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フルテキストURL K0006697_abstract_review.pdf K0006697_fulltext.pdf K0006697_summary.pdf
著者 小﨑 吉訓|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6697号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
フルテキストURL K0006695_abstract_review.pdf K0006695_fulltext.pdf K0006695_summary.pdf
著者 德増 一樹|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6695号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2022 Kazuki Tokumasu et al.
フルテキストURL K0006694_abstract_review.pdf K0006694_fulltext.pdf K0006694_summary.pdf
著者 小西 大輔|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6694号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © The Author(s) 2022
フルテキストURL K0006692_abstract_review.pdf K0006692_fulltext.pdf K0006692_other1.png K0006692_other2.png K0006692_other3.png K0006692_other4.png K0006692_other5.png K0006692_other6.png K0006692_summary.pdf
著者 竹内 桂子|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6692号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 ©2022 American Institute of Ultrasound in Medicine
フルテキストURL K0006689_abstract_review.pdf K0006689_fulltext.pdf K0006689_summary.pdf
著者 道端 達也|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6689号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © The Author(s) 2022. Published by Oxford University Press on behalf of the Society of Occupational Medicine.
フルテキストURL K0006688_abstract_review.pdf K0006688_fulltext.pdf K0006688_summary.pdf
著者 安部 優子|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6688号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2022 by Okayama University Medical School.
フルテキストURL K0006687_abstract_review.pdf K0006687_fulltext.pdf K0006687_summary.pdf
著者 韓 言言|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6687号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2020 by The Japanese Society for Lymphoreticular Tissue Research
フルテキストURL K0006686_abstract_review.pdf K0006686_fulltext.pdf K0006686_summary.pdf
著者 德増 美穂|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6686号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2022, Oxford University Press
フルテキストURL K0006685_abstract_review.pdf K0006685_summary.pdf
著者 黒岡 直子|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6685号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0006684_abstract_review.pdf K0006684_fulltext.pdf K0006684_summary.pdf
著者 橋本 望|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6684号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2022 Elsevier B.V.
フルテキストURL K0006683_abstract_review.pdf K0006683_fulltext.pdf K0006683_other.pdf K0006683_summary.pdf
著者 溝渕 有助|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6683号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2022 Ohtani et al.
フルテキストURL K0006682_abstract_review.pdf K0006682_fulltext.pdf
著者 木村 聡|
発行日 2022-09-22
資料タイプ 学位論文
学位授与番号 甲第6682号
学位授与年月日 2022-09-22
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
著作権者 © 2019 The Authors.
JaLCDOI 10.18926/AMO/64044
フルテキストURL 76_5_609.pdf
著者 Matsumoto, Ken| Fujishita, Keigo| Matsuda, Masayuki| Oka, Satoshi| Fujisawa, Yuka| Imai, Toshi| Machida, Takuya|
抄録 A 69-year-old Japanese man with acute leukemia received post-transplant cyclophosphamide-based haploidentical stem cell transplantation (PTCY-haplo-SCT) but was readmitted with dyspnea and ground-glass-opacities of the lungs. Bronchoscopy showed inflammatory changes with no signs of infection. He received steroids but required intubation as his condition deteriorated. In addition to antithymocyte globulin and cyclophosphamide, we administered ruxolitinib but failed to save him. Autopsy findings revealed fibrotic nonspecific interstitial pneumonia (NSIP) without evidence of organizing pneumonia or infection. Thus, we diagnosed idiopathic pneumonia syndrome (IPS). As far as our knowledge, this is the first case of IPS with NSIP histology after PTCY-haplo-SCT.
キーワード idiopathic pneumonia syndrome ruxolitinib post-transplant cyclophosphamide-based haploidentical stem cell transplantation nonspecific interstitial pneumonia
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 609
終了ページ 615
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352810
Web of Science KeyUT 000884907100016
JaLCDOI 10.18926/AMO/64043
フルテキストURL 76_5_605.pdf
著者 Teraishi, Fuminori| Jikuhara, Atsushi| Ogawa, Ryunosuke| Fujiwara, Toshiyoshi|
抄録 An 84-year-old female underwent open right hemicolectomy with D3 lymph node dissection for cecal cancer, pathologically identified as pT4aN2M0 Stage IIIc and BRAF mutation-positive. Due to early recurrence of abdominal wall and right lateral lymph nodes, the patient was treated with FOLFOXIRI+Bevacizumab. Imaging after 5 courses of chemotherapy found tumor shrinkage and no new metastases. The patient did not tolerate chemotherapy well, and tumor resection was performed. Microsatellite instability (MSI) testing using multiplex polymerase chain reaction (PCR) fragment analysis revealed MSI-high status. The patient is currently recurrence-free without chemotherapy at 1 year postoperatively. BRAF-mutated colorectal cancer has a poor prognosis, and may require resection of the metastatic or recurrent tumor after comprehensive evaluation.
キーワード BRAF V600E mutation cecal cancer, MSI-high
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 605
終了ページ 608
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352809
Web of Science KeyUT 000884907100015
JaLCDOI 10.18926/AMO/64042
フルテキストURL 76_5_597.pdf
著者 Watanabe, Shiho| Watanabe, Toshiyuki| Yamada, Kiyoshi| Namba, Yuzaburo| Kimata, Yoshihiro|
抄録 Gender affirming surgery (GAS) has important impacts for people with gender incongruence (GI), both physically and socially. As the societal acceptance of gender diversity spreads, the number of individuals with GI who wish to be identified as the gender of their choice is increasing. Indeed, many elderly people who have lived a long time with GI now wish to undergo GAS, but face greater surgical risks due to greater burdens of underlying medical conditions. Generally, vaginoplasty is performed for transwomen; however, this surgery is time-consuming and involves heavy bleeding, and thus, should be avoided in elderly people. A less invasive technique is needed. In this article, we describe a new, less invasive genital feminizing surgical technique for transwomen with reports from two clinical cases. We present this novel technique as a safe, aesthetic, and cost-effective option for gender-affirming surgery for transwomen.
キーワード gender-affirming surgery, vaginoplasty gender incongruence transwomen
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 597
終了ページ 603
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352808
Web of Science KeyUT 000884907100014
JaLCDOI 10.18926/AMO/64041
フルテキストURL 76_5_593.pdf
著者 Noumi, Taku| Watanabe, Hiromi| Ninomiya, Kiichiro| Ohashi, Kadoaki| Ichihara, Eiki| Kubo, Toshio| Makimoto, Go| Kato, Yuka| Fujii, Masanori| Tabata, Masahiro| Maeda, Yoshinobu| Hotta, Katsuyuki| Kiura, Katsuyuki|
抄録 We encountered a woman with re-enlarged axillary lymph nodes during a computed tomography (CT) scan for surveillance of lung adenocarcinoma with axillary lymph node metastasis at the initial diagnosis that had shrunk with standard chemotherapy. We first suspected cancer recurrence and considered a change in the chemotherapeutic regimen. However, after careful history taking regarding the timing of her Coronavirus Disease 2019 (COVID-19) vaccination, and subsequent careful, close follow-up, radiological shrinkage suggested a strictly benign cause. Especially in lung cancer with a medical history of axillary lymph node involvement, cliniciansshould be aware that vaccine-associated lymphadenopathy can mimic cancer recurrence and sometimesprompt serious misjudgment regarding a current treatment course and strategy.
キーワード lung cancer COVID-19 vaccination axillary lymphadenopathy case report
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 593
終了ページ 596
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352807
Web of Science KeyUT 000884907100013
JaLCDOI 10.18926/AMO/64040
フルテキストURL 76_5_585.pdf
著者 Choshi, Haruki| Watanabe, Mototsugu| Furukawa, Shinichi| Ujike, Hiroyuki| Kataoka, Kazuhiko|
抄録 Pulmonary metastatic resection is a standard therapy for renal cell carcinoma (RCC). Although patients with pulmonary metastases who do not undergo any treatment have poor prognoses, it has been reported that resection for pulmonary metastases yields good clinical outcomes. We investigated the prognoses of the 10 Japanese patients (eight males, two females) who underwent a surgical resection of pulmonary metastasectomy from RCC at our institution between April 1, 2012 and March 31, 2020 and analyzed the prognostic factors. We determined the prognoses and calculated the 5-year overall survival (OS) and disease-free survival (DFS) rates. To identify prognostic factors, we compared the median DFS duration for each factor. Elderly patients (median age, 75.5 years) were more predominant compared to previous studies, and all 10 patients underwent a complete resection. The 5-year DFS rate was 30.5% (95%CI: 0.045-0.63) and the 5-year OS rate was 80% (95%CI: 0.20-0.97). The following factors were associated with better prognosis: female, disease-free interval≥36 months, and metastases size<12 mm. These results indicate that complete resection for pulmonary metastases from RCC resulted in good clinical outcomes, particularly for patients with better prognostic factors.
キーワード renal cell carcinoma pulmonary metastasis complete resection
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 585
終了ページ 591
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352806
Web of Science KeyUT 000884907100012
JaLCDOI 10.18926/AMO/64039
フルテキストURL 76_5_577.pdf
著者 Okutani, Yuki| Fujita, Hiroshi| Harada, Hideto| Kataoka, Masanao| Murotani, Yoshiki| Shimizu, Yu|
抄録 The prevalence of preoperative deep vein thrombosis (DVT) has been reported to be relatively high in patients undergoing total hip arthroplasty. We investigated the prevalence of DVT, the association between hip function and preoperative DVT, and the effect of a history of surgery in patients who underwent primary total hip arthroplasty. We retrospectively analyzed the cases of the patients who underwent primary total hip arthroplasty between April 2013 and February 2020 at our institution. We evaluated the prevalence of preoperative DVT based on the results of the patients’ ultrasound screening. We performed univariate and multivariate analyses to investigate the association between the incidence of DVT and patient factors including age, sex, hip function, medical histories, and American Society of Anesthesiologists Physical Status classification. We analyzed 451 patients (494 hips). The prevalence of DVT was 14.2% (64 patients). The multivariate analysis demonstrated that increased age was an independent significant risk factor for DVT. The prevalence of preoperative DVT was relatively high among patients who underwent primary total hip arthroplasty. Preoperative DVT tended to be more prevalent in older patients. Hip function was not associated with the incidence of DVT.
キーワード total hip arthroplasty deep vein thrombosis hip function ultrasound screening
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 577
終了ページ 584
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352805
Web of Science KeyUT 000884907100011
JaLCDOI 10.18926/AMO/64038
フルテキストURL 76_5_565.pdf
著者 Komagoe, Sho| Senoo, Takaya| Takao, Soshi| Shiraishi, Yoshinori| Matsumoto, Hiroshi| Kimata, Yoshihiro|
抄録 We herein introduce horizontal vector analysis, a simple method for assessing cranial morphology based on measurement of the head’s horizontal plane, and use this method to establish normal cranial morphology in Japanese children Computed tomography scans taken in 2010-2019 in healthy Japanese children aged ≤ 6 years. The two measurement planes were parallel to the orbitomeatal plane: namely, a plane passing through the dorsum sellae (DS) and the plane superior to that with the maximal area (Max plane). A protractor was used to circumferentially measure the lengths from the central point to the outer surface of the skull. A total of 487 images were extracted. The distances between the DS and Max planes were consistently almost 30 mm for each age group, so we fixed the Max plane as the plane 30 mm superior to the DS plane. Finally, we established datasets of normal values for each age group and sex. Using these norms, perioperative evaluation of various cranial deformities could be performed more easily and circumstantially.
キーワード craniofacial surgery craniosynostoses horizontal plane Japanese children reference values
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 565
終了ページ 575
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352804
Web of Science KeyUT 000884907100010
JaLCDOI 10.18926/AMO/64037
フルテキストURL 76_5_557.pdf
著者 Pan, Yu| Song, Qingqing| Kanazawa, Tomoyuki| Morimatsu, Hiroshi|
抄録 Some pediatric cardiac patients might experience low regional cerebral oxygen saturation (rSO2) during surgery. We investigated whether a pediatric patient’s mean arterial pressure (MAP) can affect the rSO2 value during cardiopulmonary bypass (CPB). We retrospectively analyzed the cases of the pediatric patients who underwentcardiac surgery at our hospital (Jan. –Dec. 2019; n=141). At each MAP stage, we constructed line charts through the mean of the rSO2 values corresponding to each MAP and then calculated the correlation coefficients. We next divided the patients into age subgroups (neonates, infants, children) and into cyanotic congenital heart disease (CHD) and acyanotic CHD groups and analyzed these groups in the same way. The analyses of all 141 patients revealed that during CPB the rSO2 value increased with an increase in MAP (r=0.1626). There was a correlation between rSO2 and MAP in the children (r=0.2720) but not in the neonates (r=0.06626) or infants (r=0.05260). Cyanotic CHD or acyanotic CHD did not have a significant effect on the rSO2/MAP correlation. Our analysis demonstrated different patterns of a correlation between MAP and rSO2 in pediatric cardiac surgery patients, depending on age. MAP was positively correlated with rSO2 typically in children but not in neonate or infant patients.
キーワード mean arterial pressure cerebral oxygen saturation
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2022-10
76巻
5号
出版者 Okayama University Medical School
開始ページ 557
終了ページ 564
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2022 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 36352803
Web of Science KeyUT 000884907100009