[Clinical application of NMR-CT (report 6)--clinical utility of NMR-CT for uterine disease].
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Biomedical subjects
Publications and source records attributed to T Kajima.
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Serum ferritin values were measured preoperatively in 83 patients with gastric cancer and were found to be significantly higher than in normal subjects and mammary cancer patients. They were also significantly higher in healthy men than in women and in gastric cancer patients at stages I and IV than in those at stage III. There was no significant correlation between the serum ferritin value and various immunologic parameters. OK-432 serially administered pre- and postoperatively (A) and only postoperatively (B). The ferritin value increased markedly at one week postoperatively, reaching a peak at two weeks; at four weeks, it was reduced toward the value at one week. However, these changes in ferritin value showed no significant difference between groups A and B.
Four patients with malignant mesenteric tumors are presented. The first was an 81-year-old male who had non-Hodgkin's lymphoma, the 2nd a 66-year-old male with leiomyosarcoma, the 3rd a 35-year-old male with well differentiated fibrosarcoma. All 3 of these patients underwent radical excision. The 4th patient was a 63-year-old male who underwent exploratory laparotomy only. Postmortem study showed leiomyosarcoma. Based on those and published experiences, we suggest that as soon as a diagnosis of mesenteric tumor has been established with CT scan, GI series etc., surgical removal and Chemotherapy should be performed.
Tumors of smooth muscle origin are relatively uncommon in the rectum. Patients with leiomyosarcoma are very infrequently encountered. The patient was a 59-year-old Japanese male, who presented complaining of difficulty of defecation and melena. Rectal examination revealed an elastic hard and smooth-surfaced tumor of walnut size at 4 cm on the left antero-lateral wall. Needle biopsy was performed and the tumor was resected trans- sacrally. Histopathologically the tumor, was diagnosed to be leiomyosarcoma. Although the patient received no postoperative chemotherapy or irradiation, he is living without any symptoms or signs of recurrence 5 years and 6 months after the surgery.
Since 1976, postoperative long term immunochemotherapy (PLIC) with PSK and 5-FU Dry Syrup (5-FUDS) was performed after tumor resection in gastric and colorectal cancer patients. Successful continuation over one year of the therapy was done in 40 cases at stages III and IV (+V) in the period between January 1976 and April 1979. These cases were analyzed and following results were obtained. Two-and 3-year survival rates were 80% and 65% respectively when the total cases of one year survival was taken as 100%. However, there were recurrent or tumor-bearing patients being treated by PLIC and, if they had died within the respective years, 2-and 3-year survival rates would have been reduced to 67.5% and 32.5%, respectively. These survival rates were roughly similar as those of historical control group, in which no immuno-chemotherapy was done. Characteristic features of non-specific immunological parameters seen in the recurrent or tumor-bearing cases of relatively good clinical course were improvement in T cell percentage, reduction or stop of in IgG-FcR (+) T cell percentage and maintenance of a good nutritional condition.
A 34-year-old male who showed a rectal mass upon irrigoradioscopy was admitted on October 6, 1979. Abdominoperineal amputation of the rectum was performed on October 11. Histopathological examination revealed that the tumor was adenocarcinoma of the well differentiated type, s, n0., stage II. The patient received chemotherapy and immunotherapy for 10 months postoperatively. In September 1981, enlargement of the thyroid gland associated with pain was noted and on January 12, 1982 total thyroidectomy was performed. Histologically, a diagnosis of well-differentiated adenocarcinoma, which was a metastasis from the rectal cancer, was made. On August 15, 1982, the patient died of generalized metastases.
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