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Biomedical subjects

Y Yamaguchi

Publications and source records attributed to Y Yamaguchi.

At least 829 records · Page 46Linked to original sources
PubMed1991

[Clinical significance and usefulness of measuring nocturnal penile tumescence in children].

Nocturnal penile tumescence (NPT) is a physiological phenomena that is recognized in almost all normal males. This paper presents a study of NPT and the relation of this phenomenon to age, sexual maturation and physical growth in children. In 30 subjects, ranging from 3 to 18 years old, NPT was measured continuously throughout the night. The following results were obtained: 1. The frequency of NPT had a tendency to increase with age with a maximum frequency at 13 or 14 years of age, although the frequency ranged widely. 2. The maximum increase in penile circumference was below 10 mm in all cases below 10 years of age but was greater in children over 12 years old. 3. Tumescence time and percent tumescence time [tumescence time (min.)/sleep period time (min.)] x 100) was greater in children of over 12 years of age. Percent tumescence time showed a positive correlation with serum LH. Percent tumescence time was clearly higher in children with LH pulse, which indicates the onset of puberty, than in those without it. 4. These results suggest that NPT measurement in children can predict the onset of puberty, when coupled with endocrinological findings.

Adolescent↗
PubMed1991

[An indication for surgery of the advanced small size lung carcinoma: results of surgical therapy of pT1N2 non-small cell lung carcinoma].

A clinico-pathological study of the advanced small size lung carcinoma was performed to clarify its surgical indication. In 31 pT1N2 non-small cell lung cancer patients, postoperative survival time was compared with their surgical curativity, histologic type, histologic differentiation, cellular atypia and extent of mediastinal lymph node metastasis. In general, postoperative outcome was poor in pT1N2 non-small cell lung cancer. But postoperative survival is over 40% in moderately differentiated adenocarcinoma of relative curative resection in which mediastinal lymph node metastasis proved in only one station. It is suspected that surgery would be indicated in this group.

Adult↗
PubMed1991

[A case of spontaneous regression of lung cancer with skin metastasis].

Spontaneous regression of a malignant tumor is a rare phenomenon, especially in advanced lung cancer. We reported a case of spontaneous regression of lung cancer with tracheal stenosis due to tumor invasion and multiple skin metastases. A 60-year-old man was admitted to our hospital on September 10, 1985, because of a dry cough. A chest roentgenogram showed a mass shadow in the right upper lung field. Bronchoscopic examination revealed tracheal stenosis due to the tumor mass, and transbronchial aspiration cytology (TBAC) yielded a diagnosis of large cell carcinoma of the lung. In spite of treatment by chemotherapy with cisplatin and vindesin and irradiation, dyspnea deteriorated and multiple skin metastases appeared. After Nd-YAG laser irradiation via a broncho-fiberscope to maintain his airway and ethanol injection into the skin metastases, his dyspnea improved and he was discharged on February 6, 1986. Two months after discharge all skin metastasis had completely disappeared, and the primary lesion also regressed and finally disappeared on chest roentgenogram until August, 1986. The mechanism of regression is unclear, but now he has been free of tumor clinically for four years.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1991

In vivo and in vitro invasiveness of human lung carcinoma cell lines.

Eight cell lines derived from human non-small cell lung carcinomas were used to compare their in vivo invasiveness, in vitro chemoinvasive abilities and type IV collagenase activity. For the evaluation of the in vivo invasive potential, the tumor cells were seeded into deepithelialized rat tracheas and transplanted subcutaneously into nude mice. The invasive behavior of the cells was observed at 4, 8 and 12 weeks and assessed histologically by determination of the levels of penetration of tumor cells into the different layers of the tracheal wall. Except for two cell lines that did not grow at all in vivo, there was a very good correspondence between the levels of in vivo tracheal wall penetration and the in vitro chemoinvasion assay using fibronectin as chemoattractant and Matrigel as barrier. This also correlated very well with the capacity of the cells to secrete type IV collagenase. The in vivo evaluation of invasion using tracheal transplants, although requiring several weeks of experimentation, proved to be very reliable, yielding homogeneous results with little internal variation, and is proposed as a dependable in vivo invasion assay that closely mimics the in vivo human conditions in which most carcinomas develop and eventually invade neighboring tissues.

Animals↗
PubMed1991

[Converse changes in serum levels of immunoglobulins (IgG, A and M) and complement components (C3, 4) during pregnancy].

Sequential changes in serum levels of the immunoglobulins IgG, A and M and of the complements C3 and C4 during pregnancy and the postpartum period were studied in 8 healthy women. Serum IgG and A levels decreased gradually during pregnancy, but increased significantly during the first three months following delivery. Serum IgM level also decreased during pregnancy, reaching its minimum during the second trimester, but increased thereafter. In contrast, C3 and C4 levels increased significantly during pregnancy and reached their maximum levels during the last trimester. After delivery, levels of these two components decreased gradually for the next six months. The complement system may operate as a compensatory autoregulatory mechanism in the suppression of the humoral immune system during pregnancy.

Adult↗
PubMed1991

[A clinicopathological study of thymomas, with special reference to evaluation of malignant grade by morphometric analysis].

To determine the factors influencing the extent and recurrence of thymoma, 31 cases of thymoma who had undergone complete resection were analyzed clinicopathologically with special reference to the nuclear area of epithelial cells. The mean tumor size and incidence of recurrence of stage III thymomas were significantly larger and higher than those of stage I thymomas. The nuclear area of epithelial cells of stage III thymomas (72.9 +/- 29.2 micron 2) was significantly larger than that of stage I thymomas (48.4 +/- 13.2 micron 2) or stage II thymomas (49.4 +/- 11.6 micron 2). The nuclear area of thymomas with recurrence (70.2 +/- 21.5 micron 2) was significantly larger than that of those without recurrence (50.2 +/- 12.8 micron 2). In 16 cases who were followed up for 5 years or more, the nuclear areas were over 50 micron 2 in all thymomas with recurrence, while in 8 of 11 thymomas without recurrence it was under 50 microns 2. These results indicated that the tumor size and nuclear area increased step-wisely in association with the advance of clinical stage and that the incidence of recurrence was related to not only clinical stage but also nuclear area. Thymomas with large nuclear area (over 50 microns 2) are considered to be a high-risk group of recurrence and should be carefully followed up.

Adult↗
PubMed1991

[A case of mixed connective tissue disease with subacute transverse myelopathy].

A rare case of mixed connective tissue disease (MCTD) with subacute transverse myelopathy and various neurological signs was reported. The patient, a 53 year-old woman, was admitted to our hospital with subacute progressive muscle weakness of left lower limb and sensory disturbance of bilateral lower extremities. At the age of 40, she suffered from sensory disturbance of her face, which improved in about three years. She had a high fever, Raynaud phenomenon, dyshydrosis on right side of her face at the age of 43. On the admission, physical examination revealed swollen fingers and telangiectasia of her face. Neurologically, she had transverse myelopathy at the level of Th6, bilateral trigeminal neuropathy, tonic, pupils, polyneuropathy and dyshydrosis. Laboratory examination showed positive antinuclear antibody, a high titer of antibody to RNase-sensitive components of extractable nuclear antigen, positive antinuclear RNP antibody and negative anti-Sm antibody. Her myelopathy improved with corticosteroid therapy, and ESR and the level of immunoglobulin were normalized. But, other neurological signs showed no improvement.

Cranial Nerve Diseases↗
PubMed1991

Condyle position and mobility before and after intraoral vertical ramus osteotomies and neuromuscular rehabilitation.

Correction of dentofacial deformities in patients with existing temporomandibular dysfunction and pain by intraoral vertical ramus osteotomies may result in improved function and resolution of symptoms. A prospective study of condylar position and mobility was made in nine patients with anterior disk displacements with reduction and associated temporomandibular pain and dysfunction. Each patient was treated by bilateral intraoral vertical ramus osteotomies with 2 to 3 weeks of maxillomandibular fixation and no interosseous fixation of the proximal segment. Condylar position and mobility in the surgical group were compared with normative values derived from seven individuals without discernible pain or dysfunction. Immediately postoperatively, the condyle was consistently positioned anteriorly and inferiorly, but the condyles tended to return to their preoperative position. Condylar mobility after surgery exceeded presurgical mobility and was associated with improved mandibular function.

Centric Relation↗
PubMed1991

[Infusion of LAK cells and anticancer drugs with a total implantable port to a patient with metastatic liver and spleen tumors].

A case of hepatic and splenic metastases of lung cancer infused with LAK cells and anticancer drugs from hepatic artery with total implantable port (Port-A-Cath: Pharmacia, Incorp.) was reported. A 56-year-old male was admitted to our hospital because of general fatigue, jaundice, pleural effusion and elevation of transaminase caused by hepatic and splenic metastases of lung carcinoid. Abdominal ultrasonography revealed 6 hepatic metastatic foci 10-35 mm in diameter and splenic metastases. The patient received 5 courses of MMC infusion, CPA (2 courses) and epirubicin, CDDP (3 courses), and 5 courses of LAK cells (total 1.4 x 10(10)) with IL-2 and OK-432. Eight months after initiation of treatment, jaundice and pleural effusion disappeared, transaminase returned to the normal level and the condition of the patient improved. Although the response of hepatic metastases to the treatment was NC, the size of a splenic metastasis decreased from 35 x 55 mm to 24 x 35 mm (PR).

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1991

[LAK cell adoptive immunotherapy and its problems].

Clinical efficacy of lymphokine-activated killer (LAK) cell adoptive immunotherapy (AIT) in combination with plasma exchange and interleukin (IL-2) was investigated in 24 patients with advanced cancer. Partial response (PR) was found in 4 patients (20%), including 1 primary liver tumor, 1 metastatic lung tumor from renal cancer and 2 malignant pleural effusions from gastric and lung cancer. Based on these results new AIT in combination with plasma exchange, OK-432, IL-2 and cyclophosphamide was designed to target liver and lung tumors, in which LAK cells and other drugs were administered through the catheter located in the feeding artery of the tumor. Out of ten patients treated, 1 (10%) with metastatic liver tumor from gallbladder cancer was evaluated as PR. It is suggested that a strategy to enhance tumor accumulation and recognition of LAK cells should be attempted for development of gastrointestinal cancer therapy with AIT.

Aged↗
PubMed1991

[A comparative study of weight of regional lymph nodes in association with the presence of metastasis in primary lung cancer patients].

The weight of regional lymph nodes was measured in 173 patients who underwent surgical resection of the primary lung cancer and lymph nodes from January, 1986 to January, 1989 in our hospital. Histological examination was also performed and correlation of metastasis and the weight of lymph nodes were studied. The average weight of metastatic lymph nodes was 2.34 g while that of non-metastatic ones was 0.83 g indicating a significant (p less than 0.05) increase of weight in metastatic lymph nodes. Although the percentage of metastasis increased as the weight of lymph nodes increased, 7.6% of lymph nodes weighing less than 0.5 g was positive for metastasis. On the other hand, 66.7% of the lymph nodes weighing more than 3.0 g in adenocarcinoma and 34.5% in squamous cell carcinoma were positive for metastasis indicating the difference of the metastatic tendency to the lymph nodes between the two histological types. The comparative study of the weight of each lymph node station according to the JJC criteria demonstrated the difference of average weight of non-metastatic lymph nodes among each lymph node station. The average weight of pretracheal (#3), subcarinal (#7), interlobar (#11), and segmental (#12) lymph nodes without tumor metastasis were more than 1.0 g, however those of anterior mediastinal (#3a), paraesophageal (#8), and pulmonary ligament (#9) were less than 0.5 g. The average weight of metastatic lymph nodes in each lymph node station was in proportion to those of non-metastatic ones.

Adenocarcinoma↗
PubMed1991

[Congenital esophago-bronchial fistula in the adult--a case report].

A very rare case of congenital esophago-bronchial fistula in the adult is reported. Sixty-five years old, female. Complaining cough at drinking water and epigastric pain was diagnosed as esophago-bronchial fistula with esophageal diverticulum by Barium swallow and esophagoscopy. The resection of the fistula and diverticulum and the repair were carried out with smooth postoperative course. No evidence of inflammation along the fistula was demonstrated at surgery and microscopic findings of the resected material revealed the direct communication from the squamous epithelium to the cuboidal epithelium with underlying muscle layer in the wall. These results suggested this case the congenital esophago-bronchial fistula (Braimbridge type I).

Aged↗
PubMed1991

[Results of noncurative resection of primary lung cancer].

Out of 1099 cases of primary lung cancer patients who underwent surgical treatment in our department from 1952 to 1988, 374 cases were divided as noncurative by the post surgical examination. We divided the causes of noncurative resection as follows; I) absolute noncurative resection 1) tumor rest in a) lymph nodes (Ly rest), b) chest wall or diaphragma (Ch + Dia rest), c) bronchial stump (Bro rest) 2) intra-pulmonary metastasis (pm), 3) dissemination or pleuritis carcinomatosa (Dis + pl) II) relative noncurative 1) incomplete dissection of lymph nodes (Ro) 2) group 2b lymph node metastasis (2b Ly). Ly rest was the commonnest (103 cases 27.5%) in noncurative resection and Ch + Dia rest (94 cases, 25.1%) and p.m. (54 cases 14.4%) followed thereafter. Two thirds of the noncurative cases were classified into these 3 groups, and the rest of the causes were Dis + pl, Bro rest. RO and 2b Ly groups. p.m. and Ly rest groups were the most common causes of noncurative resection in adenocarcinoma cases whereas Ly rest and Ch + Dia rest groups were common in squamous cell carcinoma cases. Five year survival rate of the total noncurative cases was 12.1% although those of Dis + pl groups was 22.9% and those of p.m. group was 18.8%. Five year survival rate of the other groups were around 10%. A slightly better survival rate was observed when relative noncurative resection was performed in RO (19.7%) and 2b Ly (18.7%) groups.

Female↗
PubMed1991

[Results of noncurative resection of primary lung cancer (II): Comparative study of the former (1952-1978) and latter (1979-1988) period].

Results of surgical treatment for primary lung cancer patients who underwent noncurative resection from 1979 to 1988 (the latter period) in our department were compared with those treated before 1979 (the former period). Noncurative rate decreased from 39.8% (the former period) to 28.0% (the latter period). The common causes of noncurative resection in the former period was tumor rest in mediastinal lymph nodes (34.0%) and that in chest wall or diaphragma (Ch + Dia; 31.6%) while those of the latter period were intrapulmonary metastasis (p.m.: 21.4%) and tumor rest in the mediastinal lymph nodes. Five year survival rate improved significantly from 5.6% of the former period to 28.6% of the latter period (p less than 0.01, Generalized Wilcoxon test). Compared with the 5 year survival rate of the former groups with pleuritis carcinomatosa, pleural dissemination, p.m. and Ch + Dia, the rate of the latter groups showed significant improvement from 0%, 0%, and 6.25% to 53.3%, 38.6% and 22.1%, respectively.

Bronchi↗
PubMed1990

In vivo invasion assay of low passage cultured cells derived from human lung cancer using deepithelialized rat tracheas xenotransplanted into nude mice.

Human lung tumor-derived cell lines with low passage generation were transplanted into nude mice to determine their growth behavior and invasive potential. Six cell lines (HKT-2, HKT-3, HKT-5, HKT-6, HKT-7, HKT-8) were inoculated into deepithelialized rat trachea (5 x 10(5) cells/trachea). After cell inoculation, the tracheas were sealed and transplanted into the subcutis of nude mice. In a parallel experiment, these cell lines (1 x 10(6) cells) were injected s.c. In the subcutis, the tumor take rate of HKT-3, the lowest of all, was only 13% with a long latency period of 18 weeks, and 3 cell lines (HKT-2, HKT-3, HKT-7) did not show any invasive growth to the surrounding tissue. In rat tracheas, all cell lines proliferated within 3 weeks, and 4 of them (HKT-2, HKT-5, HKT-6, HKT-8) showed invasive growth to the tracheal wall within 1-2 weeks. Cells growing in the tracheal wall showed higher [3H]thymidine labeling indexes and greater atypia, such as larger nuclei and prominent nucleoli, than those in the tracheal lumen. The s.c. tumor take rate correlated with the incidence of invasive growth to the tracheal wall. The survival of the patients originally bearing the six tumors also correlated closely with the invasive potential of this system. These results indicate that the system using low passage cell lines can evaluate the invasive potential shortly after the inoculation of a relatively small number of cells and can be used as a clinically reliable biological invasion assay.

Adenocarcinoma↗