[Polyp of the large intestine, with reference to its occurrence, biopsy and cytodiagnosis].
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Biomedical subjects
Publications and source records attributed to F Mochizuki.
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We report a case of mesenteric chylous cyst diagnosed preoperatively by ultrasonography (US) and computed tomography (CT). Both demonstrated a unilocular cystic mass with a fluid-fluid level. The CT number of the two components indicated fat density and water density and with shaking or positional changes, the contents displayed miscibility. The tumor changed its position during hospitalization. Both features are considered to be quite diagnostic of this condition.
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BACKGROUND/AIMS: Many small cancers of the flat type can now be detected, and many advanced cancers of the flat type have been discovered. In this study, to clarify the clinicopathological characteristics of small advanced cancers, advanced cancers of 20 mm or less in diameter were compared with those of other sizes. METHODOLOGY: Patients with advanced colorectal cancer (n = 865) were divided into four groups on the basis of cancer diameter as follows: Group A (20 mm or less), 21 patients; Group B (21-60 mm), 581 patients; Group C (61-100 mm), 215 patients; and Group D (101 mm or more), 48 patients. These groups were compared for various clinicopathological findings. RESULTS: The depth of invasion was muscularis propria in 14 cases and subserosa in 7 cases. In Group A, cancer was histologically well-differentiated in 8 cases, moderately differentiated in 12 cases, and mucinous in one case. Six cases (28.6%) in Group A had lymph node metastasis (N1). In Group A, one patient had multiple liver metastasis and all of the other cases were assessed as R0 resection. CONCLUSIONS: Most small advanced colorectal cancers of 20 mm or less in diameter can be regarded as quasi-early cancers, but some have the potential for high malignancy, and for these, reduction surgery cannot be used.
The purpose of this study was to clarify the clinicopathological characteristics of gastric cancer with lymph node (LN) dissection and the significance of D2 dissection by investigating surgical techniques and prognosis. Three hundred ninety patients with early cancer and 310 with advanced cancer underwent gastrectomy with D1 or D2 dissection, based on the presence or absence of LN metastasis determined pre- and intraoperatively. LN metastasis occurred in 10.5% of early gastric cancer patients, and several cases of advanced cancer were found to have N2 or more advanced metastasis. The pre- and intraoperative macroscopic findings accorded with histological grade of LN metastasis in 69.5% of early cancers and in 56.5% of advanced cancer patients. The false negativity rate was 6.8% in early cancer, 19.4% in advanced cancer, and 8.4% as a whole. Death was operation-related in only two cases and the operative mortality rate was low (0.29%). The 5-year survival rates in early and advanced gastric cancer were 95.8% and 67.6% in the D1 groups, respectively, and 100% and 89.5% in the D2 groups, respectively. Survival was better in the D2 groups than in the D1 groups (P < 0.0001 for early cancer, P = 0.0279 for advanced cancer). D2 dissection should be conducted positively for patients with LN metastasis.