巻号一覧
46 巻 (1994)
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46 巻, 4 号
選択された号の論文の8件中1～8を表示しています
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寺川 耕市, 佐藤 重恭, 奥田 哲也, 西村 泰由, 福本 学, 神崎 秀陽, 森 崇英1994 年 46 巻 4 号 p. 379-385
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーPrimary malignant lymphoma of the uterine cervix is rare among gynecologic malignancies, and is usually very difficult to diagnose. Treatment of this tumor is based on the Ann Arbor Staging for extranodal malignant lymphomas rather than FIGO Staging for cervical malignancies. We report the successful treatment of an advanced case of this rare tumor. A 62-year-old woman who had experienced general malaise, nausea, and vomiting for a few weeks visited Nagahama City Hospital in April, 1992. Gynecological examination revealed a huge mass occupying the whole pelvic cavity, and partially bulging into the vagina. Ultrasonography and x-ray CT suggested a malignant tumor arising from the uterus, but Pap smear test was negative and distant metastasis was not detected. Laparotomy revealed that the uterine corpus was atrophic and the tumor originated from the uterine cervical region, extended to the pelvic wall through bilateral cardinal ligaments. Widespread metastases were also detected in the pelvic lymph nodes. Peritoneal cytology was positive. These findings corresponded to Ann Arbor stage IV and FIGO stage IIIB. Therefore, partial resection of the tumor and left uretero-cutaneostomy were performed. Pathological diagnosis was non-Hodgkin lymphoma of diffuse, small cell, and non cleaved type. Postoperative chemo-therapy with VEPA (vincristine, cyclophosphamide, prednisolone, and farmorubicin) was very effective and the size of the tumor markedly reduced. During subsequent surgery in October, 1992, hysterectomy with pelvic lymph node biopsies was performed. The tumor was completely replaced by xanthoma and no malignant cells were identified in any lymph node specimen. [Adv Obstet Gynecol 46 (4); 379-385, 1994 (H6. 7)]抄録全体を表示PDF形式でダウンロード (11259K) -
森田 賢司, 川島 正久, 朴 京林, 岡本 紀彦, 山下 正紀, 野々垣 真佐史, 星野 達二, 島田 逸人, 小野 吉行, 池内 正憲, ...1994 年 46 巻 4 号 p. 386-390
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーWe report a case of malignant fibrous histiocytoma (MFH) following carcinoma of the cervix. A 28-year-old female received postoperative radiation of the pelvis, and five years later MFH occurred in the sacral region. After a resection of this tumor, we performed cyclic systemic chemotherapy with cisplatin and adriamycin. The patient is currently doing well. Recently, MFH has been thought to be the most frequent soft tissue tumor in elderly patients, and also occurs frequently as a radiation-induced tumor. Since MFH tends to occur more than ten years after radiation, long-term follow up is important for early detection. We considered that surgical resection was an excellent treatment, while chemotherapy mainly composed of cisplatin was also thought to be effective. [Adv Obstet Gynecol 46 (4); 386-390, 1994 (H6. 7)]抄録全体を表示PDF形式でダウンロード (3227K) -
術創を小さくするための手順と考案器具卜部 宏, 北脇 城, 前田 和則, 今村 元彦1994 年 46 巻 4 号 p. 391-394
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーTo achieve a beautiful operative result is not a trifling matter but a major goal. For a safe operation and a small and beautiful transverse incision, it is necessary to change the technique according to circumstances and to use suitable tools. In this report, we introduce a small triangular abdominal retractor, two sides of which are movable, a small myoma borer and retractor for use in the vaginal operation. We describe the technique of abdominal total hysterectomy with the use of these instruments. (Adv Obstet Gynecol 46 (4) 391-394, 1994 (H6.7))抄録全体を表示PDF形式でダウンロード (2859K) -
由良 泰一郎, 小西 郁生, 越山 雅文, 万代 昌紀, 高倉 賢二, 福岡 正恒, 江見 信之, 森 崇英1994 年 46 巻 4 号 p. 395-400
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーSeventy-eight patients with endometrial carcinoma treated between 1984 and 1911 were reclassified according to FIGO stage classification, and prognose were reviewed. Fifty patients initially classed in clinical stage I were re-classified as 42 with FIGO stage I, 2 stage II, 5 stage III, and 1 stage IV. Nineteen patients with clinical stage II were re-classified as 14 with FIGO stage II and 5 stage III. Six patients with clinical stage III were re-classified as 1 with FIGO stage I, 2 with stage III and 3 with stage IV. Recurrence was observed in 1 of the 43 (2.3 %) patients in FIGO stage I, 3 of the 16 (18. 8 %) in stage II, 3 of the 12 (25 %) in stage III, and 7 of the 7 (100 %) in stage IV (p <0.01). Recurrence rates in FIGO stage I and stage III patients were lower compared with those of the respective clinical stages, and the surgical re-staging revealed that most recurrent patients were in more advanced stage than diagnosed preoperatively. Consequently, FIGO stage classification (1988) is considered to be useful for determining prognosis. [Adv Obstet Gynecol 46 (4) : 395-400, 1994 (H6. 7)]抄録全体を表示PDF形式でダウンロード (978K) -
谷口 定之, 昇 幹夫, 永松 晃, 尾崎 敦男, 薗田 典明1994 年 46 巻 4 号 p. 401-406
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーIn 1981 Pagon reported cases of complex anomalies which he named CHARGE association : Coloboma, Heart disease, Atresia of choanae, Retarded growth and development and/or CNS anomalies, Genital hypoplasia, Ear anomalies. We report here a rare case of suspected CHRAGE association with multiple anomalies and an abnormal chromosome pattern 47-XXX. The mother was admitted for PROM at 35weeks of gestation and monitored for prolonged variable fetal heart rate. Emergency cesarean section was performed for fetal distress. The baby weighed 2288gm and had an Apgar score of 5/9.
The umbilical cord was attached to the amniotic membranes. She had many anomalies, including a defect of the right auricle and external acoustic meatus, facial palsy, microphthalmia, atrial septal defect and coloboma uvea. CHARGE assciation was suspected and the chromosomal pattern was abnormal, 47-XXX. At 6months of age, her height was 62cm, weight 5140gm, head circumference 41.5cm. Her growth since then has been retarded, but neurological development appears to be normal. Neck stability, vision and hearing are normal. Now we are following the growth and development of this patient carefully. [Adv Obstet Gynecol 46 (4); 401-406, 1994 (H6. 7)]抄録全体を表示PDF形式でダウンロード (4318K) -
1994 年 46 巻 4 号 p. 411-435
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (7301K) -
1994 年 46 巻 4 号 p. 436-501
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (83107K) -
1994 年 46 巻 4 号 p. 502-541
発行日: 1994/07/01
公開日: 2011/07/05
ジャーナル フリーPDF形式でダウンロード (62464K)
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