巻号一覧
42 巻 (1990)
- 6 号 p. 683-
- 5 号 p. 575-
- 4 号 p. 467-
- 3 号 p. 289-
- 2 号 p. 171-
- 1 号 p. 1-
42 巻, 2 号
選択された号の論文の6件中1～6を表示しています
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佐々木 純一, 加藤 淑子, 辻 雅路, 木村 順治1990 年 42 巻 2 号 p. 171-175
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーWe investigated the incidence and the location of retroperitoneal lymph node metastases in 10 patients with ovarian carcinomas having undergone retroperitoneal lymphadenectomy.
The incidence of retroperitoneal lymph node metastases was as follows : 0/2 in Stage Ic, 1/1 in Stage IIc, 5/6 in Stage IIIc, and 1/1 in Stage IV; 4/6 in serous cystadenocarcinomas and 3/4 in endometrioid carcinomas.
Three patients were found to have solitary para-aortic nodal metastasis limited to the level below the inferior mesenteric artery (IMA). The remainings with nodal involvement had positive paraaortic nodes mostly beyond the level of IMA and/or positive pelvic nodes, possibly resulted from tumor dissemination in the broad ligament.
Therefore, it is suggested that there is a route of lymphatic metastasis to para-aortic nodes whereby lymphatic spreading may occur primarily in the infra-IMA nodes via lymph channels running along ovarian vessels and subsequently spread cephalad. The pathways of retroperitoneal lymph node metastases, especially the routes of para-aortic lymph node metastasis, in epithelial ovarian carcinomas are discussed.抄録全体を表示PDF形式でダウンロード (728K) -
郡田 義光, 北川 京子, 上田 博久, 稲森 久美子, 長谷川 雅明, 津久井 伸一, 林 清士, 藤井 悳1990 年 42 巻 2 号 p. 177-185
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーSulpiride at a dose of 150 mg daily was administered to 36 patients who had unidentified complaints following bilateral salpingo-oophorectomy for various underlying diseases such as ovarian tumors and hysteromyoma etc. Unidentified complaint scores, FSH, LH, and PRL levels were measured before and after 4 weeks of treatment.
The following results were obtained :
1) High gonadotropin and normal PRL levels were observed in these patients.
2) The effects of ovarian deficiency were stronger in patients for whom sulpiride treatment was started over 7 months after surgery (Group II) than in patients for whom medication was started within 6 months after surgery (Group I).
3) Following drug administration, decreased unidentified complaint scores, and FSH and LH levels were observed, but there were increases in PRL levels.
4) Sulpriride was more effective for patients in Group II than in Group I.
No side effects were observed in any of the patients.抄録全体を表示PDF形式でダウンロード (1095K) -
柴原 浩章, 伊田 昌功, 中川 昌子, 小笠原 利忠, 武田 守弘, 竹村 正, 礒島 晋三1990 年 42 巻 2 号 p. 187-192
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーMüllerian mixed tumor consists of both carcinoma and sarcoma, arising mainly in the uterus, and is very rare. This tumor is aggressive, and surgery in the early stage is recommended. If the tumor has already invaded deeply into the myometrium or spread outside the uterus at the time of surgery, adjuvant therapy, such as chemotherapy and radiotherapy, is not effective.
This tumor occurs usually in postmenopausal women 50 to 70 years of age. In Japan, only 3 cases of mullerian mixed tumor have been reported in women under 30 years of age. We recently treated a 24-year-old woman with advanced malignant müllerian mixed tumor with both sarcoma and carcinoma components. She received CAP therapy after radical hysterectomy, but did not respond to these agents and developed a recurrence in the pelvis.抄録全体を表示PDF形式でダウンロード (6910K) -
北田 文則, 梅原 禎之, 野田 定, 潘 静1990 年 42 巻 2 号 p. 193-197
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーA case of squamous cell carcinoma in situ of the endocervix in a 58 year old menopausal woman is reported. The patient was followed up over a long period of time. She was examined several times by different methods such as colposcopy, cytology and punch biopsy over a period of six years. Cytologic examination over the entire period used cotton swab and occasionally cytobrush. Cytological classification was class III a-III b. Colposcopy as well as histology revealed no specific malignancy of the endocervix.
However, by using Cytopick, squamous cell carcinoma in situ was indicated and a simple total hysterectomy was recommended. After the operation, the pathological diagnosis confirmed the cytological diagnosis.
This case indicates that squamo-columnar junction after menopause may shift into cervical canal, especially near the internal os. If colposcopy, as well as punch biopsy are not applicable in this area of malignancy, then collecting cells from the endocervical canal may provide a correct diagnosis.
In this case, the malignant squamous epithelial cells were only detected by Cytopick.
To collect cells from the entire surface and the total area of the cervical canais by cotton swab and cytobrush is extremely difficult. Therefore Cytopick was chosen as it is the most suitable tool for this purpose.抄録全体を表示PDF形式でダウンロード (5628K) -
1990 年 42 巻 2 号 p. 213-247
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (15942K) -
1990 年 42 巻 2 号 p. 248-263
発行日: 1990年
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (5542K)
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