{"title":"Pharyngoesophageal reconstruction using laryngotracheal flap for a high-risk case of locally-advanced pyriform sinus cancer","authors":"M. Taniguchi, A. Watanabe, H. Tsujie","doi":"10.5106/JJSHNS.20.141","DOIUrl":"https://doi.org/10.5106/JJSHNS.20.141","url":null,"abstract":"Laryngotracheal Flap（LTF）は腫瘍浸潤の及ばない喉頭気管組織を下咽頭癌切除後の咽頭食道欠損部の再建組織として用いる方法であるが，簡便で合併症も少なく，術後の嚥下機能や局所制御も満足行くものであると報告されている。症例は79歳男性。下咽頭癌（右梨状陥凹型）T4aN2bM0，stage IVa。併存疾患として慢性閉塞性肺疾患を有し，著しい呼吸機能低下を認めた。根治治療として出来るだけ低侵襲な再建術式による手術治療が求められ，LTFを用いた再建手術を行った。術後に併存疾患の状態悪化や縫合不全や狭窄等の合併症出現を認めず，良好な経過を得た。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128131411","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}
Hisayuki Kato, T. Hattori, M. Urano, Kazuo Sakurai, Tatsuyoshi Okada, T. Yui, K. Naito
We report an unusual case of ectopic cervical thymoma. A 35-year-old female patient presented with an anterior neck mass that developed over a five-month duration. The patient underwent fine-needle aspiration cytology (FNAC) twice, but the tumor type could not be diagnosed. The surgically removed tumor was white in color and had a smooth surface. According to the postoperative pathological examination, the tumor was diagnosed as a Stage I ectopic cervical thymoma and Type B1 according to the Masaoka staging system and the World Health Organization (WHO) histological staging system, respectively. The patient was in good overall health and remained without tumor recurrence at the time of the 10-month follow-up. Because it was difficult to make a preoperative definite diagnosis by FNAC for the thymoma, we constructed a cell block from the existing cytological specimen. Immunohistological staining using the cell-block method clearly demonstrated the biphasic cellular population pattern that is a characteristic of thymoma. Therefore, this method may be useful as a preoperative differential diagnostic modality for cervical thymomas.
{"title":"A Case Report of Ectopic Cervical Thymoma : A New Approach for a Preoperative Diagnosis","authors":"Hisayuki Kato, T. Hattori, M. Urano, Kazuo Sakurai, Tatsuyoshi Okada, T. Yui, K. Naito","doi":"10.5106/JJSHNS.20.185","DOIUrl":"https://doi.org/10.5106/JJSHNS.20.185","url":null,"abstract":"We report an unusual case of ectopic cervical thymoma. A 35-year-old female patient presented with an anterior neck mass that developed over a five-month duration. The patient underwent fine-needle aspiration cytology (FNAC) twice, but the tumor type could not be diagnosed. The surgically removed tumor was white in color and had a smooth surface. According to the postoperative pathological examination, the tumor was diagnosed as a Stage I ectopic cervical thymoma and Type B1 according to the Masaoka staging system and the World Health Organization (WHO) histological staging system, respectively. The patient was in good overall health and remained without tumor recurrence at the time of the 10-month follow-up. Because it was difficult to make a preoperative definite diagnosis by FNAC for the thymoma, we constructed a cell block from the existing cytological specimen. Immunohistological staining using the cell-block method clearly demonstrated the biphasic cellular population pattern that is a characteristic of thymoma. Therefore, this method may be useful as a preoperative differential diagnostic modality for cervical thymomas.","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"260 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122685479","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":"舌扁平上皮癌（病期I・II）の検討","authors":"文秀 力丸, 松尾 美央子, 檜垣 雄一郎, 吉信 冨田","doi":"10.5106/JJSHNS.20.123","DOIUrl":"https://doi.org/10.5106/JJSHNS.20.123","url":null,"abstract":"病期I，IIの舌扁平上皮癌治療には手術と組織内照射があり，当科ではこれらの両方の治療を施行してきた。今回それぞれの治療効果を検証するため，病期I，IIの舌扁平上皮癌症例につき，死因特異的生存率，再発率，救済率を検討した。3年生存率は手術群で94%，照射群で85%であり，有意差は認めなかったが，手術群のほうが良い傾向であった。原発巣，頸部再発率では手術群は19%，25%で，照射群は6%，33%であった。原発巣再発症例の救済率は手術群67%，照射群100%で，頸部再発症例の救済率は手術群75%，照射群55%であった。頸部再発後の非救済例は6例あり5例が照射群の病期IIであり，早期舌扁平上皮癌症例において病期II症例では組織内照射よりも手術のほうが望ましいと思われた。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131901765","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":"鼓室形成術のコツ（canal up法）","authors":"博己 小島","doi":"10.5106/JJSHNS.20.33","DOIUrl":"https://doi.org/10.5106/JJSHNS.20.33","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125297150","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":"頭頸部癌手術 適応・適応外の判断","authors":"正己 菅澤","doi":"10.5106/JJSHNS.19.85","DOIUrl":"https://doi.org/10.5106/JJSHNS.19.85","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131936443","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":"頸部に発生した小児神経節芽腫（ganglioneuroblastoma）の1例","authors":"健介 鈴木, 大 岩井, 学 小椋, 俊哉 井上, 幸一 友田","doi":"10.5106/JJSHNS.19.119","DOIUrl":"https://doi.org/10.5106/JJSHNS.19.119","url":null,"abstract":"頸部に発生した小児神経節芽腫の1例を経験したので報告した。症例は1歳9ヶ月男児。左顔面発汗障害および左頸部腫瘤を主訴に当科を紹介受診した。初診時，左上頸部腫瘤と同側のHorner症候群を認め，MRIでは左頸部に最大径4cmの腫瘍を認めた。生検では神経節腫との結果であり，後日摘出術を施行した。術中に腫瘍が交感神経幹から発生していることを確認した。病理検査結果では神経節腫部分の内側に神経芽腫の成分を認め，神経節芽腫と診断した。神経節芽腫は交感神経系腫瘍であり，後縦隔に発生しやすい腫瘍とされる。頸部原発は比較的まれであるが，小児の頸部腫瘤を見たときには鑑別疾患の一つとして考慮する必要があると考える。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127134439","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":"Our experience of microvascular free tissue transfer in head and neck cancer reconstruction","authors":"Toshiya Inoue, H. Tsuji, T. Minami, T. Yamashita","doi":"10.5106/JJSHNS.19.55","DOIUrl":"https://doi.org/10.5106/JJSHNS.19.55","url":null,"abstract":"当科における遊離移植の現況を検討した。当科では，腸管移植を除いて，皮弁挙上から皮弁縫着，血管吻合まで全て頭頸部外科医がおこなっている。1987年に遊離組織移植を導入し，20年余りが経過したが，現在までに468症例（470皮弁）を経験した。使用した再建材料の内訳は，前腕皮弁147例，腹直筋皮弁128例，空腸173例，骨付き肩甲皮弁10例，腓骨皮弁6例，などであったが，近年は腹直筋皮弁と空腸が多用される傾向にあった。移植組織の生着率は94.0%であった。壊死症例の検討では，空腸使用例が多くみられ，原因として静脈血栓に起因するものが多かった。当科における根治的化学放射線療法の導入の時期に一致して，空腸壊死症例が増加していることから，術野における何らかの影響が示唆された。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"20 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130871325","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 intramuscular hemangioma in masseter muscle—A case report—","authors":"R. Kagoya, H. Monobe, H. Tojima","doi":"10.5106/JJSHNS.19.67","DOIUrl":"https://doi.org/10.5106/JJSHNS.19.67","url":null,"abstract":"咬筋内に発生した血管腫で口外法による手術を施行した1例を報告する。症例は14歳女性。5歳頃からの左耳下部腫瘤を主訴に当科へ紹介された。初診時，咬合時に出現する左耳下部腫瘤を認めた。造影MRI検査にて咬筋内にT2強調画像で高信号を呈する領域を認め，内部に静脈石と思われる低信号領域を認めたため咬筋内血管腫を疑い，口外法による腫瘍摘出術を施行した。病理組織検査にて血管腫の診断であった。術後は審美的・機能的に問題なく経過し，口外法による確実な摘出が有用であった。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132488619","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":"小児・若年者（19歳以下）甲状腺乳頭癌の3症例","authors":"大造 村上, 秀武 松吉, 涼生 蓑田, 靖浩 鮫島, 英二 湯本","doi":"10.5106/JJSHNS.19.73","DOIUrl":"https://doi.org/10.5106/JJSHNS.19.73","url":null,"abstract":"今回われわれは3例の小児・若年者（19歳以下）甲状腺乳頭癌症例を経験し，主に治療方針について文献的考察を加えて報告する。3症例とも広範な両側頸部リンパ節転移を有し，1例に多発性肺転移，また，残りの2例にも肺野に小結節陰影を認めた。全例に甲状腺全摘出術，両側頸部郭清術を行い，1例は患側の反回神経浸潤を認めたため，神経切除のうえ神経再建術を行った。また，全例，術後にI131大量療法を施行した。多発性肺転移例は現在も肺野に結節陰影を認めているが，治療後16年経過し明らかな増大傾向はない。また，1例に術後鎖骨下リンパ節にI131の集積を認めたが，リンパ節径の増大傾向やサイログロブリン値の上昇がないため，現在は外来にて厳重経過観察を行っている。全例生存し，日常生活に支障を来す合併症は認めていない。小児・若年者甲状腺乳頭癌の場合，腺内転移，リンパ節転移，肺転移の頻度が成人症例よりも高いという特徴がある。そのため，甲状腺全摘出，徹底した頸部郭清術を行い，必要に応じてI131大量療法を施行する必要があると考えられる。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133091838","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 forestier's disease with vocal cord paralysis","authors":"M. Baba, S. Baba, H. Nakahara","doi":"10.5106/JJSHNS.18.163","DOIUrl":"https://doi.org/10.5106/JJSHNS.18.163","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125270758","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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