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81.
Y. Iwata T. Kobayashi M. Kuroda Y. Mizoguchi M. Arima S. Numata S. Watanabe A. Yagami K. Matsunaga K. Sugiura 《The British journal of dermatology》2017,177(4):1122-1126
Here we report a rare case of neutrophilic dermatoses related to a granulocyte colony‐stimulating factor (G‐CSF)‐producing solid pseudopapillary tumour (SPT). The patient was a 39‐year‐old woman presenting with scattered pustules and crusts of the palms, heels and thighs and plaques of the bilateral lower legs. The skin biopsy revealed dense neutrophil infiltration in the epidermis to the dermis. A pancreatic head tumour was detected using computed tomography. A pathological examination of the resected specimen suggested an SPT. As the skin eruption promptly disappeared after SPT resection, we hypothesized that SPT secretes growth factors including epidermal growth factor (EGF) and G‐CSF. The SPT cells stained positive for both EGF and G‐CSF tumour cells. The serum levels of interleukin (IL)‐6 and IL‐10 and tumour necrosis factor‐α were within normal limits before and after the SPT resection. In contrast, the serum IL‐8, EGF and G‐CSF levels decreased after the SPT resection. This is a rare case of neutrophilic dermatoses related to a G‐CSF‐producing SPT. The present case suggests that physicians should be aware that a G‐CSF‐producing tumour is a differential diagnosis to consider in patients with unusual aseptic pustulosis. 相似文献
82.
Shinya Higuchi Iwao Matsunaga Kiyokazu Koga Eiichi Teshima Atsuhiro Nakashima Ryuji Tominaga Tsuyoshi Ito 《General thoracic and cardiovascular surgery》2018,66(12):744-747
In almost every type of artificial valve, structural failure has been described. We are reporting on a case of a sudden leaflet escape of an Edwards TEKNA mitral valve prosthesis 12 years after implantation. The patient had a sudden onset of dyspnea and severe pulmonary edema with subsequent cardiogenic shock. An emergency mitral replacement was successfully performed. A multi-detector computed tomography scanning and three-dimensional imaging showed two fragments that had embolized in the terminal aorta and the left common iliac artery. The patient presented visual field abnormality, and postoperative head computed tomography showed watershed cerebral infarction. The escaped leaflet that fractured transversely was removed, following the patient’s recovery, during cardiac surgery. 相似文献
83.
Shori Tajima Kouichi Yamauchi Ryuzaburo Higo Katsuhisa Ikeda 《Auris, nasus, larynx》2018,45(3):633-636
A 46-year-old man presented with sore throat. Laryngoscopic findings revealed a smooth yellow mass occupying the anterior portion of the false vocal fold on the left side. The authors performed biopsy under general anesthesia. The histopathological diagnosis was ectopic salivary gland. Because salivary glands are usually not found under the false vocal fold mucosa, ectopic salivary gland of the larynx was diagnosed.It is necessary to consider the possibility of ectopic salivary gland for mass lesions if swelling of the provisional vocal cord is found. 相似文献
84.
Tatsuo Matsunaga 《Auris, nasus, larynx》2021,48(2):185-193
Deafblindness is a condition of combined vision and hearing loss that is extremely rare in children and young adults, as well as being a highly heterogeneous condition, with over 70 specific etiologies. Due to these features, sporadic clinical experiences have not been collated, which has hampered medical progress. Genetics plays a major role in the pathogenesis of deafblindness in children and young adults, with more than 50 hereditary syndromes and disorders associated with the condition, including CHARGE, Usher, Down, Stickler, and Dandy-Walker syndromes, which are the most common. Clinical diagnosis of deafblindness is often difficult, and a significant proportion of patients are undiagnosed. No curative therapy is currently available for the majority of patients with hereditary deafblindness; however, experimental studies using animal models have shown promising results by targeting specific genes that cause vision or hearing loss. In Japan, the Rare Disease Data Registry of Japan (RADDAR-J) has been established as a national registry of rare and intractable diseases. Diseases of deafblindness have been elected as a disease category in RADDAR-J. Currently, clinical and genomic data are being collected and analyzed using this system, with the aim of generating an overview of deafblindness to improve medical practice. 相似文献
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Masaki Y Sumiyoshi M Suwa S Ohta H Matsunaga E Tamura H Takaya N Mineda Y Kojima S Nakata Y 《International heart journal》2005,46(2):323-326
Dissection of the sinus of Valsalva is an extremely rare accident during percutaneous coronary intervention (PCI), but it can lead to serious complications such as dissection of the ascending aorta. We experienced a localized dissection of the right coronary cusp without coronary artery involvement that was induced by a guiding catheter during PCI in a patient with acute myocardial infarction. The localized dissection showed pooling of the contrast medium in the acute phase, but it subsided spontaneously after 12 days without any sequelae. Manipulation of the guiding catheter should be performed with great caution not only in the coronary artery but also in the sinus of Valsalva. 相似文献
90.
Kazuhiko Sasai Rikuo Tanaka Mitsutoshi Kawamura Kazumitsu Honjo Naofumi Matsunaga Taishi Nakada Kiichi Homma Hiroshi Fujimura 《Journal of gastroenterology》1996,31(4):505-511
The requirement for well spread out chromosomes for the cytogenetic analysis of primary gastrointestinal tumors led us to
develop new techniques. These techniques involved two main procedures: (1) preliminary incubation with culture medium in the
presence of collagenase, Dispase, and colcemid, for 3h, and (2) treatment with an extremely hypotonic solution (0.044 M KCl)
for 30 min. The techniques were applied to 11 gastrointestinal malignancies (including 1 early gastric cancer and 1 metastatic
liver lesion of colon cancer) and significant increases (P<0.01) in the number of metaphases of analyzable karyotypes were obtained, compared with a previous method in which the standard
hypotonic molarity of KCL (0.075 M) was employed. The mean value for metaphase numbers of the analyzable karyotypes was 37.0±3.7%
in the 5 gastric cancers and 44.7±4.8% in the 5 colon cancers and 1 metastatic lesion. These values were three times and more
than twice, respectively, the values obtained by the previous method. A fluorescence in situ hybridization (FISH) study was
carried out on one cologenic tumor, the α-satellite centromere-specific probe 17 being used. Deletion of the long arm of chromosome
17 was demonstrated. The method proposed here could yield a sufficient number of metaphases without the use of tissue culture
that might cause alteration of karyotype. It can be employed with small biopsy specimens and in studies utilizing the FISH
technique. 相似文献