This paper discusses the SCORM specification dissemination status in Japan by means of questionnaire survey for SCORM assessors. The survey has been conducted concerning three issues; (1) purposes of SCORM utilization and effects of SCORM assessor program, (2) merits of SCORM specification and the interoperability trouble, and (3) needs for SCORM 2004 specification. In terms of the first issue, SCORM assessor program is effective not very much for ready-made content distribution but for establishing a trustful relationship with customers. For the second issue, the expected merits of SCORM specification are well recognized by the SCORM assessors but these merits are not effective in the actual situation due to the existence of interoperability troubles. Concerning the third issue, there are high demands for SCORM 2004 specification promotion and the corresponding assessor program.

がん治療において乳房や軟部組織，骨を切除することは多く，治療が終了しても容姿の変化により精神的な苦痛を受けることは少なくない．人工乳房や人工補正具はより自然な外観を取り戻すためにも重要であり，精神的に大きな支えになると考える．これまでに経験したさまざまな症例を開発過程や製作方法を含めて報告する．