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論

Intrapulmonary metastasis of non–small cell lung cancer: A prognostic assessment

AbstractObjective: According to the revised TNM classification in 1997, intrapulmonary metastasis within the same lobe of the primary tumor is designated as T4 and intrapulmonary metastasis in a different lobe is M1. However, their prognostic implications remain unclear. To assess their prognoses, we retrospectively analyzed the postoperative survival of patients with and without intrapulmonary metastasis. Methods: From January 1982 to December 1996, 2340 patients with non–small cell lung cancer underwent surgical resection. The survival of patients having complete resection (n = 1534) was analyzed according to their intrapulmonary metastasis status: patients without intrapulmonary metastasis (n = 1393), those with metastasis in the same lobe (n = 105), and those with metastasis in a different lobe (n = 18). For comparison, patients with T4 disease without intrapulmonary metastasis in the same lobe (n = 54) and those with M1 disease without metastasis in a different lobe (distant M1, n = 18) were also analyzed. Results: The overall 5-year survivals were as follows: no intrapulmonary metastasis, 60%; stage T4 disease with no intrapulmonary metastasis, 34%; pulmonary metastasis in the same lobe, 34%; pulmonary metastasis in a different lobe, 11%; and distant M1, 6%. The differences in survival between patients with no pulmonary metastasis and those with metastasis in the same lobe (P <.001, log-rank test) and between patients with metastasis in the same lobe and those with distant M1 (P <.001) were significant. In contrast, there was no significant difference between patients with metastasis in the same lobe and those with T4 disease and no intrapulmonary metastasis or between patients with metastasis to a different lobe and those with distant M1. Conclusions: Prognostically, intrapulmonary metastasis within the same lobe of the primary tumor was comparable with T4 and that in a different lobe was comparable with M1. In terms of postoperative prognosis, the revised TNM classification for intrapulmonary metastasis seems to be appropriate.J Thorac Cardiovasc Surg 2001;122:24-

High-Frequency Heating Extraction Method for Sensitive Drug Analysis in Human Nails

ArticleMolecules. 23(12): 3231(2018)journal articl

Development of miniaturized pick-up amplification circuit for plasma particle detectors on board satellites

Plasma particles and waves are important observation targets in space plasmas for understanding the mechanisms of energy and momentum transfer between waves and particles because space plasmas are essentially collisionless. Multi-point observations are crucial for understanding the spatial–temporal variations of space plasmas. To realize such observations by a large number of satellites, onboard instruments should be miniaturized to reduce their required resources. This paper proposes a small amplifier for plasma particle detectors onboard satellites. This charge-sensitive amplifier converts an electron cloud emitted from the detector, for example a microchannel plate, to a current pulse that can be handled by a time-of-flight measurement circuit to determine the particle velocity and thus mass. The amplifier is realized using application-specific integrated circuit technology to minimize size. Its dimensions are estimated to be $$2120, mathrm{ mu m }times 1680, mathrm{ mu m}$$, which are much smaller than those of a conventional amplifier. The response time of the proposed amplifier has a variation of less than $$1.2, mathrm{ ns}$$ over the range of expected input levels. The amplifier can handle up to $$2times {10}^{7}$$ signals per second and has a sensitivity of $$1.5, mathrm{ V}/mathrm{pC}$$ at $$20, mathrm{^circ{rm C} }$$

Upper eyelid retraction disclosed after edrophonium chloride administration in a patient with Graves’ orbitopathy and myasthenia gravis

Patients with Graves’ orbitopathy have a higher probability of myasthenia gravis than does the normal population. Overlapping clinical features cause diagnostic confusion in such a situation. We herein report a patient with Graves’ orbitopathy and myasthenia gravis (GO-MG) with normal left eyelid height, but in whom upper eyelid retraction was shown after edrophonium chloride administration. Upper eyelid retraction in GO-MG is occasionally masked by a myasthenia effect. The upper eyelid height must be carefully monitored in patients with Graves’ orbitopathy to detect the presence of concomitant myasthenia gravis

T2 tumors larger than five centimeters in diameter can be upgraded to T3 in non–small cell lung cancer

AbstractObjective: Among the TNM criteria, tumor size is a well-assessed factor in the prognosis of small tumors. A 3-cm cutoff point separates T1 from T2 tumors, whereas a size larger than 3 cm is not ascribed any prognostic value. Instead, N2 is considered to be the worst prognostic factor for intrathoracic extended disease. Method: The prognosis of 545 patients with non–small cell lung cancer larger than 3 cm in diameter (T2, T3, and T4) was studied. These tumors were completely resected by pneumonectomy (n = 126) or lobectomy (n = 411) or were partially resected (n = 8). Survivals were compared according to the following factors: tumor size (3.1-5 cm, 5.1-7 cm, >7 cm), nodal status, age, sex, histologic type, degree of pleural involvement, operative procedure, stage, and T factor. For the multivariate analysis, the Cox proportional hazard model was used with the same variables. Results: The univariate analysis showed that age, sex, degree of pleural involvement, operative procedure, tumor size, nodal status, and stage were all significant prognostic factors. Further comparison of survival between different tumor sizes (≤5 cm vs >5 cm) in the same nodal category demonstrated a significantly poor prognosis for larger tumors in N0 (P =.00374) and N2+N3 (P =.0157), but not in N1 (P =.3452). T2 tumors (n = 349) were divided, according to size, into T2a (n = 238) and T2b (n = 111), and survival was compared with those in T3 and T4. The 5-year survivals were 51.3%, 35.1%, 47.8%, and 25.3%, respectively. The difference between T2a and T2b was statistically significant (log-rank P =.0170, Breslow P =.0055). Conclusions: A tumor size of more than 5 cm in diameter was indicative of a poor prognosis in non–small cell lung cancer, because patients with T2b tumors had a significantly different survival from that of patients with T2a tumors, and the survival curve was located between those for patients with T3 and T4 tumors. Consequently, T2b might be upgraded to at least T3.J Thorac Cardiovasc Surg 2001;122:907-1

Temporal and spatial variations of pulsating auroras in fine-scale obtained from ground-based observations

第2回極域科学シンポジウム/第35回極域宙空圏シンポジウム 11月16日（水） 統計数理研究所 3階リフレッシュフロ