著者

瀧澤 義徳 杉山 健一 岡村 純 石川 竜司 望月 大極 高橋 吾郎 三澤 清 大和谷 崇 細川 誠二 峯田 周幸

出版者

特定非営利活動法人 日本頭頸部外科学会

雑誌

頭頸部外科 (ISSN:1349581X)

巻号頁・発行日

vol.24, no.2, pp.223-229, 2014 (Released:2015-02-11)

参考文献数

20

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小細胞癌は肺に好発する腫瘍である。頭頸部に発生する小細胞癌は比較的まれであるが一般に悪性度が高く,高率に遠隔転移を生じ予後不良とされる。頭頸部原発小細胞癌の治療は未だ確立されたものはないが,肺小細胞癌の治療に準じて行われることが多い。限局性で早期の症例や手術を組み合わせた集学的治療の報告もあるが,放射線・化学療法による治療が行われる。今回われわれは,喉頭と副鼻腔が原発と考えられた小細胞癌の2症例について報告する。

著者

三澤 清 峯田 周幸

出版者

日本頭頸部癌学会

雑誌

頭頸部癌 (ISSN:13495747)

巻号頁・発行日

vol.36, no.4, pp.456-460, 2010-12-25 (Released:2010-12-28)

参考文献数

18

被引用文献数

1

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高リスクヒトパピローマウイルス(HPV)16型,18型は,子宮頸癌やその他の悪性腫瘍の原因であることが分かり,最近の遺伝子工学の発達でHPV関連子宮頸癌を予防するワクチンが開発された。頭頸部領域において口腔内HPV感染は,oral sexによっておこりHPV関連中咽頭癌の明らかなリスクファクターになっていることが明らかになった。HPVワクチンの普及で子宮頸癌の減少だけでなく,中咽頭癌も減少するのと期待されている。本稿ではHPVとHPVワクチン接種の状況,男性への接種について最近の知見を述べる。

著者

岩崎 聡 長井 伸子 名倉 三津佳 荒井 真木 竹山 昌孝 峯田 周幸

出版者

一般社団法人 日本聴覚医学会

雑誌

AUDIOLOGY JAPAN (ISSN:03038106)

巻号頁・発行日

vol.46, no.5, pp.471-472, 2003-09-05 (Released:2010-08-05)

被引用文献数

1

著者

宮下 弘 鈴木 一元 峯田 周幸 野末 道彦

出版者

The Japan Broncho-esophagological Society

雑誌

日本気管食道科学会会報 (ISSN:00290645)

巻号頁・発行日

vol.41, no.4, pp.304-309, 1990-08-10 (Released:2010-10-20)

参考文献数

13

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We reported a case of invasive laryngeal carcinoma arising in preexisting big laryngeal papillomatosis.A-59-year-old man complained of increasing hoarseness and dyspnea before tracheotomy. We noticed huge tumor in the larynx. Pathological diagnosis was papilloma at the first examination. Because of recurrence of the tumor, frequent management by dioxide laser surgery was required to maintain an adequate airway every 2-month. At the fourth time biopsy, the histological diagnosis was epidermoid carcinoma. Papilloma virus was also found in carcinoma. For radical treatment, total laryngectomy was done, and his clinical course is very good for two years after surgery.Some discussions were made concerning the classification, etiology, transformation into carcinoma and treatment of papilloma.

著者

菅原 康介 岡村 純 下平 有希 足守 直樹 峯田 周幸

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 補冊 (ISSN:09121870)

巻号頁・発行日

vol.156, pp.171-176, 2021 (Released:2021-03-11)

参考文献数

17

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All penetrating neck wounds are potentially dangerous and require emergency treatment, because there are important vessels, nerves, and organs in the neck. We report the rare case of a 71-year-old man with neck injury caused by a glass fragment that penetrated into the floor of the mouth from the submandibular region. The patient had accidentally fallen through a glass door and sustained a 15-cm long incised wound in his neck. He was initially transferred to a district hospital, where he was diagnosed as having arterial bleeding and a neck injury penetrating into the oral cavity; ENT surgeons at the hospital performed temporary hemostasis and tracheotomy under local anesthesia, and the patient was urgently transported to our hospital by ambulance. On admission, he was conscious, and his general condition was good. CT showed no damage to the major vessels, but revealed free air around the sublingual region. Therefore, emergency surgery was performed to repair the perforation from the neck into the oral cavity under general anesthesia. We found the facial artery and facial vein and ligated them during the operation, and the opening into the oral cavity was closed with absorbable sutures. The postoperative course was good, the patient resumed oral intake on day 4 after the surgery, and he was discharged from the hospital on day 9 after the surgery, with the only postoperative complication of palsy of the marginal mandibular branch of the facial nerve. In this report, we review nine cases of neck injury penetrating into the floor of the mouth and 11 cases of neck injury caused by a glass fragment reported in the literature and discuss their clinical findings.

著者

足守 直樹 釣田 美奈子 山元 理恵子 武林 悟 峯田 周幸

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.100, no.7, pp.569-574, 2007-07-01 (Released:2011-10-07)

参考文献数

9

被引用文献数

2

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We retrospectively reviewed fine-needle aspiration biopsy diagnosis of malignant lymphoma to evaluate the diagnostic accuracy and pitfalls. Sixty-eight cases of malignant lymphoma and fifty-two cases of non malignant lymphoma evaluated by FNAB were identified between 1997 and 2004. Based on the original diagnosis, 41 (60%) cases had a positive diagnosis of malignant lymphoma, 21 (31%) had a suspicious diagnosis, and 6 (9%) had a false negative diagnosis. On histological examinations DLBCLs yielded a high positive diagnosis, whereas FL and HD had less positive diagnosis and there were also false negative cases. Fourteen (39%) lymphadenitis cases had a suspicious diagnosis and some cases were difficult to differentiate from malignant lymphoma. FNAB is considered a useful and efficient method of estimating malignant lymphoma but we should remain aware of the existence of false negative cases.

著者

峯田 周幸

出版者

耳鼻咽喉科展望会

雑誌

耳鼻咽喉科展望 (ISSN:03869687)

巻号頁・発行日

vol.55, no.1, pp.8-16, 2012 (Released:2013-02-15)

参考文献数

29