Sunadome H.,Nagahama City Hospital
Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society | Year: 2010
A 58-year-old man visited our department regarding a growing ground-glass opacity (GGO) on chest CT. He underwent video-assisted thoracic surgery, because a malignancy such as bronchioloalveolar adenocarcinoma was suspected. However, histopathologic examination revealed pulmonary alveolar proteinosis (PAP). A chest X-ray film of PAP usually shows bilateral interstitial and/or alveolar shadows in a "butterfly pattern", while chest CT usually shows thickened interlobular septa and intralobular structures, referred to as a "crazy-paving appearance". The present case presented solitary localized GGO growing in a subpleural area which was thought to be a rare type of early PAP.
Sato S.,Nagahama City Hospital
Japanese Journal of Clinical Radiology | Year: 2015
We encountered a case of parasitic uterine leiomyoma occurring after laparoscopic myomectomy. Parasitic uterine leiomyomas were essentially referred as rare pathologic phenomena, however, reports on parasitic uterine leiomyoma associated with iatrogenic pathogenesis, which is presumed to arise from intraperitoneal residual fragments after laparoscopic myomectomy with moruselator, have been recently increased.
Yamao Y.,Kyoto University |
Matsumoto R.,Kyoto University |
Kunieda T.,Kyoto University |
Shibata S.,Kyoto University |
And 7 more authors.
Cortex | Year: 2015
Laughter consists of both motor and emotional aspects. The emotional component, known as mirth, is usually associated with the motor component, namely, bilateral facial movements. Previous electrical cortical stimulation (ES) studies revealed that mirth was associated with the basal temporal cortex, inferior frontal cortex, and medial frontal cortex. Functional neuroimaging implicated a role for the left inferior frontal and bilateral temporal cortices in humor processing. However, the neural origins and pathways linking mirth with facial movements are still unclear. We hereby report two cases with temporal lobe epilepsy undergoing subdural electrode implantation in whom ES of the left basal temporal cortex elicited both mirth and laughter-related facial muscle movements. In one case with normal hippocampus, high-frequency ES consistently caused contralateral facial movement, followed by bilateral facial movements with mirth. In contrast, in another case with hippocampal sclerosis (HS), ES elicited only mirth at low intensity and short duration, and eventually laughter at higher intensity and longer duration. In both cases, the basal temporal language area (BTLA) was located within or adjacent to the cortex where ES produced mirth. In conclusion, the present direct ES study demonstrated that 1) mirth had a close relationship with language function, 2) intact mesial temporal structures were actively engaged in the beginning of facial movements associated with mirth, and 3) these emotion-related facial movements had contralateral dominance. © 2014 Elsevier Ltd.
Kono T.,Nagahama City Hospital
Kyobu geka. The Japanese journal of thoracic surgery | Year: 2012
Duplication of the alimentary tract is a developmental anomaly, which may affect any part of the digestive tract from the mouth to the anus. Esophageal duplication cyst is caused by an incomplete differentiation of the foregut. We report a case of esophageal duplication cyst resected using video-assisted thoracic surgery (VATS). Chest radiography of a 23-year-old woman showed an abnormal shadow. Chest computed tomography (CT) indicated a cystic lesion adjacent to the descending aorta and the esophagus. Magnetic resonance imaging (MRI) showed that the cystic lesion was filled with protein-rich fluid. The lesion was resected using VATS, and it was pathologically diagnosed to be an esophageal duplication cyst.
Fushiki M.,Nagahama City Hospital
Japanese Journal of Clinical Radiology | Year: 2010
Palliative care is symptom control and a very basic and foundation of medical care. It should be always considered from the first patient contact. As a radiation oncologist, I have been dedicating myself to radiation therapy to cancer patients from standpoints of designated cancer care hospital and patient-oriented cancer treatment. Nagahama City Hospital has been appointed as a designated cancer care hospital since January, 2005. With the introduction of radiotherapy systems updated in April, 2008, the leading-edge radiation therapy including highly-precise radiation therapy and IGRT (image guided radiation therapy) can be provided. In exchange for the up-to-date RTPs (Radiotherapy treatment planning system), which takes time in planning, the time to spend with each patient has become shorter. As a radiation oncologist, patient-oriented approach is always my first priority. Cooperation with cancer consultation support center and certified nurses should be more reinforced. Building up a face-to-face palliative care network in local communities would also ongoing our major mission.