Retrovesical leiomyosarcoma responsive to preoperative chemoradiotherapy: a case report

69歳男.排尿困難を主訴として入院.下腹部に小児頭大の腫瘤を触知, MRIで膀胱の背側に11.5×8.0×8.0cmの腫瘤を認め, 膀胱は著しく前方へ圧排され, 腎盂鏡を経尿道的に挿入, 針生検を行い平滑筋肉腫と診断した.術前に動注化学療法と放射線の骨盤内照射を行い4ヵ月後に腫瘍は35%の縮小が得られ, 膀胱後部腫瘍摘除術を行った.腫瘍のみを根治的に摘除でき, 大部分が壊死に陥っていたが, 一部vialbleな組織を認め, 組織像は生検とほぼ一致していた.偶然左腎腫瘍を発見, 左腎部分切除を行い, renal cell carcinomaであったA 70-year-old man with dysuria was referred to our hospital. Computed tomography scan and magnetic resonance imaging demonstrated a large solid tumor in the retrovesical space. Transurethral needle biopsy revealed leiomyosarcoma. Since the size of the tumor decreased markedly by intraarterial chemotherapy with cisplatin, methotrexate and pirarubicin, in combination with radiotherapy (40 Gy), surgical extirpation of the tumor was performed. Neither infiltration to the adjacent organs or lymph node metastasis was recognized. The patient had been free of recurrence for 12 months after operation

The effects of emotional dissonance and employee's empowerment on service quality and customer satisfaction perception: customer level analysis

The performance of customer contact employees is essential in ensuring the success or failure of the service exchange. Employees’ personal conduct and attitude play an important role in affecting customer’s awareness of the quality of service delivered. This study contributes to the current body of work in the service marketing area by investigating four major constructs; Empowerment, Emotional Dissonance, Service quality and Customer satisfaction and their relationships. The sample comprises of hotel customers. The data was collected using a qualitative interview technique. Findings indicate that empowerment has a relationship with emotional dissonance and empowerment may also have significant influence in managing employees’ emotions at a workplace. Results also reveal that there is a positive relationship between empowerment, service quality and customer satisfaction

放射性廃棄物処分施設の安全評価における数値解析手法に関する研究

学位記号番号 : 博理工乙第183号博士の専攻分野の名称 : 博士(工学) 学位授与年月日 : 平成21年9月18日textapplication/pdfthesi

免疫不全ブタ開発に関する研究

学位の種別: 論文博士審査委員会委員 : (主査)東京大学准教授 山内 啓太郎, 東京大学教授 松本 芳嗣, 東京大学教授 内藤 邦彦, 東京大学准教授 田中 智, 東京大学准教授 角田 茂University of Tokyo(東京大学