Most cases with chronic myelogenous leukemia (CML) usually terminate in blastic crisis. But, there are some cases with CML, in whom tumor-formation has appeared without or before blastic crisis.
We presented an autopsied case of CML, who showed a painful tumor formation at the left knee joint with atypical blastic crisis. A 31-year-old housewife admitted to our department of Tokyo University on Jan. 13, 1975, with a chief complaint of visual disturbance and splenomegaly. She was diagnosed as CML from the peripheral blood and bone marrow findings, a low value of NAP score and rate, and positive Ph¹. During four years, administration of busulfan has brought about clinical improvement and good control.
On Feb. 1, 1979, she complained of severe pain in the left knee without roentgenographic abnormality. On Feb. 26, local tenderness and swelling was disclosed, and hematological finding of peripheral blood (myeloblast 9.5%, promyelocyte 19.0%), increasing splenomegaly and refractory leukocytosis were suggestive of atypical blastic crisis. Immediately combination therapy (VP and VEP) were tried, and brought about good result.
On March 20, the similar in the right knee, where tumor formation in the soft tissue was disclosed 6 weeks later, and thereafter an osteolytic lesion of right femur was revealed by roentgenography and CT scanning. Local irradiation of X-ray with total dosis of 2500 rad. and intravenous administration of cytosine arabinoside with total dosis of 800 mg for a period 10 days, brought about clinical improvement with diminished size of lesion.
One month later, multiple painful tumors developed at the knee, elbow and shoulder, followed by hematological blastic crisis. Though intensive combination therapy (DCP) was instituted, no effect was obtained, and on July 26, 1979, she was died with bronchopneumonia.
Pathological diagnosis in autopsy was CML with blastic crisis and tumor formation of the right knee joint, gum and right kidney.
Eighty-two cases of CML with tumor formation reported in Japanese literature were analysed.

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　This paper aims to clarify what kind of changes were intended to be made

to the qualitative forms of reading in China during the 1930s, when the practice

of reading expanded quantitatively. For this purpose, from the perspective of

the history of reading that has been pioneered by Western historians like Roger

Chartier, the author reconfigured the social expectations for reading practices

based on the discourse analysis of book review journals, which were successively

published in the 1930s. As a result of this analysis, in contrast to the view

of previous studies that politics was only an external factor to the reading practice

stipulated by “market discipline,” a multi-tiered relationship between reading

and politics inherent in the discourse of the time would be revealed.

　　First, as the scope of must-read books became less obvious with the popularization

of publishing, readers were soon expected to discern and read “good

books.” The book review journals were the media functioning to guide readers

for this end, and not a few readers actively responded to the expectations by

subscribing to magazines. Then, in the context of the war and revolution of the

time, it was no wonder that political expectations were also placed on this

active readership. They expected to selectively read only those books that

would directly lead to political practice, arguing against the notion of intrinsic

value of reading under the name of “reading for its own sake.” The Nationalist

regime eventually shared this political expectation for reading but did not

exclude the idea of “reading for its own sake.” The political code of reading,

which strongly criticized its depoliticization, was passed on and institutionalized

after the establishment of the People’s Republic of China.

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　我が国の多雪地における居住地計画研究は，緒についたばかりで既存研究の到達点の把握はもとより，その全体像の解明及方び向づけも明確化されていない。従って，例えば，「雪国における居住地計画」に関する研究を新い研究者が新規に始めようとした場合，どこにどのような文献があり，どのような研究ジャンルがあり，それぞれどれ位の研究成果があり，到達しているのかがわからず，研究に着手のしようも無いのが現実である。そこで，同様な研究を各地で行なっている研究者同士が交流して情報交換し，個々バラバラな文献を一堂に集め，欠落している物を補充し，到達点と問題点を整理し，緒についたばかりの「雪国における居住地計画」に関する克雪建築や克雪宅地計画等のハード面と，雪国居住等のソフト面の両面の研究の全体像を解明し，その分野の研究を推進して行く体制を確立すべく，研究に着手した。本研究では，まず，「雪国における居住地計画」に関する文献を収集し，次にその研究ジャンルを探り，ジャンル別にシソーラスを作成し，キーワード（標準ディスクリプタ）を選定して，カード型データベースソフトに文献を入力し，キーワードによる文献検索が可能となるようにした。この結果，「雪国における居住地計画」に関する文献として約2000件が抽出できた。今回，戦後のほとんど全期間について，学会の研究論文のみならず市町村や道県・国レベルの報告書等が多数リストアップされたことは，大きな成果と言える。しかし，そのほとんどは関連文献で，雪国の居住地の空間整備に絞り狭い意味に限定して探すと，数は大変少なく64件にとどまった。最近，雪国の住民の生活環境改善要求の高まりの中で，国・県・市町村レベルでその改善の取り組みが，雪国の都市計画を意識した基礎的なレベルで活発になっている。これに対し，研究がやや後手に廻っているきらいがある。雪国の居住地整備のムダを排するためには，今後，研究成果を受けて行政が対策や整備を推進して行ける体制づくりを早急に研究者側に樹立する必要がある。今回の報告がその一助になれば幸いである。

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