岡山医学会Acta Medica Okayama0030-155812632014第113回日本皮膚科学会総会学会報告255257ENKeijiIwatsukiNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014医療法人聖光会 鷹の子病院253254ENNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014PMDA（ピー・エム・ディー・エー）249252ENJunSakuraiNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014薬物相互作用 (31―乳がんホルモン療法における薬物相互作用）245248ENYasuyukiMasaokaYoshihisaKitamuraToshiakiSendoNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014小児急性中耳炎診療ガイドライン241243ENYukoKataokaKazunoriNishizakiNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014慢性頭痛の診療ガイドライン237239ENTohruMatsuuraKojiAbeNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014臨床研究中核病院「岡山大学病院」231235ENYasutomoNasuNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014リウマチ性疾患における分子標的治療227230ENHiroshiWakabayashiNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014Reduced Port Surgeryで切除した高度炎症を伴う虫垂中に発見された潜在性虫垂粘液嚢胞腺腫の１例223226ENHiromitsuSuzukiKoujiKimuraSigekiKinoshitaKazuoOkanoAppendicitis is a benign disease for which surgical treatment is widely provided. The complication of neoplastic lesions may be discovered only after resection. However, in some cases, specimens are not submitted to histopathological examination in Japan because of an extreme deficiency of pathologists. We report our experience with one patient who experienced the complication of latent low-grade appendiceal mucinous neoplasm (LAMN) after surgery for appendicitis.
Our patient was an 85-year-old woman. Conservative treatment failed to relieve fever and lower abdominal pain and it was decided to treat her surgically. Abdominal computed tomography (CT) showed appendicitis with severe inflammation and suspected adhesion. We decided to explore the abdominal cavity using a reduced-port laparoscopic approach. We found no mucous debouchment or clear tumors in the specimen. Histopathological findings indicated the coexistence of appendicitis and LAMN. At one year and a half after surgery, there was no evidence of the development of pseudomyxoma peritonei.
In appendectomy, it is thought that careful perioperative treatment and a postoperative pathological search are important when there are no preoperative findings suggesting a neoplastic lesion.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014膣後壁合併切除を伴う会陰アプローチが有用であった直腸巨大GISTの１切除例217221ENKazuhideIwakawaManabuNishieNaoyukiTokunagaHideakiMiyasoHiromiIwagakiWe report a case of giant rectal gastrointestinal stromal tumor (GIST) successfully resected by abdominoperineal resection combined with posterior vaginal wall resection. Our patient was a 79-year-old woman had been diagnosed as having von Recklinghausen disease at the age of 30 years. In 2006, a computed tomography (CT) scan revealed a tumor originating from the posterior wall of the rectum. In June 2010, she was admitted to our hospital with the chief complaint of bloody stool. A CT scan revealed a giant tumor that had increased to 9cm in size. Colonoscopy demonstrated a submucosal tumor, which was subsequently diagnosed by biopsy as a GIST. Due to the patient's continuous bleeding and abdominal pain, an emergent abdominoperineal resection was performed at that time. The tumor, which measured 8×9cm, was immunohistochemically positive for c-kit and CD34. Concomitant resection of the posterior wall of the vagina via the perineal approach provided a wide area to expose the tumor for a safe operation. The patient has been well with no sign of recurrence since the operation. This procedure is recommended as a useful approach for giant rectal GISTs or rectal cancer with invasion of the posterior pelvic wall.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014岡山県下のクリニック・診療所におけるリウマチ診療・病診連携の実態に関する研究209215ENKen-eiSadaKeiichiroNishidaTakaoYamanakaKentaMisakiHiroshiWakabayashiJunkoShinodaToruTakagiRyusukeYanoAkihikoNakamuraYoshifumiNanbaYoshitakaMoritaYoshinobuKoyamaKeijiYamamotoKazuhikoEzawaYusukeOtaYoshikiYoshiharaShinyaMiyoshiMasamitsuNatsumedaMasaakiUsuiYasuhikoYoshinagaTakashiHayashiMasahiroYamamuraHiroyukiHashizumeObjective: To survey the current status and problems of cooperation between clinics and hospitals in Okayama Prefecture, Japan for the treatment of rheumatoid arthritis (RA).
Methods: We distributed a questionnaire to 300 of the 983 Okayama Prefecture clinics that had either an internal medicine or orthopedic surgery department, from December 2013 to February 2014. The questionnaire covered practice pattern for RA treatment in clinics, current status of the hospital and clinic cooperation, and acceptance of the biologic therapy.
Results: One hundred clinics responded to the questionnaire. Seventy percent of the clinics reported making referrals to rheumatologists before the initiation of RA treatment, and half of the other 30% of the clinics administered methotrexate as the first-line treatment for RA by their own decision. Sixty-six clinics cooperated with flagship hospitals, conducting medical and laboratory examinations, providing prescriptions, and treating common diseases of patients. These clinics expected the cooperating rheumatologists to follow-up patients every 3 to 6 months and to make the diagnosis, make decisions regarding RA treatment changes, and perform surgery. Seventy-one percent of the clinics responded that cooperation with a hospital is possible even for patients who are administered biologics. As reasons for no cooperation with the flagship hospitals, clinics noted the lack of information about rheumatologists in the area and recent trends in the management of RA.
Conclusion: The current study reported, for the first time, the actual conditions of management of RA in clinics, as well as future problems of hospital and clinic cooperation in Okayama Prefecture.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014アストロサイトによる神経機能修飾とパーキンソン病での神経保護203208ENMasatoAsanumaNo potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014平成25年度岡山医学会賞 胸部・循環研究奨励賞（砂田賞）199201ENAkiraShinaoka受賞論文: Shinaoka A, Momota R, Shiratsuchi E, Kosaka M, Kumagishi K, Nakahara R, Naito I, Ohtsuka A：Architecture of the subendothelial elastic fibers of small blood vessels and variations in vascular type and size. Microsc Microanal (2013) 19, 406-414.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014平成25年度岡山医学会賞 胸部・循環研究奨励賞（砂田賞）195197ENSatoshiAkagi受賞対象論文: Akagi S, Nakamura K, Matsubara H, Kusano KF, Kataoka N, Oto T, Miyaji K, Miura A, Ogawa A, Yoshida M, Ueda-Ishibashi H, Yutani C, Ito H：Prostaglandin I2 induces apoptosis via upregulation of Fas ligand in pulmonary artery smooth muscle cells from patients with idiopathic pulmonary arterial hypertension. Int J Cardiol (2013) 165, 499-505.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014平成25年度岡山医学会賞 がん研究奨励賞（林原賞・山田賞）191194ENKazuhikoShien受賞対象論文: Shien K, Toyooka S, Yamamoto H, Soh J, Jida M, Thu KL, Hashida S, Maki Y, Ichihara E, Asano H, Tsukuda K, Takigawa N, Kiura K, Gazdar AF, Lam WL, Miyoshi S：Acquired resistance to EGFR inhibitors is associated with a manifestation of stem cell-like properties in cancer cells. Cancer Res (2013) 73, 3051-3061.No potential conflict of interest relevant to this article was reported.岡山医学会Acta Medica Okayama0030-155812632014平成25年度岡山医学会賞 総合研究奨励賞（結城賞）187190ENHiromasaYamamoto受賞対象論文: Yamamoto H, Higasa K, Sakaguchi M, Shien K, Soh J, Ichimura K, Furukawa M, Hashida S, Tsukuda K, Takigawa N, Matsuo K, Kiura K, Miyoshi S, Matsuda F, Toyooka S：Novel germline mutation in the transmembrane domain of HER2 in familial lung adenocarcinomas. J Natl Cancer Inst (2014) 106, djt338No potential conflict of interest relevant to this article was reported.