has been regardless of uterine size and the existence of intraperitoneal adhesions.
Eighty three patients (of whom 75 had been operated upon before 1984) underwent abdominal hysterectomy. One hundred and ten patients were operated upon by vaginal hysterectomy after 1985. The indications in all cases were either leiomyoma or adenomyosis. The two operations were compared with respect to intraperitoneal adhesions, operation time, bleeding, uterine weight and postoperative fever.
The mean ages of the two groups were about the same (AT 44.0, VT43.6) with a range of from 30 to 59 years.
In AT there was a direct correlation between the operation time and the bleeding. In VT the same correlation was observed ; but there was also a direct correlation of operation time with bleeding and uterine size. Thus in VT, the presence of a large uterus increased operation time and bleeding.
The number of patients who had a previous intraperitoneal operation made no differences between the two goups. The association of adhesions with adenomyosis suggests that there were more adhesions in the VT group than the AT. This is because adenomyosis was found by microscopic examination in 32.7 percent in the VT and 28.9 percent in the AT group.
None the less, the operation time and amout of bleeding in AT was significantly greater than in VT. Fever in AT patients was significantly higher on the first postoperative day. There was no significant difference between the incidences of postoperative infections in two groups.
From this experience, it is concluded that VT compared with AT, was safer in spite of intraperitoneal adhesions ; but where the uterus is very large, a vaginal approach should be well planned.View full abstractDownload PDF (1027K) -
Yuko NINOMIYA, Ikuko MORIYAMA, Yumiko KATO, Kaoru NABUCHI, Hideaki IIO ...1989 Volume 41 Issue 1 Pages 17-21
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSRegarding the nutritional needs of premature neonates, it is important to accurately evaluate the nutritional characteristics of preterm human milk (p-milk), which is primarily used at present, compared with term human milk (t-milk).
The authors made some additional findings (given below) by studying the nutritional composition of colostrum and breast milk for both p-milk and t-milk, and by also studying changes in the sodium and potassium concentrations in the urine of premature neonates.
1) The protein concentration in p-milk colostrum and breast milk is higher than in t-milk.
2) The sodium and chloride concentrations in p-milk colostrum and breast milk is higher than in t-milk.
3) The inorganic phosphorous concentration in p-milk colostrum and breast milk is much lower than in t-milk.
4) There is a high concentration of both sodium and phosphorous in the urine of premature neonates of 28 weeks or less, but this concentration decreases in neonates of 32 weeks or more.View full abstractDownload PDF (719K) -
Masao MORIKAWA, Yoko SAKAMOTO, Akio KUROKAWA, Shinya INAI, Kousuke KIT ...1989 Volume 41 Issue 1 Pages 23-29
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSCarcinosarcoma of the uterine corpus is a rare malignant tumor. The cytological diagnosis of this tumor is difficult because of an admixture of carcinoma and sarcoma containing homologous undifferentiated elements. Furthermore, only a few cytological examinations have been reported in detail.
In this report we describe the cytomorphological and immunocytochemical aspects of this tumor.
1) Cytology of imprint smears.
Two kinds of malignant cells were detected : carcinoma cells and sarcoma cells. Carcinoma cells had basal nuclei and tended to form gland-like patterns resembling adenocarcinoma.
The sarcoma cells were uniformly small and round. Many single sarcoma cells were scattered and/or formed loose clusters throughout the imprint smears. Therefore, we diagnosed these cells as endometrial stromal sarcoma.
Undifferentiated cells were also seen, and it was hard to tell whether they were carcinoma or sarcoma cells.
2) Immunocytochemical examinations.
Carcinoma cells were positive with anti EMA antibody staining. Sarcoma cells were negative with antibodies to myoglobin, S-100 protein, cytokeratin, α-1-antitrypsin, vimentin, and desmin. Thus, no heterologous elements were present.
These results indicate that immunocytochemical examinations are very valuable in the diagnosis of carcinosarcoma.View full abstractDownload PDF (10311K) -
Kenichiro IKUMA, Shigeo SUNO, Michiko DAIMON, Hiromi YAMASAKI, Sachiko ...1989 Volume 41 Issue 1 Pages 31-36
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThere are many reports concerning the surgical treatment of cystocele and uterine prolapse, but very few concerning the morphological and functional assessemts of the bladder after operation.
In this report, 59 patients with cystocele and uterine prolapse were evaluated for the degree of cystocele and uterine prolapse by chain cystogram (Chain-CG), and the urination status by uroflowmetry (UFM) before and after operation. For Chain-CG, each 100ml of air and a contrast medium was injected into the bladder with chain in it and X-ray photography was taken and classified into three types. UFM was performed with a DISA-2100 urosystem. Three different surgical procedures were performed : vagina-preserving operation, vagina obliterating operation and operation via an abdominal approach.
On general evaluation, postoperative improvement of Chain-CG was observed in 53 patients (90%) and no change in six (10%). UFM showed improved urination in 25 patients (42%), no change in 31 (53%) and worse in three (5%). Fifty patients (85%) were satisfied with their operation.
Chain-CG allowed an objective evaluation of the degree of cystocele and uterine prolapse, while UFM allowed an objective evaluation of the status of urination. These tests will facilitate the objective assessment of the results of surgical treatment.View full abstractDownload PDF (5220K) -
Taiichiro AKAHORI, Matsuto MOCHIZUKI, Kazuo HASEGAWA, Fumiko OHTSU, No ...1989 Volume 41 Issue 1 Pages 37-42
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSClinicopathological and cytological study were carried out on 4 cases of rare primary utrine clear cell carcinoma (2 cases of the cervix and 2 cases of the endometrium).
Both cases of cervical carcinoma were in stage Ib. One had been treated with radical surgery 3 months before recurrence. Radiotherapy (Liniac extgernal irradiation and radium treatment) and maintenance chemotherapy (oral administration of FT-207, 600mg/day for two years) have given survival for 10 years at present. Another was given radical surgery, followed by radiotherapy, giving 6 years survival.
Both cases of endometrial carcinoma were in stage Ia. Hysterectomy was performed, giving 4 and 10 years survival.
Histologic diagnosis for carcinoma of this type was made according to the following observations, presence of hobnail pattern, large malignant cells with clear abundant cytoplasm, positive staining PAS and negative staining by Alcian Blue. Presence of intracellular glycogen was confirmed by disappearance of PAS positive granules through diastase treatment.
Cytological characteristics of clear cell carcinoma was as follows, (1) sheet-like cell arrangement, (2) clear and rich cytoplasma, (3) finely granular chromatin : and (4) disappearance of macronucleolus. Clear cell carcinoma may be presumed cytologically by close observation of such characteristics.View full abstractDownload PDF (7645K) -
Shuji HOSODA, Ryouichi TAKEKAWA, Jiro FUJIMOTO, Hideo HONJO, Hiroji OK ...1989 Volume 41 Issue 1 Pages 43-47
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSTwo cases of fetal cystic hygroma colli were diagnosed by ultrasonography. Fetal cystic hygroma colli is a congenital malformation of the lymphatic system, and its ultrasonographic feature is the asymmetric longitudinal multicystic pattern of the head and neck region. In case 1, a 25-year-old pregnant woman had an ultrasonographic examination at 20 weeks' gestation. A large cystic mass was noted in the posterior nuchal region with septa noted within the cyst. The cranial vault appeared intact. Fetal heart beats were not detected. The patient was delivered of a 200g stillborn edematous female fetus by induction of labor. A large cystic area was noted in the nuchal region. In case 2, a 37-year-old pregnant woman had an ultrasonographic examination at 17 weeks' gestation. Ultrasonography revealed a large cystic area with septation in the posterior nuchal region. The patient was advised of the high probability of cystic hygroma. She underwent induction of labor and was delivered of a 348g male fetus. In both cases, diagnosis of cystic hygroma was confirmed at autopsy. Ultrasonography is useful and effective for antenatal diagnosis of fetal cystic hygroma in the second trimester of pregnancy.View full abstractDownload PDF (5544K) -
1989 Volume 41 Issue 1 Pages 117-163
Published: 1989
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSDownload PDF (16211K)
- |<
- <
- 1
- >
- >|