過去8年間の胃癌穿孔自験例8例中にはきわめてまれとされる早期癌穿孔2例のほか, 報告の少ないlinitis plastica型胃癌穿孔1例も含まれており, その臨床上の病態報告とともに病理組織学的検索により分類しえた穿孔様式について報告した, 8例の男女比は7: 1, 年齢は31～77歳で, 手術は胃切除術7例, 大網引込み閉鎖術1例の内訳で, 半数に肉眼的相対治癒切除を行えた. 4例が術後1カ月, 9ヵ月, 10ヵ月, 1年8ヵ月で死亡, 4例が1ヵ月, 2年1ヵ月, 2年5ヵ月, 5年4ヵ月の現在生存中である.病理組織学的には, stage IV, seの進行癌4例が直接穿孔型, stage Iの4例が間接穿孔型で, このうち早期癌2例は辺縁潰瘍穿孔型で, Borrmann (以下Borr. と略す) 2型1例, Borr. 3型1例の2例は中心潰瘍穿孔型であった.

10.5833/jjgs.20.1676

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Citations (5)

A CASE REPORT OF JUVENILE COLON CANCER

The journal of the Japanese Practical Surgeon Society (1993)

George Iwata Masaki Nakanishi Masahiko Nonaka Jiro Osawa Masaaki SHINODA

Recently a patient with juvenile colon cancer was experienced. A 16-year-old boy was referred to the hospital because of abdominal pain. On the first visit anemia and constipation were noted, and a fist-sized tender mass was palpated in the right upper abdomen. Further examination revealed a colon cancer, with constrictin of the ascending colon near the hepatic flexure. Laparotomy disclosed that the cancer had spread from the serosa into the anterior wall of the duodenum. For this, resection of the anterior wall of the duodenum along with the tumor was necessitated. The duodenum was then repaired with a jejunal patch using Roux-en-Y reconstruction. In addition, intraoperative peritoneal hyperthermia was performed to treat apparent lymph node metastases and abdominal dissemination. Post operative immunotherapy was also performed, but abdominal pain and anorexia, telling signs of recurrence, occurred 2 months later. The patient is now being followed up under conservative observation, as of a year after the operation.

Ascending colon

Splenic flexure

Anorexia

Duodenal cancer

10.3919/ringe1963.54.1304

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Citations (1)

[Lobular carcinoma of the male breast--a case report].

PubMed (1992)

Yasunori Sawabe M. Shinoda Jiro Osawa Masaki Nakanishi Makoto Nonaka

Lobular carcinoma of the male breast is very rare, because lobules do not exist in the male mammary gland. Seven cases of lobular carcinoma of the male breast have been reported in Europe and U.S.A., although no case in Japan. We encountered a very rare case of the lobular carcinoma of 74-year-old male breast. Histopathological examinations of both primary tumor and recurrent tumors of the skin led to the diagnosis of lobular carcinoma.

Lobular carcinoma

Invasive lobular carcinoma

Mammary carcinoma

Histopathological examination

Breast carcinoma

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Citations (1)

A CASE OF “LOCALIZED” TUMOR-BUILDING TYPE PANCREATITIS WHICH WAS DIFFICULT IN DIFFERENCIAL DIAGNOSIS FROM PANCREATIC CANCER

The journal of the Japanese Practical Surgeon Society (1980)

Tanoshi Yatagai Jiro Osawa Yoshiro Taki Ryo Hosotani Gakuji OSHIO

[in Japanese]