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Biomedical subjects

K Kusajima

Publications and source records attributed to K Kusajima.

At least 91 records · Page 5Linked to original sources

[Present status of pulmonary atypical mycobacteriosis in community general hospitals].

During five years from 1983 to 1987, 110 cases isolating atypical mycobacteria were observed in 13 general hospitals in Tokyo, Chiba and Kanagawa. Of these, 73 cases (56: M. avium complex, 14: M. kansasii, 2: M. zulgai) were diagnosed as mycobacteriosis according to the diagnostic standard of the joint research group of national sanatoria. There were no significant difference in the incidence of the species, the average age and the sex ratio between our date and the previous reports from national sanatoria for tuberculosis in Japan. One attention should also be paid to cases isolating atypical mycobacteria but not fitting the diagnostic standard.

Aged↗

[A surgical case of submucosal esophageal carcinoma with esophageal leiomyoma misdiagnosed as esophageal].

A 56-year-old man with submucosal esophageal carcinoma combined with esophageal leiomyoma is presented. He had suffered from progressive dysphagia and vomiting. X-ray and endoscopic examination revealed severe stenosis of the lower esophagus with smooth mucosa, and CT scan demonstrated a circular and localized tumor. The histological diagnosis of esophageal leiomyoma was made by means of surgical biopsy. Resection of the lower esophagus and upper stomach was performed. But the postoperative pathological examination revealed submucosal esophageal squamous cell carcinoma combined with esophageal leiomyoma. The etiology and diagnosis in this case were discussed.

Carcinoma, Squamous Cell↗

[Case of malignant fibrous histiocytoma associated with squamous cell carcinoma of the esophagus].

A 46-year-old male was admitted complaining of swallowing disturbance. Esophagogram demonstrated a polypoid mass 15 cm in length at the mid portion of the esophagus. Esophagofiberscopy revealed a large greenish friable mass. Subtotal esophagectomy, cervical esophago-gastrostomy and lymph node dissection were performed. The resected polypoid mass was elliptical and measured 14 X 4 X 4 cm. The histological diagnosis of the pedunculated mass was Malignant Fibrous Histiocytoma. An area of poorly differentiated squamous cell carcinoma, in the mucosal layer, was present at the stalk of the polypoid tumor. Lymph nodes showed no tumor involvement.

Carcinoma, Squamous Cell↗

Treatment of subglottic stenosis in a child utilizing a costal cartilage graft.

A nine-year old girl with severe subglottic stenosis secondary to an emergency tracheostomy is presented. Several conservative managements had no significant effect. The patient, however, was successfully extubated by surgical reconstruction with a costal cartilage graft. One year postoperatively, follow up showed no evidence of upper respiratory obstruction or interference with laryngeal growth. Management of severe subglottic stenosis in children is discussed and the usefulness of an autogenous graft for reconstruction of the larynx and upper trachea in the above-mentioned case is documented.

Cartilage↗