A5072664932- Hepatocellular Carcinoma Treatment and Prognosis
- Liver Disease Diagnosis and Treatment
- Liver Disease and Transplantation
- Pancreatic and Hepatic Oncology Research
- Vascular Malformations and Hemangiomas
- Cancer, Hypoxia, and Metabolism
- MRI in cancer diagnosis
- Genetic and Kidney Cyst Diseases
- Esophageal and GI Pathology
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Head and Neck Surgical Oncology
- Cardiac Structural Anomalies and Repair
- Oral and Maxillofacial Pathology
- Gallbladder and Bile Duct Disorders
- Liver physiology and pathology
- Radiomics and Machine Learning in Medical Imaging
- Organ Transplantation Techniques and Outcomes
- Vascular anomalies and interventions
- Coronary Artery Anomalies
- Cardiac tumors and thrombi
- Hepatitis C virus research
- Ultrasound and Hyperthermia Applications
- Intraperitoneal and Appendiceal Malignancies
- Peptidase Inhibition and Analysis
- Atherosclerosis and Cardiovascular Diseases
Nihon University
2000-2024
Kidney Centre
1996
Abstract Background Pancreaticogastrostomy (PG) after pancreaticoduodenectomy has been reported to have a lower incidence of pancreatic fistula than pancreaticojejunostomy (PJ) but this was not confirmed in recent prospective randomized study. Methods Different methods reconstruction were used between January 1994 and 1999 two university-affiliated hospitals, PJ (n = 69) one hospital PG 73) the other. Operations at both hospitals performed by same surgical team. All anastomoses carried out...
1) If there is a remaining portion (e.g., gallbladder/bile duct), evaluate the ultrasound imaging findings of *2) Including cases where wall cannot be evaluated due to atrophy or gallstones, and postprandial gallbladder *3) Confirm absence cause obstruction in distal bile duct pancreatic head *4) Pay attention presence protruded lesions with thickening small cystic structure comet-like echo *5) Note that measured values are not what assessed case localized *6) Pneumobilia...
Objectives We aimed to investigate whether contrast‐enhanced ultrasound (CEUS) could be useful for early evaluation of the treatment response transcatheter arterial chemoembolization (TACE) hepatocellular carcinoma (HCC). Methods This study retrospectively selected HCCs in which homogeneous retention iodized oil was confirmed on non–contrast‐enhanced computed tomography performed immediately after TACE. Therapeutic responses were evaluated by CEUS 1 2 days TACE and (CECT) approximately 4...
A 62-year-old man was diagnosed with the onset of tuberculosis (Tb) from a pulmonary latent infection (LTBI) during triple therapy pegylated interferon α2a, ribavirin, and telaprevir for chronic hepatitis C in 2013 before (IFN)-free anti-viral introduced Japan. liver biopsy IFN treatment revealed presence epithelioid cell granulomas (ECGs). may also be employed B malignant tumors, thus, special attention must paid to development Tb LTBI when ECGs are observed treatment. It is necessary...
An 80-year-old woman was admitted to our hospital with right hypochondralgia. Abdominal ultrasonography showed a well-circumscribed round lesion in segments 5 and 6 of the liver. Contrast-enhanced (CEUS) indicated that tumor enhanced arterial phase, changing hypo-enhanced 30 seconds following contrast injection. After admission, patient complained epigastralgia, CEUS subsequently demonstrated extravasation from tumor. Although abdominal angiography successful for achieving hemostasis, grew...
A 74-year-old man was diagnosed with hepatocellular carcinoma. The tumor in the liver showed a complete response after transcatheter arterial chemoembolization, but lung, bone, and lymph node metastases were observed, so treatment atezolizumab plus bevacizumab initiated. After administration, scans growth, continuous administration of bevacizumab, tumors finally reduced size partial response. transient growth considered to be pseudoprogression. Herein, we report case pseudoprogression...
Objectives Quantitative image analysis is one of the methods to overcome lack objectivity ultrasound (US). The aim this study was clarify correlation between features from a US and histologic grade microvascular invasion (MVI) hepatocellular carcinoma (HCC) differentiation HCC smaller than 2 cm borderline lesions. Methods We retrospectively analyzed grayscale images with histopathologic evidence or precancerous lesion using ImageJ version 1.47 software (National Institutes Health, Bethesda,...
Ultrasonographic findings of SAA-positive hepatocellular neoplasm synthetase, diffuse and strong positive for C-reactive protein, liver-type fatty acid binding protein.These pathological features corresponded to that an inflammatory HCA.However, we could not make a clear diagnosis, because HCAs were defined as arise in cirrhotic liver.Finally, this tumor was diagnosed SAA neoplasm.
Aim Renal venous hypertension is known to be associated with worsening of renal function in patients decompensated heart failure. Intra‐abdominal including cirrhotic ascites also leads hypertension. We aimed clarify the effect on ascites. Methods Two hepatologists measured left vein diameter 142 consecutive refractory using non‐contrast computed tomography. The was at main trunk and upstream confluence collateral veins. Results inter‐observer agreements were high for measurements ( r =...
Local tumor recurrence of hepatocellular carcinoma (HCC) often occurs in blood drainage areas. Corona enhancement is determined by computed tomography during hepatic arteriography (CTHA) and considered to represent the area. This study aimed investigate relationship between embolization corona area local patients with HCC who underwent transcatheter arterial chemoembolization (TACE).The retrospectively selected 53 60 nodules that showed on late-phase CTHA homogenous accumulation iodized oil...
Abstract Hepatic hemangioma is the most common hepatic tumor with a prevalence of approximately 3%. It typically supplied by artery as evident from findings abdominal angiography, contrast‐enhanced ultrasonography (CEUS), computed tomography (CT), and magnetic resonance imaging. However, few cases portal vein have been reported. In this paper, we report rare case shown on CEUS CT arterioportography.
肝臓，胆嚢，膵臓，脾臓，腎臓，腹部大動脈の6臓器を対象とした腹部超音波スクリーニング検査について解説をした．超音波検査は一度に表示できる範囲が狭いため何回かに分けてscanをすることが必要になる．この際，見逃しを防ぐ観点，第三者による読影が必要となる観点，新人教育の観点の3点から走査部位と撮影順番を決めて走査することを推奨している．保存画像については超音波検査の特徴を活かしたvolume data（1方向のsector scanの動画像を含む）が望ましい．しかし画像保存方法が各施設で統一されていないためその領域の観察を行った証として各臓器2方向から観察し，25枚の静止画像の保存を行うようにしている．ここでは各断面の観察のポイントおよび走査上の技術的なポイントを解説する．
肝における良性腫瘤性病変の超音波診断のポイントについて解説をする．良性腫瘤性病変における超音波診断の意義は，正確な診断を下し無用な二次検査を減らすことである．特に任意型検診で施行されることの多い超音波検査においては，過剰医療を防ぐためにも正確な超音波診断が重要となる．肝臓における良性腫瘤性病変の超音波診断においては，新たに特別な撮影を行うわけではなく，通常の超音波診断と同様に，まず肝臓全体の評価（びまん性肝疾患の有無），その後に腫瘤の存在診断（部位・腫瘍数・大きさ），次に質的診断を行う．質的診断にあたっては，腫瘍の形態，被膜の有無，境界領域（周辺・辺縁）の状態，内部構造の状態，非腫瘍部の状態，他の肝内病変との関係，などにより鑑別診断を行う．今回は，日常診療において比較的頻度の高い腫瘤性病変である，肝嚢胞，肝血管腫，限局性結節性過形成，肝細胞腺腫，血管筋脂肪腫，炎症性偽腫瘍，に対する超音波診断のポイントについて解説する．
A 64-year-old man was admitted to our hospital complaining of melena and anemia. Gastrointestinal endoscopy colonoscopy were performed, but the source hemorrhage not detected. Abdominal computed tomography showed enhanced mass in pelvis, that seemed develop from small bowel. Capsule single balloon a submucosal tumor with erosion redness found. partial resection intestine performed. Histopathologically, cells spindle-shaped. Immunopathological study positive for c-kit CD-34, so we finally...
Gastrointestinal bleeding and esophageal varices are adverse events that can occur following the introduction of molecular-targeted drugs for hepatocellular carcinoma. We report a case ruptured gastric after drug. The patient underwent repeated hepatic artery chemoembolization Sorafenib was introduced lung metastasis, followed by progression anemia. An upper gastrointestinal endoscopy confirmed diagnosis varices, endoscopic variceal sclerotherapy performed. In this case, stable sorafenib,...
A 70-year-old man was referred to our hospital undergo treatment for hepatocellular carcinoma. In hospital, he complained of hematochezia and a laboratory analysis revealed decreased level hemoglobin. Abdominal computed tomography tumor in the small intestine, with slow enhancement dorsal region. Double-balloon enteroscopy submucosal depression jejunum. Partial enterectomy performed pathological examination demonstrated presence solitary varix. Solitary varix intestine has not been reported...