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JaLCDOI 10.18926/AMO/31049
FullText URL fulltext.pdf
Author Ogata, Masana| Miyake, Yoshio|
Abstract

The authors attempted to determine if the organic sulfur compounds usually contained in a crude oil could serve as a marker of oil pollution in fish. Eels (Anguilla Japonica Temminck et Schlegel) were maintained in a controlled laboratory environment of water with a suspension of crude oil. Gas chromatography-mass spectrometry and mass chromatography of eel flesh extract showed the presence of organic sulfur compounds of alkyl-(from mono- to pentametyl) benzothiophenes, dibenzothiophene and alkyl-(from mono- to trimethyl) dibenzothiophenes, and other organic sulfur compounds of alkyl-(from mono- to pentamethyl) naphthalenes.

Keywords organic sulfur compounds alkyl benzothiophenes alkyl dibenzothiophenes oil pollution fish mass chromatography
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-12
Volume volume32
Issue issue6
Publisher Okayama University Medical School
Start Page 419
End Page 425
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 154827
NAID 120002312461
JaLCDOI 10.18926/AMO/31048
FullText URL fulltext.pdf
Author Kobayashi, Kiyofumi| Koide, Yayoi| Doi, Tohru| Kohsaka, Mutsutoshi| Hosokawa, Kiyoshi| Oku, Yuzuru|
Abstract

The homovanillic acid (HVA) concentrations in the lumbar cerebrospinal fluid (CSF) were determined in 38 epileptic and 39 control patients. The mean concentration of HVA was 23.9 ng/ml +/- 2.8 SEM for the epileptic group and 30.2 ng/ml +/- 2.1 SEM for the control group, respectively. Thus, HVA was significandly reduced in the patients with epilepsy compared with the controls. The mean HVA in the female patients was higher than in the male patients in both groups but this failed to reach statistical significance. There was no apparent relationship between the degree of reduced HVA concentration and other clinical indexes of the epilepsy (age, type and frequency of seizures, and anticonvulsant medication). For the determination of concentration gradient of HVA three fractions of the spinal CSF were obtained from 11 patients. A pronounced gradient of HVA concentration was found with a ratio of 1 : 1.46 : 1.97 for the first, second and third fractions. This suggests that a standardized conditions for collecting CSF should be employed to study HVA levels in humans.

Keywords CSF HVA concentration gradient epilepsy
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 293
End Page 300
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153090
NAID 120002313151
JaLCDOI 10.18926/AMO/31047
FullText URL fulltext.pdf
Author Taguchi, Hirokuni|
Abstract

Since 1903, 744 cases of megaloblastic anemia have been reported in Japan: 490 cases of pernicious anemia; 95 cases associated with pregnancy; 66 cases after gastrectomy; 22 cases of megaloblastic anemia of infants; 21 cases of folic acid deficiency other than pregnancy and 19 cases of vitamin B12 malabsorption after ileal resection. It is generally agreed among hematologists in Japan that pernicious anemia is relatively rare, as in other Asian countries. The diagnosis of pernicious anemia in Japan is usually made by stained marrow films, radioisotopic assay of serum vitamin B12, Schilling test and good response to vitamin B12 therapy. Serum folate level, intrinsic factor or its antibody, methylmalonic acid excretion, formiminoglutamic acid excretion and deoxyuridine suppression test are performed only at a small number of laboratories. The drugs of choice are hydroxocobalamin, deoxyadenosylcobalamin and methylcobalamin. Cyanocobalamin has nearly disappeared from commercial sources in Japan. Vitamin B12 administration is common in patients with neurological disorders. Megaloblastic anemia due to folic acid deficiency is extremely rare in Japan. Low serum folate levels are frequently observed among patients receiving anticonvulsants or in pregnant women, but in such samples megaloblastic anemia is almost never detected. The folic acid content of hospital diets indicates that satisfactory amounts of folate are taken in Japan. The intake of folic acid from rice is well over the minimum daily requirement of folate. Other factors in folic acid deficiency, such as food taboos, severe alcoholism and malabsorption syndrome are not frequently found in Japanese. The inadequate intake of folate was the critical factor in most reported cases.

Keywords megaloblastic anemia vitamin B12 folic acid
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 257
End Page 264
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153086
NAID 120002312331
JaLCDOI 10.18926/AMO/31046
FullText URL fulltext.pdf
Author Hsueh, Chao Liang|
Abstract

Five pairs of immature, non-hemopoietic femur and tibia from 17-day-old gestating female rat fetuses, whose sex was determined by chromosomal analysis of liver cells, were transplanted into subcutaneous tissues of adult male rats. The original bones were about 3 mm in length and they grew to about 17 mm length at 4 wereks after transplantation. Bone deformation was not evident after transplantation and bone marrow hemopoiesis developed. Bone marrow cytohistologic observations were made on smears, and chromosome analyses were performed on bone marrow cells. Active erythro-, myelo- and megakaryopoiesis were conducted by cells of recipient adult rats. Sex chromosome analysis of cartilage cells from the epiphyses of transplanted bones demonstrated that the growing bones were composed of cells from the grafted embryo. The results thus strongly suggest that the transition of hemopoiesis from liver to bone marrow in late embryonic development is conducted by stem cells migrating through circulating blood and settling in the bone marrow and not by in situ cells differentiating in the bone marrow stroma.

Keywords embryonic bone subcutaneous transplantation hemopoiesis induction
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 283
End Page 291
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153089
NAID 120002313056
JaLCDOI 10.18926/AMO/31045
FullText URL fulltext.pdf
Author Kobayashi, Michio|
Abstract

Phosphorylase activities (total and a form) were determined in the livers of experimental hepatic injuries with carbon tetrachloride or galactosamine and the livers of patients with liver diseases. Experimental liver injuries caused a slight decrease in total activity in later stages and a marked increase in a form activity in earlier stages. In human livers, low values of total activity were found in acute hepatitis and cirrhosis of the liver with no consistent alteration in a activity. Phosphorylase activities in hepatocellular carcinomas were also low. The importance of the altered phosphorylase activities in hepatic injuries is discussed in relation to the disorder in glycogen metabolism in the injured liver.

Keywords CC14 liver injury galactosamine liver injury partial hepatectomy phosphorylase activity glycogen metabolism
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 273
End Page 282
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153088
JaLCDOI 10.18926/AMO/31044
FullText URL fulltext.pdf
Author Ueba, Osamu|
Abstract

Respiratory syncytial (RS) virus can be purified without losing its infectivity provided that each step of purification is carried out using NT buffer containing over 20% sucrose. Firstly, the virus grown on HES cells is efficiently removed from the culture fluid by precipitating with polyethylene glycol (PEG) 6,000, and the precipitate is suspended in a small amount of 20% sucrose-NT buffer, which results in about a 24-fold concentration of the original material. Then this suspension is centrifugated through 30% sucrose-NT buffer to obtain pellets, which are again suspended in 20% sucrose-NT buffer. This suspension is further centrifuged by discontinuous and linear sucrose density gradient. Finally, the specific infectivity of the purified virus was increased about 3,000-fold over that of the original material.

Keywords respiratory syncytial virus purification
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 265
End Page 272
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153087
NAID 120002312565
JaLCDOI 10.18926/AMO/31043
FullText URL fulltext.pdf
Author Sarai, Tetsuo| Kawanishi, Koichi| Saito, Yoshihito| Aoi, Katsuyuki| Nishina, Yoshiaki| Ofuji, Tadashi|
Abstract

The female patient initially showed the acquired type of total lipoatrophy at about 8 years of age. At 12 years of age, the onset of diabetes mellitus was speculated from advanced pyodermia and dedentition. At 29 years of age, glucosuria was found, and she developed proteinuria, ascites, and pretibial edema. The physical examination revealed: hepatosplenomegaly, complete absence of subcutanous fat, cutaneous xanthomas, and emaciated facies with pronounced zygomatic arches. Diabetic retinopathy was revealed in the ophthalmological examination, and nephropathy was evident in renal biopsy specimens. She also had peripheral diabetic neuropathy. No adipose tissue was found in the mesenterium under peritoneoscopy. The hepatic biopsy specimen revealed advanced portal liver cirrhosis. Laboratory findings included: hyperlipidemia, elevation of BMR without evidence of hyperthyroidism, impaired renal function, and undetected anti-insulin antibodies and anti-insulin antibodies. Endocrinological examinations revealed normal value, except for an impaired hGH response in the arginine test. C-peptide immunoreactivity was high. Her condition was fairly well controlled by 140 units of insulin injection daily.

Keywords lipoatrophic diabetes diabetic triopathy hepatosplenomegaly anti-insulin receptor antibodies CPR
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 309
End Page 318
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153092
NAID 120002313280
JaLCDOI 10.18926/AMO/31042
FullText URL fulltext.pdf
Author Kawanishi, Koichi| Goto, Akio| Ishida, Toshihiko| Kawamura, Ko| Nishina, Yoshiaki| Machida, Shuji| Yamamoto, Shinro| Ofuji, Tadashi|
Abstract

Effects of synthetic neurotensin on the endocrine pancreas were studied in nine normal and six hypophysectomized (10th to 14th day post-hypophysectomy) dogs. Synthetic neurotensin was administered into the superior pancreaticoduodenal artery, and plasma insulin and glucagon concentrations were measured radioimmunologically. In normal dogs, ten microgram/kg neurotensin administration brought about a mild hyperglycemic response and sharp and rapid increase of plasma insulin and glucagon concentrations in the superior pancreaticoduodenal vein. A biphasic insulin response was noted in the pancreatic vein. The results suggest that a large dose of neurotensin acts directly on the endocrine pancreas causing secretion of these hormones. In hypophysectomized dogs, basal levels of plasma insulin and glucagon were decreased and neurotensin had little effect on the endocrine pancreas even with the administration of a large dose.

Keywords neurotensin insulin glucagon hypophysectomy
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1978-08
Volume volume32
Issue issue4
Publisher Okayama University Medical School
Start Page 301
End Page 308
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 153091
NAID 120002312574
JaLCDOI 10.18926/AMO/31041
FullText URL fulltext.pdf
Author Tanaka, Kotaro| Sakagami, Kenichi| Orita, Kunzo|
Abstract

It is now well recognized that pre-transplant donor-specific blood transfusion (DST) has a beneficial effect on the survival of allografts. To determine the optimal interval between DST and transplantation, and to analyze the mechanisms of this effect, the survival of cardiac allografts to rats which received a single DST was examined. The cardiac allograft survival was found to be prolonged when the DST was performed 1 to 6 weeks before grafting. In addition, recipient rat sera collected 1 to 6 weeks after a single DST showed significant inhibition of a mixed lymphocyte reaction (MLR). This MLR inhibition correlated with prolongation of survival of histoincompatible rat cardiac allografts. It thus appears that a single DST given from 1 to 6 weeks before transplantation has a beneficial effect on allograft survival and that MLR inhibition may be essential for inducing the effect of transfusion on organ transplantation.

Keywords donor-specific blood transfusion cardiac allograftingm mixed lymphocyte reaction
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 31
End Page 36
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 2966542
Web of Science KeyUT A1988M237800005
JaLCDOI 10.18926/AMO/31040
FullText URL fulltext.pdf
Author Yabe, Yoshiro| Matsumoto, Kyoko| Ogura, Hajime|
Abstract

To establish an experimental persistent infection of the brain with human adenoviruses, adenovirus type 6 (ad 6) was inoculated intracerebrally into young adult hamsters. Hamsters appeared languid for a few days after inoculation, but recovered rapidly. By cocultivation of tissue fragments with HeLa cells, ad 6 was always recovered from the brains of hamsters throughout their lives, as long as 29 months, indicating the establishment of a lifelong persistent infection. Except for the first few days after inoculation, however, attempts to recover virus by inoculation of tissue extracts onto HeLa cells or by cultivation of tissue fragments alone were unsuccessful.

Keywords adenovirus type 6 persistent infection hamster brain
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 45
End Page 47
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3364214
Web of Science KeyUT A1988M237800008
JaLCDOI 10.18926/AMO/31039
FullText URL fulltext.pdf
Author Hashimoto, Noriaki| Kobayashi, Michio| Tsuji, Takao|
Abstract

The activity of serum type IV collagen-degrading enzyme was measured in 18 patients with hepatocellular carcinoma (HCC). The enzyme activity was significantly higher, in HCC patients with a tumor thrombus in the portal vein than in healthy controls, liver cirrhosis patients and HCC patients without a tumor thrombus. Moreover, the activity in HCC patients with lung metastasis tended to be higher than that in HCC patients without lung metastasis. The activity of serum type IV collagen-degrading enzyme did not correlate with tumor size, serum alpha-fetoprotein level, or macroscopic classification of tumor growth. These results suggest that the activity of serum type IV collagen-degrading enzyme represents the metastatic potential or the ongoing metastatic activity of HCC. The enzyme is a useful serum marker of metastasis from HCC.

Keywords type IV collagen-degrading enzyme hapatocellular carcinoma vascular invasion metastasis collagenase
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 1
End Page 6
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 2834917
Web of Science KeyUT A1988M237800001
JaLCDOI 10.18926/AMO/31038
FullText URL fulltext.pdf
Author Mizukawa, Kiminao| Tseng, I-Ming| Tobita, Ryoichi| Otsuka, Nagayasu|
Abstract

Monoaminergic innervation of the intermediolateral nucleus of the cat spinal cord was investigated by fluorescence histochemistry and electron microscopy. Large numbers of monoaminergic terminals were labeled by prior administration of the false neurotransmitter 5-hydroxydopamine (5-OHDA). Ultrastructurally, 5-OHDA-labeled terminals fell into three types. Type I, which made up 55% of the labeled terminals, contained abundant, large and densely labeled vesicles and only a few small and unlabeled vesicles. This type was "bouton de passage". Type II, which made up 40% of the terminals, made asymmetrical synaptic contacts with typical postsynaptic structures. This type contained many small vesicles, some of which were labeled, and a few large dense-core vesicles. Type III, which made up 5% of the terminals, made close contact with presynaptic nerve endings containing abundant small unlabeled clear vesicles. The type III terminals contained many large and densely labeled vesicles and a few small flattened vesicles, most of which were unlabeled.

Keywords ultrastructure monoaminergic terminals 5-hydroxydopamine cat spinal cord intermediolateral nucleus
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 21
End Page 30
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3364212
Web of Science KeyUT A1988M237800004
JaLCDOI 10.18926/AMO/31037
FullText URL fulltext.pdf
Author Takahashi, Isao| Inagaki, Noritoshi| Nakada, Hiroshi| Ohmoto, Eijiro| Takeuchi, Makoto| Osada, Ken| Matsuzaki, Toshiaki| Fukuda, Shunichi| Uchida, Kozaburo| Kohi, Fumikazu| Yorimitsu, Seiichi| Kimura, Ikuro| Kitajima, Koichi| Sanada, Hiroshi|
Abstract

Superoxide anion (O2-) production by neutrophils from 14 untreated patients with acute nonlymphocytic leukemia (ANLL) was significantly less than that of healthy controls (4.93 +/- 1.99 vx 6.20 +/- 1.53 nmol/min/10(6) neutrophils, p less than 0.05). In 10 patients with myelodysplastic syndrome (MDS), however, it was not significantly different from the control level although 6 of the 10 patients had low levels, when individual patients were compared with the lower limit of the control range. An inverse correlation between the O2- production of neutrophils and the percentage of leukemic cells in the marrow existed in ANLL (r = -0.55, p less than 0.01), but not in MDS. Three of 4 MDS patients who died of pneumonia prior to leukemic conversion showed a low level of O2- production. The impaired O2- production by neutrophils from some MDS patients, probably due to the faulty differentiation from leukemic clones, may be one of the causes of enhanced susceptibility to infection.

Keywords superoxide anion production myelodysplastic syndrome preleukemia
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 15
End Page 19
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 2834918
Web of Science KeyUT A1988M237800003
JaLCDOI 10.18926/AMO/31036
FullText URL fulltext.pdf
Author Hashimoto, Noriaki| Kobayashi, Michio| Watanabe, Akiharu| Higashi, Toshiro| Tsuji, Takao|
Abstract

Type IV collagen-degrading enzyme activity was detected in human serum. Serum was preincubated with 4-aminophenylmercuric acetate and trypsin to activate the enzyme prior to assay. Type IV collagen, purified from human placentas and radiolabeled with [1-14C] acetic anhydride, was used as the substrate. The enzyme activity was measured at pH 7.5 and inhibited by treatment with ethylenediaminetetraacetic acid or heat. The assay of type IV collagen-degrading enzyme in human serum might be useful for estimating the degradation of type IV collagen.

Keywords type IV collagen-degarading enzyme collagen degradation collagenase type IV collagen metalloproteinase
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 49
End Page 52
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3364215
Web of Science KeyUT A1988M237800009
JaLCDOI 10.18926/AMO/31035
FullText URL fulltext.pdf
Author Izushi, Fumio| Mori, Takaaki| Ogata, Masana|
Abstract

The in vitro effects of phenol and p-halogenated phenols on mitochondrial energy transfer reactions were examined using isolated rat liver mitochondria. The relationship between physiochemical properties of phenolic compounds and their effects on mitochondria were studied. Phenol and p-halogenated phenols induced the release of K+ ions from mitochondria, suggesting a change in permeability to K+ ions. A decrease in the respiratory control index, an increase in K+ release and stimulation of latent ATPase activity were observed with these compounds in the descending order of p-iodophenol, p-bromophenol, p-chlorophenol, p-fluorophenol and phenol. The concentrations of the phenolic compounds resulting in fifty percent inhibition of the respiratory control index and those resulting in fifty percent release of K+ ions significantly correlated with Hammett's substituent constant (sigma) and the hydrophobic binding constant (pi) of the compounds.

Keywords phenol mitochondria oxidative phosphorylation Hammett's substituent constant hydrophobic bindung constant
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 7
End Page 14
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 2966543
Web of Science KeyUT A1988M237800002
JaLCDOI 10.18926/AMO/31034
FullText URL fulltext.pdf
Author Miyazaki, Masahiro| Sato, Jiro|
Abstract

Upon addition of epidermal growth factor (EGF, 0.1 microgram/ml) and insulin (0.1 microM), adult rat hepatocytes proliferated and increased 120-134% in number in serum-free primary culture. However, in the absence of the growth factors, hepatocytes decreased in number with time. The average albumin secretion per cell was much lower in the proliferating cultures than in the non-proliferating cultures. The results suggest that albumin production in hepatocytes decreases during cell proliferation.

Keywords serum-free primary culture epidermal growth factor insulin hepatocyte proliferation albumin secretion
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 41
End Page 43
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3284281
Web of Science KeyUT A1988M237800007
JaLCDOI 10.18926/AMO/31033
FullText URL fulltext.pdf
Author Ishii, Akira| Yatani, Toshiko| Abe, Tatsuya| Go, Han Jin|
Abstract

The house dust mite (Dermatophagoides pteronyssinus) antigen and allergen contents were measured by enzyme-linked immunosorbent assay (ELISA) with enzyme-labelled anti-human IgE and anti-mite rabbit IgG antibodies. Antigen content was high in dust samples from homes of patients with allergy but not in samples from homes of patients with Kawasaki disease or of normal control subjects. Allergen content was high in dust samples from homes of Kawasaki disease patients. However, the values overlapped, and we considered these differences to be of little ecological significance, although the assay method itself is useful.

Keywords mite dust allergen Dermatophagoides mucocutaneous lympnode syndrome
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-02
Volume volume42
Issue issue1
Publisher Okayama University Medical School
Start Page 37
End Page 39
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3364213
Web of Science KeyUT A1988M237800006
JaLCDOI 10.18926/AMO/31032
FullText URL fulltext.pdf
Author Higashi, Toshihiro| Tobe, Kazuo| Asano, Ken-ichiro| Ikeda, Hiroshi| Ohsawa, Toshiya| Iwasaki, Yoshiaki| Nouso, Kazuhiro| Shinji, Noriyuki| Morimoto, Yohichi| Satoh, Yasumasa| Andoh, Masaharu| Araki, Yasuyuki| Tomita, Osamu| Morishita, Hirofumi| Kita, Keiji| Tsuchiya, Takahiro| Morichika, Shigeru| Tanabe, Takahiro| Nagashima, Hideo| Tsuji, Takao|
Abstract

The ultrasonographic characteristics of hepatocellular carcinomas (HCC) were investigated. Four typical features of HCCs, "mosaic internal echo pattern", "halo", "lateral shadow" and "posterior echo enhancement", were not recognized in minute HCCs smaller than 2 cm in diameter. These characteristics developed as the tumors grew. Only hypoechoic space-occupying lesions can be considered as small HCCs. In differentiating small HCCs from hypoechoic non-malignant space-occupying lesions in the cirrhotic liver, the ratios of short to long dimensions of the lesions seemed to be important since the ratios of HCCs were significantly larger than those of non-malignant lesions. The fact that 3 hyperechoic small HCCs could not be diagnosed even by celiac arteriography has suggested to us that ultrasonically guided biopsies should be performed in order to differentiate from small hemangiomas. Serum alpha-fetoprotein (AFP) levels of 1/3 of the patients with HCCs were below 100 ng/ml, indicating that it is impossible to detect small HCCs only by measuring serum AFP.

Keywords ultrasonography hepatocellular carcinoma alpha-fetoprotein
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-06
Volume volume42
Issue issue3
Publisher Okayama University Medical School
Start Page 151
End Page 157
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 2456671
Web of Science KeyUT A1988P034000005
JaLCDOI 10.18926/AMO/31031
FullText URL fulltext.pdf
Author Ishii, Hirofumi|
Abstract

Melphalan, ifosfamide, prednisolone, nitrosourea [1-(4-amino-2-methyl-5-pyrimidyl)-3-(2-chloroethyl)-3-nitrosourea hydrochloride, ACNU or 1, 3-bis (2-chloroethyl)-1-nitrosourea, BCNU] and vincristine (MIP-NV) were given in combination to 48 patients with multiple myeloma. The response rate was 57% in previously untreated patients, and 39% in previously treated patients. The median survival time of previously untreated patients in stage IA + IIA was 49 months, and that of patients in stage IIIA + B was 27 months. The median survival time of stage III patients depended significantly on the duration of remission. The duration of remission and survival time of patients with relief of pain and improvement in daily activity were significantly longer than those of patients without such effects. Age, sex, blood hemoglobin concentration and bone lesion were important prognostic factors. As for the side effects, leukopenia (less than 1,000/microliter) and thrombocytopenia (less than 5 X 10(4)/microliter) occurred in 10.4% and 2.1% of the patients, respectively. It was concluded that multiple drug combination therapy with MIP-NV (MIP-NV therapy) was effective for patients with multiple myeloma at all clinical stages, because it resulted in long survival with low toxicity.

Keywords multiple myeloma combination chemotherapy
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-06
Volume volume42
Issue issue3
Publisher Okayama University Medical School
Start Page 175
End Page 182
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3165236
Web of Science KeyUT A1988P034000008
JaLCDOI 10.18926/AMO/31030
FullText URL fulltext.pdf
Author Iwagaki, Hiromi| Fuchimoto, Sadanori| Orita, Kunzo|
Abstract

The same chemotherapeutic agents were tested against fresh surgical explants of solid tumors obtained from 50 patients using the in vivo subrenal capsule (SRC) assay and the in vitro succinate dehydrogenase inhibition (SDI) test in comparison. Control growth adequate to meet evaluable assay criteria was obtained in 36 of the 50 tumors tested in the SRC assay (72.0%). In the SDI test, 46 of 50 tumors were evaluable (92.0%). Correlations between the two test systems were dependent upon the activity criteria established for each system. With activity criteria set at a change of less than or equal to -2.0 in the drug sensitivity score for the SRC assay and greater than or equal to 50.0% inhibition of succinate dehydrogenase activity for the SDI test, 12.5% of the drugs tested were active in the SRC assay and 22.3% were active in the SDI test. Correlations of tumor response between the two test systems were 31.7% for sensitivity (13/41) and 95.1% for resistance (98/103). In spite of the fundamental difference between the SRC assay and SDI test, meaningful correlations between the test results and clinical tumor responses in both test systems were obtained. This fact suggests that the two methods are complementary to each other.

Keywords drug sensitivity test subrenal capsule assay succinate dehydrogenase inhibition test
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1988-06
Volume volume42
Issue issue3
Publisher Okayama University Medical School
Start Page 121
End Page 127
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 3400481
Web of Science KeyUT A1988P034000001