コウド ヒマン ニヨル ヒカ ウメコミシキ CVポート ノ ヘンイ ガ ゲンイン トナリ カテーテル イツダツ オ キタシタ 1レイ

A totally implantable venous access system is evaluated to be safe and useful. We report a case of dislocation of catheter by displacement of implantable port caused by obesity. A 30-year-old woman was implanted a venous access system by subclavian approach and the port was placed into subcutaneous tissue of chest-wall. At 10 days after operation, chest X-P revealed displacement of the port by change of her posture. At the standing position, the port moved about 6 cm in the direction of caudate side, and the tip of catheter was just likely to be dislocated. Then we inserted a catheter via median vein and implanted a port into subcutaneous tissue of forearm. This catheter was not moved by change of her posture. It was considered that a peripheral vein approach was useful in case a subclavian vein aproach was unsuitable

Squamous Cell Carcinoma of the Descending Colon: Report of a Case and Literature Review

It is very rare that squamous cell carcinoma (SCC) arises from colorectal epithelium. An 89-year-old man was treated in 2001 with chief complaints of anorexia, abdominal pain, and low grade fever. The histological diagnosis as SCC was determined by biopsy during a colonoscopy. We diagnosed primary SCC of the colon because except in the colon no malignant lesions were found by systemic CT. Surgical complete resection was performed. However, he died three months after surgical resection because of hepatic metastasis and cachexia. The prognosis of this disease seems to be worse than that of adenocarcinoma

GSRS ガ リックンシトウ ニヨル ショウカキ ショウジョウ ノ QOL カイゼン ノ ヒョウカ ニ ユウヨウ デアッタ 1レイ

We report here an effective case of Rikkunshi-to（TJ-43）for who had gastrointestinal symptoms,nausea and diarrhea, and a usefulness of GSRS for evaluation of quality of life（QOL）ingastrointestinal symptoms. A 78 year-old male developed nausea and vomitting, and was foundwith a well to moderately differentiated adenocarcinoma of the rectum（Ra, type2, cT2, cN0, cM0,cStageⅡ）. He would be done with neoadjuvant chemoradiotherapy following transverse colostomy.However, he had heart burn and diarrhea after colostomy. Rikkunshi-to improved thesesymptoms. In GSRS, pre-and post-treatment of the total score decreased 3.9 to 2.0. The GSRS isa good relationship to QOL in gastrointestinal symptoms

ダイチョウ ゲンパツ アクセイ リンパシュ ノ 3レイ

Compared with carcinomas of the digestive organs, malignant lymphomas of the digestive organs are rare, especially those of the colon and rectum. Three patients with malignant lymphoma arising in the colon experienced at our hospital from １９９１ to ２０１０ are presented here. These ages ranged from ５９ to ７８. The male was two and the female was one. Two patients underwent ileocecal resection and one patient did extended right hemicolectomy, and two patients had partial resection of the ileum, because of tumor invaded. Histopathologically all three patients had non-Hodgkin’s lymphoma, B-cell type. According to LSG classification, all cases were of diffuse type, including two of large cell type, one of medium-sized cell type. As post operative adjuvant chemotherapy, CHOP and R-CHOP was given to two patients. IPI were H, HI, LI, respectively. As for prognosis, two patients died, and one patient is alive. Prognosis of malignant lymphoma of the colon is very poor, and combination of surgical operation and chemotherapy is very important for treatment

シンコウ イガン ニ タイスル フククウキョウ ケンサゴ ニ SIADH オ ハッショウシタ 1レイ

We report here a case of advanced gastric cancer complicated by Syndrome of Inappropriate Secretion of Antidiuretic Hormone（SIADH）following staging laparoscopy. A ５５ year-old male developed nausea, and was found with a poorly differentiated adenocarcinoma of stomach（UE, type4, cT 3, cN2, cM0, cStage ⅢB）. He was done with staging laparoscopy. The serum sodium concentration decreased from１３８mEq/l to１１４mEq/l after operation. SIADH was diagnosed on the basis of hyponatremia with corresponding serum hypoosmolality and an inappropriate high urinary osmolality due to continued sodium excretion. Fluid restriction and sodium supplement resulted in an appropriate rise in the serum sodium level to１２８mEq/l in ４ days