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Biomedical subjects

H Iwasa

Publications and source records attributed to H Iwasa.

At least 73 records · Page 4Linked to original sources
PubMed1985

Chronic encapsulated hematomas in the brain.

Two cases, one of a chronic encapsulated intracerebral hematoma occurring in a 43-year-old man and the other of an intracerebellar hematoma in an 8-year-old boy, are reported. In both cases CT scans revealed an encapsulated lesion containing the hematoma, but angiographic pictures were poor except for revealing a space-occupying lesion and a small vascular lesion. Both hematomas were successfully removed. Each case was associated with a thick, fibrous capsule that was found histologically to arise from an occult angiomatous malformation. The encapsulated hematomas partially included old thromboses, and both old and recent areas of hemorrhage. The latter were considered to be due to the rupture of vessels developed near the inner surface of the thickest part of the fibrous capsule. Although the condition is uncommon, chronic hematoma must be considered when encapsulated mass lesion is present in the brain.

Adult↗
PubMed1984

[Intraperitoneal administration of FT-207 for mouse peritonitis carcinomatosa].

The peritoneal surface of the lesion was observed after treatment by scanning electron microscopy to evaluate the anticancer effect of FT-207. FT-207 (1.0 mg/day) was injected intraperitoneally to the DDN mice in which 3 X 10(7) MM2 tumor cells were inoculated the day before treatment. The anticancer effect was examined from 2nd to 7th consecutive day after tumor cell implantation, and the following results were obtained. 1) In the early phase after injection of FT-207, many macrophage-like cells were observed on the peritoneal surface. 2) Each MM2 tumor cell was covered by many macrophage-like cells, and these tumor cells were destroyed. 3) In the late phase after injection of FT-207, tumor cells were hyperplastic on the peritoneal surface, but less prominent than in the control group. 4) Effusion and adhesion in peritonitis carcinomatosa of FT-207 group were less than in the control group.

Animals↗
PubMed1984

[Marked effect of furosemide and hypertonic saline in the treatment of SIAD after head injury].

A case of SIADH after head injury was encountered and treated successfully with furosemide and hypertonic saline. 250 mg of furosemide was given twice at two hours' interval. The dose of 2.5% saline for the infusion was calculated according to the excretion of sodium in the urine collected during this period. The level of serum sodium quickly rose from 113 mEq/l to 137 mEq/l in 33 hours. The consciousness of the patient returned to normal. The problems of quick correction of hyponatremia including the central pontine neurolysis were discussed.

Adult↗
PubMed1984

[Pituitary enlargement with primary hypothyroidism. Report of a case with hyperprolactinemia].

A thirty-nine-year-old house-wife having two children manifested amenorrhea and galactorrhea, since two years before admission. At the same time, she also showed hypothyroidism with high level of serum TSH, which was very sensitive to TRH. Contrast enhanced CT revealed intrasellar mass. Transsphenoidal operation was performed, which revealed a soft, suckable and hypovascularized pituitary mass. The border between the mass and normal pituitary was not clear. Histological diagnosis was pituitary hyperplasia under light and electron microscopy. Before surgery, we were not sure whether this case was primary pituitary tumor or secondary pituitary mass due to hypothyroidism, because we had not been doing thyroid replacement before operation. In this paper, we stress that first choice of treatment for this type of tumor should be thyroid replacement therapy and that, if that replacement therapy failed, pituitary surgery should be the second choice.

Adult↗
PubMed1983

Intraventricular cavernous hemangioma. Case report.

A case of intraventricular cavernous hemangioma in a neonate is reported. In over 200 previously reported cases of intracranial cavernous hemangioma, 11 histologically verified cases have been collected and analyzed. The present case is the second occurring in a neonate.

Cerebral Ventricle Neoplasms↗
PubMed1983

[Evaluation of chemotherapy of breast cancer (2). Clinical evaluation of the blood and tissue concentrations of FT-207 following intrarectal administration].

In order to examine the transfer of antitumor drug in breast cancer after administration of FT-207 suppository, FT and 5-FU concentrations in blood, tumor tissues, normal tissues and axillary lymph nodes were determined respectively. FT and 5-FU concentrations in tumor tissues were higher than those in normal tissues or lymph nodes in every cases, and there was a significant difference between FT and 5-FU concentration in blood and tumor tissues. Blood levels of FT and 5-FU remained quite constant at 16 and 20 hours after administration, respectively. Accordingly, it was suggested that the administration of FT-207 suppository to breast cancer was very effective as an adjuvant chemotherapy.

Breast↗
PubMed1983

[Effect of solcoseryl and combined therapy of solcoseryl and FT-207 for mice bearing meth-A tumor].

The effects of a combined chemotherapy of solcoseryl and FT-207 on tumor growth, delayed hypersensitivity and cell population of the spleen were studied using inbred BALB/c mice. Meth-A tumor cells (2 X 10(6] were inoculated into the back of 5 to 6 week old BALB/c male mouse. Animals were divided into three groups: Solcoseryl group, in which 0.04 mg of solcoseryl was injected intravenously three times before inoculation and four times after inoculation; Combined group, in which 1.2 mg of FT-207 and 0.04 mg of solcoseryl were injected intravenously four times after inoculation; FT-207 group, in which 1.2 mg of FT-207 was injected four times after inoculation, with out solcoseryl administration. Following results were obtained: Solcoseryl group showed enhanced immunity and tumor suppression; Decreased immunity due to FT-207 was recovered by administration of solcoseryl but no tumor suppression was observed and, Decreased T-cell population of spleen due to FT-207 was recovered by administration of solcoseryl. These facts suggested that solcoseryl was useful because of making recovery possible from decreased immunity due to chemotherapy.

Actihaemyl↗
PubMed1983

[Case of breast cancer associated with Recklinghausen's disease].

Malignant epithelial tumors associated with Recklinghausen disease are very rare. A 32-year-old female with Recklinghausen disease was admitted to our hospital complaining of a 5 X 4 cm left breast mass. A malignant tumor of the breast was diagnosed by mammography, echography and clinical features. Radical mastectomy was performed and pathological examination showed papillotubular adenocarcinoma. Three cases of breast cancer associated with Recklinghausen disease reported in the Japanese literature were reviewed.

Adenocarcinoma↗
PubMed1983

[Second-look operations and chemotherapy for malignant tumors of the brain].

Second-look operations for glioblastomas, one of the most malignant types of brain tumor, were performed after the administration of chemotherapeutic treatments of general-VM 26 plus ACNU, local-MTX, or interferon-beta in each of ten, two, and three cases, respectively. Patients who had received the treatments were divided into two groups, living and deceased, as of August 1982. Therapeutic evaluation was performed with clinical parameters. Among the cases of CR, one (a 14-year-old female) had undergone surgery four times in the four years following onset, and no trace of tumor shadow appeared on the CT grams that were taken one month after the last surgery. Her performance was evaluated as almost 100% (ECOG). In cases of local administration, one case, which had been treated with IFN-beta, demonstrated an apparent decrease in the growth fraction and a pronounced decrease in tumor progression potency. Cell kinetic analyses were also performed, and cell cycle time and growth fraction were estimated by computer with the aid of flow cytometry. Efficacious chemotherapy yielded a decreased value of the growth fraction and an increase in cell cycle time. The decreased value of the growth fraction demonstrates especially well the effectiveness of a chemotherapeutic regimen. The cell kinetic analyses aided in the rational establishment of a chemotherapeutic regimen. Second-look operations for malignant brain tumors will enable more effective refinements in chemotherapeutic regimens and more successful results.

Adolescent↗
PubMed1983

[A case of perforation of the small intestine in Crohn's disease].

Perforation of the small intestine occurs rarely in the course of Crohn's disease. A case of perforation of the ileum affected by Crohn's disease was presented. A 92-year-old woman was admitted to the hospital complaining of sudden onset of abdominal pain. Laparotomy revealed peritonitis and two perforations in the diseased ileum. She underwent resection of 60 cm of terminal ileum, ileocecum and adjacent 5 cm of ascending colon with an end-to-end ileocolic anastomosis. The intestinal wall of 40 cm of terminal ileum was thickened and edematous. The bowel lumen was narrow. Several longitudinal ulcers were seen. Histological examination of the resected specimen revealed the perforation in Crohn's disease. The intestinal wall was thickened. The mucosal surface was ulcerated and focally perforated. Ulcerated base was covered by abundant necrotizing mass. The submucosa was replaced by non-caseous inflammatory granuloma comprising with fibroblasts, lymphocytes and plasma cells. Perforated area showed abscess formation with plentiful granulocytes. She died of pneumonia 10 days after operation.

Aged↗
PubMed1982

[Clinical observations of tuberculous infection of the middle ear].

Since fifty years, three main infection routes of otitis media tuberculosa have been advocated by the literature. In childhood it was considered to be limited to haematogenic or primary infection, because the tuberculous focus was not found in the lung or in other parts of the body. Two own observations of children with tuberculosis of the middle ear were reported by the authors. Histological examination of the granulation tissue, taken from the mastoid cavities, showed Langhans cells. Also tuberculosis was verified by microbiological examination. When adenotomy was performed one month after the ear operation, also the adenoid tissues showed typical tuberculosis. The authors suggest the possibility of tubal infections from the adenoid tissue into the middle ear.

Child↗