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Intestinal anisakiasis can cause intussusception in adults:An extremely rare condition 被引量:3
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作者 Tomofumi miura Akira Iwaya +8 位作者 Takao Shimizu Junpei Tsuchiya Junichiro Nakamura Satoshi Yamada tsutomu miura Masahiko Yanagi Hiroyuki Usuda Iwao Emura Toru Takahashi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第14期1804-1807,共4页
We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography reveale... We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumodynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial. 展开更多
关键词 ANISAKIS INTUSSUSCEPTION Eosinophilic gran- uloma Multiplanar reconstruction
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TTF-1 is useful for primary site determination in duodenal metastasis 被引量:2
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作者 Tomofumi miura Yuichi Shimaoka +7 位作者 Junichiro Nakamura Satoshi Yamada tsutomu miura Masahiko Yanagi Kazuhiro Sato Hiroyuki Usuda Iwao Emura Toru Takahashi 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2010年第9期360-363,共4页
We report here on a case of duodenal metastasis from primary lung adenocarcinoma. A 69-year old man was diagnosed with primary lung adenocarcinoma. Four courses of combined chemotherapy with carboplatin and paclitaxel... We report here on a case of duodenal metastasis from primary lung adenocarcinoma. A 69-year old man was diagnosed with primary lung adenocarcinoma. Four courses of combined chemotherapy with carboplatin and paclitaxel associated with irradiation of 60 Gy shrunk the lung tumor. However, soon after,the para-aortic lymph node became swollen. Esophagogastroduodenoscopy revealed three duodenal tumors. Differential diagnosis between malignant lymphoma and metastatic duodenal cancer was endoscopically difficult. The histology of biopsied specimens was poorly differentiated adenocarcinoma. Immunohistochemical analysis revealed a positive reaction for thyroid transcription factor-1 (TTF-1). Thus, we concluded that these were metastatic duodenal tumors from lung adenocarcinoma. Two courses of gemcitabine led to a complete remission in this duodenal metastasisand para-aortic lymph node swelling with only scarring remaining in computed tomography. He is now on the continuous generalized chemotherapy. In conclusion, duodenal metastasis from primary lung adenocarcinoma is rare and hard to diagnose. In such an instance, TTF-1 immunostaining is crucial to obtain the correct diagnosis. 展开更多
关键词 Lung ADENOCARCINOMA DUODENAL METASTASIS THYROID transcription factor-1
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Hepatocellular carcinoma, with portal thrombus after viral eradication, disappeared by 5-fluorouracil and interferon 被引量:1
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作者 Tomofumi miura Nobuaki Suzuki +6 位作者 Junichiro Nakamura Satoshi Yamada tsutomu miura Masahiko Yanagi Hiroyuki Usuda Iwao Emura Toru Takahashi 《World Journal of Hepatology》 CAS 2010年第11期416-418,共3页
Hepatocarcinogenesis after a sustained virological response (SVR) in type C chronic hepatitis and cirrhosis is an important issue in endemic areas; hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT)... Hepatocarcinogenesis after a sustained virological response (SVR) in type C chronic hepatitis and cirrhosis is an important issue in endemic areas; hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT) therapy is especially very hard. We herein report a first case in which combination therapy with interferon-α and continuous intra-arterial infusion of 5-fluorouracil (designated as FAIT) provided a complete response in HCC with PVTT after SVR. Therefore, we think that FAIT is a good option to treat HCC with or without PVTT, even after SVR. 展开更多
关键词 Hepatocellular carcinoma PORTAL VEIN tumor THROMBUS Sustained virological response 5-FLUOROURACIL INTRA-ARTERIAL infusion
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