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[MASTECTOMY AND BREAST-CONSERVING SURGERY]. [乳房切除术和保乳手术]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Takanobu Sato
{"title":"[MASTECTOMY AND BREAST-CONSERVING SURGERY].","authors":"Takanobu Sato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mastectomy and breast-conserving surgery (BCS) are common procedures for treating breast cancer at present. The discovery rate of tumors 2 cm or less in size has risen with the increase in the number of women who receive breast physical examinations, and because of the wider usage of preoperative chemotherapy, BCS has become possible. As a result, the number of women undergoing BCS has increased, whereas the number of those undergoing mastectomy has decreased. However, if radical cure or good cosmetic results cannot be achieved, mastectomy is often offered to patients. Recently, patients have come to expect good cosmetic results after BCS, and because breast reconstruction with implants is now covered by health insurance, it is possible to perform it with mastectomy with the help of plastic surgery if patients desire. Oncoplastic surgery is now the focus of public attention, because it differs from conventional BCS in that it results in no deformity, since the defect created by wide resections is filled with a local tissue flap. It is psychologically important for patients to have satisfactory cosmetic results after BSC.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"491-6"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452574","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}
引用次数: 0
[WHAT WE CAN LEARN FROM A CASE OF MEDICAL MALPRACTICE―A CLINICAL NEGLIGENCE CASE INVOLVING DELAYED RESPONSE TO THE ALARM OF A HEART RATE MONITOR]. [我们可以从一个医疗事故案例中学到什么——一个涉及对心率监测器警报反应迟缓的临床疏忽案例]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Hiroshi Iwai, Mayumi Asada, Atsushi Kajitani, Shiori Kawasaki, Hiroyuki Kobayashi
{"title":"[WHAT WE CAN LEARN FROM A CASE OF MEDICAL MALPRACTICE―A CLINICAL NEGLIGENCE CASE INVOLVING DELAYED RESPONSE TO THE ALARM OF A HEART RATE MONITOR].","authors":"Hiroshi Iwai,&nbsp;Mayumi Asada,&nbsp;Atsushi Kajitani,&nbsp;Shiori Kawasaki,&nbsp;Hiroyuki Kobayashi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"536-7"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452580","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}
引用次数: 0
[TIPS AND PITFALLS OF LAPAROSCOPIC GASTRECTOMY]. [腹腔镜胃切除术的技巧和陷阱]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Masaru Kawai
{"title":"[TIPS AND PITFALLS OF LAPAROSCOPIC GASTRECTOMY].","authors":"Masaru Kawai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"538"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452581","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}
引用次数: 0
[“FULFILLING LIFE”FOR BOTH FEMALE AND MALE SURGEONS IN THE FUTURE SOCIETY FOR SURGEONS]. [未来外科医生社会中男女外科医生的“充实人生”]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Tomoko Izaki, Junko Miyata, Tomoaki Taguchi
{"title":"[“FULFILLING LIFE”FOR BOTH FEMALE AND MALE SURGEONS IN THE FUTURE SOCIETY FOR SURGEONS].","authors":"Tomoko Izaki,&nbsp;Junko Miyata,&nbsp;Tomoaki Taguchi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"478-9"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36454509","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}
引用次数: 0
[NONSURGICAL ABLATION THERAPY FOR SMALL BREAST CARCINOMAS]. [小乳腺癌的非手术消融治疗]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Takayuki Kinoshita
{"title":"[NONSURGICAL ABLATION THERAPY FOR SMALL BREAST CARCINOMAS].","authors":"Takayuki Kinoshita","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast-conserving therapy was introduced in Japan in the 1980s as a local treatment for early-stage disease used under cautiously developed criteria. Its indications have gradually been expanded by, for example, the addition of concomitant preoperative chemotherapy. More than half of breast cancer patients currently benefit from this treatment. Recently, nonsurgical ablative therapies have been tested as a definitive conservative treatment. Clinical studies on high-intensity focused ultrasound (HIFU) and cryoablation began in 2004 and 2006, respectively. Phase I and phase II multicenter clinical trials of radiofrequency ablation (RFA) as a treatment for early-stage breast cancer were started in 2006 under the Evaluation System of Investigational Medical Care. A prospective phase III trial was started in 2013 under the Advanced Medical Service System. Data on nonsurgical ablative therapies including RFA, cryoablation, and HIFU are steadily accumulating. We believe that these therapies can replace lumpectomy, the current standard treatment for early breast cancer, in the near future.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"497-502"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36454514","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}
引用次数: 0
[THE FIRST ESTABLISHMENT OF DEPARTMENT OF ACUTE CARE SURGERY IN JAPAN]. [日本第一个急症外科的成立]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Hiroaki Watanabe, Yoshihide Shimojo, Eiji Hira
{"title":"[THE FIRST ESTABLISHMENT OF DEPARTMENT OF ACUTE CARE SURGERY IN JAPAN].","authors":"Hiroaki Watanabe,&nbsp;Yoshihide Shimojo,&nbsp;Eiji Hira","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"547-9"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452579","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}
引用次数: 0
[WHAT COULD I ACHIEVE DURING MY TERM OF PROFESSORSHIP]? (在我的教授任期内我能取得什么成就)?
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Keizo Sugimachi
{"title":"[WHAT COULD I ACHIEVE DURING MY TERM OF PROFESSORSHIP]?","authors":"Keizo Sugimachi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"475-7"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36454508","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}
引用次数: 0
[DEVELOPMENTS IN BREAST IMAGING]. [乳腺成像的发展]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Sadako Akashi-Tanaka
{"title":"[DEVELOPMENTS IN BREAST IMAGING].","authors":"Sadako Akashi-Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast cancer is the most frequent cancer in Japanese women. As breast density increases, the detection rate of breast cancer by mammography (MMG) decreases. Breast density notification laws have been enacted in several states in the USA. Supplemental screening tools for women with dense breasts are needed. The results of a large randomized trial to compare the sensitivity, specificity, and cancer detection rate of MMG and adjunctive ultrasonography (US) to screen for breast cancer in Japan (J-START) were reported last year. More than 70,000 women aged 40 to 49 years were enrolled. The sensitivity and cancer detection rate were significantly higher in the MMG+US group than in the MMG-alone group. Automated breast ultrasonography is a tool to overcome the operator dependency of hand-held US and low reproducibility. Digital breast tomosynthesis, referred to as 3D MMG, offers higher sensitivity and specificity than MMG. Contrast-enhanced spectral MMG is an MMG scan using contrast medium to detect breast cancer more clearly even in dense breasts. It is often used for women at high risk for cancer and substituted for magnetic resonance imaging. A dedicated breast positron-emission tomography (PET) system has been available in Japan with insurance coverage since 2013. More cases of cancer were detected using breast PET than whole-body PET. Additional studies including mortality rates are needed.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"483-90"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452572","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}
引用次数: 0
[CURRENT PERSPECTIVE ON SYSTEMIC THERAPY FOR BREAST CANCER]. [乳腺癌全身治疗的当前观点]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Hiromitsu Jinno
{"title":"[CURRENT PERSPECTIVE ON SYSTEMIC THERAPY FOR BREAST CANCER].","authors":"Hiromitsu Jinno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The decision to use adjuvant therapy for breast cancer takes into account tumor biology and tumor stage. Because there have been no effective predictive factors for chemotherapy, current guidelines generally recommend chemotherapy for high-risk breast cancer. Multigene assays may predict the benefit from chemotherapy. With the recognition that estrogen has an important role in the promotion and progression of hormone receptor-positive breast cancer, endocrine therapy is a principle component in the treatment of hormone-sensitive breast cancer. The endocrine treatment of breast cancer utilizes strategies that reduce or halt estrogen production, block signaling through the estrogen receptor (ER), or antagonize the ER itself. Tamoxifen has been recommended for premenopausal women with hormone receptor-positive breast cancer during the past 15 years. The value of adding luteinizing hormone-releasing hormone in premenopausal women who receive tamoxifen should be considered in the high-risk premenopausal cohort. For most women with postmenopausal breast cancer, aromatase inhibitors are recommended. The extension of treatment with endocrine treatment to 10 years could improve the prognosis of hormone receptor-positive breast cancer patients. The benefit of adjuvant trastuzumab was established for human epidermal growth factor type 2-overexpressing breast cancer patients.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"523-8"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452575","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}
引用次数: 0
[TIPS AND PITFALLS IN THE LAPAROSCOPIC PROXIMAL GASTRECTOMY]. [腹腔镜胃近端切除术的技巧与误区]。
Nihon Geka Gakkai zasshi Pub Date : 2016-11-01
Masahiko Nishizaki, Toshiyoshi Fujiwara
{"title":"[TIPS AND PITFALLS IN THE LAPAROSCOPIC PROXIMAL GASTRECTOMY].","authors":"Masahiko Nishizaki,&nbsp;Toshiyoshi Fujiwara","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 6","pages":"543-6"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36452583","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}
引用次数: 0
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