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Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)最新文献

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胃壁内に転移した胃リンパ球浸潤癌の1例 转移到胃壁内的胃淋巴细胞浸润癌的一例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.579
Shoko YOSHIOKA, Kazuhiro TOYOTA, Yoshihiro SAKASHITA, Hironori KOBAYASHI, Katsunari MIYAMOTO, Kiyomi TANIYAMA
{"title":"胃壁内に転移した胃リンパ球浸潤癌の1例","authors":"Shoko YOSHIOKA, Kazuhiro TOYOTA, Yoshihiro SAKASHITA, Hironori KOBAYASHI, Katsunari MIYAMOTO, Kiyomi TANIYAMA","doi":"10.3919/jjsa.84.579","DOIUrl":"https://doi.org/10.3919/jjsa.84.579","url":null,"abstract":"症例は70歳，男性．動悸，ふらつき，黒色便を主訴に受診し，上部消化管内視鏡検査で胃体上部大彎後壁に3型進行癌を，胃体中部前壁に0-IIc型胃癌を認めた．さらに，胃体中部小彎後壁に粘膜下腫瘍様の病変を認め，リンパ節による壁外性圧排の可能性が疑われた．多発胃癌に対し，胃全摘・D2+No.10リンパ節郭清，脾臓・胆囊摘出術を施行した．病理組織診断では3型病変と0-IIc型病変ともに胃リンパ球浸潤癌で，胃粘膜下腫瘍は壁内転移と診断された．壁内転移は局所転移と判断し，進行度はpT3N2M0，pStage IIIAとした．術後補助化学療法を施行し，術後1年1カ月現在，無再発生存中である．胃癌に壁内転移を伴う場合，広範囲な胃切除を検討する必要があるが，粘膜下層腫瘍様の病変を呈することがあり術前診断は難しい．胃癌の壁内転移症例は報告が少なく，さらに原発巣がリンパ球浸潤癌である症例は非常に稀であり，文献的考察を加えて報告する．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262131","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
日本臨床外科学会国内研修に参加して 参加了日本临床外科学会的国内研修，
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.665
嵩史 松本
{"title":"日本臨床外科学会国内研修に参加して","authors":"嵩史 松本","doi":"10.3919/jjsa.84.665","DOIUrl":"https://doi.org/10.3919/jjsa.84.665","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135312936","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
Solitary Adrenal Metastasis from Breast Cancer with Unidentifiable Primary Tumor Preoperatively 原发肿瘤不明的乳腺癌术前单发肾上腺转移
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.393
Rena YAMAKADO, Naoki TAKAHASHI, Hideo SUZUKI, Naomi KONISHI, Hideki MACHISHI
{"title":"Solitary Adrenal Metastasis from Breast Cancer with Unidentifiable Primary Tumor Preoperatively","authors":"Rena YAMAKADO, Naoki TAKAHASHI, Hideo SUZUKI, Naomi KONISHI, Hideki MACHISHI","doi":"10.3919/jjsa.84.393","DOIUrl":"https://doi.org/10.3919/jjsa.84.393","url":null,"abstract":"症例は73歳，女性．70歳時に皮膚への浸潤を伴う右乳癌，右腋窩リンパ節転移，右肺転移の疑いで化学療法を施行．乳房腫瘤は縮小するも出血が持続し，右乳房全切除術と右腋窩郭清術を行った．浸潤性乳管癌，pT4bN2aM0，Stage IIIB，ER（+），PgR（+），HER2（-）の診断で，術後はホルモン療法を行った．乳癌の肺転移が疑われた肺腫瘤は術後精査で肺扁平上皮癌，cT2aN3M1c，Stage IVbと判明し，チロシンキナーゼ阻害剤の内服を開始した．72歳時に縮小傾向にあった肺腫瘤の再増大を認め，胸腔鏡下右肺上葉切除術を施行した．肺癌術後10カ月目には肺癌の右副腎転移が疑われ，右副腎切除術を行ったが，病理検索にて乳癌副腎転移の診断だった．乳癌の副腎転移は多くが他臓器への転移を伴い，孤立性副腎転移はまれである．全身療法が基本だが，孤立性転移の場合は局所療法が予後改善に有効との報告もある．さらに，病理学的に原発巣および病理学的特徴を特定することで，新規の治療を模索でき予後の改善も期待できる．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844662","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
がん研有明病院胃腸外科・食道外科での国内外科研修を終えて 结束了癌研有明医院胃肠外科和食道外科的国内外科研修，
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.489
直樹 桑山
{"title":"がん研有明病院胃腸外科・食道外科での国内外科研修を終えて","authors":"直樹 桑山","doi":"10.3919/jjsa.84.489","DOIUrl":"https://doi.org/10.3919/jjsa.84.489","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844674","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
医療におけるICT（Information and Communication Technology）の活用 ICT (Information and Communication Technology)在医疗领域的应用
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.229
和弘 花﨑, 健一 袴田
{"title":"医療におけるICT（Information and Communication Technology）の活用","authors":"和弘 花﨑, 健一 袴田","doi":"10.3919/jjsa.84.229","DOIUrl":"https://doi.org/10.3919/jjsa.84.229","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88541572","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
早期胃癌術後経過観察中に増大した脾動脈瘤を伴う膵動静脈奇形の1例 胃癌早期术后观察中脾动脉瘤增大的胰动静脉畸形1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.111
Seita Hagihara, K. Tamura, M. Nakamori, Tetsuya Horiuchi
{"title":"早期胃癌術後経過観察中に増大した脾動脈瘤を伴う膵動静脈奇形の1例","authors":"Seita Hagihara, K. Tamura, M. Nakamori, Tetsuya Horiuchi","doi":"10.3919/jjsa.84.111","DOIUrl":"https://doi.org/10.3919/jjsa.84.111","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82815804","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
穿孔性大腸癌に対する治療戦略 针对穿孔性大肠癌的治疗策略
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.217
Seiichiro Yamamoto
{"title":"穿孔性大腸癌に対する治療戦略","authors":"Seiichiro Yamamoto","doi":"10.3919/jjsa.84.217","DOIUrl":"https://doi.org/10.3919/jjsa.84.217","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84161594","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
Two Cases of Vaginal Reconstruction Using a Transpositional Flap with Combined Resection of Posterior Wall of the Vagina 转位皮瓣联合阴道后壁切除阴道再造术2例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.647
Shinji KATO, Satoshi KOBAYASHI, Atushi SEKIMURA, Takehiro TAKAGI, Takashi MAEDA, Akihiro HORI
{"title":"Two Cases of Vaginal Reconstruction Using a Transpositional Flap with Combined Resection of Posterior Wall of the Vagina","authors":"Shinji KATO, Satoshi KOBAYASHI, Atushi SEKIMURA, Takehiro TAKAGI, Takashi MAEDA, Akihiro HORI","doi":"10.3919/jjsa.84.647","DOIUrl":"https://doi.org/10.3919/jjsa.84.647","url":null,"abstract":"症例1は，67歳の女性．肛門管癌に対し，化学放射線治療後に腹会陰式直腸切断術を施行した．術後6カ月で膣後壁に局所再発を認めたため，局所切除を施行した．症例2は，71歳の女性．直腸癌膣後壁浸潤に対し，膣後壁合併切除を伴う腹会陰式直腸切断術を施行した．それぞれ膣壁欠損に対し，横転皮弁による再建を施行した．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261188","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
Endovascular Embolization was Useful for Treating Tumor Bleeding in Breast Cancer with Ulceration of the Skin —A Case Report— 血管内栓塞治疗合并皮肤溃疡的乳腺癌肿瘤出血- 1例报告
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.523
Hiromasa ISHIHARA, Arihiro SHIBATA, Kana OKAMOTO, Hiroki MURAKAMI, Tomohiro DEGUCHI, Tsunenobu TAKASE, Seiji KAMEI
{"title":"Endovascular Embolization was Useful for Treating Tumor Bleeding in Breast Cancer with Ulceration of the Skin —A Case Report—","authors":"Hiromasa ISHIHARA, Arihiro SHIBATA, Kana OKAMOTO, Hiroki MURAKAMI, Tomohiro DEGUCHI, Tsunenobu TAKASE, Seiji KAMEI","doi":"10.3919/jjsa.84.523","DOIUrl":"https://doi.org/10.3919/jjsa.84.523","url":null,"abstract":"症例は55歳，女性．1年前から左乳腺腫瘤を自覚し放置していたが，腫瘤から出血するようになり近医より当院へ紹介受診した．初診時，左C領域に皮膚自壊を伴う15cm大の腫瘤を認め，著明な貧血を認めた．左乳腺腫瘤に対して針生検を施行し，浸潤性乳管癌と診断．CT・骨シンチグラフィの所見より，cT4bN1M0;Stage IIIBの診断で術前化学療法を施行する方針とした．しかし，腫瘍からの出血が継続し化学療法継続が困難であったため，止血目的に血管内塞栓術を施行することとした．腋窩動脈・外側胸動脈・内胸動脈からの分枝に対して塞栓術施行すると，腫瘍からの出血は消失し腫瘍が明らかに縮小した．外来で術前化学療法継続した後，左乳房全摘+腋窩リンパ節郭清+植皮術を施行．術後化学療法，術後放射線治療も安全に施行できた．腫瘍出血に対し血管内塞栓術が有用であった1例を経験したので報告する．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262126","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
化生性胸腺腫の1例 化生性胸腺腫の1例
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association) Pub Date : 2023-01-01 DOI: 10.3919/jjsa.84.538
Ryoichi TAKENAKA, Kenji NEZU, Daijiro TAKEMOTO, Tatsuya HAYASHI, Hisato YAMAMOTO, Shoichi MATSUKAGE
{"title":"化生性胸腺腫の1例","authors":"Ryoichi TAKENAKA, Kenji NEZU, Daijiro TAKEMOTO, Tatsuya HAYASHI, Hisato YAMAMOTO, Shoichi MATSUKAGE","doi":"10.3919/jjsa.84.538","DOIUrl":"https://doi.org/10.3919/jjsa.84.538","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316692","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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