K. Naito, K. Shinoda, Takahiro Hashiba, W. Sano, T. Chiku, Katsuhiko Ando, Akihiro Toyoda
{"title":"A Case of a Subdiaphragmatic Bronchogenic Cyst Treated by Laparoscopic Surgery","authors":"K. Naito, K. Shinoda, Takahiro Hashiba, W. Sano, T. Chiku, Katsuhiko Ando, Akihiro Toyoda","doi":"10.3919/jjsa.84.63","DOIUrl":"https://doi.org/10.3919/jjsa.84.63","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91069019","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}
今回われわれは，上行結腸内分泌細胞癌の根治切除術後に異時性の孤立性腎転移をきたした1例を経験したので報告する．症例は81歳の女性で，79歳時に上行結腸癌に対して開腹下右半結腸切除および十二指腸部分切除が施行され，病理所見はpor1，pT4b（SI:十二指腸），ly1，v1，pN0，fStage II cで，剥離断端は陰性であった．再発高リスク群と考え，術後補助化学療法としてcapecitabine内服（2投1休，3,000mg/day）を施行しながら外来で経過観察していたが，術後3カ月より腹部CTで右腎下極に15mm大の低吸収腫瘤を指摘された．術後16カ月の腹部CTで腫瘤径が20mm大に増大を示したが，他に再発所見を認めなかったため右腎摘出術を施行した．病理所見で腎腫瘤は上行結腸癌と類似した組織像で，免疫染色を追加し再検討した結果，最終的に上行結腸内分泌細胞癌の腎転移と診断した．
此次我们报道了一例在行结肠内分泌细胞癌根治性切除术后发生异时性孤立性肾转移的病例。病例为81岁女性，79岁时对上行结肠癌施行开腹下右半结肠切除及十二指肠部分切除，病理结果为por1, pT4b (SI:十二指肠)，ly1, v1, pN0, fStage II c，剥离断端呈阴性。考虑为复发高危人群，术后作为辅助化疗在门诊一边执行capecitabine内服(2投1休，3,000mg/day)一边观察。术后3个月，腹部CT显示右肾下极有15mm大的低吸收肿块。术后16个月，腹部CT显示肿瘤直径增大至20mm，但因未发现其他复发迹象，实施了右肾切除术。病理所见，肾肿瘤是与上行结肠癌类似的组织像，追加免疫染色再研究的结果，最终诊断为上行结肠内分泌细胞癌的肾转移。
{"title":"孤立性腎転移をきたした上行結腸内分泌細胞癌の1例","authors":"Tsutomu IWATA, Shinya WATANABE, Miho FURUTA, Keiji AIZU, Shinichiro KOBAYASHI, Fumiya SATO","doi":"10.3919/jjsa.84.432","DOIUrl":"https://doi.org/10.3919/jjsa.84.432","url":null,"abstract":"今回われわれは，上行結腸内分泌細胞癌の根治切除術後に異時性の孤立性腎転移をきたした1例を経験したので報告する．症例は81歳の女性で，79歳時に上行結腸癌に対して開腹下右半結腸切除および十二指腸部分切除が施行され，病理所見はpor1，pT4b（SI:十二指腸），ly1，v1，pN0，fStage II cで，剥離断端は陰性であった．再発高リスク群と考え，術後補助化学療法としてcapecitabine内服（2投1休，3,000mg/day）を施行しながら外来で経過観察していたが，術後3カ月より腹部CTで右腎下極に15mm大の低吸収腫瘤を指摘された．術後16カ月の腹部CTで腫瘤径が20mm大に増大を示したが，他に再発所見を認めなかったため右腎摘出術を施行した．病理所見で腎腫瘤は上行結腸癌と類似した組織像で，免疫染色を追加し再検討した結果，最終的に上行結腸内分泌細胞癌の腎転移と診断した．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844299","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}
Yuya Hibino, Y. Kaneoka, A. Maeda, Y. Takayama, Takamasa Takahashi, Hiroki Aoyama
{"title":"Acute Gangrenous Appendicitis with Superior Mesenteric Venous Thrombosis","authors":"Yuya Hibino, Y. Kaneoka, A. Maeda, Y. Takayama, Takamasa Takahashi, Hiroki Aoyama","doi":"10.3919/jjsa.84.310","DOIUrl":"https://doi.org/10.3919/jjsa.84.310","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81275765","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}
{"title":"A Case of Pulmonary Metastasis from Breast Cancer Treated Using Proton Beam Therapy","authors":"Kazuo Yamamura, Noriyuki Miyajima, Taishi Okazaki, Kenta Tanaka, Satoshi Ohtani, Shinsuke Saga, N. Ando","doi":"10.3919/jjsa.84.35","DOIUrl":"https://doi.org/10.3919/jjsa.84.35","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82737748","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}
{"title":"A Case of Breast Cancer Located Directly Above an Implantable Pacemaker","authors":"Rio Asada, A. Itoh, H. Mishima","doi":"10.3919/jjsa.84.17","DOIUrl":"https://doi.org/10.3919/jjsa.84.17","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84123372","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}
{"title":"A Case of no Obvious Parathyroid Adenoma Revealed by Preoperative Image Diagnosis in a Postmenopausal Woman with Breast Cancer Receiving an Adjuvant Aromatase Inhibitor","authors":"Toshihiko WAKU","doi":"10.3919/jjsa.84.517","DOIUrl":"https://doi.org/10.3919/jjsa.84.517","url":null,"abstract":"症例は71歳，女性．3年前に左乳癌術後より化学療法を行い，2年前にアロマターゼ阻害薬とアレンドロネートの投与を開始．Ca値は乳癌術前より高値を維持していた．多結節性甲状腺腫精査の外科受診でCa 10.4mg/dl，intact-PTH 137pg/mlを認め，骨密度検査では腰椎YAM 55％であった．超音波検査・造影CTでは甲状腺右葉腫瘤が副甲状腺腫である所見に乏しかったが，MIBIシンチグラフィで甲状腺右葉内腫瘤のみに集積していた．右葉内副甲状腺腫や微小副甲状腺腫の可能性を考慮して，両側頸部検索後右葉切除，右上副甲状腺摘出，径0.8cm厚さ1-2mmの左下副甲状腺腫摘出を行った．左下副甲状腺は副甲状腺腺腫，右上と右葉表面付着の右下副甲状腺は正常で甲状腺内腫瘤は濾胞腺腫であった．乳癌ホルモン療法下では骨折リスクが高いため，副甲状腺腫の術前局在診断が困難であっても副甲状腺腫の術中両側頸部検索・摘出は必然である．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261189","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}
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