Fourteen patients with tongue squamous cell carcinoma were treated with high-dose-rate interstitial brachytherapy. The patients consisted of nine males and five females aged from 40 to 88 years（median age, 71.0 years）．As an initial treatment, external radiotherapy was combined for three patients, and intra-arterial chemotherapy was combined for eleven patients. Five-year local control rates were 92.9%. Local recurrence and delayed neck lymph nodes metastasis were detected in two cases（14.3%）and three cases（21.4%）respectively, but all patients lived in non-cancer bearing now, except the one who died from the other illness. The major adverse events were oral mucositis, xerostomia and bone exposure with ulcer. Especially oral mucositis was found in all case, and bone exposure and xerostomia often occurred as late complication. Our date suggested that high-dose-rate brachytherapy for tongue cancer patient may be an effective and an acceptable therapy as a functional preservation therapy against oral cancer. However, this therapy may have a risk of occurrence of radiation osteonecrosis. Thus, we must follow the patient closely.
A 79-year-old woman with acute abdominal pain and a right groin swelling was referred to our hospital. She had a soft swelling of approximately 3 cm in diameter in her right groin that could not be reduced. Abdominal computed tomography revealed a right-sided femoral hernia with incarcerated small intestine. Because she had been diagnosed with a incarcerated femoral hernia, we decided to perform emergency laparoscopic hernia repair. Laparoscopy confirmed incarceration of the small intestine into the right femoral canal. The strangulated small intestine was released through mild traction and cutting the iliopubic tract with an ultrasonic incision and coagulation device. The strangulated intestine was dark brown in color；however, it had not become necrotic. The femoral hernia was repaired using a Bard? Polysoft Mesh. We confirmed that the color of the strangulated intestine subsequently improved. The total operation time was 56 min. The patient was discharged on postoperative day 3 without complications. In conclusion, laparoscopic repair for incarcerated femoral hernia is feasible because it is less invasive and facilitates definitive diagnosis and treatment.
A 21-year-old female patient, who was previously diagnosed with Gorham-Stout syndrome, underwent ventriculo-peritoneal shunt operation under general anesthesia. She was diagnosed with idiopathic intracranial hypertension presented with headache and diplopia, and treated with spinal drainage and ventriculo-peritoneal shunt operation under general anesthesia. In order to preserve her airway cautiously, Airway ScopeTM was used for tracheal intubation, and the anesthesia was maintained safely with propofol and remifentanil. After the surgery, she was observed in the intensive care unit on schedule, and was transferred back to the general ward on the first postoperative day, with no serious complications.