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Biomedical subjects

Y Chiba

Publications and source records attributed to Y Chiba.

At least 397 records · Page 22Linked to original sources

Differential diagnosis of asbestos-induced pleural thickening using computer tomography: a preliminary study.

The usefulness of CT was investigated in differentiating pleural plaques from extrapleural fat-induced shadows resembling pleural plaques. The study revealed that CT is sensitive enough to distinguish between the two, which are similar in conventional radiographic morphology and different in nature. By continuing these studies we hope to establish a criterion for distinguishing extrapleural fat on conventional radiographs.

Adipose Tissue↗

[Serum hCG, hPL and progesterone levels in threatened abortions (author's transl)].

Serum hCG, hPL and progesterone levels in women with early pregnancies were measured with radioimmunoassay, simultaneously diagnosed whether the fetus was viable or nonviable by real-time ultrasonography. According to the ultrasonographic diagnosis, combined with subjective or objective signs of abortion, patients were divided into three groups-normal pregnancies, threatened abortions and missed abortions. There was no significant difference between serum hCG levels in women with normal pregnancies and those in women with threatened abortions. Whereas, significant difference was observed about serum progesterone and hPL levels between those two groups, at 12 approximately 13 weeks of pregnancy. Abnormally low serum hCG, hPL and progesterone levels were observed in women with missed abortions. In 8 out of 11 cases of patients with missed abortions, serum hCG or hPL levels have been rising after the fetal death had been identified. Above results suggest that impairment of translocation of production site of progesterone could be a cause of clinical manifestations in threatened abortions, and that the synthesis and secretion of two protein hormones are still taking place in trophoblasts after the fetal death occurred.

Abortion, Threatened↗

A follicular adenoma arising from the thyroid tissue of a benign cystic teratoma during pregnancy--lightmicroscopical, ultrastructural and endocrinological studies.

A rare case of follicular adenoma arising from the thyroid tissue of a benign cystic teratoma of the left ovary was described in a 28-year-old, 13 weeks pregnant woman. Histologically, the tumor showed pleomorphic adenomatous patterns; embryonal type, fetal type, simple type and oxyphil type. The final diagnosis of follicular adenoma was established by ultrastructural, immunohistological and endocrinological studies. The patient was successfully operated, delivered of a normal full term male infant and is now under a follow-up study.

Adenoma↗

Primary rhabdomyosarcoma of the cerebrum. An ultrastructural study.

A case of primary cerebral rhabdomyosarcoma in a 51-year-old female is reported. The histogenesis of this tumor is discussed. The clinicopathological features of 10 previously reported similar tumors of the CNS are briefly reviewed. Histologically the tumor was polymorphic, but composed of poorly differentiated cells interpreted as rhabdomyoblasts without definite cross-striation. Electron microscopy established that the poorly differentiated cells were of rhabdomyosarcomatous nature, compatible with presumptive myoblasts and analogous to developing fetal muscle.

Brain Neoplasms↗

Kallikrein system during treatment of hematological malignancies.

Factors of the plasma kallikrein system have been evaluated following the course of 48 patients with hematological malignancies which consisted of 15 cases of AML, 6 cases of myeloproliferative disorders, 14 of lymphoproliferative disorders, 8 of multiple myeloma and 5 of bone marrow carcinomatoses. Normal range of spontaneous activity was 11.4 +/- 3.0 micronM/ml TAMe hydrolyzed, kallikreinogen was 115.8 +/- 26.2 micronM/ml.h and enzyme inhibitor was 1.02 +/- 0.37 unit. Lower kallikreinogen level of the range was from 77.2 to 93.1; higher spontaneous activity, 8.4 to 18.0 and lower enzyme inhibitor activity of 0.46 to 0.92 was seen before treatment. Kallikreinogen increased up to the range of 95.6 to 120.1 at complete remission and decreased down to 63.1 - 76.5 prior to death. The causes of the change in these factors were discussed.

Adult↗

Clinical and pathologic studies of gastrointestinal hemorrhage in acute leukemia.

One hundred and sixty cases of acute leukemia observed at our Department between 1953 and 1977 were reviewed as to the presence and nature of the accompanying gastrointestinal hemorrhage. A massive gastrointestinal hemorrhage requiring blood transfusions occurred in 29 cases (18%). The most common lesion was hemorrhagic necrosis of the small intestines. There were three forms of hemorrhage: Type I: thrombocytopenia, hemorrhagic diathesis, diffuse hemorrhage of mucosa and submucosa, but no erosion nor ulceration. Type II: no specific pathologic findings. Diffuse hemorrhage, superficial erosions, bacterial and fungal invasions were observed. Type III: single and/or multiple ulcerations, necrosis and perforation of the small intestines and colon. Thrombocytosis was almost always present at the prebleeding phase in these cases. Intravascular microthrombi at the basis of ulceration were seen. Usually, more than one process were seen in each case. An appropriate approach to the severe gastrointestinal hemorrhage with a combination of anti-leukemic chemotherapy, anti-coagulant therapy, platelet transfusion, etc. would further add to the number of long-term survivors in acute leukemia.

Blood Platelets↗