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フルテキストURL Int_J_Spce_Situat_Comput_7_3_145.pdf
著者 Khin Khin Zaw| Funabiki, Nobuo|
キーワード Java programming learning assistant system JPLAS design-aware test code JUnit metric plugin breadth-first-search BFS
発行日 2017-12-29
出版物タイトル International Journal of Space-Based and Situated Computing
巻 7巻
号 3号
出版者 INDERSCIENCE ENTERPRISES
開始ページ 145
終了ページ 154
ISSN 2044-4893
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
DOI 10.1504/IJSSC.2017.089006
関連URL isVersionOf https://doi.org/10.1504/IJSSC.2017.089006
フルテキストURL IJCSE17_2_116_2017.pdf
著者 Ishihara, Nobuya| Funabiki, Nobuo| Kuribayashi, Minoru| Kao, Wen-Chung|
キーワード JPLAS Java programming education Web application MVC model Software architecture
発行日 2017-07-27
出版物タイトル International Journal of Computer & Software Engineering
巻 2巻
号 1号
出版者 Graphy Publications
開始ページ 116
ISSN 2456-4451
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン publisher
DOI 10.15344/2456-4451/2017/116
関連URL isVersionOf https://doi.org/10.15344/2456-4451/2017/116
フルテキストURL IJNC_7_2_248.pdf
著者 Md. Selim Al Mamun| Funabiki, Nobuo| Kyaw Soe Lwin| Md. Ezharul Islam| Kao, Wen-Chung|
キーワード Elastic WLAN system interference minimization channel assignment active access-point configuration algorithm testbed Raspberry Pi
発行日 2017-10-04
出版物タイトル International Journal of Networking and Computing
巻 7巻
号 2号
出版者 IJNC Editorial Committee
開始ページ 248
終了ページ 270
ISSN 2185-2839
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン publisher
DOI 10.15803/ijnc.7.2_248
関連URL isVersionOf https://doi.org/10.15803/ijnc.7.2_248
フルテキストURL IJNC_7_2_187.pdf
著者 Kyaw Soe Lwin| Funabiki, Nobuo| Taniguchi, Chihiro| Khin Khin Zaw| Md. Selim Al Mamun| Kuribayashi, Minoru| Kao, Wen-Chung|
キーワード Wireless local area network access point setup MIMO throughput estimation model parameter optimization
発行日 2017-10-04
出版物タイトル International Journal of Networking and Computing
巻 7巻
号 2号
出版者 IJNC Editorial Committee
開始ページ 187
終了ページ 207
ISSN 21852847
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン publisher
DOI 10.15803/ijnc.7.2_187
関連URL isVersionOf https://doi.org/10.15803/ijnc.7.2_187
JaLCDOI 10.18926/AMO/56078
フルテキストURL 72_3_309.pdf
著者 Katayama, Satoshi| Takenaka, Tadasu| Nakamura, Aya| Sako, Sinichi| Bessho, Akihiro| Ohara, Nobuya|
抄録 Pulmonary tumor thrombotic microangiopathy (PTTM) is a fatal, malignancy-related respiratory complication; we herein report a PTTM case induced by metastatic prostate cancer. An 81-year-old Japanese man developed dyspnea. High-resolution computed tomography (HRCT) revealed ground-glass opacities spread across bilateral lung fields. Pulmonary microvascular aspiration cytology detected prostate cancer cells. As PTTM was highly suspected, docetaxel chemotherapy was performed immediately. His respiratory condition and HRCT findings improved temporarily, but he died approx. 6 weeks after admission. Autopsy showed fibrocellular intimal proliferation of small pulmonary arterioles, which confirmed the diagnosis of PTTM induced by prostate cancer. As in the present case, it is often difficult to confirm the presence of not only tumor embolization but also fibrocellular intimal proliferation before the patient’s death.
キーワード autopsy dyspnea prostate neoplasm metastatic lung cancer thrombotic microangiopathy
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-06
巻 72巻
号 3号
出版者 Okayama University Medical School
開始ページ 309
終了ページ 313
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29926010
フルテキストURL K0005748_abstract_review.pdf K0005748_fulltext.pdf
著者 Nguyen Thi Thuy Hang|
発行日 2018-03-23
資料タイプ 学位論文
学位授与番号 甲第5748号
学位授与年月日 2018-03-23
学位・専攻分野 博士(環境学)
授与大学 岡山大学
言語 英語
JaLCDOI 10.18926/AMO/55861
フルテキストURL 72_2_189.pdf
著者 Nakao, Shinichiro| Hagiya, Hideharu| Kimura, Keigo| Mitsui, Tomomi| Oyama, Akane| Hongyo, Kazuhiro| Takahashi, Yusuke| Nakagami, Futoshi| Tomono, Kazunori| Rakugi, Hiromi|
抄録 A 65-year-old Japanese man with bilateral carotid atherosclerosis presented with right neck pain and fever. Contrast-enhanced computed tomography suggested carotid arteritis, and carotid ultrasonography showed an unstable plaque. The patient developed a cerebral embolism, causing a transient ischemic attack. Helicobacter cinaedi was detected in blood culture, and H. cinaedi-associated carotid arteritis was diagnosed. Empirical antibiotic therapy was administered for 6 weeks. After readmission for recurrent fever, he was treated another 8 weeks. Although the relationship between H. cinaedi infection and atherosclerosis development remains unclear, the atherosclerotic changes in our patient’s carotid artery might have been attributable to H. cinaedi infection.
キーワード atherosclerosis bacteremia bacterial translocation Helicobacter cinaedi vascular infection
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-04
巻 72巻
号 2号
出版者 Okayama University Medical School
開始ページ 189
終了ページ 192
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29674769
JaLCDOI 0
フルテキストURL J_Gastroenterol_Hepatol_62_4_925.pdf
著者 Horiguchi, higeru| Kato, Hironari| Shiraha, Hidenori| Tsutsumi, Koichiro| Yamamoto, Naoki| Matsumoto, Kazuyuki| Tomoda, Takeshi| Uchida, Daisuke| Akimoto, Yutaka| Mizukawa, Syou| Tanaka, Takehiro| Ichimura, Koichi| Takaki, Akinobu| Yagi, Takahito| Okada, Hiroyuki|
キーワード WHO2010 dynamic CT microvessel density pancreatic neuroendocrine neoplasm pathological grade
備考 This is an Accepted Manuscript of an article published by John Wiley & Sons|
発行日 2017-04
出版物タイトル Journal of Gastroenterology and Hepatology
巻 32巻
号 4号
出版者 John Wiley & Sons
開始ページ 925
終了ページ 931
ISSN 0815-9319
NCID AA10727383
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 27637470
DOI 10.1111/jgh.13594
Web of Science KeyUT 000398534100030
関連URL isVersionOf https://doi.org/10.1111/jgh.13594
JaLCDOI 10.18926/AMO/55669
フルテキストURL 72_1_85.pdf
著者 Kosaki, Yoshinori| Yumoto, Tetsuya| Naito, Hiromichi| Tsuboi, Nobushige| Kameda, Masahiro| Hirano, Masayuki| Morizane, Yuki| Senoo, Takaya| Tokuyama, Eijirou| Nakao, Atsunori|
抄録 Traumatic eyeball luxation is a rare clinical condition with a dramatic presentation. Here, we describe a unique case of traumatic globe luxation and complete optic nerve transection caused by heavy object compression. A 45-year-old male automobile mechanic was injured when a truck slipped from its supports, crushing his head and face. On arrival, his right eyeball was obviously displaced anteriorly and he had no light perception. Computed tomography revealed complex frontal bone and facial fractures with underlying brain contusion in addition to complete transection of the right optic nerve. The patient was successfully treated using a multidisciplinary approach.
キーワード globe luxation optic nerve avulsion traumatic brain injury facial trauma
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-02
巻 72巻
号 1号
出版者 Okayama University Medical School
開始ページ 85
終了ページ 88
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29463945
JaLCDOI 10.18926/AMO/55666
フルテキストURL 72_1_73.pdf
著者 Umakoshi, Michiari| Yasuhara, Takao| Toyoshima, Atsuhiko| Sasada, Susumu| Kusumegi, Akira| Morimoto, Jun| Kin, Kyohei| Tomita, Yousuke| Date, Isao|
抄録 The spinal extradural arachnoid cyst is a rare entity. Obtaining the correct diagnosis and detecting the fistula location are critical for providing effective treatment. A 41-year-old man had numbness in the soles of his feet for 2 years with accompanying gait disturbance, and a defecation disorder. Computed tomography myelography performed at another hospital revealed an epidural arachnoid cyst from Th11 to L2. He received a subarachnoid-cyst shunt at the rostral part of the cyst. However, his symptoms worsened and he was admitted to our hospital. Neuroradiological investigations revealed the correct location of the fistula at the level of Th12. We performed partial removal of the cyst wall with fistula closure via right hemilaminectomy of Th11 and 12. The complete closure of the fistula was confirmed by intrathecal infusion of artificial cerebrospinal fluid through the shunt tube. The shunt tube was removed with the sutures. The patient’s symptoms improved, although numbness remained in his bilateral heels. There has been no recurrence in 15 months since the surgery. Fistula closure may work as a balanced therapeutic strategy for spinal extradural arachnoid cyst, and intrathecal cerebrospinal fluid infusion is useful for the confirmation of complete fistula closure.
キーワード fistula closure intrathecal infusion microscopic surgery preoperative evaluation recurrence
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-02
巻 72巻
号 1号
出版者 Okayama University Medical School
開始ページ 73
終了ページ 76
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29463942
タイトル(別表記) Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings
フルテキストURL 129_171.pdf
著者 河合 毅| 遠藤 芳克| 渡邉 貴紀| 甲斐 恭平| 佐藤 四三|
抄録 A solid pseudo-papillary tumor of the pancreas is a rare neoplasm which mainly occurs in young women. Here, we report two cases of solid-pseudopapillary neoplasm of the pancreas (SPN) with contrasting imaging findings. One was a 59-year-old woman having no symptomatic complaint with a pancreatic cystic tumor in the tail. The tumor was 60 mm in diameter with a cyst composed of a calcified wall and low-density content which was poorly perfused on contrast-enhanced computed tomography (CT). We diagnosed SPN based on imaging findings and performed distal pancreatectomy. Histology revealed SPN, and the patient had two years of recurrence -free survival (RFS). The other case was a 34-year-old man with an asymptomatic solid tumor in the pancreatic tail. Contrast-enhanced CT showed low peripheral attenuation of a 25-mm solid tumor, with the main duct dilated distal from tumor. We diagnosed him with pancreatic cancer with atypical image findings. Pathological findings revealed SPN, and the patient had five years of RFS. Small-sized SPN is being increasingly recognized because of the recent advances in CT and MRI. We should consider SPN even if it occurs in a male, and endoscopic ultrasound -guided fine-needle aspiration has recently been reported to be useful in diagnosing SPN.
キーワード 膵SPN(solid-pseudopapillary neoplasm of the pancreas) EUS-FNA(endoscopic ultrasound-guided fine needle aspiration) 成人男性(male)
出版物タイトル 岡山医学会雑誌
発行日 2017-12-01
巻 129巻
号 3号
開始ページ 171
終了ページ 177
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.129.171
言語 日本語
著作権者 Copyright (c) 2017 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.129.171
NAID 40021393857
フルテキストURL manuscript.pdf Figure.pdf Table.pdf
著者 Umemura, Hiroshi| Yamasaki, Osamu| Kaji, Tatsuya| Hamada, Toshihisa| Otsuka, Masaki| Asagoe, Kenji| Iwatsuki, Keiji|
キーワード angiosarcoma maximum standardized uptake value positron emission tomography positron emission tomography/computed tomography prognostic factor
備考 This is an Accepted Manuscript of an article published by Wiley-Blackwell|
発行日 2017-09
出版物タイトル Journal of Dermatology
巻 44巻
号 9号
出版者 Wiley-Blackwell
開始ページ 1046
終了ページ 1049
ISSN 0385-2407
NCID AA00696658
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 28370268
DOI 10.1111/1346-8138.13839
Web of Science KeyUT 000409187000022
関連URL isVersionOf https://doi.org/10.1111/1346-8138.13839
JaLCDOI 10.18926/AMO/55441
フルテキストURL 71_5_427.pdf
著者 Nagata, Kosei| Chikuda, Hirotaka| Inokuchi, Koichi| Ishii, Keisuke| Kobayashi, Atsuki| Kanai, Hiroyuki| Miyoshi, Kota|
抄録 Cervical spine dislocation and fracture of a transverse process are isolated risk factors for vertebral artery injuries (VAIs), which can cause a life-threatening ischemic stroke. Since in vivo experiments are not possible, it has not been unclear whether damage to or extension of vertebral arteries is more predictive of a VAI. To identify the imaging characteristics associated with VAI, we analyzed 36 vertebral arteries from 22 cervical spine dislocation patients who underwent computed tomography angiography (Aug. 2008-Dec. 2014). We evaluated (1) the posttraumatic elongation of the vertebral artery and (2) the presence of fracture involving the transverse foramen. VAI was found in 20 (56%) of the 36 vertebral arteries. The rate of residual shift (vertebral artery elongation) was not markedly different between the VAI and no-VAI groups. However, the rate of >1 mm displacement into the foramen and that of fracture with gross displacement (≥2 mm) differed significantly between the groups. We found that greater displacement of fractured transverse processes with cervical spine dislocation was a risk factor for VAI. These results suggest that direct damage to the vertebral arteries by transverse process fragments is more likely to predict a VAI compared to elongation, even in cervical spine dislocation.
キーワード vertebral artery injury cervical spine dislocation CT angiography transverse process vertebral artery elongation
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-10
巻 71巻
号 5号
出版者 Okayama University Medical School
開始ページ 427
終了ページ 432
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29042701
JaLCDOI 10.18926/AMO/55438
フルテキストURL 71_5_407.pdf
著者 Marukawa, Yohei| Sato, Shuhei| Tanaka, Takashi| Tada, Akihiro| Kanie, Yuichiro| Kanazawa, Susumu|
抄録 We retrospectively evaluated the qualities of pediatric cardiovascular dual-source computed tomography (DSCT) images reconstructed by sinogram-affirmed iterative reconstruction (SAFIRE) and filtered back projection (FBP). We analyzed the cases of 287 congenital heart disease (CHD) patients < 5 years old, referred to our department in August 2013-March 2015. We divided them into two groups according to tube voltage (70 kVp, n=147; 80 kVp, n=140). All images were acquired by a CARE kV system and reconstructed by FBP and SAFIRE. The attenuation, noise, and signal-to-noise ratio (SNR) at each region of the heart and great vessels were measured. The volume CT dose index and dose-length product values were recorded. Compared to FBP, reconstruction by SAFIRE showed that the attenuation volume was significantly lower by 0.4% except for the ascending aorta (p<0.05), the noise value was lower by about 20% (p<0.05), and the SNR was higher by approx. 25% (p<0.05). The radiation dose in the 70 kVp group was significantly lower than that in the 80 kVp group. No significant differences in SNR were observed between the patient groups. DSCT image acquisition with SAFIRE using the CARE kV system results in low image noise and radiation dose in pediatric patients with CHD.
キーワード congenital heart disease iterative reconstruction low-kV computed tomography pediatric
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-10
巻 71巻
号 5号
出版者 Okayama University Medical School
開始ページ 407
終了ページ 412
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 29042698
JaLCDOI 10.18926/AMO/55305
フルテキストURL 71_4_291.pdf
著者 Naganuma, Atsushi| Hoshino, Takashi| Suzuki, Yuhei| Uehara, Daisuke| Kudo, Tomohiro| Ishihara, Hiroshi| Sato, Ken| Kakizaki, Satoru| Yamada, Masanobu| Takagi, Hitoshi|
抄録 The effect of skeletal muscle mass (SMM) on the outcomes of sorafenib treatment for hepatocellular carcinoma (HCC) has not been established. We measured the SMM in HCC patients treated with sorafenib, evaluated the patients’ survival, and evaluated the association between skeletal muscle depletion and sorafenib treatment. Of the 97 HCC patients treated with sorafenib at our institution in the period from July 2009 to February 2015, our study included 69 patients (51 males, 18 females) who had received sorafenib for ≥ 8 weeks and whose follow-up data were available. SMM was calculated from computed tomography images at the mid-L3 level (cm2) and normalized to height (m2) to yield the L3 skeletal muscle index (L3-SMI, cm2/m2). The median L3-SMI value was higher in the males (43 cm2/m2) compared to the females (36 cm2/m2). In the males only, the multivariate Cox regression identified an L3-SMI <43 cm2/m2 as independently associated with higher mortality compared to an L3-SMI ≥43 cm2/m2 (hazard ratio 2.315, 95% confidence interval: 1.125-4.765, p=0.023). Skeletal muscle depletion is a factor predicting poor prognosis for male patients with advanced HCC treated with sorafenib.
キーワード skeletal muscle depletion hepatocellular carcinoma sorafenib L3 skeletal muscle index prognostic factor
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-08
巻 71巻
号 4号
出版者 Okayama University Medical School
開始ページ 291
終了ページ 299
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28824184
JaLCDOI 10.18926/AMO/55304
フルテキストURL 71_4_279.pdf
著者 Fujii, Yosuke| Fujiwara, Kazuo| Tetsunaga, Tomonori| Miyake, Takamasa| Yamada, Kazuki| Endo, Hirosuke| Abe, Nobuhiro| Sugita, Naohiko| Mitsuishi, Mamoru| Inoue, Takayuki| Nakashima, Yoshio| Ozaki, Toshifumi|
抄録 We developed a surface matching-type computed tomography (CT)-based navigation system for total hip arthroplasty (the N-navi; TEIJIN NAKASHIMA MEDICAL, Okayama, Japan). In the registration step, surface matching was performed with digitizing points on the pelvic bone surface after coarse paired matching. In the present study, we made model bones from the CT data of patients whose acetabular shapes had various deformities. We measured the distances and angles after surface matching from the fiducial points and evaluated the ability to correct surface-matching registration on each pelvic form, using several areas and numbers of points. When the surface-matching points were taken on the superior area of the acetabulum, the correction was easy for the external direction, but it was difficult to correct for the anterior and proximal directions. The correction was difficult for external and proximal directions on the posterior area. Each area of surface-matching points has particular directions that are easily corrected and other directions that are difficult to correct. The shape of the pelvis also affected the correction ability. Our present findings suggest that checking the position after coarse paired matching and choosing the surface-matching area and points that are optimal to correct will improve the accuracy of total hip arthroplasty and reduce surgical times.
キーワード total hip arthroplasty CT-based navigation system surface matching
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-08
巻 71巻
号 4号
出版者 Okayama University Medical School
開始ページ 279
終了ページ 289
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28824183
JaLCDOI 10.18926/AMO/55303
フルテキストURL 71_4_269.pdf
著者 Furui, Atsuo| Terada, Nobuki|
抄録 Achieving sufficient support of the anterior cortex of the femoral neck is a fundamental goal of the reduction of trochanteric fractures. However, anterior-cortex support is often lost after the fracture reduction. Our aim was to analyze factors contributing to the postoperative displacement of an acceptably reduced trochanteric fracture. The cases of 40 patients with a post-reduction Ikuta subtype N fracture alignment were reviewed. All fractures were fixed with 135° free-sliding plates. On postoperative day 14, patients were classified into two groups: those with retention of the Ikuta subtype N alignment, and those with progression to Ikuta subtype P alignment. The clinical and radiological factors were evaluated between the groups. In addition, to define one of the factors, i.e., the postoperative rotational displacement between the proximal and distal fragments, the relationship between radiographic findings and computed tomography image measurements was assessed in 15 of the 40 patients. Angulation at the fracture site on lateral view radiographs was defined as postoperative rotational displacement, and unstable trochanteric fractures and postoperative rotational displacement were identified as significant risk factors for the postoperative displacement. Therefore, cautious and careful follow-up is warranted for patients with unstable trochanteric fractures or fractures having rotational displacement.
キーワード trochanteric fracture sliding hip screw subtype rotational displacement iliofemoral ligament
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-08
巻 71巻
号 4号
出版者 Okayama University Medical School
開始ページ 269
終了ページ 277
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28824182
フルテキストURL Acta_Otolaryngol_137_5_529.pdf Acta_Otolaryngol_137_5_529_image.pdf
著者 Kariya, Shin| Okano, Mitsuhiro| Oto, Takahiro| Higaki, Takaya| Haruna, Takenori| Noda, Yohei| Nishizaki, Kazunori|
キーワード Lung transplant bronchiolitis obliterans infection; pneumonia survival rate
備考 2018年5月公開予定|
発行日 2017-05
出版物タイトル Acta Oto-laryngologica
巻 137巻
号 5号
出版者 Taylor & Francis
開始ページ 529
終了ページ 533
ISSN 0001-6489
NCID AA0050923X
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 27809696
DOI 10.1080/00016489.2016.1247497
Web of Science KeyUT 000400167100014
関連URL https://doi.org/10.1080/00016489.2016.1247497
タイトル(別表記) Adenocarcinoma in the jejunum 20 years after surgery for familial adenomatous polyposis
フルテキストURL 129_111.pdf
著者 杉原 雄策| 川野 誠司| 原田 馨太| 高嶋 志保| 竹井 大介| 井口 俊博| 高原 政宏| 平岡 佐規子| 母里 淑子| 岸本 浩行| 永坂 岳司| 岡田 裕之|
抄録 A 58-year-old Japanese man visited a local clinic for the evaluation of a stomachache. He was diagnosed with intestinal obstruction. His medical history included a proctocolectomy at the age of 38 years, due to familial adenomatous polyposis (FAP). He was referred to our institution, where he underwent a computed tomography examination and endoscopy of the small intestine. The pathological diagnosis was adenocarcinoma. No invasive or metastatic lesions were observed. Therefore, partial resection of the ileum with lymphadenectomy and reconstruction of the ileostomy were performed. Pathological examination revealed that the tumor was type 2, pT3 (SS) , pN1, pPM0, pDM0, pRM0, INFb, ly1, v1, pEX0, PN0. Twenty-nine days after the surgery, the patient was diagnosed with lung metastasis and he underwent lung radiofrequency ablation. We suggest that long-term follow-up is necessary for patients after surgery for FAP, because of the risk of malignant disease developing in other organs.
キーワード 家族性大腸腺腫症 (familial adenomatous polyposis) 小腸癌 (jejunal cancer) 小腸内視鏡検査 (small intestine endoscope)
出版物タイトル 岡山医学会雑誌
発行日 2017-08-01
巻 129巻
号 2号
開始ページ 111
終了ページ 114
ISSN 0030-1558
関連URL https://doi.org/10.4044/joma.129.111
言語 日本語
著作権者 Copyright (c) 2017 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.129.111
NAID 130006039373
タイトル(別表記) Retroperitoneal abscess that ruptured the aorta: Invasive Klebsiella pneumoniae syndrome
フルテキストURL 129_107.pdf
著者 山崎 賢士| 榊間 昌哲| 長倉 優花| 橋本 紘幸| 田代 傑| 三輪 真史| 米村 克彦|
抄録 An 80-year-old Japanese man was admitted to our hospital in April 2016 with an acute high-grade fever and back pain. A systemic contrast-enhanced computed tomography scan disclosed a retroperitoneal abscess around his aorta. The blood culture revealed Klebsiella pneumoniae. Antibiotics (Cefotaxime 1 g i.v. q 6 hours) were administered, but the patient's symptoms worsened. The abscess then ruptured the aorta. An emergency surgical repair was done, and the patient recovered. Invasive Klebsiella pneumoniae syndrome has been detected in southeast Asia over the past two decades, and here we describe a rare case of a retroperitoneal abscess caused by Klebsiella pneumoniae that ruptured the aorta.
キーワード invasive Klebsiella pneumoniae syndrome 腹部大動脈破裂 (ruptured abdominal aorta) 後腹膜膿瘍 (retroperitoneal abscess)
出版物タイトル 岡山医学会雑誌
発行日 2017-08-01
巻 129巻
号 2号
開始ページ 107
終了ページ 109
ISSN 0030-1558
関連URL https://doi.org/10.4044/joma.129.107
言語 日本語
著作権者 Copyright (c) 2017 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.129.107
NAID 130006039375