DSpace コレクション: 2015-062015-06http://hdl.handle.net/2433/1986882024-03-28T08:04:53Z2024-03-28T08:04:53Z当科におけるフルニエ壊疽症例の検討豊田, 信吾南, 高文橋本, 士齋藤, 允孝清水, 信貴山本, 豊林, 泰司辻, 秀憲野沢, 昌弘吉村, 一宏石井, 徳味植村, 天受http://hdl.handle.net/2433/1987002021-09-15T10:16:46Z2015-06-01T00:00:00Zタイトル: 当科におけるフルニエ壊疽症例の検討
著者: 豊田, 信吾; 南, 高文; 橋本, 士; 齋藤, 允孝; 清水, 信貴; 山本, 豊; 林, 泰司; 辻, 秀憲; 野沢, 昌弘; 吉村, 一宏; 石井, 徳味; 植村, 天受
抄録: The aim of our study was to identify risk factors that may influence outcomes for patients presenting with Fournier gangrene. Twelve patients hospitalized and treated between August 2007 and August 2013 were included in this study. Distinct features were noted after one or two weeks of hospitalization. We did not observe a significant correlation between death risk and the extent of necrosis in this patient set. However, the extent of necrosis tended to correlate with the duration of hospitalization in the survivors. We also compared the results of blood biochemical analyses between the surviving and non-surviving groups. A significant difference was noted in the levels of glucose (Glu) after two weeks. In the non-surviving group, Glu levels were increased. These findings suggest a relationship between glycemic control after the initiation of therapy and death. We also examined the results of blood biochemical analyses according to the duration of hospitalization. The lactate dehydrogenase (LDH) levels at admission and LDH levels after two weeks were significantly higher in the patients with a duration of hospitalization longer than the median duration of 61.5 days. These findings suggest a relationship between the duration of hospitalization and the extent of necrosis at diagnosis.2015-06-01T00:00:00Z経直腸的系統的前立腺12カ所生検結果と全摘標本における癌病巣の比較検討: 針生検で見落とされ易い病巣の局在について竹内, 康晴関戸, 哲利金野, 紅澤田, 喜友黒田, 加奈美大原関, 利章http://hdl.handle.net/2433/1986982021-09-15T10:16:46Z2015-06-01T00:00:00Zタイトル: 経直腸的系統的前立腺12カ所生検結果と全摘標本における癌病巣の比較検討: 針生検で見落とされ易い病巣の局在について
著者: 竹内, 康晴; 関戸, 哲利; 金野, 紅; 澤田, 喜友; 黒田, 加奈美; 大原関, 利章
抄録: We investigated the diagnostic yield for systematic 12-core transrectal prostate needle biopsies. Subjects were 56 prostatic cancer patients who were diagnosed with transrectal ultrasound-guided 12 core prostate needle biopsies and who underwent open retropubic radical prostatectomy. Pathological findings were compared between needle biopsy specimens and total prostatectomy specimens in terms of the presence or absence of cancer foci. For the comparison, the prostate was divided into 5 regions : the apical, middle, basal, far lateral and transitional regions. Then, based on the pathological findings of the biopsies, the sensitivity, specificity, positive predictive value and negative predictive value were calculated for each region. As a result, the sensitivity and the specificity in the transitional region tended to be lower than in other regions, and six of ten false positive lesions were located in the transitional region on the biopsy specimens. Also, the negative predictive value tended to be lower in the apical and far lateral regions. In conclusion, thorough punctures in the apical, transitional, and far lateral regions of the prostate at the systematic transrectal biopsy were paramount important for improving the detection of cancer foci in these regions.2015-06-01T00:00:00Zムンプス精巣炎罹患後に造精機能障害を来たした7症例の臨床的検討竹島, 徹平湯村, 寧岩崎, 晧野口, 和美http://hdl.handle.net/2433/1986992021-09-15T10:16:46Z2015-06-01T00:00:00Zタイトル: ムンプス精巣炎罹患後に造精機能障害を来たした7症例の臨床的検討
著者: 竹島, 徹平; 湯村, 寧; 岩崎, 晧; 野口, 和美
抄録: This study included 10 patients who had developed mumps orchitis previously and had visited our hospital from January 1997 to November 2007. The present illness, testicular volume and semen analysis of 7 of these patients were retrospectively investigated. Semen analyses and pregnancy statuses were followed up over time. The mean age of the 7 patients was 33 years (range, 21-43 years). Four patients had unilateral (right side) orchitis, and three had bilateral orchitis. In the unilateral orchitis group, 1 patient had an atrophic testis. Findings of semen analysis were severe oligozoospermia in three and mild oligozoospermia in one. None of the patients in the bilateral orchitis group, had atrophic testes. Findings of semen analysis were azoospermia in one and severe oligozoospermia in two patients. Findings of semen analysis in most patients improved gradually, and wives of 2 patients eventually achieved pregnancy. Dysfunction of seminiferous tubules in the diseased testis is thought to be reversible when treated adequately in the initial phase. In the patients not conceiving successfully, testicular sperm extraction (TESE) and assisted reproductive technique (ART) are thought to be effective ways to achieve pregnancy.2015-06-01T00:00:00Z尿管に発生した浸潤性尿路上皮癌明細胞型の1例森山, 浩之米原, 修治吉野, 干城http://hdl.handle.net/2433/1986972021-09-15T10:16:47Z2015-06-01T00:00:00Zタイトル: 尿管に発生した浸潤性尿路上皮癌明細胞型の1例
著者: 森山, 浩之; 米原, 修治; 吉野, 干城
抄録: Clear cell variant of invasive urothelial carcinoma is an extremely rare tumor. Here, we report a case of clear cell variant of invasive urothelial carcinoma of the ureter. A 59-year-old man, who complained of gross hematuria was referred to our hospital for precise examination and treatment. Computerized tomographic scanning confirmed the presence of a tumor in the right lower ureter. Urine cytology was positive. He had undergone retroperitoneoscopy-assisted right radical nephroureterectomy. Typical urothelial carcinoma with partial clear cell appearance made it difficult to make a precise pathological diagnosis and immunohistochemical stain helped to diagnosis the case as clear cell variant of invasive urothelial carcinoma. To our knowledge this is the first case of clear cell variant of invasive urothelial carcinoma of the ureter in the world.2015-06-01T00:00:00Z