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排序方式: 共有331条查询结果,搜索用时 31 毫秒
1.
Tsunao Imamura Rie Takeshita Rikako Koyama Chikao Okuda Kazuo Takeuchi Masamichi Matsuda Masashi Hashimoto Goro Watanabe Hitoshi Yoshida Michio Imawari 《Digestive endoscopy》2006,18(4):303-307
Background: Pancreatic carcinoma is one of the most lethal cancers. Because pancreatic carcinoma is still very difficult to diagnose in its early stage, many of these patients will be considered unsuitable for surgery. If a cytological diagnosis is obtained at initial endoscopic retrograde cholangiopancreatography (ERCP), suitable treatment will be initiated without delay. Methods: To increase the number of exfoliated cells from the pancreatic duct, we devised a new technique, pancreatic duct lavage fluid (PDLF), following bronchoalveolar lavage fluid. The present paper reports the effectiveness of cytological examination using PDLF in the diagnosis of pancreatic carcinoma. We examined 18 pancreatic carcinoma cases. After the endoscopic retrograde pancreatography (ERP), PDLF was collected from a double‐lumen catheter inserted into the main pancreatic duct. Saline injected from the lumen for the injection, and PDLF was aspirated from the other lumen for the guidewire at the same time. The cytological examination was performed using PDLF. Results: Exfoliated cells were more frequently found in PDLF from all patients. In 15 cases (83%), cytological examination of PDLF revealed positive cytological results as the diagnosis of pancreatic carcinoma. Conclusion: Cytological examination using PDLF has a high sensitivity for detection of pancreatic carcinoma. The new examination, PDLF, is simple, safe and effective, so we expect PDLF to become widely popular. 相似文献
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To assess the contribution of GABAA receptor-mediated inputs in control of vestibular responses of secondary vestibular neurons, we examined the effects of the GABAA receptor antagonists, bicuculline and picrotoxin, on these neurons in anesthetized rats. Horizontal canal-related secondary vestibular neurons were identified by their monosynaptic excitation from the ipsilateral vestibular nerve and by the modulation of their firing rate for head rotation. Responses to sinusoidal head rotation were recorded before and during iontophoretic application of the drugs. Application of bicuculline increased DC level of the responses (mean firing rate in each cycle) in all of the 10 neurons examined. In seven of these, the gain was increased along with the DC level, but the phase was virtually unaffected. Similarly, picrotoxin increased both the DC level (4/4) and the gain (3/4), but did not affect the phase. In the 10 neurons that increased the gain, the mean percent increase in the gain was 31% (8-54%). These results indicate that the majority of neurons received inhibitory inputs that were in phase with the excitatory inputs from primary afferents. This suggests that these neurons received GABAergic input of non-commissural origin, most likely from the flocculus. 相似文献
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Yuko Tsunoda Jun-ichi Sanuki Nobuhito Katayama Eisuke Fukuma Kazue Hoshi 《Surgery today》2014,44(9):1774-1777
A 37-year-old female was indicated to have a non-mass lesion in her left breast on ultrasonography (US) and visited our outpatient clinic. Mammography showed no findings of masses or microcalcification. Dynamic magnetic resonance imaging (MRI) showed a segmental enhanced lesion consisting of nodular and ring enhancement. A US-assisted vacuumed needle biopsy was performed, and the histological findings revealed sclerosing adenosis and apocrine metaplasia. After 1 year of follow-up, the MRI findings suggested both a benign lesion and ductal carcinoma in situ, and surgical excision was performed. We used a new device to evaluate the surgical margin on MRI. The non-mass lesion was excised according to the device-guided margin under local anesthesia. The histological findings revealed the features of mastopathy. Following excision, MRI showed no residual non-mass lesions, and the shape of the patient’s left breast was maintained. 相似文献
7.
Yoshimura M Matsumoto K Watanabe M Yamashita N Sanuki E Sumida Y 《Japanese circulation journal》1999,63(11):881-884
In hypertensive patients with left ventricular hypertrophy (LVH), the influence of exercise on the regional variations in ventricular repolarization is not well understood. The present study compared dispersions of QT and QT apex (QTD and QTaD), which are indices of regional variations in ventricular repolarization, between hypertensive patients with echocardiographic evidence of LVH and those without LVH. Seventy essential hypertensive patients underwent a modified Bruce protocol exercise test, and QTD and QTaD were measured at rest and at peak exercise level. All subjects had undergone coronary angiography and did not have coronary artery disease. None of them showed ST-segment depression during or after exercise. There were 20 patients with LVH and 50 patients without LVH. The QTD and QTaD at rest were not different between the patients with LVH and those without LVH (56+/-32 vs 57+/-28 ms, 52+/-20 vs 49+/-23 ms). At peak exercise level, QTaD was significantly decreased compared with the baseline in hypertensive patients without LVH (49+/-23 to 42+/-16ms, p<0.05), whereas in patients with LVH QTaD increased (52+/-20 to 67+/-17ms, p<0.05). QTaD at peak exercise level was positively correlated with the left ventricular mass index (r=0.357, p=0.0024). These data were unchanged after correction for heart rate using Bazett's equation. In conclusion, QTaD increased after exercise in hypertensive patients with LVH. Inhomogeneity of repolarization is induced by exercise stress in hypertensives with LVH. 相似文献
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Kanako Terakawa Naoki Sawa Hiroki Mizuno Akinari Sekine Noriko Hayami Daisuke Ikuma Masahiro Kawada Rikako Hiramatsu Keiichi Sumida Masayuki Yamanouchi Eiko Hasegawa Tatsuya Suwabe Junichi Hoshino Keiichi Kinowaki Kenichi Ohashi Takeshi Fujii Yoshifumi Ubara 《Internal medicine (Tokyo, Japan)》2021,60(8):1237
A 74-year-old Japanese woman diagnosed with autosomal dominant polycystic kidney disease (ADPKD) was admitted to our institute for the further examination of right-side groin pain developing in the past week. The patient was diagnosed with polymyositis (PM). Diagnostic imaging showed a mass lesion measuring 8 cm and a renal stone in the right kidney. Immediately following surgical resection of the right kidney, the patient''s serum CK decreased to the normal range. A histopathological analysis showed well-differentiated squamous cell carcinoma. In conclusion, this case showed a close relationship between the occurrence of squamous cell carcinoma and the development of PM in an ADPKD patient. 相似文献
10.
Successful Transcatheter Embolization of Pseudoaneurysm Associated with Pancreatic Pseudocyst 总被引:1,自引:0,他引:1
Rikako Morita M.D. Nobuyoshi Muto M.D. Minoru Konagaya M.D. Tatsuya Honda M.D. Masayuki Miyazawa M.D. Satoshi Nakazawa M.D. Nobuhiro Kondo M.D. Norio Kimura M.D. Toshihiro Miura M.D. Shigeru Harasawa M.D. Takeshi Miwa M.D. Osamu Horie M.D. Yutaka Tanaka M.D. Makoto Ootaki M.D. 《The American journal of gastroenterology》1991,86(9):1264-1267
Hemorrhage into a pancreatic pseudocyst is a rare event, but is the most rapidly lethal complication of chronic pancreatitis. Visceral-vessel aneurysms are an unexpectedly common finding in arteriography of patients with chronic pancreatitis. This case report describes bleeding from an anterior superior pancreaticoduodenal artery aneurysm, caused by chronic pancreatitis. The aneurysm was successfully treated by embolization with a steel coil. 相似文献