http://hdl.handle.net/10564/1490 2009-08 Thu, 09 Apr 2026 01:30:48 GMT 2026-04-09T01:30:48Z http://hdl.handle.net/10564/1094 タイトル: 頭蓋骨転移で発症した転移性腎細胞癌の1例 著者: 福留, 賢二; 松田, 良介; 本山, 靖; 朴, 永銖; 平林, 秀裕; 中瀬, 裕之; 中村, 光利 抄録: We report a case of a 77-year-old woman who presented with skull metastasis as an initial manifestation of renal cell carcinoma (RCC). She suffered from headache and dysethesia in the right parietal lesion and was transferred to our hospital. CT of the head demonstrated a bone tumor with destruction of the parietal bone. MRI showed enhanced bone tumor attached with dura mater. CT of the abdomen and chest revealed a right renal tumor and sixth costal bone metastasis. The skull tumor was suspected to be metastasis from renal cell carcinoma. Surgical resection for parietal bone tumor was performed and pathologic examination revealed clear cell carcinoma. After surgical resection for the skull tumor, nephrectomy was performed. After nephrectomy, local radiation therapy (40Gy) to the sixth costal bone was given. At the 6-month follow-up, she was found to be in a stable state with no progression of skull metastasis. RCC should be part of differential diagnoses of skull tumors. Sun, 30 Aug 2009 15:00:00 GMT http://hdl.handle.net/10564/1094 2009-08-30T15:00:00Z http://hdl.handle.net/10564/1093 タイトル: 子宮内避妊器具による骨盤内感染によりS状結腸狭窄をきたした1例 著者: 中川, 正; 小山, 文一; 藤井, 久男; 中島, 祥介 抄録: A 49-year-old woman was seen at a practitioner because of fever and increasing abdominal distension. She had an intrauterine device (IUD) inserted at the age of 31 and she had let it alone without exchange thereafter. Barium enema study showed a severe stenosis of the sigmoid colon. Colonoscopy showed a narrowed lurnen with evident edema of mucosa but no mucosal erosion or ulcer was detected. Tumor of the left ovary was suspected on abdominal CT and sent to the department of gynecology in our hospital. At laparotomy, the left adnexa was swollen forming a mass which was firmly adhered to the sigmoid colon whose wall showed inflammatory hypertrophy. A total hysterectomy, an adnexectomy, and a sigmoidectomy were carried out. On the resected material, the IUD was identified in the lumen of the uterine. Histopathologically granuloma was prominent at the left adnexa. From these findings, we diagnosed that the inflammation of the left adnexa infiltrated to the sigmoid colon. Sun, 30 Aug 2009 15:00:00 GMT http://hdl.handle.net/10564/1093 2009-08-30T15:00:00Z http://hdl.handle.net/10564/1092 タイトル: Composix^TM Kugel Patchを用いて修復した腹壁療痕ヘルニアの1例 著者: 中川, 正; 内本, 和晃; 山田, 高嗣; 中島, 祥介 抄録: We report a case of abdominal incisional hernia which occurred at the site of small abdominal incisional wound of a 76-year-old woman who had undergone a Laparoscopy-assisted colectomy 11 months previously. It was treated by operative hernial repair with the Composix Kugel Patch, a composite mesh that combines polypropylene mesh and expanded polytetrafluoroethylene. The postoperative course was favorable and no recurrent hernia has occurred for 9 months. Sun, 30 Aug 2009 15:00:00 GMT http://hdl.handle.net/10564/1092 2009-08-30T15:00:00Z http://hdl.handle.net/10564/1091 タイトル: A CASE OF THE RIGHT CORONARY ARTERY ORIGINATING FROM THE DISTAL LEFT CIRCUMFLEX OUT OF A SINGLE CORONARY ARTERY 著者: Kim, Taekyun; Kanekawa, Yuka; Harada, Izumi; Himuro, Yukiko; Fujii, Maki; Murai, Yuta; Watanabe, Akio; Wada, Tsutomu; Tohno, Yoshiyuki 抄録: A case of the right coronary artery originating from the distal left circumflex out of a single coronary artery was found in a 77-year-old Japanese man during an ordinary dissection at Nara Medical University in 2009. A single orifice in the left sinus of Valsalva was found and the left circumflex ran around the heart distributing the area where the normal right coronary artery hormally runs. Nothing but the coronary artery was abnormal in the whole circulation. Sun, 30 Aug 2009 15:00:00 GMT http://hdl.handle.net/10564/1091 2009-08-30T15:00:00Z