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Kano, Nigeria

Machida T.,Kano General Hospital
Japanese Journal of Cancer and Chemotherapy | Year: 2014

The patient was a 78-year-old woman who underwent surgery for cecal carcinoma perforation and peritonitis (ileocecal resection and ileostomy) in January 2012. Liver metastasis was observed on the postoperative computed tomography (CT) scan and chemotherapy was performed. However, in October, a CT scan revealed a tumor, 9 cm in diameter, in the right ovary. Based on the results of a positron emission tomography (PET)-CT scan, this was suspected to be primary or metastatic ovarian cancer, and bilateral salpingo-oophorectomy was performed the following January. Histopathology and immunostaining indicated that this was a cytokeratin (CK) 20-positive and CK7-negative adenocarcinoma, and the patient was diagnosed with metastatic cecal carcinoma.

Yamashita S.,Kano General Hospital
Gan to kagaku ryoho. Cancer & chemotherapy | Year: 2013

We report a case of advanced colon cancer after closure of a colostomy. A 77-year-old man suddenly began experiencing abdominal pain and pan-peritonitis due to perforate diverticulum of the sigmoid colon. A Hartmann operation was urgently performed, and closure of the colostomy was performed 6 months later. The patient had no history of colonoscopy. Colonoscopy was performed 45 months after the closure of the colostomy to examine the colon. Advanced colon cancer was detected near the anastomotic region. In conclusion, older patients, including those with numerous disease complications such as diabetes and hypertension, should undergo early colonoscopy as a preventative measure.

Yasugata S.,Osaka Medical College | Ueda K.,Osaka Medical College | Okada M.,Osaka Medical College | Kurosaki Y.,Kano General Hospital | Tsujiguchi K.,Higashisumiyoshimorimoto Hospital
Japanese Journal of Plastic Surgery | Year: 2014

We present a case of difficult discrimination between a foreign substance (MIRA gel®) and a cystic tumor in the orbit. A 38-year-old man visited us with a subcutaneous tumor in the right lower eyelid and a feeling of oppression. On the MRI, the tumor was seen wrapped around the right eyeball. We consulted two ophthalmologists prior to the operation, and they indicated the tumor to be MIRA gel®. We extracted the buckle with the ophthalmologists' help. Six months postoperatively the patient reported no complications.There are various treatments for retinal detachment. In many cases, ophthalmologists choose scleral buckling procedures to treat patients with retinal detachment. After operations using MIRA gel®, patients often complain of various symptoms such as subcutaneous tumors and intraorbital oppressive feeling. We should inspect intraorbital xenobiotics when examining such patients. In cases of patients who have undergone scleral buckling procedures, we should note the possibility that the subcutaneous tumor around an eyelid is MIRA gel®.

Machida T.,Kano General Hospital | Tanaka J.-i.,Kano General Hospital | Terashima T.,Kano General Hospital
Japanese Journal of Cancer and Chemotherapy | Year: 2014

A 81-year-old woman confined to full bed rest due to the effects of a stroke 7 years prior, was brought to our hospital with acute cholecystitis in late April 2013. After PTGBD, her condition improved and she was discharged in early June. However, she was urgently hospitalized at the beginning of August with melena and a fever. A detailed examination revealed aspiration pneumonia, which was resolved with a course of antibiotics. A colonoscopy, conducted to find the cause of the melena, revealed a circumferential type 2 tumor in the ascending colon, and a fiberscope was unable to pass through the stenosis. A biopsy confirmed a diagnosis of signet-ring cell carcinoma. Using abdominal computed tomography, thickening of the ascending colon wall, suggesting infiltration to the periphery, was visible. The adjacent lymph nodes were enlarged, but there were no clear signs of liver metastasis. Cancerous peritonitis was suspected due to the presence of ascitic fluid. Considering the overall condition of the patient, surgery was not performed, and colonic stent was not placed due to the proximity of the stenosis to the ileocecal valve. The patient's family chose best supportive care. The patient's condition worsened and she died 3 months after leaving the hospital.

Machida T.,Kano General Hospital | Tanaka J.,Kano General Hospital | Terashima T.,Kano General Hospital
Gan to kagaku ryoho. Cancer & chemotherapy | Year: 2015

We present the case of a 61-year-old woman with cecum cancer, ileal and multiple hepatic metastases, and peritoneal dissemination. Surgery (right hemicolectomy) was performed on December 2013. After surgery, 7 courses of mFOLFOX6 plus bevacizumab were administered. In May 2014, 4 minutes after starting the 8th course of oxaliplatin, dyspnea, nausea, vomiting, and general malaise were observed. Oxaliplatin administration was immediately discontinued and an injection of an antiemetic drug was administered, but the patient's blood pressure dropped to 87/53 mmHg and the SpO2 decreased to 87% (room air). The patient showed facial pallor; oxygen administration was initiated. Although blood pressure recovered to 124/69 mmHg 3 minutes after oxygen administration, reddening of the palms, pruritus, and headache were observed. The dyspnea eased 8 minutes after oxygen administration, the SpO2 recovered 18 minutes after oxygen administration, and the headache ceased. The patient subsequently was admitted to the hospital for observation, but no significant change was observed, and she was discharged the following day. Anaphylaxis due to oxaliplatin occurring after the 6th course is commonly reported, and the symptoms in this case were comparable to those described in the literature.

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