- Nonmelanoma Skin Cancer Studies
- Cutaneous Melanoma Detection and Management
- Reconstructive Facial Surgery Techniques
- Reconstructive Surgery and Microvascular Techniques
- Vascular Malformations Diagnosis and Treatment
- Vascular Malformations and Hemangiomas
- Vascular Anomalies and Treatments
- Cancer and Skin Lesions
- Hedgehog Signaling Pathway Studies
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Advanced Glycation End Products research
- Cutaneous lymphoproliferative disorders research
- Shoulder Injury and Treatment
- Polyamine Metabolism and Applications
- Cancer Diagnosis and Treatment
- Cancer Mechanisms and Therapy
- Facial Trauma and Fracture Management
- Brain Metastases and Treatment
- Ear and Head Tumors
- Lung Cancer Research Studies
- Genetic and rare skin diseases.
- Anorectal Disease Treatments and Outcomes
- Cancer, Hypoxia, and Metabolism
- Cell Adhesion Molecules Research
Ehime University
1987-2023
Ehime University Hospital
2006-2020
Abstract The objective was to prepare guidelines perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas vascular malformations, confirming safety, systematizing treatment, employing evidence-based medicine (EBM) techniques aimed at improvement outcomes. Clinical questions (CQs) were decided based on important clinical issues. For document retrieval, key words for literature searches set each CQ published from 1980 end September 2014 searched in...
Abstract The objective was to prepare guidelines perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas vascular malformations, confirming safety, systematizing treatment, employing evidence‐based medicine (EBM) techniques aimed at improvement outcomes. Clinical questions (CQs) were decided based on important clinical issues. For document retrieval, key words for literature searches set each CQ published from 1980 end September 2014 searched in...
Abstract The objective was to prepare guidelines perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas vascular malformations, confirming safety systematizing treatment, employing evidence‐based medicine techniques aimed at improvement outcomes. Clinical questions (CQ) were decided based on important clinical issues. For document retrieval, key words for published work searches set each CQ, from 1980 end September 2014 searched in PubMed,...
The protractor-based goniometer is the standard instrument used to measure finger range of motion (ROM). However, method often complicated apply and places a burden on investigator. Here, we developed new for ROM measurement using smartphone. This study was performed determine reliability convenience this method. in 1007 joints measured by both data were analyzed intraclass correlation coefficient (ICC). smartphone ICC score high (0.927), average time per joint 49% lower with compared...
SUMMARY A more natural reconstructive procedure of the lower lip using bilateral vermilion flaps was applied in five patients with excellent results. The defects were about two-fifths to three-fifths. In three patients, defect repaired alone. remaining two a narrow horizontal by and subcutaneous V-Y advancement flap lip. single or are considered be great value for reconstruction because inherent elasticity common anatomic unit. postoperative scars not remarkable at all. long (perhaps within...
Purpose: Although arteriovenous malformations (AVMs) are typically benign lesions, massive ones can lead to severe complications, including heart failure. Notably, there is no standardized treatment for AVMs. Moreover, management of AVMs be challenging when these lesions involve vital organ systems, such as the head and neck. In this report, we describe embolization a cervical AVM in pediatric patient with Case report: A 10-year-old boy presented failure secondary neck (right side). Despite...
Speckle-type pox virus and zinc finger (POZ) protein (SPOP), a substrate recognition receptor for the cullin-3/RING ubiquitin E3 complex, leads to ubiquitination of >40 its target substrates. Since variety point mutations in substrate-binding domain SPOP have been identified cancers, including prostate endometrial pathological roles those cancer-associated mutants extensively elucidated. In this study, we evaluated cellular functions wild-type non-cancerous human keratinocyte-derived HaCaT...
Level of Evidence: V, Expert Opinion
当科で経験した乳房外Paget病100例についてまとめ,1992年に報告した内容と比較検討した。本疾患は70代男性に多くみられ,近年は増加傾向にあった。大部分の症例は表皮内癌で生命予後は良好であったが,浸潤癌症例では高率にリンパ節転移を来しており,予後不良であった。当科では従来の方針を見直し,皮膚側切除範囲を5cmから3cmにまで縮小し,それまで全例に行ってきた所属リンパ節郭清の適応を浸潤癌の症例に限定してきた。しかし,原発巣の局所再発は認めず,生命予後の悪化もなく,取扱い規約を支持する結果であった。今後高齢化社会を迎え,症例の増加が見込まれる。切除範囲のさらなる縮小およびセンチネルリンパ節生検などの手技を用いたリンパ節郭清適応症例の見極めが必要になると思われた。
Medical procedures denoted as interventional radiology require operation near an X ray beam, which brings high dose exposures to the operators' hands. For effectual control of their extremity doses, a prototype real-time wrist dosemeter has been developed, hand monitor (HDM), based on single silicon detector. Experiments were performed test its response diagnostic rays. The HDM was highly sensitive and showed linear down doses few tens microsieverts. Though rate, energy angular dependence...
A rare instance of subperiosteal hemorrhage the orbital roof with satisfactory operative results is described here. Two-dimensional computed tomography was great value in preoperative evaluation impaired upward gaze and diplopia.
An island groin flap was used for satisfactory reconstruction of defects in the anterior thigh, lower abdomen, or perineal regions 9 patients. This has several advantages: simple operation, wide range coverage, large rotation arc, direct closure donor site, and no sacrifice muscle. Comparison with tensor fascia lata other musculocutaneous flaps is made.
79歳の男性。1989年の右腋窩に結節が出現した。近医にて液体窒素療法を繰り返し受けるうち, 同部は潰瘍化した。その後潰瘍は徐々に拡大し, 2002年7月頃より潰瘍は急速に拡大してきたため同年10月1日当科を受診した。初診時右腋窩に6×5cmの蚕食性の潰瘍を認め, 一部に白苔を伴っていた。潰瘍周辺には衛星状に黒色の小結節を認めた。生検にて基底細胞癌と診断し, 10月24日, 衛星病変を含め辺縁より2cm離し, 底部は肋骨骨膜上にて一塊に切除した。また術中迅速病理検査にて腋窩リンパ節に転移が認められたため, 同時に腋窩リンパ節を可及的に摘出, 創部は分層植皮により被覆した。術後4カ月後に右腋窩部に局所再発が認められたため追加切除を施行。経過観察中であるが追加切除後1年2カ月間, 再発は認められていない。
Thirty-two patients with extramammary Paget's disease during a 15-year period were analyzed.The male to female ratio was 25 7, and the average age of 71.8 years. All lesions in external genitalia or perianal regions. The treatment composed histologically controlled, local wide excision, regional lymphnode dissection when indicated. 5-year survival rate 77.1% 10-year 48.9%.Bilateral axillary skins 26 32 examined; cells also found bilateral axillae 3 unilateral axilla another patients....
Abstract A 22‐year‐old Japanese woman with Koebner epidermolysis bullosa simplex presented severe palmo‐plantar hyperkeratosis. Skin biopsy specimens from the palm revealed hyperkeratosis and acanthosis blistering in basal cell layer. An electron microscopic study showed cytolysis of cells clumping tonofilaments forming thick bundles perinuclear electron‐dense bodies. Hand contractures were released covered full thickness autografts or split autografts. The donor site was successfully...
Pelvic organ prolapse (POP) has a high risk of recurrence and poses challenges for surgeons in terms reconstruction. A 77-year-old woman was admitted to the plastic reconstructive surgery unit at our hospital. She complained mass on external genitalia that caused pain effusion. Axial computed tomography (CT) showed lesion from pubic bone outside vagina, which did not affect pelvic organs. During examination, patient found have ascites due liver cirrhosis.Based clinical imaging findings,...
A trapezius musculocutaneous (MC) flap was used for the defect after excision in an advanced squamous cell carcinoma on left occipital region a 75-year-old female, and multiple recurrent liposarcoma shoulder 90-year-old respectively, cutaneous perforator also soft tissue sarcoma (unclassified type) posterior cervical 85-year-old male. MC may be indicated reliable coverage head neck, defects, especially and/or difficult malignant tumor with bleeding, odor, or obstinate pain. [Skin Cancer...
Background: Although several studies have investigated the accuracy of clinical diagnoses skin tumors, specific ways to improve diagnostic not been identified. This study factors that influence tumor methods and discusses strategies accuracy.
Nose reconstruction is challenging given the three-dimensional structure and free edge, various methods have been reported. In general, local flaps provide cosmetic outcomes that are better than those following skin grafts, but there no published comparative studies on Asians. To determine whether or grafts may optimally be used to reconstruct external nasal defects among We retrospectively collected data patients who underwent tumour resection by 14 plastic surgeons in eight Japanese...
82歳,女性の鼻部から右内眼角に及ぶmorpheaformの基底細胞癌(BCC)を報告した。病巣部切除後,全層植皮術を行った。術後2年4ヵ月以後は来院がなく,97歳,14年半ぶりの再診時には,再発腫瘍が眼瞼ならびに眼窩に浸潤していた。CT画像上,眼窩脂肪織や周囲骨組織への浸潤所見を認めた。軽度認知症を伴う超高齢者故に,眼窩内容除去術を行わずに,姑息的治療で経過を追っているが,最近のCT,MRI画像上では,脳硬膜,右海綿静脈洞,斜台,ほかへの浸潤所見を認めている。 眼周囲のBCCでは,再発が少なからず起こるので,密な間隔で,長期的な追跡が必要である。