http://hdl.handle.net/10564/1519 1997-08 Fri, 10 Apr 2026 15:42:42 GMT 2026-04-10T15:42:42Z http://hdl.handle.net/10564/386 タイトル: 腋窩リンパ節転移を初発とした乳癌の1例 著者: 楯川, 幸弘; 中谷, 勝紀; 石井, 久史; 朴, 秀一; 成清, 道博; 笠松, 稔; 中野, 博重 抄録: A 63-year-old woman who had noticed a right axillary mass was seen at the hospital in January, 1993. On cytology she was suspected of having a malignancy and underwent right axillary lymph nodes dissection. Pathologically it was metastatic adenocarcinoma. Mammoechography, Ga scan, Ba enema or meal and abdominal CT were done to search for an origin, but the origin Was unknown. Metastasis in the supraclavicular lymph nodes was found in July, and then cleaning of lymph nodes of the neck and irradiation therapy were performed. Another mass was found near the operative scar on right axilla in January 1994, and pathological examination of the resected mass showed lymph node metastasis of invasive ductal carcinoma. Three months later, a mass in D area of the right breaSt was palpated and Auchincloss method was carried out. Pathologically it was medullary carcinoma. Clinicopathologically this case was thought to be occult breast carcinoma presenting as axillary lymph node metastasis. CEF therapy, and medication with Tamoxifen and 5' DFUR were added postoperatively. The patient died because of local recurrence of the right breast and lung metastasis in July 1996. Sat, 30 Aug 1997 15:00:00 GMT http://hdl.handle.net/10564/386 1997-08-30T15:00:00Z http://hdl.handle.net/10564/385 タイトル: MESENTERIC LIPOSARCOMA : A CASE REPORT 著者: Tatekawa, Yukihiro; Yoshikawa, Takashi; Shibaji, Takamune; Asao, Yukio; Nakano, Hiroshige 抄録: We report a case of a large liposarcoma arising from the small bowel mesentery. A 63-year-old man was referred to our outpatient clinic with the chief com- plaint of abdominal disterision in September 1995. The sense of the abdomirial distension had progressed gradually over the previous six years. Computed tomography scan and magnetic resonance imaging showed the main component of the mass was fatty tissue. The clinical diagnosis was liposarcoma of unknown origin. Laparotomy showed that the yellow -white, encapsulated mass was found in the small bowel mesentery. The excised tumor was 7700g in weight. The histological diagnosis was well-differentiated liposarcoma. The flow cytometric DNA ploidy was aneuploidy. The patient received no adjuvant chemotherapy and has been followed up without local reccurrence or metastasis for one year. Sat, 30 Aug 1997 15:00:00 GMT http://hdl.handle.net/10564/385 1997-08-30T15:00:00Z http://hdl.handle.net/10564/384 タイトル: 治療抵抗性本態性高血圧の1例 著者: 西谷, 喜治; 中谷, 晃; 高岡, 稔; 原, 知里; 中島, 孝夫; 井澤, 鉄之; 土肥, 和紘; 真矢, キヨミ 抄録: A 42-year-old woman was admitted to our hospital for a thorough examina- tion and treatment of her hypertension on July 23rd, 1996. She had been admitted to our hospital in 1994 and 1995 for close examination and had been diagnosed as having essential hypertension. Test results excluded the possibility of secondary hypertension. On admission, her blood presure was 220/140 mmHg. She was not overweight. A regiment that restricted the intake of sodium was initiated and strictly observed by the patient. From close examination, the possibilities of secondary hypertension (e. g. pheo- chromocytoma, renovascular disease, hyperaldsteronism), office hypertension, and a drug interaction were excluded. Control over her blood presure was attempted using a multitude of medications ; however, her blood presure remained high. We considered that this was an interesting case of resistant essential hypertension. Sat, 30 Aug 1997 15:00:00 GMT http://hdl.handle.net/10564/384 1997-08-30T15:00:00Z http://hdl.handle.net/10564/383 タイトル: 脳梗塞に加えて心筋梗塞を4回発症したホモシステイン血症の1例 著者: 高岡, 稔; 山野, 繁; 川本, 篤彦; 佐々木, 弥寿延; 橋本, 俊雄; 土肥, 和紘 抄録: We report a 50-year-old man with homocysteinemia who had a cerebral infarction and recurrent myocardial infarction. His coronary risk factors were smoking and homocysteinemia. A cerebral infarction had occurred when he was 34 years old, and his first myocardial infarction occurred in 1988. Coronary angiography performed at Nara Medical University on the first admission in 1989 showed a 50% stenosis in the mid-left anterior decending artery (LAD) and a 75% stenosis in the distal-left circumflex artery (LCX). The latter lesion was dilated to a 25% stenosis by percutaneus transluminal coronary angioplasty (PTCA). A second myocardial infarction occurred in 1990. The mid -LAD showed a total occlusion and was dilated to a 25% stenosis by PTCA. A third myocardial infarction occurred in 1995. Again, the mid-LAD had a total occlusion and was dilated to a 25% stenosis by PTCA. There was no history of recent angina pectoris, but the patient had a fourth myocardial infarction in 1996. A total occlusion was dilated in the LCX (seg 15). This lesion was dilated to a 25% stenosis by PTCA. This was a rare case of homocysteinemia complicated by cerebral infarction and recur- rent myocardial infarction. Sat, 30 Aug 1997 15:00:00 GMT http://hdl.handle.net/10564/383 1997-08-30T15:00:00Z