59 results on '"Satoru Matsusue"'
Search Results
2. Long-term results of transarterial infusion chemotherapy containing Cysplatin for stage IV breast cancer
- Author
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Satoru Nishimura, Yasuo Matsutani, Noriko Senda, Satoru Matsusue, Toshifumi Nakajima, and Yoichiro Kobashi
- Published
- 2010
3. A Case of Hepatic Angiomyolipoma Presented with Rupture and Intraabdominal Hemorrhage
- Author
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Satoru Matsusue, Gen Honjo, Youichiro Kobashi, Masato Naito, Masaaki Awane, and Hiroaki Maeda
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medicine.medical_specialty ,Hepatic Angiomyolipoma ,business.industry ,Intraabdominal hemorrhage ,Gastroenterology ,Medicine ,Surgery ,Radiology ,business - Abstract
症例は48歳の女性で,突然の右季肋部痛のため当院を受診した.CTにて肝S8に径6 cmの腫瘤を認め,腹腔内に中等量の液体貯留を来していたことより腹腔内出血を来していたと考えられた.腫瘍は造影CTで動脈性早期濃染を伴い,MRIではT1強調画像で低信号,脂肪抑制T2強調画像で高信号であり典型的ではないが肝癌と診断した.待期的に肝部分切除を行った.病理組織学的検査では類上皮細胞のみからなる充実性,類洞状増殖を認め肝細胞癌類似の所見であったが,HMB-45陽性であることから肝血管筋脂肪腫と診断された.肝血管筋脂肪腫は血管,平滑筋,脂肪の成分をさまざまな割合で含むまれな良性腫瘍である.その多様性のため,画像・病理の診断が困難なことがある.肝血管筋脂肪腫の破裂は極めてまれであるが,術前診断が困難であること,悪性化の可能性があることなどからも,病態によっては切除の適応とすべきである.
- Published
- 2010
4. A case of leiomyoma of the splenic vein
- Author
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Satoru Matsusue, Yoichiro Kobashi, Yukinari Okayama, Yoko Matsushita, Satoru Nishimura, and Yumi Uehigashi
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medicine.medical_specialty ,Leiomyoma ,business.industry ,Splenic vein ,Medicine ,Radiology, Nuclear Medicine and imaging ,Radiology ,business ,medicine.disease - Abstract
脾静脈に発生した平滑筋腫の1例を経験したので腹部超音波検査(以下,US)像を中心に報告する.症例は61歳,男性.検診のUSで膵腫瘍を指摘され,精査を指示されて当院を紹介受診となった.USで膵体部相当部に40mm大の境界明瞭,内部に高エコー域を混ずる低エコー腫瘤を認めた.膵管の拡張は無く,脾静脈は圧排され,周囲に側副血行路の発達を認めた.開腹所見で,腫瘍は膵からは容易に剥離出来たが,脾静脈と融合しており,脾静脈合併腫瘍切除術が施行され,病理組織学的に脾静脈原発平滑筋腫と診断された.RetrospectiveにUS像を見直すと,脾静脈にbeak signが見られ,腫瘍の発生部位を特定する着眼点と考えられた.
- Published
- 2009
5. Pancreatoduodenectomy for Carcinoma of the Ampulla of Vater with Commonon Hepatic Artery Oroginated from Hepatomesenteric Trunk, Passig Through the Pancreatic Head: Report of a Case
- Author
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Masaki Mizumoto, Gen Honjyo, Satoru Matsusue, and Satoru Nishimura
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medicine.medical_specialty ,business.industry ,General surgery ,Gastroenterology ,Ampulla of Vater ,medicine.disease ,Trunk ,Pancreatic head ,medicine.anatomical_structure ,medicine ,Carcinoma ,Surgery ,Radiology ,Periampullary carcinoma ,business ,Artery - Abstract
症例は60歳の男性で,乳頭部癌に対し,膵頭十二指腸切除術を施行した.肝腸間膜動脈幹から分岐する総肝動脈が上腸間膜静脈の背側から膵鈎部頭側にいたり,膵頭部膵実質を貫通していたが,膵実質を剥離して総肝動脈を温存した.腹側膵,背側膵は総肝動脈の走行部に連続する疎性結合織で隔たれており,発生に伴う肝動脈走向異常の形成が想定された.病理組織学的に中分化管状腺癌で,進行度はpT1,pN0,P0,M−,fStageIであった.肝門部腫瘍により術後32か月目に死亡し,この際行った剖検の結果,組織学的には高分化管状腺癌を示したことから,異時性肝門部胆管癌と判定された.乳頭部癌手術においては,術前から肝動脈走行を十分に把握することが重要であり,肝動脈血流の維持や重複癌を発生した際の治療も考慮したうえで,非浸潤癌においては肝動脈を温存,浸潤癌においては切除,再建することが必要と考えられた.
- Published
- 2009
6. Surgery versus radiochemotherapy for resectable locally invasive pancreatic cancer: Final results of a randomized multi-institutional trial
- Author
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Ryuichiro, Doi, Masayuki, Imamura, Ryo, Hosotani, Toshihide, Imaizumi, Takashi, Hatori, Ken, Takasaki, Akihiro, Funakoshi, Hideyuki, Wakasugi, Takehide, Asano, Shoichi, Hishinuma, Yoshiro, Ogata, Makoto, Sunamura, Koji, Yamaguchi, Masao, Tanaka, Sonshin, Takao, Takashi, Aikou, Koichi, Hirata, Hiroyuki, Maguchi, Koichi, Aiura, Tatsuya, Aoki, Akira, Kakita, Makoto, Sasaki, Masahiko, Ozaki, Satoru, Matsusue, Shunichi, Higashide, Hideki, Noda, Seiyo, Ikeda, Shunzo, Maetani, Shigeaki, Yoshida, and Iwao, Tsukiyama
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Antineoplastic Agents ,law.invention ,Pancreatectomy ,Randomized controlled trial ,Surgical oncology ,law ,Pancreatic cancer ,medicine ,Humans ,Survival rate ,Survival analysis ,Aged ,business.industry ,Hazard ratio ,General Medicine ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Survival Analysis ,Surgery ,Pancreatic Neoplasms ,Radiation therapy ,Female ,Fluorouracil ,business - Abstract
Although the outcome of surgery for locally advanced pancreatic cancer remains poor, it is improving, with 5-year survival up to about 10% in Japan. The preliminary results of our multi-institutional randomized controlled trial revealed better survival after surgery than after radiochemotherapy. We report the final results of this study after 5 years of follow-up. Patients with preoperative findings of pancreatic cancer invading the pancreatic capsule without involvement of the superior mesenteric or common hepatic arteries, or distant metastasis, were included in this randomized controlled trial, with their consent. If the laparotomy findings were consistent with these criteria, the patient was randomized to a surgery group or a radiochemotherapy group (5-fluorouracil 200 mg/m2/day and 5040 Gy radiotherapy). We compared the mean survival time, 3-and 5-year survival rates, and hazard ratio. The surgery and radiochemotherapy groups comprised 20 and 22 patients, respectively. Patients were followed up for 5 years or longer, or until an event occurred to preclude this. The surgery group had significantly better survival than the radiochemotherapy group (P < 0.03). Surgery increased the survival time and 3-year survival rate by an average of 11.8 months and 20%, respectively, and it halved the instantaneous mortality (hazard) rate. Locally invasive pancreatic cancer without distant metastases or major arterial invasion is treated most effectively by surgical resection.
- Published
- 2008
7. Acute Pulmonary Thromboembolism Following Gastroenterological Surgery
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Yoshinori Nakamura, Shigeo Hisamori, Ryo Matsusue, Tsunehiro Yoshimura, Iku Tsukinuki, Masaaki Awane, Yuki Masano, Satoru Matsusue, and Satoru Nishimura
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medicine.medical_specialty ,business.industry ,Acute pulmonary thromboembolism ,Gastroenterology ,medicine ,Surgery ,business - Abstract
はじめに: 術後合併症として肺血栓塞栓症は入院患者の予後に大きく影響する重要な懸案事項である. 方法: 2000年1月から2007年6月までに消化器外科術後に経験した急性肺血栓塞栓症19例を対象とし検討を行った. 結果: 発症率は同時期の全身麻酔下消化器外科手術の0.30%で, 平均年齢68.8±10.6歳, 平均BMI 24.0±2.5, 3例が男性, 16例が女性で, 15例が悪性疾患, 4例が胆石症であった. 術後早期の呼吸困難や胸部不快あるいは急性循環不全の症状に加え, 低O2・CO2血症, 心臓超音波検査による右心負荷所見が特徴的であった. 確定診断には簡便かつ低侵襲である胸部造影CTが有効であった. 肺血栓塞栓発症後は抗凝固単独あるいは血栓溶解併用療法が行われ, 死亡例はなくいずれも軽快退院した. 以後, ワーファリン内服による外来経過観察にて塞栓症の再発は認められていない. 考察: 過去の報告と比較し我々の検討結果における肺血栓塞栓症患者の予後が良好であった理由として, 肺血栓塞栓症予防ガイドライン施行後の器械的予防の徹底, 発生後の早期発見・早期治療開始などが挙げられる. 今後も肺血栓塞栓症の高危険群に対しては薬物的予防法も含めた十分な対策を行い, いかなる手術症例であっても術後肺血栓塞栓症は発症しうると考えられることから術後早期のバイタルサインの変化に対して常に本疾患を念頭においた早急な対応が望まれる.
- Published
- 2008
8. Recurrent Gastrinoma in the Mesentery 19 Years After Primary Resection
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Yoichiro Kobashi, Satoru Matsusue, Akiyoshi Nishio, Toshikuni Nishikawa, and Keiko Nishio
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Reoperation ,Surgical resection ,medicine.medical_specialty ,Pancreatic disease ,Physiology ,Diagnosis, Differential ,Transplant surgery ,Gastrectomy ,Stomach Neoplasms ,Internal medicine ,medicine ,Humans ,Mesentery ,Peritoneal Neoplasms ,Aged ,Gastrinoma ,business.industry ,Primary resection ,General surgery ,Gastroenterology ,Hepatology ,medicine.disease ,Zollinger-Ellison syndrome ,medicine.anatomical_structure ,Female ,Neoplasm Recurrence, Local ,Tomography, X-Ray Computed ,business ,Follow-Up Studies - Published
- 2007
9. Treatment results of chemoradiotherapy for clinical stage I (T1N0M0) esophageal carcinoma
- Author
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Hiroshi Takakuwa, Yoshishige Okuno, Masao Murakami, Toshifumi Nakajima, Kazunari Yamada, Satoru Matsusue, Fusako Kusumi, and Yoshiaki Okamoto
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Male ,Cancer Research ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Brachytherapy ,Gastroenterology ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Carcinoma ,Humans ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,Treatment Failure ,Esophagus ,Aged ,Aged, 80 and over ,Analysis of Variance ,Radiation ,business.industry ,Cancer ,Radiotherapy Dosage ,Middle Aged ,Esophageal cancer ,medicine.disease ,Combined Modality Therapy ,Survival Analysis ,Surgery ,Esophagectomy ,Radiation therapy ,medicine.anatomical_structure ,Oncology ,Carcinoma, Squamous Cell ,Female ,Fluorouracil ,Cisplatin ,business ,Chemoradiotherapy ,Follow-Up Studies - Abstract
In 1991, we started a clinical prospective trial for operable esophageal carcinoma, foreseeing organ preservation, to assess the treatment results after definitive chemoradiotherapy (CRT) for clinical Stage I (T1N0M0) esophageal cancer.Between 1992 and 2003, 63 patients were enrolled in this study. Tumor depth was mucosal cancer (T1a) in 23 and submucosal cancer (T1b) in 40. CRT consisted of 55-66 Gy/50-60 fractions (median, 59.4 Gy); from 1 to 3 cycles (median, 2) of concurrent chemotherapy (Cisplatin and 5-fluorouracil), followed by high-dose-rate intraluminal brachytherapy 10-12 Gy/2-3 fractions.The 5-year overall and cause-specific and disease-free survival rates were 66.4%, 76.3%, and 63.7%, respectively. The 5-year cause-specific survival rates for T1a and T1b cancer patients were 85.2% and 70.0%, respectively (p = 0.06). The 5-year disease-free survival rates for T1a and T1b were 84.4% and 50.5%, respectively (p0.01). Esophageal fistula as a late toxicity occurred in 2 patients (G4: 1; G5: 1), and esophageal stricture requiring a liquid diet occurred in 2 patients. Pericardial effusion was observed in 3 patients.We confirmed that patients with T1N0M0 esophageal carcinoma had their esophagus preserved in 89.2% of cases after definitive CRT, and the survival rates were equivalent to those of previous reports of surgery.
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- 2006
10. A STUDY ON SUBSEROSAL CANCER INFILTRATION AND PROGNOSIS IN RESECTED t2 GALLBLADDER CARCINOMAS
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Satoru Matsusue, Hiroaki Maeda, Atsuko Yanagida, Yoshinori Nakamura, Tsunehiro Yoshimura, Satoru Nishimura, Shigeo Hisamori, Yasuro Kato, Masaaki Awane, Yoshito Asao, Masaki Mizumoto, and Hiroaki Furuyama
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Oncology ,medicine.medical_specialty ,Pathology ,medicine.anatomical_structure ,business.industry ,Internal medicine ,Gallbladder ,medicine ,medicine.disease ,business ,Infiltration (medical) - Abstract
t2胆嚢癌切除症例を対象に漿膜下進展様式を中心に臨床病理学的所見を評価し,予後予知因子,再発様式を検討した.漿膜下進展様式は漿膜下腫瘍深達度(ss 1, 2, 3),腫瘍浸潤増殖様式(INFα, β, γ)およびこの2つの組み合わせ(ssINF-A, -B, -C)で評価した.結果,リンパ節転移(n), ss, INFはそれぞれ単独で予後予知因子となり得たがssINFはこれらよりさらに有効な予後予知因子であった.再発症例を検討した結果,拡大胆摘後に症例が肝転移再発死しており,肝床側にssINF-B, -Cに浸潤する症例ではS4, S5切除を含めた拡大胆摘術が必要であると考えられた.胆嚢頸部に腫瘍の進展を認めた症例のうち3症例に再発死亡を認めた.このうち肝門部胆管狭窄にて再発した2症例はssINF-A, -Bでリンパ節郭清時に胆管切除は行われていなかった.残る1症例は胆管切除を含めた拡大胆摘術が施行されており,肺転移再発した.これらの結果から胆嚢頸部に腫瘍が進展する症例に対してはリンパ節郭清時に胆管切除が必要であると考えられた.
- Published
- 2003
11. Intraarterial Infusion Chemotherapy and Radiotherapy With or Without Surgery for Patients With Locally Advanced or Recurrent Breast Cancer
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Akira Sano, Takanori Taniguchi, Youichirou Kobashi, Yasumasa Kuroda, Yoshiaki Okamoto, Satoru Matsusue, Toshifumi Nakajima, Masao Murakami, and Satoru Nishimura
- Subjects
Adult ,Cancer Research ,medicine.medical_specialty ,medicine.medical_treatment ,Mammary gland ,Breast Neoplasms ,Breast cancer ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Carcinoma ,Humans ,Infusions, Intra-Arterial ,Radical mastectomy ,Aged ,Neoplasm Staging ,Retrospective Studies ,Aged, 80 and over ,Chemotherapy ,business.industry ,Radiotherapy Dosage ,Middle Aged ,Skin ulcer ,medicine.disease ,Combined Modality Therapy ,Survival Analysis ,Surgery ,Radiation therapy ,medicine.anatomical_structure ,Oncology ,Bone marrow suppression ,Female ,Neoplasm Recurrence, Local ,medicine.symptom ,business - Abstract
We analyzed response, side effects, and local control rates of a multimodal treatment consisting of intraarterial infusion chemotherapy (IAIC) and radiotherapy with or without surgery for patients with locally advanced or recurred breast cancer. Thirty-three patients, clinically diagnosed as stage IIB in 1, IIIA in 2, IIIB in 12, IV in 18, were treated from 1991 to 1998. Twenty-five were primary and eight were recurrent cases after surgery. IAIC started as initial treatment up to three times maximum. In most cases, doxorubicin 50 mg, cisplatin 50 mg, and mitomycin 10 mg were infused in the subclavian and/or internal mammary artery. After IAIC, patients in primary cases underwent radical mastectomy or breast conservation surgery, after radiotherapy at a total dose of 50 Gy/25 fractions/5 weeks with a boost of 10 Gy. In recurrent cases, a full dose of radiotherapy was delivered. Clinical objective and complete response rates were 78% and 9% after IAIC. Despite a high rate of residual positive margin (67%) or clinically residual carcinoma, local recurrence developed only in 2 patients (6%) and local control rates at 5 years were calculated as 89%. Bone marrow suppression was frequent, and skin vesiculation (15%) and ulceration (9%) were experienced after IAIC. Skin ulcer (6%), brachial plexus neuropathy (3%), and radiation pneumonitis (3%) occurred as late toxicity. IAIC was effective as an induction treatment and radiotherapy played a role of local control for patients with locally advanced or recurrent breast cancer.
- Published
- 2001
12. Selenium kinetics and changes in glutathione peroxidase activities in patients receiving long-term parenteral nutrition and effects of supplementation with selenite
- Author
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Satoru Matsusue, Noriko Hatanaka, Yoshikazu Yamamoto, Takahisa Fujikawa, Hiroko Nakaden, and Shuji Matsuo
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Adult ,Male ,Parenteral Nutrition ,medicine.medical_specialty ,Erythrocytes ,Adolescent ,Endocrinology, Diabetes and Metabolism ,Urinary system ,chemistry.chemical_element ,Urine ,Excretion ,Selenium ,Sodium Selenite ,Crohn Disease ,Internal medicine ,medicine ,Humans ,Child ,Aged ,Aged, 80 and over ,chemistry.chemical_classification ,Glutathione Peroxidase ,Nutrition and Dietetics ,biology ,Glutathione peroxidase ,Middle Aged ,Kinetics ,Parenteral nutrition ,Endocrinology ,chemistry ,Blood chemistry ,Child, Preschool ,biology.protein ,Female ,Peroxidase - Abstract
Selenium (Se) is an essential trace element in humans. Patients receiving long-term parenteral nutrition (PN) are at risk for Se deficiency. We investigated changes in Se levels and glutathione peroxidase (GSH-Px) activity in serum and tissue (red blood cells, RBC) in addition to urinary excretion of Se in patients receiving long-term PN with and without Se supplementation. In patients without Se supplementation, both Se levels and GSH-Px activity in serum decreased with duration of PN. The serum Se levels were below the lower limits of the control values in 19 of 33 patients (58%) who received PN for less than 1 mo. Conversely, RBC GSH-Px activity remained at a sufficient level in 9 of 12 patients (75%) who received PN for 3-6 mo. The RBC Se levels in all of these patients were lower than the control levels. Urinary Se concentrations were significantly correlated with serum Se concentrations by linear regression analysis (r = 0.707, P0.05). In patients with Se supplementation, urinary Se concentrations increased exponentially with increases in serum Se levels. These findings indicate that a time lag precedes the decrease in levels of serum Se, RBC Se, serum GSH-Px, and RBC GSH-Px in patients without Se supplementation and the increase in excretion of urinary Se in patients with Se supplementation. The monitoring of not only serum Se levels but also RBC GSH-Px activity and urinary Se levels is required for optimal Se supplementation during long-term PN.
- Published
- 2000
13. Is Pancreaticoduodenectomy Reasonable as an Educational Goal in the Early Phase of Gastrointestinal Surgical Training?
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Yoshinori Nakamura, Satoru Matsusue, and Satoru Nishimura
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medicine.medical_specialty ,business.industry ,General surgery ,medicine.medical_treatment ,Gastroenterology ,Medicine ,Surgery ,business ,Early phase ,Pancreaticoduodenectomy ,Surgical training - Abstract
当科では外科卒後研修の到達目標として膵頭十二指腸切除術 (PD) の施行を必須としてきたが, その妥当性を検討した. 1975~1999年に対象者13人が最初に施行したPD患者の手術成績を指導医が施行し背景の一致した症例 (対照) と比較した. PD時の膵空腸吻合は同一術式 (Vertical mattress suture) で行った. 対象者がPD施行までに胃切除57例 (中央値), 胃全摘15, 結腸切除20, 直腸切除13, 胆摘52, 胆道再建15, 膵尾切除3を行い, 研修期間の中央値は40月であった. 手術時間 (521.1±122.5分, 対照414.6±74.6;p=0.01) 以外は出血量, 術後合併症, 膵空腸縫合不全, 術後在院日数で両群間で有意の差はなかった. 固定された研修プログラム上でのPD施行成績は上級医による手術と時間以外同等で, 研修の到達目標として妥当である. 研修には目標設定, 一定の指導方針が重要である.
- Published
- 2000
14. Intraoperative radiotherapy for the abdominal lymphatic system in patients with esophageal carcinoma
- Author
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Murakami M, Toshifumi Nakajima, Yoshiaki Okamoto, Satoru Matsusue, Hiroshi Takeda, Takashi Mizowaki, Kiyoshi Hajiro, Yasumasa Kuroda, Satoru Nishimura, and Fusako Kusumi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Esophageal Neoplasms ,Left gastric artery ,medicine.medical_treatment ,Radiation Dosage ,Disease-Free Survival ,Statistics, Nonparametric ,Celiac artery ,medicine.artery ,medicine ,Humans ,Survival rate ,Lymph node ,Aged ,Probability ,Retrospective Studies ,Chi-Square Distribution ,Intraoperative Care ,business.industry ,Gastroenterology ,Mediastinum ,General Medicine ,Middle Aged ,Prognosis ,Surgery ,Esophagectomy ,Survival Rate ,Radiation therapy ,Treatment Outcome ,medicine.anatomical_structure ,Lymphatic system ,Lymphatic Metastasis ,Carcinoma, Squamous Cell ,Abdomen ,Female ,Radiotherapy, Adjuvant ,business - Abstract
We applied intraoperative radiotherapy (IORT) to the esophageal carcinoma in an attempt to prevent abdominal lymph node recurrence, and retrospectively studied patterns of failure and controllability of abdominal lymph nodes in patients treated with or without IORT. Between July 1986 and October 1997, 81 patients with radically resected esophageal carcinoma, aged 42-76 years (mean 61), were divided into two groups, the IORT group (39 patients) and the non-IORT group (42 patients). All patients except two, who received transhiatal esophagectomy for superficial carcinoma, underwent subtotal esophagectomy with thoracic and abdominal with/without cervical lymphadenectomy. Fourteen patients underwent only surgical resection, and the remaining 67 patients received radiotherapy to the mediastinum post-operatively (40-50 Gy/20-25 Fr/4-5 W) in 37 and preoperatively (44 Gy/40 Fr/4 W) in 30 patients. Preoperative irradiation was performed as a neoadjuvant chemoradiotherapy consisting of two courses of cisplatin (each patient received 80-100 mg, mean 60 mg m(-2), day 1, bolus injection) and 5-fluorouracil (each patient received 500-1000 mg day(-1), mean 400 mg m(-2), days 1-4, continuous infusion). The target volume of IORT encompassed the upper abdominal lymph node area including lymph node groups of right/left cardia, left gastric artery, celiac artery and abdominal para-aorta. A single dose of high-energy electrons (9-12 MeV) of 20-23 Gy, prescribed to the 90% isodose curve, was delivered. Treatment for the abdominal lymphatic system was classified into four categories: surgery alone in 30 patients, surgery with chemotherapy in 12, surgery with IORT in 15, surgery with chemotherapy and IORT in 24. There were no complications related to IORT. Forty patients (49%) had recurring carcinoma: in the lymph nodes (36%), in distant organs (27%) and locally (6%). The incidence of lymph node metastasis was 29% in the neck, 32% in the mediastinum, and 27% in the abdomen. Abdominal lymph node recurrence in the IORT group was less frequent than in the non-IORT group (p=0.048). In particular, 24 patients treated with a combination of surgery, chemotherapy and IORT had no recurrence in the abdominal lymphatic system. The overall median survival was 46 months, the survival at 1, 3, and 5 years being 85%, 52%, and 44% respectively. However, there was no difference in survival between the IORT group and the non-IORT group. The IORT for the abdominal lymphatic system was feasible for reduction of the rate of abdominal lymphatic recurrence without survival benefit in this study. This retrospective finding should be confirmed by a prospective randomized study.
- Published
- 1999
15. Comparison between chemoradiation protocol intended for organ preservation and conventional surgery for clinical T1-T2 esophageal carcinoma
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Kiyoshi Hajiro, Toshifumi Nakajima, Yoshiaki Okamoto, Hiroshi Takeda, Satoru Nishimura, Fusako Kusumi, Takashi Mizowaki, Murakami M, Yasumasa Kuroda, and Satoru Matsusue
- Subjects
Male ,Cancer Research ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Cause of Death ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Carcinoma ,Humans ,Neoplasm Invasiveness ,Radiology, Nuclear Medicine and imaging ,Radical surgery ,Esophagus ,Survival rate ,Aged ,Neoplasm Staging ,Retrospective Studies ,Radiation ,business.industry ,Esophageal disease ,Radiotherapy Dosage ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Surgery ,Survival Rate ,medicine.anatomical_structure ,Oncology ,Epidermoid carcinoma ,Esophagectomy ,Carcinoma, Squamous Cell ,Female ,Fluorouracil ,Cisplatin ,Neoplasm Recurrence, Local ,business ,Chemoradiotherapy ,Follow-Up Studies - Abstract
Purpose: This retrospective study was designed to compare treatment results of the chemoradiation protocol with conventional surgery for thoracic T1-T2 esophageal squamous cell carcinoma. Methods and Materials: Sixty-six patients with esophageal carcinoma, clinically diagnosed as T1 (tumor invading lamina propria or submucosa) or T2 (tumor invading muscularis propria) were treated for 12 consecutive years, from July 1986 to January 1998. The conventional surgery group included 30 patients who underwent esophagectomy with regional lymph node dissection. Twenty-one of them received postoperative radiotherapy. Thirty-six patients were assigned to the chemoradiation protocol, consisting of neoadjuvant chemoradiotherapy (44 Gy; CDDP: 60 mg/m 2 , day 1, bolus; 5-FU: 400 mg/m 2 , day 1–4, continuous), followed by either definitive radiotherapy with high-dose-rate intraluminal brachytherapy (total 70 Gy) for responders or surgery for nonresponders as in the conventional surgery group. Surgical candidates in both groups received intraoperative radiotherapy for abdominal lymphatics since 1991. Results: In the protocol group, 4 patients underwent radical surgery after neoadjuvant chemoradiotherapy, and the remaining 32 underwent definitive chemoradiotherapy. Local control rates at 1 and 3 years were 85% and 70% in the T1/protocol group versus 91% and 80% in the T1/surgery group, and 83% and 83% in the T2/protocol group versus 94% and 80% in the T2/surgery group, respectively. There was no statistical significance. Overall 1- and 3-year survival rates were 100% and 83% in the T1/protocol group versus 82% and 72% in the T1/surgery group ( p = 0.36), and 100% and 51% in the T2/protocol group, versus 95% and 68% in the T2/surgery group ( p = 0.61), respectively. There was no treatment-related mortality in either group. The rates of esophageal conservation were 92% in the T1/protocol group and 58% in the T2/ protocol group. Conclusion: The chemoradiation protocol can result in comparable survival with conventional surgery for patients with T1-T2 esophageal carcinoma. A randomized trial between definitive chemoradiotherapy and surgery is required.
- Published
- 1999
16. Carcinoma In Situ of the Pancreas Associated with Localized Fibrosis
- Author
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Kyoichi Takaori, Takahisa Fujikawa, Satoru Matsusue, Hiroshi Takeda, Hajime Oishi, Takahiro Ito, Yoichiro Kobashi, and Yoshihiro Matsuo
- Subjects
Pathology ,medicine.medical_specialty ,Pancreatic disease ,Hepatology ,business.industry ,Endocrinology, Diabetes and Metabolism ,Carcinoma in situ ,Early detection ,medicine.disease ,Endocrinology ,medicine.anatomical_structure ,Fibrosis ,Immunoenzyme techniques ,Internal Medicine ,medicine ,Carcinoma ,Ultrasonography ,Pancreas ,business - Published
- 1998
17. Neoadjuvant Concurrent Chemoradiotherapy Followed by Definitive High-Dose Radiotherapy or Surgery for Operable Thoracic Esophageal Carcinoma
- Author
-
Yasumasa Kuroda, Fusako Kusumi, Hiroshi Takeda, Koichi Kono, Satoru Matsusue, Yoshiaki Okamoto, Masao Murakami, Kiyoshi Hajiro, and Eisaku Yoden
- Subjects
Male ,Cancer Research ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Antineoplastic Combined Chemotherapy Protocols ,Carcinoma ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,Treatment Failure ,Stage (cooking) ,Esophagus ,Aged ,Neoplasm Staging ,Chemotherapy ,Radiation ,business.industry ,Cumulative dose ,Esophageal disease ,Patient Selection ,Radiotherapy Dosage ,Middle Aged ,medicine.disease ,Survival Analysis ,Surgery ,Radiation therapy ,medicine.anatomical_structure ,Oncology ,Chemotherapy, Adjuvant ,Carcinoma, Squamous Cell ,Feasibility Studies ,Female ,Radiotherapy, Adjuvant ,Fluorouracil ,Cisplatin ,business ,Chemoradiotherapy ,Follow-Up Studies - Abstract
Purpose: A prospective clinical trial was undertaken to investigate the feasibility of concurrent chemoradiotherapy for esophageal carcinomas. Materials and Methods: Between June 1989 and May 1996, forty patients with operable squamous cell carcinoma of the thoracic esophagus (Stage 0 to III: UICC 1987), ages 45 to 78 years (mean: 64), were enrolled in a study of neoadjuvant concurrent chemoradiotherapy followed by definitive high-dose radiotherapy (CRT group) or surgery (CRT-S group). Neoadjuvant chemoradiotherapy consisted of 44 Gy in 40 fractions for 4 weeks (2.2 Gy/2 Fr/day) through 10-MVX rays, with 2 courses of cisplatin (80–100 mg/body, mean: 60 mg/m2, Day 1, bolus injection) and 5-fluorouracil (500–1000 mg/body/day, mean: 400 mg/m2, Days 1–4, continuous infusion). After completion of neoadjuvant chemoradiotherapy, an intermediate clinical response was assessed by barium swallow, esophagoscopy with/without biopsy, EUS in most cases, thoracic and upper abdominal CT scan, and cervical US. Definitive chemoradiotherapy was performed in patients when regression of more than 75% was evident (CRT Group), and esophageal resection was indicated in those who remained at less than 75% (CRT-S Group). In CRT Group, a cumulative dose of 60–70 Gy for Tis, T1 and 65–75 Gy for T2–T4 tumor with high-dose–rate intraluminal brachytherapy and a total of 3 courses of chemotherapy were planned. In CRT-S Group, intraoperative radiotherapy for abdominal lymphatic system and postoperative supraclavicular irradiation were added. Results: At the time of intermediate assessment, complete response (CR) was observed in 16 patients, a partial response (PR) in 22, and no change (NC) in 2. Thirty responding patients (CR, 16; PR, 14) entered the CRT Group, and 10 nonresponding patients (PR, 8; NC, 2) were followed by surgery (CRT-S Group). Radiotherapy was completed satisfactorily, but chemotherapy was suspended in 26 patients (65%) because of acute toxicity. Clinical CR rate at the completion of treatment showed 90% in CRT Group, and pathologic CR rate 10% in CRT-S Group. The overall median survival was 45 months, survival at 1, 2, and 3 years being 100%, 72%, and 56%, respectively. Local-regional failure was observed in 7 patients (all in CRT Group), distant failure in 6 (3 in CRT Group, 3 in CRT-S Group) and local-regional with distant failure in 1 (CRT Group). Four patients with local-regional recurrence in the CRT Group were salvaged by surgery. Overall survival at 2 and 3 years for CRT vs. CRT-S Group was 72%, 64% vs. 75%, 38%, respectively. No treatment-related mortality was observed. The rate of the ’esophagus conservation’ was 65% (Stage 0: 1 of 1, 100%; Stage I: 11 of 12, 92%; Stage II: 8 of 17, 47%; Stage III: 6 of 10, 60%). Conclusion: Our results demonstrated that almost all early disease (Stage 0–I) and about half of advanced disease (Stage II–III) could be conserved, their esophagus treated by the multidisciplinary approach centering on high-dose radiotherapy and concurrent chemotherapy.
- Published
- 1998
18. Abnormal vaginal bleeding from endometrial polyps in a woman receiving tamoxifen therapy for breast cancer: Report of a case
- Author
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Takahisa Fujikawa, Satoru Matsusue, Satoru Nishimura, and Hiroshi Takeda
- Subjects
medicine.medical_specialty ,Vaginal Neoplasms ,Antineoplastic Agents, Hormonal ,medicine.medical_treatment ,Uterus ,Breast Neoplasms ,Hysterectomy ,Polyps ,Breast cancer ,Surgical oncology ,otorhinolaryngologic diseases ,medicine ,Endometrial Polyp ,Humans ,Vaginal bleeding ,skin and connective tissue diseases ,Gynecology ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,General Medicine ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,digestive system diseases ,Endometrial Neoplasms ,Tamoxifen ,medicine.anatomical_structure ,Female ,Surgery ,Radiology ,medicine.symptom ,business ,medicine.drug - Abstract
We report herein the case of a women receiving tamoxifen therapy for breast cancer who developed vaginal bleeding, subsequently found to be caused by unusual endometrial polyps. Upon presentation, ultrasonography and magnetic resonance imaging (MRI) demonstrated a tumor within the uterus. A hysterectomy was performed, and macroscopic examination showed polyp-like lesions of the uterus. Histologically, these polyps demonstrated cystically dilated glands and stromal proliferation, and were diagnosed as endometrial polyps. Although tamoxifen has few side effects, any signs or symptoms of gynecological abnormalities should be carefully evaluated in patients on long-term tamoxifen therapy.
- Published
- 1997
19. Prognostic significance of serum CA19-9 levels in resected pancreatic cancer
- Author
-
Hiroshi Takeda, Satoaki Sakai, Satoru Nishimura, Satoru Matsusue, Koji Fujimoto, Shunzou Koizumi, Masayuki Imamura, Yoshinori Nakamura, and Hideo Tanaka
- Subjects
medicine.medical_specialty ,Univariate analysis ,endocrine system diseases ,Hepatology ,business.industry ,medicine.disease ,Gastroenterology ,digestive system diseases ,Group B ,Surgery ,Internal medicine ,Pancreatic cancer ,medicine ,Adenocarcinoma ,CA19-9 ,business ,Survival rate ,Abdominal surgery - Abstract
Twenty-eight patients with histologically proven pancreatic adenocarcinoma were investigated to evaluate the utility of serum CA19-9 levels as a prognostic indicator after pancreatic resection. Three patients were excluded from the study because their serum CA19-9 levels remained normal throughout the course of the disease. Of the remaining 25 patients, those with preoperative serum CA19-9 levels ≤200U/ml had a better prognosis than those with serum CA19-9 levels >200 U/ml; however, the difference between the two groups was not significant (P=0.13). Serum CA19-9 levels 30 days after pancreatic resection were normalized (≤37 U/ml) in 11 patients (group A), and the survival rate of this group was significantly higher than that of the group of patients with persistently elevated CA19-9 levels (>37 U/ml) (group B) (P
- Published
- 1996
20. A Case Report of the Effect of a Somatostatin Analogue in the Management of Postoperative Pancreatic Fistula
- Author
-
Hiroshi Takeda, Satoru Matsusue, Satoaki Sakai, and Koji Fujimoto
- Subjects
Somatostatin Analogue ,Thesaurus (information retrieval) ,medicine.medical_specialty ,Pancreatic fistula ,business.industry ,General surgery ,Gastroenterology ,medicine ,Surgery ,medicine.disease ,business - Abstract
膵切除後に併発した膵液瘻に対し, ソマトスタチンアナログ (サンドスタチン ®) 投与が有効であった1例を経験した.症例は58歳の男性.9年前に皮膚筋炎と診断され, ステロイドによる治療が開始された.2年後に上部消化管内視鏡検査にて十二指腸乳頭部腫瘍の存在が指摘されたが, 組織診では腺腫と診断され経過観察となった.しかし, 今回施行した生検では腺癌と診断され, さらに, 便潜血陽性にて大腸内視鏡検査を施行したところ, 直腸癌の存在も認めた.皮膚筋炎に対してプレドニン内服中であったが, 膵頭十二指腸切除および直腸前方切除術を施行した.術後膵液瘻を併発し, 最高600ml/日に及ぶ排液を認めたが, サンドスタチン ® 100μg/回, 1日2回皮下注射にて, 約1週間で瘻孔の閉鎖をみた.本症例は, 術後膵液瘻の治療において, サンドスタチン ® 投与が有効であることを示唆する症例と考え報告する.
- Published
- 1994
21. Architectural distortion of subcutaneous fascial layer in breast tumors: Ultrasonographic evaluation
- Author
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Sadao Kashihara, Satoru Matsusue, Shunzo Koizumi, and Satoru Nishimura
- Subjects
Adult ,Pathology ,medicine.medical_specialty ,Acoustics and Ultrasonics ,Biophysics ,Superficial fascia ,Breast Neoplasms ,Breast cancer ,medicine ,Humans ,Neoplasm ,Radiology, Nuclear Medicine and imaging ,Aged ,Skin ,Aged, 80 and over ,Radiological and Ultrasound Technology ,business.industry ,Ultrasound ,Cancer ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Face ,Architectural Distortion ,Female ,Fascial layer ,Ultrasonography, Mammary ,business ,Subcutaneous tissue - Abstract
To develop a criterion to evaluate architectural changes of the subcutaneous tissue layer around the breast, 120 patients with histologically proven tumors were studied as to ultrasonographical delineation of the superficial layer (SL) of the superficial fascia. Breast ultrasonography was performed using an electronic-linear scanner with a 5.0 MHz probe. When SL was identified over the tumor, it was classified into 3 types: flat, disrupted, and convergent types. SL was identified in 106 patients (88%). Forty-six were evaluated to be flat type, and 41 (89%) of them had benign tumors. The remaining 60 were subdivided into either disrupted (n = 44) or convergent type (n = 16); 53 (88%) of these 60 cases had cancerous lesions. Histologically, inward retraction of SL was the most common pattern in breast cancer. Thus, the ultrasonographic pattern of SL reflects the histological findings and can be a useful clue to differentiate benign lesions from cancerous ones.
- Published
- 1992
22. A case of ischemic stenosis of the small intestine
- Author
-
Satoru Matsusue, Satoru Nishimura, Sadao Kashihara, and Shunzo Koizumi
- Subjects
medicine.medical_specialty ,Stenosis ,medicine.anatomical_structure ,business.industry ,Internal medicine ,Gastroenterology ,medicine ,Surgery ,medicine.disease ,business ,Small intestine - Abstract
腸管膜動脈の循環障害に起因する小腸狭窄の1例を経験した.症例は61歳男, 腹部大動脈再建術後に下痢, 腹痛, 嘔吐を呈し, 腹腔内膿瘍と診断されて当科に入院した.排膿術を施行するも症状の改善を得ず, 腸閉塞症状が出現した.高カロリー輸液下に諸検査を行い, 血管造影で上腸管膜動脈根部の狭窄を認めた.虚血が関与する腸閉塞の診断で開腹すると, 回腸の一部が索状に狭窄し, これに沿う腸管膜は萎縮していた.狭窄部を切除し, 端々吻合して症状の消失をみた.病変部は肉眼的に瘢痕状で, 組織学的には腸管全層にわたる線維化と腸管膜動脈の閉塞性変化を認めた.本症は予後不良と言われるが, その改善のためには診断から治療にわたる栄養管理をはじめ, 適切な全身管理が肝要である.
- Published
- 1990
23. Anomalous duplicated cystic duct as a surgical hazard: Report of a case
- Author
-
Yoshinori Nakamura, Takahisa Fujikawa, Satoru Matsusue, Satoru Nishimura, and Hiroshi Takeda
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Cystic Duct ,General Medicine ,Biliary surgery ,Surgery ,medicine.anatomical_structure ,Cholelithiasis ,medicine ,Humans ,Cystic duct ,Cholecystectomy ,Female ,Clinical significance ,Intraoperative Complications ,business ,Aged - Abstract
Anomalies of the biliary ductal system are not uncommon, and their clinical significance is variable. We present herein the case of a 70-year-old Japanese woman found to have an anomalous duplicated cystic duct, which is an extremely rare congenital anomaly. Intraoperative delineation of the anomaly by real-time cholangiograms assisted us in being able to subsequently perform a safe cholecystectomy. This case serves to demonstrate the importance of being aware of the possibility of potential biliary variations in order to avoid ductal injuries during biliary surgery.
- Published
- 1998
24. [Untitled]
- Author
-
Hiroshi Takeda, Mitsunobu Matsushita, Kiyoshi Hajiro, Satoru Matsusue, Satoaki Sakai, Cheng-Long Huang, and Kazuichi Okazaki
- Subjects
medicine.medical_specialty ,Boerhaave syndrome ,Physiology ,Esophageal disease ,business.industry ,Gastroenterology ,Mediastinum ,Pleural cavity ,medicine.disease ,Mediastinitis ,Empyema ,respiratory tract diseases ,Surgery ,Pleural disease ,medicine.anatomical_structure ,medicine ,Esophagus ,business - Abstract
Spontaneous rupture of the esophagus, Boerhaave’s syndrome, is a rare entity, and is often overlooked at ® rst. Its clinical and pathological features have frequently been described (1). Despite advances in supportive measures, delayed diagnosis and treatment still cause a high mortality rate (2). An early suture of the rupture, with adequate drainage of the mediastinum and pleural cavity, provides the best survival rates (3). Postoperative mediastinitis and empyema carry a grim prognosis. We report a case of Boerhaave’s syndrome, in which postoperative empyema was treated successfully by open chest drainage. The usefulness of open chest drainage is discussed here.
- Published
- 1998
25. Treatment results of radiotherapy for carcinoma of the cervical esophagus
- Author
-
Hiroshi Takakuwa, Masao Murakami, Yoshiaki Okamoto, Yoshishige Okuno, Satoru Matsusue, Kazunari Yamada, Fusako Kusumi, and Toshifumi Nakajima
- Subjects
Male ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Malignancy ,Gastroenterology ,Internal medicine ,Carcinoma ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Esophagus ,Aged ,Neoplasm Staging ,Retrospective Studies ,Aged, 80 and over ,Univariate analysis ,Performance status ,business.industry ,Cancer ,Hematology ,General Medicine ,Esophageal cancer ,Middle Aged ,medicine.disease ,Surgery ,Radiation therapy ,medicine.anatomical_structure ,Treatment Outcome ,Oncology ,Female ,business - Abstract
The methods and results of treatment for cancer of the cervical esophagus differ from those for cancer of the thoracic esophagus. Our objective was to retrospectively review the outcome for cervical esophageal cancer patients treated with radiotherapy. Twenty-seven patients with carcinoma of the cervical esophagus treated with definitive radiotherapy from 1988 to 2002 were enrolled in the study. Clinical stage (UICC 1997) was stage I in five, II in six, III in 12 and IV in four. Concurrent head and neck malignancy was found in six patients (22%). The mean radiation dose was 66 Gy. Concurrent chemotherapy (cisplatin and 5-fluorouracil) was performed in 23 patients. The actuarial overall survival rates at 1, 3 and 5 years were 55.6%, 37.9% and 37.9%, respectively, with a median survival of 13.9 months. In the patients with stage I, the 3-year and 5-year survival rates were 75% and 75%, respectively. With univariate analysis, only two of the possible prognostic factors were found to actually influence survival: performance status (p < 0.01) and tumor length (p < 0.01). The survival of patients with cervical esophageal cancer remains poor. It is thought that organ preservation is possible by definitive chemoradiation for early cancer.
- Published
- 2006
26. Solitary cavernous hemangioma of the duodenum: Report of a case
- Author
-
Satoru Matsusue, Satoaki Sakai, Masayuki Kurata, Kyoichi Takaori, Hiroshi Takeda, and Takahisa Fujikawa
- Subjects
medicine.medical_specialty ,Gastrointestinal bleeding ,Endoscopy, Gastrointestinal ,Endosonography ,Diagnosis, Differential ,Hemangioma ,Duodenal Neoplasms ,medicine ,Humans ,medicine.diagnostic_test ,business.industry ,digestive, oral, and skin physiology ,General Medicine ,Middle Aged ,medicine.disease ,Barium meal ,Endoscopy ,Hemangioma, Cavernous ,medicine.anatomical_structure ,Duodenum ,Vascular tumor ,Female ,Surgery ,Radiology ,Differential diagnosis ,Gastrointestinal Hemorrhage ,business ,Wedge resection (lung) - Abstract
Vascular lesions of the duodenum, including hemangioma, are rare causes of gastrointestinal bleeding. We herein describe a 52-year-old woman with a solitary cavernous hemangioma of the duodenum that caused chronic gastrointestinal bleeding. Repeated upper gastrointestinal endoscopy and a barium meal study revealed a solitary vascular tumor in the fourth portion of the duodenum, although the initial investigations including selective angiography were unsuccessful. A wedge resection of the duodenum was performed and microscopical examination showed a cavernous hemangioma. Vascular lesions should therefore also be considered in the differential diagnosis of patients with gastrointestinal bleeding of unknown origin.
- Published
- 1996
27. Validity of local treatment including intraarterial infusion chemotherapy and radiotherapy for fungating adenocarcinoma of the breast: case report of more than 8-year survival
- Author
-
Satoru Matsusue, Satoru Nishimura, Yoshiaki Okamoto, Yasumasa Kuroda, Toshikuni Nishikawa, Akira Sano, and Masao Murakami
- Subjects
Adult ,Cancer Research ,medicine.medical_specialty ,Blood transfusion ,Lung Neoplasms ,Pleural effusion ,medicine.medical_treatment ,Breast Neoplasms ,Metastasis ,Radiotherapy, High-Energy ,Biopsy ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Infusions, Intra-Arterial ,Neoplasm Invasiveness ,Radiation treatment planning ,Chemotherapy ,medicine.diagnostic_test ,business.industry ,Radiotherapy Dosage ,medicine.disease ,Adenocarcinoma, Mucinous ,Combined Modality Therapy ,Magnetic Resonance Imaging ,Surgery ,Radiation therapy ,Oncology ,Adenocarcinoma ,Female ,business ,Tomography, X-Ray Computed - Abstract
A 39-year-old woman came to us complaining of severe anemia (hemoglobin: 2.3 g/dl) and a painful right breast that was entirely occupied by an ulcerative, foul-smelling tumor approximately 20 cm in maximum dimension. The tumor, which was determined to be mucinous adenocarcinoma at biopsy, had invaded the chest wall with multiple lung metastases (T4cN2M1 stage IV). After a blood transfusion, the patient received the following multimodal treatment: concurrent chemoradiotherapy (50 Gy), intraarterial infusion chemotherapy consisting of doxorubicin 50 mg, mitomycin-C 10 mg, and cisplatin 50 mg, and skin graft surgery. After intraarterial infusion chemotherapy, the fungating tumor disappeared. The patient experienced a relapse of right pleural effusion 2 years later and received multimodal treatment. Now, March 30, 2000, the patient is doing well without local recurrence, 8 years after her first admission. The combination of intraarterial infusion chemotherapy and radiotherapy plays a role in successful treatment of extensive local disease of the breast.
- Published
- 2001
28. A case of Mucinous Carcinoma of the Male Breast with Unusual Ultrasonographic Findings Mimicking Phyllodes Tumor
- Author
-
Satoru Matsusue, Takahisa Fujikawa, Makoto Sonobe, Satoru Nishimura, Hiroshi Takeda, and Yoshitaka Nakamura
- Subjects
Pathology ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Granulation tissue ,Cancer ,Phyllodes tumor ,General Medicine ,medicine.disease ,medicine.anatomical_structure ,Breast cancer ,Oncology ,Surgical oncology ,Male breast cancer ,medicine ,Mucinous carcinoma ,Pharmacology (medical) ,Radiology, Nuclear Medicine and imaging ,business ,Mastectomy - Abstract
Mucinous carcinoma of the male breast is a rare histological type of cancer. We describe a 35-year-old male with mucinous carcinoma of the right breast. His breast mass enlarged subacutely, and became painful over a period of 2 months. Ultrasonography demonstrated echoes of a large multilocular cystic lesion with partially heterogenic internal echoes suggesting a phyllodes tumor. A modified radical mastectomy was performed, and histopathologic examination revealed mucin-producing solid or cribriform atypical cells with fibrous granulation tissue and hemosiderin deposition. The patient recovered uneventfully, and is still free of recurrence 30 months after his operation. The prognosis for male breast cancer can be improved by early diagnosis and appropriate multidisciplinary therapy.
- Published
- 2000
29. Mismatched clinicopathological response after concurrent chemoradiotherapy for thoracic esophageal cancer
- Author
-
Hiroshi Takeda, Kiyoshi Hajiro, Yasumasa Kuroda, Masao Murakami, Takashi Mizowaki, Yoichiro Kobashi, Fusako Kusumi, Toshifumi Nakajima, Yoshiaki Okamoto, and Satoru Matsusue
- Subjects
Male ,medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Endoscopic ultrasonography ,Carcinoma ,Medicine ,Humans ,Pathological ,Aged ,Cisplatin ,business.industry ,Remission Induction ,Gastroenterology ,General Medicine ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Surgery ,Concurrent chemoradiotherapy ,Treatment Outcome ,Esophagectomy ,Carcinoma, Squamous Cell ,Female ,Radiology ,business ,Thoracic esophageal cancer ,Chemoradiotherapy ,medicine.drug - Abstract
We have been treating patients with operable thoracic esophageal cancer according to our own protocol. It includes the initial concurrent chemoradiotherapy (CRT) followed by continuous CRT or surgery. Patients with good response to initial chemoradiotherapy were allowed to continue chemoradiotherapy, whereas the others were treated with surgery. However, there were two cases which showed discrepancies in the clinicopathological response. Both patients received initial chemoradiotherapy, including two courses of cisplatin (100-120 mg), 5-fluorouracil (750-1000 mg for 4 days) and radiation (44-50 Gy). On completion of the initial chemoradiotherapy, all diagnostic imaging modalities including barium swallow, esophagoscopy, endoscopic ultrasonography and thoracic computed tomography strongly implicated residual tumor with a reduction rate of 40-50%. The patients underwent radical esophagectomy 15-20 days after initial chemoradiotherapy. Pathological specimens only revealed thickening of the esophageal wall due to inflammatory change without residual carcinoma. These facts suggest the current limitations of diagnostic images in evaluating the response to chemoradiotherapy.
- Published
- 2000
30. Treatment results of esophageal carcinoma of clinical T3, T4M0: historical comparison between neoadjuvant chemoradiotherapy followed by surgery or definitive radiotherapy and conventional surgery
- Author
-
Yoshiaki Okamoto, Toshifumi Nakajima, Satoru Nishimura, K Hajiro, Yasumasa Kuroda, Satoru Matsusue, F Kusumi, M Murakami, and Hiroshi Takeda
- Subjects
Male ,Cancer Research ,medicine.medical_specialty ,Time Factors ,Esophageal Neoplasms ,medicine.medical_treatment ,medicine ,Humans ,Combined Modality Therapy ,Radical surgery ,Esophagus ,Survival rate ,Neoplasm Staging ,Retrospective Studies ,Esophageal disease ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Survival Rate ,Radiation therapy ,medicine.anatomical_structure ,Oncology ,Chemotherapy, Adjuvant ,Esophagectomy ,Carcinoma, Squamous Cell ,Female ,business ,Chemoradiotherapy ,Follow-Up Studies - Abstract
We investigated results for thoracic T3-T4 esophageal squamous cell carcinoma in two strategies. The protocol group (46 patients) consisted of neoadjuvant chemoradiotherapy (44 Gy, CDDP, 5-FU), followed by either definitive radiotherapy (total 70 Gy) for responders or surgery for non-responders. The surgery group (26 patients) underwent esophagectomy with regional lymph node dissection. Nineteen of them received postoperative radiotherapy. Surgical candidates in both groups received intraoperative radiotherapy for abdominal lymphatics since 1991. In the protocol group, 23 patients underwent radical surgery after neoadjuvant chemoradiotherapy and the remaining 23 underwent definitive radiotherapy. The rates of recurrence were 64% in the protocol group, and 62% in the surgery group. Overall 3- and 5-year survival rates were 48% and 31% in the protocol group compared to those of 30% and 30% in the surgery group. The rate of theesophagus conservationwas 39% in the protocol group. There was no mortality in either group. Our protocol had at least comparable prognostic values with historical conventional surgery, and was excellent in having feasibility for organ preservation.
- Published
- 2000
31. A prospective analysis of the factors influencing pancreaticojejunostomy performed using a single method, in 100 consecutive pancreaticoduodenectomies
- Author
-
Satoru Matsusue, Yoshinori Nakamura, Satoru Nishimura, Shunzo Koizumi, and Hiroshi Takeda
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Anastomosis ,Dehiscence ,Pancreaticoduodenectomy ,Sepsis ,Postoperative Complications ,Risk Factors ,Pancreaticojejunostomy ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Pancreas ,Aged ,Wound Healing ,business.industry ,Anastomosis, Surgical ,Suture Techniques ,Stent ,General Medicine ,Middle Aged ,medicine.disease ,Prognosis ,Surgery ,medicine.anatomical_structure ,Jejunum ,Pancreatic fistula ,Anesthesia ,Wound Infection ,Female ,business - Abstract
The factors influencing the healing process of pancreaticojejunostomy (P-J) following pancreaticoduodenectomy (PD) are still ill defined, allowing the recommendation of various anastomotic methods. We conduced a prospective study to determine the risk factors influencing the protracted healing of P-J, examining 100 consecutive patients who underwent PD followed by P-J, performed as an end-to-side “mucosa-to-mucosa” anastomosis using vertical mattress sutures (VMS method). Protracted healing of P-J was classified as either peripancreatic sepsis (PPS), defined as prolonged suppurative discharge of less than 50 ml a day from the drain beneath the P-J for more than 1 week; or a pancreatic fistula (PF), defined as prolonged discharge of more than 50 ml a day with a high amylase content (>1000 IU) for more than 1 week. There were 80 patients with a malignant neoplasm, and 20 with benign disease. The overall incidence of healing problems following P-J was 9%, which included 6 patients (6%) with PPS and 3 (3%) with PF. Apart from an advanced age of more than 70 years, none of the patients' characteristics or postoperative complications influenced the healing of P-J. The type of reconstruction, an anastomotic stent, the duct size, and a “soft” pancreas were not risk factors either. In conclusion, no factors, apart from the age or any special problem of an individual patient, influenced the dehiscence of P-J when the VMS method was used after PD.
- Published
- 1998
32. Malignant thymoma with direct invasion into the peritoneal cavity: report of a case
- Author
-
Yoshinori Nakamura, Makoto Sonobe, Yoshiaki Kori, Satoru Matsusue, Hiroshi Takeda, and Takahisa Fujikawa
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Thymoma ,Peritoneal cavity ,Surgical oncology ,Recurrence ,hemic and lymphatic diseases ,Medicine ,Humans ,Neoplasm Invasiveness ,neoplasms ,Peritoneal Neoplasms ,Gastrointestinal Neoplasms ,Gastrointestinal tract ,Rib cage ,Malignant Thymoma ,business.industry ,Stomach ,Transverse colon ,General Medicine ,Thymus Neoplasms ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Surgery ,business - Abstract
Extrathoracic invasions or metastases from thymomas are extremely rare. We describe herein the case of a patient with malignant thymoma which recurred three times during an 8-year period and invaded directly into the peritoneal cavity, involving the gastrointestinal tract. The huge thymoma was completely resected, along with the fornix of the stomach, the transverse colon, and the 8th, 9th, and 10th ribs. Careful observation and multidisciplinary treatment against recurrent thymoma will be requisite for this patient, even though the tumor has been completely resected.
- Published
- 1998
33. The effect of short-term continuous epidural morphine on postoperative pain after laparoscopic cholecystectomy
- Author
-
Takahisa Fujikawa, Yoshinori Nakamura, Satoru Matsusue, Makoto Nishiwada, Hiroshi Takeda, and Yasuro Kato
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Postoperative pain ,Group ii ,Analgesic ,Epidural morphine ,Medicine ,Humans ,Laparoscopic cholecystectomy ,Pain Measurement ,Retrospective Studies ,Pain score ,Pain, Postoperative ,Morphine ,business.industry ,General Medicine ,Middle Aged ,Surgery ,Analgesia, Epidural ,Analgesics, Opioid ,Cholecystectomy, Laparoscopic ,Anesthesia ,Case-Control Studies ,Anesthetic ,Female ,business ,medicine.drug - Abstract
This study was undertaken to determine whether short-term continuous epidural analgesia using morphine would relieve pain after laparoscopic cholecystectomy. The authors retrospectively reviewed the clinical data of 182 cases who had undergone a laparoscopic cholecystectomy. These cases were divided into four groups according to their anesthetic modes as follows: a control group with general anesthesia only (n = 37); group I, general anesthesia combined with one shot of epidural morphine (n = 78); and group II, general anesthesia combined with continuous epidural analgesia using morphine (IIa for 12 h (n = 33); IIb for 8 h (n = 34)). The pain score on a four-category verbal scale and the frequency of analgesic use were investigated. There were no differences in the background characteristics of the patients among the groups, except for the duration of surgery (I vs IIa; P = 0.006). The pain scores were significantly different between the control group and the other groups. The frequency of analgesic use in the control group was also significantly higher than in the other groups. A tendency toward a higher frequency of analgesic use in group I, compared with that in groups IIa and IIb, was observed. These findings thus suggest that short-term continuous epidural analgesia using morphine can effectively relieve postoperative pain after a laparoscopic cholecystectomy.
- Published
- 1998
34. Preventive effect of simultaneously infused lipid emulsion against thrombophlebitis during postoperative peripheral parenteral nutrition
- Author
-
Tsugi Nakamura, Hiroshi Takeda, Satoru Nishimura, Satoru Matsusue, and Shunzo Koizumi
- Subjects
Male ,Fat Emulsions, Intravenous ,medicine.medical_treatment ,Adenocarcinoma ,Thrombophlebitis ,Gastrectomy ,Stomach Neoplasms ,Edema ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Aged ,Osmole ,Postoperative Care ,business.industry ,Vascular disease ,Incidence (epidemiology) ,Osmolar Concentration ,General Medicine ,Middle Aged ,medicine.disease ,Parenteral nutrition ,Anesthesia ,Surgery ,Female ,Parenteral Nutrition, Total ,medicine.symptom ,business - Abstract
A prospective, randomized study was conducted to determine whether simultaneous infusion of lipid emulsion with an amino acid-dextrose-electrolyte solution would reduce the incidence of thrombophlebitis (TP) during postoperative peripheral parenteral nutrition (PPN). Thirty patients who had undergone gastric resection for adenocarcinoma were randomly divided into two groups according to whether they were infused with 10% lipid emulsion (group A) or 5% glucose solution (group B) simultaneously with the amino acid-glucose solutions. The total osmolarity of the infusion solutions in each group was 853 mOsm/l. The incidence of complications due to TP, namely, redness and/or edema beneath the cannula insertion site and/or pain, was investigated. There were no differences in the background characteristics of the patients in groups A and B, except regarding concurrent resection of other organs (P = 0.03). The incidence of edema in group A was significantly lower than in group B on postoperative days 2 and 4, although there was no difference in the incidence of redness and pain between the two groups. These findings suggest that the simultaneous infusion of lipid emulsion has a preventive effect against TP during postoperative PPN, and may be a practical means of providing PPN after gastrointestinal surgery.
- Published
- 1995
35. Role of Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreatic Cancer Originating From The Peripheral Duct
- Author
-
Takahisa Fujikawa, Yoshinori Nakamura, Kyoichi Takaori, and Satoru Matsusue
- Subjects
Magnetic resonance cholangiopancreatography ,medicine.medical_specialty ,Hepatology ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,equipment and supplies ,medicine.disease ,Peripheral ,medicine.anatomical_structure ,Pancreatic cancer ,medicine ,Radiology ,business ,human activities ,Duct (anatomy) - Abstract
Role of magnetic resonance cholangiopancreatography in diagnosing pancreatic cancer originating from the peripheral duct
- Published
- 2000
36. 'Pseudo-Phytobezoar' Due to Seed From Pickled Plum Resulting in Perforated Peritonitis
- Author
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Satoru Matsusue, Hiroshi Takakuwa, Satoru Nishimura, and Takahisa Fujikawa
- Subjects
medicine.medical_specialty ,Unusual case ,Hepatology ,business.industry ,Gastroenterology ,Peritonitis ,medicine.disease ,Alimentary tract ,Surgery ,Bowel obstruction ,Internal medicine ,Phytobezoar ,medicine ,business - Abstract
TO THE EDITOR: Bezoars are large conglomerates or concretions of food or fiber in the alimentary tract, and infrequently cause intestinal obstruction. We describe here an unusual case of small bowel obstruction and concomitant perforated peritonitis caused by a "pseudo-phytobezoar" due to a seed from pickled plum.
- Published
- 1999
37. Midmural Fibrosis of Left Ventricle Due to Selenium Deficiency
- Author
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Yoichiro Kobashi, Satoru Matsusue, Moriaki Inoko, and Takashi Konishi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Heart Ventricles ,Developing heart ,chemistry.chemical_element ,Selenium ,Fatal Outcome ,Selenium deficiency ,Fibrosis ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,Normal range ,business.industry ,Glutathione peroxidase activity ,medicine.disease ,medicine.anatomical_structure ,Parenteral nutrition ,Endocrinology ,chemistry ,Ventricle ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 38-year-old man with Crohn’s disease had been receiving total parenteral nutrition for 16 years, from the age of 22 years. At the age of 28 years, he had rapidly developing heart failure and ventricular premature beats associated with selenium (Se) deficiency. Laboratory data included a serum Se concentration of 62 μg/L (normal value, 80 to 230 μg/L), an erythrocyte Se concentration of 93 μg/L (normal value, 100 to 194 μg/L), and an erythrocyte glutathione peroxidase activity of 5.4 U/g hemoglobin (normal value, 25.3 to 45.3 …
- Published
- 1998
38. 2079 Neoadjuvant concurrent chemoradiotherapy followed by definitive high-dose radiotherapy or surgery for operable thoracic esophageal carcinoma
- Author
-
Masao, Murakami, primary, Yasumasa, Kuroda, additional, Yosiaki, Okamoto, additional, Koichi, Kono, additional, Eisaku, Yoden, additional, Fusako, Kusumi, additional, Kiyoshi, Hajiro, additional, Satoru, Matsusue, additional, and Hiroshi, Takeda, additional
- Published
- 1997
- Full Text
- View/download PDF
39. White Milky Color Veils Dirt
- Author
-
Satoru Matsusue
- Subjects
Nutrition and Dietetics ,White (horse) ,media_common.quotation_subject ,Medicine (miscellaneous) ,Art history ,Dirt ,Art ,media_common - Published
- 1996
40. Recurrent Gastrinoma in the Mesentery 19 Years After Primary Resection.
- Author
-
Keiko Nishio, Akiyoshi Nishio, Toshikuni Nishikawa, Yoichiro Kobashi, and Satoru Matsusue
- Published
- 2007
- Full Text
- View/download PDF
41. Clinicopathological features of pancreatic intraepithelial neoplasias and their relationship to intraductal papillary-mucinous tumors.
- Author
-
Kyoichi Takaori, Yoichiro Kobashi, Satoru Matsusue, Kosuke Matsui, and Tsuyoshi Yamamoto
- Subjects
PANCREATIC diseases ,DYSPLASIA ,PANCREATECTOMY ,PANCREATIC tumors - Abstract
Pancreatic intraepithelial neoplasia (PanIN) is a recently proposed nomenclature for putative precursor lesions of pancreatic cancer, which are designated as PanIN-1 through -3 according to their increasing grade of dysplasia. A stepwise progression model of PanINs has been proposed, and multistep genetic alterations in PanINs are being investigated. PanIN-1A and PanIN-1B may remain unchanged for a long period. PanIN-3 potentially progresses toward invasive ductal carcinoma (IDC), and there are several case reports suggesting such progression. In these reported patients, PanIN-3 was found in specimens from partial pancreatectomies, and IDC manifested in the pancreatic remnant 17 months to 29 years after the surgery. We describe herein a patient with PanIN-3, in whom IDC manifested in the distal remnant pancreas 69 months after segmental pancreatectomy. Of the reported cases, including the present one, four of the patients were male and three were female, and the age at the first operation ranged from 46 to 70 years. Intraductal papillary-mucinous tumor (IPMT) is an entity that is distinct from PanIN. However, IPMTs of small size resemble PanINs morphologically. Loss of Dpc4 expression has been reported in the invasive component of IPMT, as well as in PanIN-3 and IDC. Analysis of mucin expression patterns has been reported, suggesting that, in practice, MUC1-positive MUC2-negative IPMTs may not be distinguishable from PanINs. There may be overlapping lesions between PanINs and IPMTs. Should the paradigm of the ductal origin of IDC be accepted, PanINs and a fraction of IPMTs would represent precursors of IDC. [ABSTRACT FROM AUTHOR]
- Published
- 2003
42. Healing of intestinal anastomoses in adrenalectomized rats given corticosterone.
- Author
-
SATORU MATSUSUE and WALSER, MACKENZIE
- Published
- 1992
- Full Text
- View/download PDF
43. Size of breast cancer on ultrasonography, cut-surface of resected specimen, and palpation
- Author
-
Sadao Kashihara, Shunzo Koizumi, Satoru Nishimura, and Satoru Matsusue
- Subjects
medicine.medical_specialty ,Palpation ,Acoustics and Ultrasonics ,Radiological and Ultrasound Technology ,medicine.diagnostic_test ,business.industry ,Biophysics ,Breast Neoplasms ,Middle Aged ,medicine.disease ,Breast cancer ,Humans ,Medicine ,Female ,Radiology, Nuclear Medicine and imaging ,Radiology ,Ultrasonography ,business - Abstract
In the period from January 1985 to May 1987, 68 patients with palpable breast cancers were studied to compare the size on ultrasonography with the size of the cut-surface of the resected specimen. Both the width (mediolateral size) and height (size in depth) were delineated as smaller on ultrasonography than on the cut-surface of resected specimens. The difference in size between ultrasonography and resected specimen was greater for the width than for the height. These results can explain why breast cancer has a greater ratio of height to width on ultrasonography. The ratio of the width on palpation to that on ultrasonography was also evaluated. These ratios proved to be useful in differentiating breast cancer from benign lesions.
- Published
- 1988
44. STATISTICAL ASSESSMENT OF THE SURGICAL RISK IN PATIENTS WITH MALIGNANT OBSTRUCTIVE JAUNDICE
- Author
-
Yoshinori Nakamura, Satoru Matsusue, Sadao Kashihara, Hideo Tanaka, Shinji Kuramoto, Tadashi Miyashita, Mamoru Sato, Tomoaki Sakai, and Shunzo Maetani
- Subjects
medicine.medical_specialty ,business.industry ,Gastroenterology ,Medicine ,Surgery ,Obstructive jaundice ,In patient ,business ,Surgical risk - Abstract
天理よろづ現談所病院で過去12年間に経験した, 悪性腫瘍による閉塞性黄疸 (悪性閉塞性黄疸) は, 114例である.この症例を手術死亡群17例と耐術群に分け, 術前の各検査データー, 病歴などに統計的解析 (2群間のStandardized Distance, Probit解析) を行い, 本症を有する患者の手術のRisk予測を試みた.黄疸が強く, 高齢で, BUNが高く, 黄疸の進行度が大きい膵癌の患者の手術死亡率が高くなる傾向を見いだした.しかし, 厳密な意味でのCritical pointの設定までには至らず, 新たな症例の予測を行うには, 解析に用いた症例数が少なすぎる点は向後の検討を要す.悪性閉塞性黄疸の治療方針 (一期手術か, 二期的手術かPTCDを行うか否か等) を決定するための判定基準の設定が必要なことを強調し, その1つの試みを提案する.
- Published
- 1978
45. Prediction of mortality from septic shock in gastrointestinal surgery by probit analysis
- Author
-
Satoru Matsusue, Sadao Kashihara, and Shunzo Koizumi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Scoring system ,Gastrointestinal Diseases ,Serum albumin ,Multivariate probit model ,Risk Factors ,Probit model ,medicine ,Humans ,Mathematical Computing ,Blood urea nitrogen ,Aged ,biology ,Septic shock ,business.industry ,Critically ill ,Age Factors ,Numerical Analysis, Computer-Assisted ,General Medicine ,Middle Aged ,Prognosis ,medicine.disease ,Shock, Septic ,Surgery ,Serum potassium ,biology.protein ,Regression Analysis ,Female ,business - Abstract
A multivariate probit analysis was used to develop a prognostic scoring system known as the Prognostic Index (PI), which consisted of age, pulse rate, blood urea nitrogen, serum albumin, serum cholesterol and serum potassium. This PI accurately predicted the severity and mortality of 83 surgical patients with septic shock caused by gastrointestinal diseases, who were admitted to Tenri Hospital, Nara, Japan from 1975 to 1981 (internal check), and also that of 25 other patients, examined from 1982 to 1983 (external check). As the prognostic predictive model provides a prompt and easy prediction of how severe the patients' state is, it has proved to be very useful to our surgical staff for managing critically ill patients.
- Published
- 1988
46. PANCREATICODUODENECTOMY AND PANCREATICOJEJUNOSTOMY
- Author
-
Sadao Kashihara, Hidefumi Nishikawa, Shinji Kuramoto, Yoshinori Nakamura, Hideo Tanaka, Satoru Matsusue, Hirofumi Masumoto, Shunzo Maetani, and Tomoaki Sakai
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,medicine.medical_treatment ,Gastroenterology ,Medicine ,Surgery ,business ,Pancreaticoduodenectomy - Abstract
過去13年間で40例の膵頭十二指腸切除術が施行され, 手術後入院中死亡率は17.5%で黄疸例29例の死亡率は20.7%であった. 死亡率は黄疸の強弱, 一期的手術, 二期的手術には無関係であった. 当院独自のVertical mattress sutureによる膵管空腸吻合術 (本法) が15例に行われ, 他の吻合法が25例に行われた.膵空腸吻合縫合不全は膵管径の小さいほど高率となり, 本法で1例, 他では8例に起こっており, 本法が優れていた. 長期生存例での検討で下痢の発生が本法ではなかったが, 他の吻合法による12例中3例に起っている. 本法は縫合不全の低率さに加えて, その特徴から長期にわたる膵管の開存が得られる可能性が多い.
- Published
- 1980
47. CLINICAL SIGNIFICANCE OF THE RATIO OF BREAST TUMOR DIAMETER BY PALPATION TO THAT BY ULTRASONOGRAPHY
- Author
-
Satoru Matsusue, Sadao Kashihara, and Satoru Nishimura
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Ultrasonogram ,Malignancy ,medicine.disease ,Palpation ,Benign tumor ,Breast tumor ,Breast cancer ,medicine ,Clinical significance ,Radiology ,Ultrasonography ,business - Abstract
Ninety-seven histologically proven benign tumors and 96 breast cancers were studied to determine the relationship between the diameter measured by palpation and that by ultrasonography. A scatter diagram of the two variables provided a correlation coefficient of 0.95 in the benign group and 0.94 in the malignant group. The ratio of the diameter in palpation to that in the ultrasonogram (ratio of P/U) was 2.00±0.79 in breast cancers and 1.14±0.26 in benign tumors (p
- Published
- 1985
48. PRIMARY ANASTOMOSIS OF THE OBSTRUCTED INTESTINE: PREDICTION AND PREVENTION OF SUTURE LINE LEAKAGE
- Author
-
Shunzo Maetani, Shinji Kuramoto, Yoshihiro Kagawa, Yoshinori Nakamura, Takafumi Aoki, Satoru Matsusue, Sadao Kashiwara, and Hideo Tanaka
- Subjects
medicine.medical_specialty ,business.industry ,Primary anastomosis ,Gastroenterology ,Medicine ,Surgery ,business ,Suture line ,Leakage (electronics) - Published
- 1976
49. Abstracts of selected papers presented at the 29th Annual Meeting of the Japanese Society of Gastroenterology
- Author
-
Takumi Aramaki, Hitoshi Sugaya, Yasuji Arase, Hiroshi Yoshida, Satoshi Matsuzaka, Kazuhide Kumagai, Toshiyuki Nakamura, Kouichi Akamatsu, Koji Hattori, Naomi Tanaka, Takashi Andoh, Toshinori Morikawa, Toshiji Saibara, Masaaki Nakahara, Yutaka Ozeki, Jiro Fujimoto, Toru Kashiwagi, Susumu Shiomi, Matsuomi Umehara, Tetsuo Takayama, Hidenori Kanazawa, Minoru Sukigara, Takefumi Nakamura, Soichiro Miyauchi, Shigehiro Shiraki, Kazuichi Okazaki, Yasumi Katsuta, Shoichi Matsutani, Takakatsu Matsumura, Ryo Nakanishi, Hidekazu Nakanishi, Yoshihiro Yano, Fumio Chikamori, Shigehiro Kokubu, Yasushi Kasai, Takuo Noda, Kunihiko Ohnishi, Yukio Yamane, Rintaro Inoue, Keiichiro Yoneyama, Yukio Takayasu, Kazuo Notsumata, Osamu Yamazaki, Makio Nagaoka, Norio Ueno, Keiichiro Mori, Yoshihiro Asanuma, Shigeo Takeuchi, Koichi Suda, Yasuni Nakanuma, Yasuyuki Yazaki, Kiyoshi Rikitake, Kazuyuki Suzuki, Akihiko Sawa, Haruhide Shinzawa, Akira Yagi, Takaharu Kondo, Toshiko Hisaki, Manabu Yamamura, Riichiro Nezu, Yasuhiro Yoshida, Yutaka Tamura, Satoru Matsusue, Katsuhiko Kinugasa, Yasushi Matsuzaki, N. Tanida, M. Kano, Ei Sasaki, and Atsushi Toyonaga
- Subjects
Gastroenterology - Published
- 1988
50. CLINICAL FEATURE OF INFECTED URACHAL LESION
- Author
-
Satoru Matsusue, Satoru Nishimura, and Sadao Kashihara
- Subjects
Lesion ,medicine.medical_specialty ,business.industry ,Feature (computer vision) ,medicine ,Radiology ,medicine.symptom ,business - Published
- 1984
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