著者
近野 哲史 黒川 雅史 山田 誠二郎 梶川 泰 友田 幸一
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.108, no.10, pp.783-790, 2015 (Released:2015-10-01)
参考文献数
20

Thyroid fine-needle aspiration biopsy (FNAB) is a simple, cost-effective and minimally traumatic technique for the diagnosis of thyroid nodules. We report on two cases of acute thyroid swelling after FNAB. In both cases, within two hours after completion of the procedure, the entire thyroid gland enlarged rapidly. Ultrasound showed diffuse swelling of the entire thyroid gland with a heterogeneous appearance. There were no signs of bleeding or airway obstruction. The next morning a repeat US showed that the thyroid had returned to its normal size.It has been demonstrated that nerve fibers storing neuropeptides such as vasoactive intestinal peptide, substance P, cholecystokinin, neuropeptide Y, peptide histidine isoleucine, galanin, and calcitonin gene-­related peptide (CGRP) exist in the thyroid.The clinical and ultrasound data support the hypothesis of capillary leakage as the underlying mechanism, possibly evoked by neuropeptide release.
著者
鳴川 肇 梶川 泰司
出版者
日本地図学会
雑誌
地図 (ISSN:00094897)
巻号頁・発行日
vol.47, no.Supplement, pp.54-55, 2009-07-31 (Released:2017-12-25)
参考文献数
3
著者
古川 雅史 梶川 泰 松代 直樹 北村 貴裕 大畠 和也 北原 糺 鎌倉 武史
出版者
The Society of Practical Otolaryngology
雑誌
耳鼻咽喉科臨床 (ISSN:00326313)
巻号頁・発行日
vol.105, no.10, pp.913-918, 2012 (Released:2012-10-01)
参考文献数
12
被引用文献数
2

We studied 804 patients with idiopathic sudden sensorineural hearing loss (ISSNHL) regarding the correlation between the duration from the onset to the start of treatment and hearing outcome. An analysis of the 804 yielded the following results: 1) The overall cure rate was 30.0%. 2) The cure rate was better in patients with a shorter duration (within about 10 days) between the onset and the start of treatment. 3) In patients with mild hearing loss (Grade 1, 2), the cure rate was better in patients with a shorter duration. 4) In patients with severe hearing loss (Grade 3, 4), the cure rate of over 8-10 days was clearly worse, and it is very important to start treatment within 8-10 days.