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Your search keyword '"Hirotoshi Kobayashi"' showing total 6 results
Start Over Author "Hirotoshi Kobayashi" Journal nihon rinsho geka gakkai zasshi (journal of japan surgical association)
6 results on '"Hirotoshi Kobayashi"'

5. A CASE REPORT OF LIVER ABSCESS WHICH WAS DIFFICULT TO DIFFERENTIATE FROM LIVER METASTASIS OF COLON CANCER

Author

Hirotoshi Kobayashi, Kenichi Sugihara, Haruhiko Aoyagi, Tetsuro Higuchi, Shigeki Arii, and Tetsunori Yoshimura

Subjects
medicine.medical_specialty, business.industry, Colorectal cancer, Internal medicine, Medicine, business, medicine.disease, Gastroenterology, Liver abscess, Metastasis
Abstract

症例は76歳，男性．既往歴は糖尿病で内服治療中．現病歴では，便潜血陽性のため近医で下部消化管内視鏡検査を受けた．S状結腸癌の診断で，手術目的のため当科に入院した．CTとMRIにてS7，S8に中心部壊死を伴う肝腫瘤を認めた．以上より，肝転移を伴うS状結腸癌と診断した．腹腔鏡補助下S状結腸切除術，肝後区域・尾状葉切除術，S8部分切除術を施行した．病理組織学的所見では，S状結腸癌は1型の高分化腺癌で，肝腫瘤には悪性所見はなく，炎症性病変であった．近年大腸癌の増加に伴い，大腸癌に合併した肝膿瘍の報告が散見される．肝転移との鑑別が困難なことが多く，また肝膿瘍の原因には大腸癌肝転移の感染もあげられる．今回われわれは術前診断で肝転移を否定できない肝膿瘍に対し，大腸癌原発巣切除と同時に肝切除術を施行した症例を経験した．大腸癌に合併した肝膿瘍は治療方針も諸家により異なっており，若干の文献的考察を加えて報告する．

Published
2010

6. A COOPERATION MODEL OF CHEMOTHERAPY FOR COLORECTAL CANCER BETWEEN THE CLINIC AND A GENERAL HOSPITAL-WITH REFERENCE TO PATIENT'S EVALUATION AND THE SAFETY OF THE COOPERATION

Author

Hidetaka Mochizuki, Masayoshi Miyoshi, Hideki Ueno, Michito Kunitomi, Hirotoshi Kobayashi, Hajime Fujimoto, Yojiro Hashiguchi, and Chikara Ueno

Subjects
medicine.medical_specialty, Chemotherapy, Cooperation model, Colorectal cancer, business.industry, General surgery, medicine.medical_treatment, medicine, General hospital, medicine.disease, business
Published
2004

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