2005-06 http://hdl.handle.net/10564/1571 2026-04-10T15:40:42Z 2026-04-10T15:40:42Z 明石, 論 山本, 雅敏 三和, 武史 細井, 孝純 今川, 敦史 八倉, 萬之助 http://hdl.handle.net/10564/139 2017-05-29T06:06:34Z 2005-06-29T15:00:00Z

タイトル: 腹腔鏡下脾温存膵体尾部切除術を施行した膵Solid-pseudopapillary tumorの1例 著者: 明石, 論; 山本, 雅敏; 三和, 武史; 細井, 孝純; 今川, 敦史; 八倉, 萬之助 抄録: A 27-year-old woman was admitted to our hospital because of urinary urgency. Abdominal US demonstrated a large tumor measuring 7cm in diameter, located in the body to tail of the pancreas. It was diagnosed as solid-pseudopapillary tumor by preoperative radiological examinations including CT, MRI and angiography. Laparoscopic distal pancreatectomy with preservation of the spleen was performed. Resected specimen was removed through a 9cm-lengthed lateral incision. The operation time was 354 minutes and blood loss was 345ml. Some complications occurred in the postoperative state, but use of analgesic medication was required once only. She was discharged on the 25th postoperative day. Laparoscopic procedure is less invasive than conventional open surgery, and has a cosmetic advantage. Distal pancreatectomy does not require the reconstruction of the gastro-intestinal tract ; this procedure can be recommended for benign or low grade malignant pancreatic disease.

2005-06-29T15:00:00Z 村上, 智彦 上辻, 秀和 中野, 智巳 金, 一 http://hdl.handle.net/10564/138 2017-05-29T06:07:05Z 2005-06-29T15:00:00Z

タイトル: 無症候性蛋白尿/血尿で発見された膜性増殖性糸球体腎炎5症例の臨床的検討 著者: 村上, 智彦; 上辻, 秀和; 中野, 智巳; 金, 一 抄録: We analyzed the clinical features and prognoses of 5 cases of asymptomatic membranoproliferative glomerulonephritis(MPGN). Two boys and 3 girls were noticed with chance hematuria and/or proteinuria on the mass urine screening system in schools and all presented with persistent hypocomplementemia. Three of them showed typical MPGN form but 2 cases showed an atypical form, focal thickening of basement membrane and double track in light microscopy. All patients were treated with steroid and anticoagulant therapy. Urinary findings improved in 4 cases from 5 months to 8 years after treatment and serum complement was normalized in 3 cases from 10 to 27 months. Rebiopsy was performed in 4 cases and the histological findings were not advanced in all cases but improved in 3 cases. We considered that early detection and treatment may improve the clinical course and prognosis of asymptomatic cases of MPGN.

2005-06-29T15:00:00Z 守屋, 圭 増井, 一弘 前川, 泰寛 山根, 佳子 豊川, 泰勲 明石, 陽介 永松, 晋作 中谷, 敏也 菊池, 英亮 山田, 高嗣 仲川, 昌之 渡辺, 明彦 吉岡, 哲也 中西, 啓介 http://hdl.handle.net/10564/137 2017-05-29T06:06:33Z 2005-06-29T15:00:00Z

タイトル: 胃内腔へ浸潤した後腹膜原発平滑筋肉腫および平滑筋芽腫の1剖検例 著者: 守屋, 圭; 増井, 一弘; 前川, 泰寛; 山根, 佳子; 豊川, 泰勲; 明石, 陽介; 永松, 晋作; 中谷, 敏也; 菊池, 英亮; 山田, 高嗣; 仲川, 昌之; 渡辺, 明彦; 吉岡, 哲也; 中西, 啓介 抄録: A 70-year-old woman complaining of nausea was admitted to our hospital for further examination of a large abdominal tumor. CT scan, MRI and Ultrasonography revealed a large mass adjacent to the left kidney, spleen and pancreas. Angiography showed a tumor stain mainly fed by the dorsal pancreatic artery. Although radical tumorectomy as well as splenectomy was performed, complete removal of the tumor was not successful because of the marked adhesion that easily caused critical bleeding by surgical manipulation. In addition, 2 kinds of chemotherapy conducted after surgical treatment showed little efficacy, resulting in the rapid growth of the locally recurrent lesion. Finally, the formation of tumor thrombus in the inferior vena cava was followed by its direct invasion to the stomach with severe ulceration causing refractory bleeding. Consequently, she died of multiple organ failure caused by repeated upper gastrointestinal bleeding. Autopsy revealed a retroperitoneal tumor consisting of leiomyosarcoma as well as leiomyoblastoma with pathologically high malignancy.

2005-06-29T15:00:00Z Negoro, Hideki Kyo, Masanori Onishi, Takako Kishimoto, Toshifumi Iwasaka, Hidemi Iida, Junzo http://hdl.handle.net/10564/136 2017-05-29T06:07:05Z 2005-06-29T15:00:00Z

タイトル: EVENT-RELATED POTENTIALS IN ADULTS WITH ATTENTION DEFICIT / HYPERACTIVITY DISORDER (AD/HD) 著者: Negoro, Hideki; Kyo, Masanori; Onishi, Takako; Kishimoto, Toshifumi; Iwasaka, Hidemi; Iida, Junzo 抄録: Objective: A specific disorder at the stage of cognition and/or information processing might be involved in attention deficit/hyperactivity disorder (AD/HD). We measured negative difference (Nd) and mismatch negativity (MMN), the early negative components which reflect the attention function, in addition to P300. In earlier studies we examined these ERPs in children with AD/HD. In the present study, we examine the attentive and cognitive disturbances associated with adult AD/HD, measuring the auditory Nde, MMN, and P300. Method: 15 adults with DSM-IV-diagnosed AD/HD and 15 healthy control subjects were studied. Result: P300 and early Nd (Nde) amplitudes were smaller in the adult AD/HD group as compared with the healthy control group. Conclusions: When performing selective attention tasks, the same specific disturbances in the active stimulus selection process and the selective attention maintenance process occur in adults with AD/HD as in children with AD/HD.

2005-06-29T15:00:00Z