Pub Date : 1995-06-01DOI: 10.6557/GJTA.199506_12(2).0005
Hwang-Huei Wang, Wen-Liang Yu, Ming Wu, Ching-China Yang, K. Chu
An 85-year-old male was admitted to our hospital because of dizziness and tarry stool for three months. The Panendoscopic examination and upper gastrointestinal series showed an ulcerative gastric cancer over antrum. Histological examination of biopsied specimen showed a poorly- differentiated adenocarcinoma. Abdominal sonography and computed tomography disclosed a huge asymptomatic mass over the upper portion of left kidney with histological diagnosis of renal cell carcinoma. The patient received subtotal gastric resection, lymph nodes dissection and left nephrectomy. The post operation course was smooth. No signs of recurrence or metastasis were noted after two and a half years of ambulatory follow up.
{"title":"Coexistence of gastric adenocarcinoma and renal cell carcinoma: Report of a case","authors":"Hwang-Huei Wang, Wen-Liang Yu, Ming Wu, Ching-China Yang, K. Chu","doi":"10.6557/GJTA.199506_12(2).0005","DOIUrl":"https://doi.org/10.6557/GJTA.199506_12(2).0005","url":null,"abstract":"An 85-year-old male was admitted to our hospital because of dizziness and tarry stool for three months. The Panendoscopic examination and upper gastrointestinal series showed an ulcerative gastric cancer over antrum. Histological examination of biopsied specimen showed a poorly- differentiated adenocarcinoma. Abdominal sonography and computed tomography disclosed a huge asymptomatic mass over the upper portion of left kidney with histological diagnosis of renal cell carcinoma. The patient received subtotal gastric resection, lymph nodes dissection and left nephrectomy. The post operation course was smooth. No signs of recurrence or metastasis were noted after two and a half years of ambulatory follow up.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"12 1","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1994-12-01DOI: 10.6557/GJTA.199412_11(4).0005
Chun‐Yen Lin, R. Chien, C. Chiu, L. Jeng, P. Lin, Y. Liaw
Hepatic adenoma was not uncommon in western countries and was usually associated with oral contraceptives use. But it was rare in patients without oral contraceptives use. A case of non-pill related hepatic adenoma in a 24 year-old unmarried female patient with acute abdomen. Imaging studies showed a huge liver tumor with central hemorrhage. Right lobectomy was done and the pathological examination revealed a hepatic adenoma with intratumor bleeding. Literature concerning the relationship between oral contraceptives with this tumor and the differences between pill related and non-pill related hepatic adenoma were also reviewed.
{"title":"Hepatic Adenoma: Report of a Case","authors":"Chun‐Yen Lin, R. Chien, C. Chiu, L. Jeng, P. Lin, Y. Liaw","doi":"10.6557/GJTA.199412_11(4).0005","DOIUrl":"https://doi.org/10.6557/GJTA.199412_11(4).0005","url":null,"abstract":"Hepatic adenoma was not uncommon in western countries and was usually associated with oral contraceptives use. But it was rare in patients without oral contraceptives use. A case of non-pill related hepatic adenoma in a 24 year-old unmarried female patient with acute abdomen. Imaging studies showed a huge liver tumor with central hemorrhage. Right lobectomy was done and the pathological examination revealed a hepatic adenoma with intratumor bleeding. Literature concerning the relationship between oral contraceptives with this tumor and the differences between pill related and non-pill related hepatic adenoma were also reviewed.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"11 1","pages":"284-290"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1994-09-01DOI: 10.6557/GJTA.199409_11(3).0005
Chiung‐Yu Chen, Xi-Zhang Lin, Ming-Huei Liu, N. Chou
We report a 56 year-old female patient with autoimmune chronic active hepatitis, who also satisfied the criteria for systemic lupus erythematosus (SLE) revised by the 1982 American Rheumatism Association (ARA). SLE with severe liver involvement is uncommon; chronic active hepatitis with manifestations of SLE is also unusual. Nonetheless, it may be difficult to make a distinction between the two disorders.
{"title":"Autoimmune Chronic Hepatitis and Systemic Lupus Erythematosus: Report of an \"Overlapping\" Case","authors":"Chiung‐Yu Chen, Xi-Zhang Lin, Ming-Huei Liu, N. Chou","doi":"10.6557/GJTA.199409_11(3).0005","DOIUrl":"https://doi.org/10.6557/GJTA.199409_11(3).0005","url":null,"abstract":"We report a 56 year-old female patient with autoimmune chronic active hepatitis, who also satisfied the criteria for systemic lupus erythematosus (SLE) revised by the 1982 American Rheumatism Association (ARA). SLE with severe liver involvement is uncommon; chronic active hepatitis with manifestations of SLE is also unusual. Nonetheless, it may be difficult to make a distinction between the two disorders.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"11 1","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-09-01DOI: 10.6557/GJTA.199309_10(3).0002
Ting Chang, P. Hsu, N. Chiu, W. Yao, Juei-Tang Cheng, C. Peng, T. Liou, Ching‐Yih Lin, Xi-Zhang Lin, Jeng‐Shiann Shin
From February 1991 to February 1992, we performed the prospective study to investigate the differences in renal hemodynamics and plasma catecholamine concentrations between cirrhotic patients with ascites and without ascites. Eleven cirrhotic patients without ascites (10 male, 1 female; mean age: 50 ± 11 years old) and 17 cirrhotic patients with ascites (14 male, 3 female; mean age: 52±11 years old) were enrolled for measurement of renal blood flow (RBF), glomerular filtration rate (GFR), plasma concentrations of norepinephrine (NE), and epinephrine (EP). The data were assessed by Student's t-test. Results showed that the cirrhotics with ascites had significantly lower RBF, GFR and higher plasma NE concentration than the ones without ascites (364±142 vs. 465±123 ml/min, p＜0.05; 68.7±26.0 vs. 87.9±18.1 ml/min/1.73m^2, p＜0.05; 146±39 vs. 105±47pg/ml, p＜0.05 respectively), but there was no significant difference in plasma concentration of EP (45.1±16.3 vs. 61.5±38.0 pg/ml, p＞0.05) in the two groups of patients. Considering all cirrhotic patients together (N=28), RBF was significantly correlated with GFR (r=0.6634, p＜0.001), but it was not inversely correlated with the plasma concentration of NE (r=0.0789; p ＞0.05). We concluded that (1) cirrhotic patients with ascites had lower RBF and higher plasma concentration of NE than the ones without ascites, and (2) the decrease of RBF might be a major factor influencing the impairment of GFR in decompensated cirrhotics.
从1991年2月到1992年2月，我们进行了一项前瞻性研究，调查肝硬化合并腹水和无腹水患者肾脏血流动力学和血浆儿茶酚胺浓度的差异。11例无腹水的肝硬化患者(男10例，女1例;平均年龄:50±11岁)，17例肝硬化伴腹水患者(男14例，女3例;平均年龄:52±11岁)，测量肾血流量(RBF)、肾小球滤过率(GFR)、血浆去甲肾上腺素(NE)、肾上腺素(EP)浓度。数据采用学生t检验进行评估。结果显示，肝硬化合并腹水组RBF、GFR显著低于无腹水组(364±142 vs 465±123 ml/min, p<0.05);68.7±26.0 vs. 87.9±18.1 ml/min/1.73 3m^2, p<0.05;两组患者血浆EP浓度(45.1±16.3∶61.5±38.0 pg/ml, p<0.05)差异无统计学意义(p<0.05)。综合考虑所有肝硬化患者(N=28)， RBF与GFR显著相关(r=0.6634, p<0.001)，但与血浆NE浓度无负相关(r=0.0789;p > 0.05)。我们认为(1)肝硬化合并腹水患者的RBF低于无腹水患者，血浆NE浓度高于无腹水患者;(2)RBF降低可能是影响失代偿期肝硬化患者GFR受损的主要因素。
{"title":"The Differences in Renal Hemodynamics and Plasma Catecholamine Levels between Cirrhotic Patients with and without Ascites","authors":"Ting Chang, P. Hsu, N. Chiu, W. Yao, Juei-Tang Cheng, C. Peng, T. Liou, Ching‐Yih Lin, Xi-Zhang Lin, Jeng‐Shiann Shin","doi":"10.6557/GJTA.199309_10(3).0002","DOIUrl":"https://doi.org/10.6557/GJTA.199309_10(3).0002","url":null,"abstract":"From February 1991 to February 1992, we performed the prospective study to investigate the differences in renal hemodynamics and plasma catecholamine concentrations between cirrhotic patients with ascites and without ascites. Eleven cirrhotic patients without ascites (10 male, 1 female; mean age: 50 ± 11 years old) and 17 cirrhotic patients with ascites (14 male, 3 female; mean age: 52±11 years old) were enrolled for measurement of renal blood flow (RBF), glomerular filtration rate (GFR), plasma concentrations of norepinephrine (NE), and epinephrine (EP). The data were assessed by Student's t-test. Results showed that the cirrhotics with ascites had significantly lower RBF, GFR and higher plasma NE concentration than the ones without ascites (364±142 vs. 465±123 ml/min, p＜0.05; 68.7±26.0 vs. 87.9±18.1 ml/min/1.73m^2, p＜0.05; 146±39 vs. 105±47pg/ml, p＜0.05 respectively), but there was no significant difference in plasma concentration of EP (45.1±16.3 vs. 61.5±38.0 pg/ml, p＞0.05) in the two groups of patients. Considering all cirrhotic patients together (N=28), RBF was significantly correlated with GFR (r=0.6634, p＜0.001), but it was not inversely correlated with the plasma concentration of NE (r=0.0789; p ＞0.05). We concluded that (1) cirrhotic patients with ascites had lower RBF and higher plasma concentration of NE than the ones without ascites, and (2) the decrease of RBF might be a major factor influencing the impairment of GFR in decompensated cirrhotics.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"10 1","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1992-09-01DOI: 10.6557/GJTA.199209_9(3).0004
Chien-Dar Wang, Chaur‐Shine Wang, Long-Shyong Lee, Jung-Jung Chang, Li-Ying Lao, Mao-Ho Liu, S. Lee, Jean‐Dean Liu, P. Chen, Thomas W. Huang
A 51-year-old woman was hospitalized for episodic loss of consciousness over a one year period. The presence of insulinoma was indicated clinically and biochemically; but conventional ultrasonography (US) and computed tomography (CT) failed to reveal a tumor, thus surgical intervention was deferred. The patient was readmitted 3 years later with an increasing frequency of hypoglycemic episodes. Conventional US showed a suspicious, small, ill-defined hypoechoic mass in the pancreatic head. CT and selective angiography revealed equivocal results. Endoscopic ultrasonography (EUS) clearly demostrated a well-demarcated, echo-free mass, measuring 2×0.8cm, in the head of the pancreas. Insulinoma was confirmed by surgical pathologic examination. These results indicate that the EUS provides a distinct advantage in pre-operative visualization of insulinomas.
{"title":"Diagnosis of Insulinoma by Endoscopic Ultrasonography: A Case Report","authors":"Chien-Dar Wang, Chaur‐Shine Wang, Long-Shyong Lee, Jung-Jung Chang, Li-Ying Lao, Mao-Ho Liu, S. Lee, Jean‐Dean Liu, P. Chen, Thomas W. Huang","doi":"10.6557/GJTA.199209_9(3).0004","DOIUrl":"https://doi.org/10.6557/GJTA.199209_9(3).0004","url":null,"abstract":"A 51-year-old woman was hospitalized for episodic loss of consciousness over a one year period. The presence of insulinoma was indicated clinically and biochemically; but conventional ultrasonography (US) and computed tomography (CT) failed to reveal a tumor, thus surgical intervention was deferred. The patient was readmitted 3 years later with an increasing frequency of hypoglycemic episodes. Conventional US showed a suspicious, small, ill-defined hypoechoic mass in the pancreatic head. CT and selective angiography revealed equivocal results. Endoscopic ultrasonography (EUS) clearly demostrated a well-demarcated, echo-free mass, measuring 2×0.8cm, in the head of the pancreas. Insulinoma was confirmed by surgical pathologic examination. These results indicate that the EUS provides a distinct advantage in pre-operative visualization of insulinomas.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"9 1","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1992-09-01DOI: 10.6557/GJTA.199209_9(3).0001
Sheng‐Hsuan Chen, S. Pan, G. Lien, C. Liao
Upon routine sonographic examination, some patients with chronic hepatitis B were found to have a larger gallbladder. In order to evaluate their gallbladder size and contractility, 45patients with chronic hepatitis B, along with 45 healthy subjects as control, were entered into this study. All 90 subjects were free from factors affecting gallbladder contractility. After overnight fasting, the gallbladder cross-section area was measured by planimetry of real-time sonographic unit. The postprandial gallbladder area was measured by the same method at 30 and 45 minutes. The results showed that the fasting gallbladder size was significantly larger in the patients with chronic hepatitis than in the control group (p＜0.0l). No significant difference of the contractility between these two groups was noted at 30 and 45 minutes after taking a fatty meal, although the gallbladder area decreased significantly with time in both groups (p＜0.001). It seems reasonable to conclude that patietns with chronic hepatitis B probably have a relatively enlarged but functional, contractile gallbladder.
{"title":"Sonographic Measurement of the Fasting Gallbladder and Its Contractility in Patients with Chronic Hepatitis B","authors":"Sheng‐Hsuan Chen, S. Pan, G. Lien, C. Liao","doi":"10.6557/GJTA.199209_9(3).0001","DOIUrl":"https://doi.org/10.6557/GJTA.199209_9(3).0001","url":null,"abstract":"Upon routine sonographic examination, some patients with chronic hepatitis B were found to have a larger gallbladder. In order to evaluate their gallbladder size and contractility, 45patients with chronic hepatitis B, along with 45 healthy subjects as control, were entered into this study. All 90 subjects were free from factors affecting gallbladder contractility. After overnight fasting, the gallbladder cross-section area was measured by planimetry of real-time sonographic unit. The postprandial gallbladder area was measured by the same method at 30 and 45 minutes. The results showed that the fasting gallbladder size was significantly larger in the patients with chronic hepatitis than in the control group (p＜0.0l). No significant difference of the contractility between these two groups was noted at 30 and 45 minutes after taking a fatty meal, although the gallbladder area decreased significantly with time in both groups (p＜0.001). It seems reasonable to conclude that patietns with chronic hepatitis B probably have a relatively enlarged but functional, contractile gallbladder.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"9 1","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1992-06-01DOI: 10.6557/GJTA.199206_9(2).0008
P. Hsu, Ting Chang, Xi-Zhang Lin, Ching‐Yih Lin, Jeng‐Shiann Shin, Jeng‐Jong Huang, Jaw-Jen Cheng, G. Shu, N. Chow
The clinical data of 51 cases with hepatobiliary flbropolycystic diseases were analyzed and classified into four categories according to clinical features. There were 42 (82%) cases of polycystic liver, 7 (14%) cases of choledochal cyst, 1 (2%) case of Caroli's disease, and 1 (2%) case of the pure form of congenital hepatic fibrosis. Polycystic liver presented at 48.2±13.6 years of age and slightly predominated in male subjects (59%). Fifty-seven percent of the cases were associated with polycystic kidneys, and the majority of the cases presented with epigastric fullness, flank pain, or gross hematuria. Choledochal cyst became clinically evident at 13.2±19.8 years of age and was characterized by a female predominance (86%). Associated congenital hepatic fibrosis was observed in one of the cases. These patients usually presented with epigastralgia, jaundice, and a palpable mass. The only case of Caroli's disease, a 19-year-old woman, was also afflicted with congenital hepatic fibrosis and polycystic kidneys which precipitated the occurrence of acute bacterial nephritis. One of her brothers, tile case of tile pure form of congenital hepatic fibrosis, presented with acute cholangitis at the age of 12-year-Old and has developed portal hypertension. Our study demonstrates that (1) various hepatobiliary fibropolycystic diseases present with different major symptoms and complications, (2) various-forms of congenital malformations may be present in members within a family with congenital hepatic fibrosis, and (3) all types of hepatobiliary fibropolycystic diseases except choledochal cyst often coexist with polycystic kidneys.
{"title":"Hepatobiliary Fibropolycystic Diseases in Taiwan-A Clinical Study of 51 Cases","authors":"P. Hsu, Ting Chang, Xi-Zhang Lin, Ching‐Yih Lin, Jeng‐Shiann Shin, Jeng‐Jong Huang, Jaw-Jen Cheng, G. Shu, N. Chow","doi":"10.6557/GJTA.199206_9(2).0008","DOIUrl":"https://doi.org/10.6557/GJTA.199206_9(2).0008","url":null,"abstract":"The clinical data of 51 cases with hepatobiliary flbropolycystic diseases were analyzed and classified into four categories according to clinical features. There were 42 (82%) cases of polycystic liver, 7 (14%) cases of choledochal cyst, 1 (2%) case of Caroli's disease, and 1 (2%) case of the pure form of congenital hepatic fibrosis. Polycystic liver presented at 48.2±13.6 years of age and slightly predominated in male subjects (59%). Fifty-seven percent of the cases were associated with polycystic kidneys, and the majority of the cases presented with epigastric fullness, flank pain, or gross hematuria. Choledochal cyst became clinically evident at 13.2±19.8 years of age and was characterized by a female predominance (86%). Associated congenital hepatic fibrosis was observed in one of the cases. These patients usually presented with epigastralgia, jaundice, and a palpable mass. The only case of Caroli's disease, a 19-year-old woman, was also afflicted with congenital hepatic fibrosis and polycystic kidneys which precipitated the occurrence of acute bacterial nephritis. One of her brothers, tile case of tile pure form of congenital hepatic fibrosis, presented with acute cholangitis at the age of 12-year-Old and has developed portal hypertension. Our study demonstrates that (1) various hepatobiliary fibropolycystic diseases present with different major symptoms and complications, (2) various-forms of congenital malformations may be present in members within a family with congenital hepatic fibrosis, and (3) all types of hepatobiliary fibropolycystic diseases except choledochal cyst often coexist with polycystic kidneys.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"9 1","pages":"157-162"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-03-01DOI: 10.6557/GJTA.199103_8(1).0001
Y. Jeng, P. Chen, F. Ko, Kuang-Yang Lin, Jean‐Dean Liu, Siauw Cp
From January 1988 to June 1989, twelve patients with endoscopically proven esophagogastric tumor were accepted for photodynamic therapy (PDT) at Taipei Municipal Jen-Ai Hospital for a total of 26 sessions. To avoid undesirable systemic photosensitization side effects, an intra-tumorous dose of 10-20mg (approximately 5mg/cm^2) hematoporphyrin derivative (HpD) was given during the endoscopy. Two or three days after the HpD injection, the tumor areas were photoradiated with 630 nm light with a total energy density of 120 J/cm^2. The procedure was repeated at 7 day intervals until the tumor was no longer visible or was remarkably reducd in size. The overall response rate to this therapeutic effect was 83% with satisfactory effect at 58%. In this series, 5 cases were diagnosed in the early stages of cancer. After treatment, 3 cases responded completely and 2 cases partially. During the entire course, no systemic photosensitization or severe complications were observed. Our preliminary results suggest that local photosensitization by HpD could be used as a therapy modality for treatment of neoplastic esophagogastric lesions although it will have to be confirmed by a larger number of cases and follow up a longer period.
{"title":"Photodynamic Therapy of Esophagogastric Tumor with Intra-Tumoral Injection of Hematoporphyrin Derivative","authors":"Y. Jeng, P. Chen, F. Ko, Kuang-Yang Lin, Jean‐Dean Liu, Siauw Cp","doi":"10.6557/GJTA.199103_8(1).0001","DOIUrl":"https://doi.org/10.6557/GJTA.199103_8(1).0001","url":null,"abstract":"From January 1988 to June 1989, twelve patients with endoscopically proven esophagogastric tumor were accepted for photodynamic therapy (PDT) at Taipei Municipal Jen-Ai Hospital for a total of 26 sessions. To avoid undesirable systemic photosensitization side effects, an intra-tumorous dose of 10-20mg (approximately 5mg/cm^2) hematoporphyrin derivative (HpD) was given during the endoscopy. Two or three days after the HpD injection, the tumor areas were photoradiated with 630 nm light with a total energy density of 120 J/cm^2. The procedure was repeated at 7 day intervals until the tumor was no longer visible or was remarkably reducd in size. The overall response rate to this therapeutic effect was 83% with satisfactory effect at 58%. In this series, 5 cases were diagnosed in the early stages of cancer. After treatment, 3 cases responded completely and 2 cases partially. During the entire course, no systemic photosensitization or severe complications were observed. Our preliminary results suggest that local photosensitization by HpD could be used as a therapy modality for treatment of neoplastic esophagogastric lesions although it will have to be confirmed by a larger number of cases and follow up a longer period.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"27 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1990-09-01DOI: 10.6557/GJTA.199009_7(3).0003
C. Chiang, Kuang-Yang Lin, Chaur‐Shine Wang, Yi-Chang Chen, Meng‐Dar Lee, Hsueh-Chin Huang, Chin-Tai Huang, H. Tu, Chung‐kwe Wang, Jean-Dean Li
In a review of 1,268 appendectomies from January 1984 to April 1989, ten cases were diagnosed as ”mucocele” by pathology. All these cases presented with a right lower quadrant (RLQ) mass or pain of variable duration except one whose mucocele was found incidentally during an operation for gastric cancer. One case revealed curvilinear and mottled calcification outlining a large mucocele on plain film of the abdomen. Abdominal ultrasonography in 7 patients showed negative finding in one case, a hypoechoic or anechoic tubular lesion with good transmission in two, an ovoid cystic lesion with variable internal echoes in dependent portion in two, intussusception in one and a periappendiceal abscess in one. Barium enema of 4 patients showed nonvisualization of the appendix but either filling defects with round smooth shape or external compression to the cecum were found. Fibercolonoscopy was performed in 4 cases, all were disclosed intrusions of mucocele from the appendiceal orifice. In one of them, the mucocele invaginated deeply and caused chronic appendico-cecal intussusception. Computed tomography was performed in one case, the mucocele showed a near-water-density tubular lesion with good enhancement of the wall after contrast injection. Though appendiceal mucocele is a rare clinical entity, it should be in the list of differential diagnosis of RLQ pain. With the disease in mind and advanced imaging modalities available, preoperative diagnosis is probable.
{"title":"Mucocele of the Appendix: With Special Emphasis on Image Studies","authors":"C. Chiang, Kuang-Yang Lin, Chaur‐Shine Wang, Yi-Chang Chen, Meng‐Dar Lee, Hsueh-Chin Huang, Chin-Tai Huang, H. Tu, Chung‐kwe Wang, Jean-Dean Li","doi":"10.6557/GJTA.199009_7(3).0003","DOIUrl":"https://doi.org/10.6557/GJTA.199009_7(3).0003","url":null,"abstract":"In a review of 1,268 appendectomies from January 1984 to April 1989, ten cases were diagnosed as ”mucocele” by pathology. All these cases presented with a right lower quadrant (RLQ) mass or pain of variable duration except one whose mucocele was found incidentally during an operation for gastric cancer. One case revealed curvilinear and mottled calcification outlining a large mucocele on plain film of the abdomen. Abdominal ultrasonography in 7 patients showed negative finding in one case, a hypoechoic or anechoic tubular lesion with good transmission in two, an ovoid cystic lesion with variable internal echoes in dependent portion in two, intussusception in one and a periappendiceal abscess in one. Barium enema of 4 patients showed nonvisualization of the appendix but either filling defects with round smooth shape or external compression to the cecum were found. Fibercolonoscopy was performed in 4 cases, all were disclosed intrusions of mucocele from the appendiceal orifice. In one of them, the mucocele invaginated deeply and caused chronic appendico-cecal intussusception. Computed tomography was performed in one case, the mucocele showed a near-water-density tubular lesion with good enhancement of the wall after contrast injection. Though appendiceal mucocele is a rare clinical entity, it should be in the list of differential diagnosis of RLQ pain. With the disease in mind and advanced imaging modalities available, preoperative diagnosis is probable.","PeriodicalId":10003,"journal":{"name":"Chinese Journal of Gastroenterology","volume":"7 1","pages":"122-131"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71327967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-12-01DOI: 10.6557/GJTA.198912_6(4).0005
W. Wong, Y. Jeng, Siauw Cp, Jean‐Dean Liu, P. Chen, Meng‐Dar Lee, Chung‐kwe Wang, Tingting Chen
In the past ten years, 790 cases of gastric carcinoma were histologicallyproven in Taipei Municipal Jen-Ai Hospital, with only three cases of adenosquamous cell carcinoma(0.4%), including two females and one male. All these tumors meeting the strict criteria were bulky and ulcerative. The tumor was located at the antrum, cardia, and in the body of the residual stomach respectively. The patients' age, symptoms, endoscopic and roentgenographic findings did not differ from those of other types of gastric cancer in general. The pathogenesis of this neoplasm is reviewed and discussed. Two patients died of disease soon after surgery. The other was alive and followed in outpatient department eight months after surgery. The prognosis seemed poor because of extensive metastases to the liver, lymph nodes and other organs.
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