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Volume 48 (1996)
- Issue 6 Pages 611-
- Issue 5 Pages 529-
- Issue 4 Pages 375-
- Issue 3 Pages 169-
- Issue 2 Pages 145-
- Issue 1 Pages 1-
Volume 48, Issue 6
Displaying 1-6 of 6 articles from this issue
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Hiroko HAMADA, Tsutako SHIMAMOTO, Hisako OTANI, Mareo YAMOTO, Ryosuke ...1996 Volume 48 Issue 6 Pages 611-615
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSWe experienced a case of acute pancreatitis the onset of which was in 30 week of pregnancy. The patient was a 31 year-old multipara. She suddenly complained of nausea, vomiting and epigastralgia in 30 week of pregnancy, and exigently entered the hospital. As a result of blood examination, she was found to have hyperlipidemia and a high amylase value. Performance of CT scans revealed a swollen and heterogenous pancreas and massive amounts of ascites. Based on these pathognomonic findings, the case was diagnosed as severe acute pancreatitis. The systemic symptoms did not ameliorate in spite of a 12-hour conservative therapy, including the administration of an antienzyme and massive amount of intravenous fluids. The patient was, therefore, subjected to emergency cesarean section, cholecystectomy and abdominal cavity irrigation and drainage. After the operations, the patient gradually recovered. With a diagnosis of idiopathic respiratory distress syndrome, the neonate was given a surfactant, and progressed favorably. It is recommended that diagnosis of acute pancreatitis during pregnancy should be made without delay using ultrasonography and CT scans, and that consideration should be given in severe cases to an invasive therapy including termination of pregnancy. [Adv Obstet Gynecol 48 (6): 611-615, 1996 (H8.11)]View full abstractDownload PDF (3918K) -
Hiroaki SHIBAHARA, Riichiro KANAZAWA, Noriyuki YAMASAKI, Tadashi TAKEM ...1996 Volume 48 Issue 6 Pages 616-622
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSHigh-dose chemotherapy followed by peripheral blood stem cell transplantation (PBSCT) has been expected to improve survival for patients with advanced ovarian cancer as well as hematologic malignant diseases. We applied this treatment to a 50-year-old woman with ovarian cancer that had extended to the írchow's lymph nodes. She was introduced to our department after a suboptimal debulking operation. A pathological diagnosis revealed that the tumor consisted of poorly differentiated serous cystadenocarcinoma originated from the left ovary and disseminated to the peritoneal cavity. The stem cells were mobilized into her peripheral blood by using CAP therapy and G-CSF. The number of CFU -GM harvested was 1.16 10c/kg and they were cryopreserved. After the three cycles of CAP treatment, a second look operation was performed. Microscopic metastasis to the omentum could be demonstrated. Even the level of CAl25 in her serum was within the normal limit. High-dose chemotherapy with 900mg/ml of CBDCA and 900mg/m1 of VP-16 was intravenously administered and followed by both PBSCT and G-CSF. No critical complication was observed except for the necessity of a platelet transfusion. Sustained hemopoietic recovery could be observed two weeks after PBSCT. These findings suggest that high-dose chemotherapy, followed by PBSCT might be useful in the treatment of advanced ovarian cancer. [Adv Obstet Gynecol 48 (6); 616-622, 1996 (H8.11)]View full abstractDownload PDF (3244K) -
Tatsuo MORI, Takefumi BESSHO, Tadashi TAKEMURA, Koji KOYAMA, Miyako FU ...1996 Volume 48 Issue 6 Pages 623-627
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSPresented is a case of mesenteric desmoid tumor detected in the third trimester of pregnancy. A 29-year-old female patient had undergone a total colectomy with ileoanal anasotomosis because of familial adenomatous polyposis two years and ten months ago. The patient reported right flank pain at 32 weeks of gestation. On admission, the ultrasound scan revealed a large solid mass, which was poorly demarcated and located in the right upper quadrant of the abdomen. As an exploratory laparotomy revealed a desmoid tumor arising from jejunal mesenterium, resection of the tumor and cesarean section were performed. The relationship of desmoid tumors to pregnancy is discussed, and the literature is reviewed. [Adv Obstet Gynecol 48 (6); 623-627, 1996 (H8.11)]View full abstractDownload PDF (4533K) -
Masaaki IWAHASHI, Mareo YANIOTO, Hisako OTANI, Ryosuke NAKANO1996 Volume 48 Issue 6 Pages 628-632
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSStruma ovarii is an relatively rare ovarian tumor, in which thyroid tissue has surpassed other elements. Components of the basement membrane, such as type IV collagen and laminin, are localized in the follicular walls of the normal thyroid gland. Therefore, we attempted to evaluate these components of the basement membrane as tumor markers in a patient with struma ovarii, using an indirect immunofluorescence staining and specific radioimmunoassays (RIAs) for type IV collagen and laminin. An 83-year-old woman presented with a giant abdominal tumor. Ultrasonography, computed tomography (CT) and drip infusion pyelography revealed an apparent ovarian tumor. In addition, the serum concentrations of thyroid hormones were elevated. The tumor was removed surgically and weighed 3500 g. The pathological diagnosis of the tumor was struma ovarii. Strong immunohistochemical staining specific for type IV collagen and for laminin was observed in the tumor, and these components were localized in the follicular walls. The serum levels of these antigens, as determined by RIA, were very high before removal of the tumor but decreased rapidly thereafter. The present findings suggest that struma ovarii produces large amounts of type IV collagen and laminin. In addition, elevated levels of thyroid hormones might enhance the turnover of the basement membrane in various tissues. [Adv Obstet Gynecol 48 (6): 628-632, 1996 (I-I8, 11)]View full abstractDownload PDF (3893K) -
1996 Volume 48 Issue 6 Pages 633-687
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSDownload PDF (29181K) -
1996 Volume 48 Issue 6 Pages 688-724
Published: November 01, 1996
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSDownload PDF (21741K)
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