{"title":"A Case of Recurrent Gallbladder Cancer with Complete Response to Gemcitabine plus S-1 Combination Chemotherapy","authors":"Shuji Suzuki, N. Harada, Mamoru Suzuki","doi":"10.4030/JJCS.37.120","DOIUrl":"https://doi.org/10.4030/JJCS.37.120","url":null,"abstract":"Abstract Prognosis of biliary tract cancer has generally been poor, and effective chemotherapy has not yet been established. A 64 year-old woman was admitted to our hospital for indications of gallbladder wall thickness. The diagnosis on computed tomography and ultrasonography was gallbladder cancer with liver metastasis in the inferior anterior segment. A cholecystectomy with partial hepatectomy was performed, and lymph nodes associated with the hepatoduodenal ligament, periampullary lesion, and common hepatic artery were dissected. Chemotherapy with gemcitabine after resection biweekly was administered. After 4 months, liver metastases in the anterior segment was recognized. A right hepatic lobectomy was performed. After another 4 months, lymph node metastases of posterior lesions of the pancreas head, and caudate lobe metastasis were found. We initiated combination chemotherapy using gemcitabine plus tegafur・ gimeracil・oteracil potassium (S-1). Complete response to chemotherapy was confirmed after 12 cycles. CA19-9 values reverted to normal levels. No major events of toxicity were seen. After 15 months, complete response had been maintained. Biweekly gemcitabine plus S-1 combination chemotherapy was effective and well tolerated.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129225366","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":"Small Intestinal Cancer Diagnosed by Video Capsule Endoscopy and Double-Balloon Enteroscopy","authors":"S. Ozawa, M. Yamada, M. Hanawa, I. Koyama","doi":"10.4030/JJCS.36.954","DOIUrl":"https://doi.org/10.4030/JJCS.36.954","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121770291","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":"腰椎椎間板ヘルニアの病態, 診断, 治療方針","authors":"浩孝 波呂","doi":"10.4030/JJCS.36.1041","DOIUrl":"https://doi.org/10.4030/JJCS.36.1041","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124219857","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}
H. Matsukiyo, Manabu Watanabe, K. Asai, Tomoaki Saito, Hajime Kodama, Y. Saida, J. Nagao, S. Omuta, Y. Yokouchi, S. Kusachi
{"title":"Mucinous Cystadenocarcinoma Initially Diagnosed as Recurrent Infected Pancreatic Pseudocyst After Acute Pancreatitis – Report of a Case","authors":"H. Matsukiyo, Manabu Watanabe, K. Asai, Tomoaki Saito, Hajime Kodama, Y. Saida, J. Nagao, S. Omuta, Y. Yokouchi, S. Kusachi","doi":"10.4030/JJCS.36.1004","DOIUrl":"https://doi.org/10.4030/JJCS.36.1004","url":null,"abstract":"Received: August 9, 2011/Accepted: November 10, 2011 Correspondence to: Hiroshi Matsukiyo Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo 153-8515, Japan Abstract We report a case initially diagnosed as infected pancreatic pseudocyst after acute pancreatitis and treated by repeated endoscopic drainage, in which the final diagnosis was mucinous cystadenocarcinoma. A 60-year-old woman was admitted to our hospital’s gastroenterology department after developing acute pancreatitis and what seemed to be recurrent infected pseudocyst of the pancreatic tail. This was treated by endoscopic transpapillary drainage. However, because the cyst enlarged on imaging and serum carbohydrate antigen 19-9 level increased, we decided to treat the case surgically. Postoperative pathological examination revealed mucinous cystadenocarcinoma with direct invasion of the spleen and transverse colon.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123993352","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}
T. Umemoto, K. Yokomizo, G. Kigawa, H. Nemoto, K. Hibi
{"title":"Acute Appendicitis with Carcinoid Tumor","authors":"T. Umemoto, K. Yokomizo, G. Kigawa, H. Nemoto, K. Hibi","doi":"10.4030/JJCS.36.961","DOIUrl":"https://doi.org/10.4030/JJCS.36.961","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"191 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121433575","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 Necrotic Cecal Volvulus in Cerebral Palsy","authors":"M. Fujisawa, T. Kitabatake, K. Kojima","doi":"10.4030/JJCS.36.958","DOIUrl":"https://doi.org/10.4030/JJCS.36.958","url":null,"abstract":"A 45-year-old woman was admitted to a local hospital because of abdominal pain, but the symptom did not resolve. Therefore, she was admitted to our hospital the next day. On admission, she had abdominal pain with muscular defense and abdominal distension. Since plain abdominal CT showed ascites and the “whirl sign”, emergency surgery was performed. At laparotomy, 300 ml of blood-tinged ascitic fluid was found. Since the right hemicolon, including a mobile cecum, was found to be twisted 360 degrees counterclockwise around the mesentery and necro-tized, right hemicolectomy was performed.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128845555","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 Fascioliasis Suspected of being a Malignant Tumor","authors":"Yuki Sato, Yoshihiro Takasaka","doi":"10.4030/JJCS.36.850","DOIUrl":"https://doi.org/10.4030/JJCS.36.850","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124574614","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":"Metronomic Chemotherapy―癌治療の新しいアプローチ","authors":"裕 緒方","doi":"10.4030/JJCS.36.891","DOIUrl":"https://doi.org/10.4030/JJCS.36.891","url":null,"abstract":"","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125587621","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 Intrapelvic Actinomycosis for which a Penicillin Antibiotic was Effective","authors":"M. Fujisawa, T. Kitabatake, K. Kojima","doi":"10.4030/JJCS.36.846","DOIUrl":"https://doi.org/10.4030/JJCS.36.846","url":null,"abstract":"Received: July 11, 2011/Accepted: July 28, 2011 Correspondence to: Minoru Fujisawa Department of General Surgery, Juntendo Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 1778521, Japan Abstract We encountered a patient with intrapelvic actinomycosis accompanied by sigmoid colon stenosis for which oral antibiotic treatment was effective. The patient was a 66-year-old female who visited a physician for a chief compliant of right lower abdominal pain. On abdominal CT, an irregular mass accompanied by right hydronephrosis was noted in the right pelvic cavity, and the patient was referred to our department. On the contrast enema of the sigmoid colon, serrated stenosis was noted in the sigmoid colon over the rectum, and a colonoscope could not be passed through. Thus, surgery was performed. Since dissection was difficult because of the sigmoid colon, rectum and swallowing origin was involved to the broad granulomatous mass, resection was gived up and colostomy was applied to the descending colon. Actinomycetes was detected in the excised sample, and intrapelvic actinomycosis was diagnosed, for which oral amoxicillin was continuously administered for 6 months. Then, the granulomatous mass disappeared, and right hydronephrosis improved on CT scan, colostomy was closed because sigmoid colon stenosis had improved on contrast enema.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114234478","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}