著者
中澤 勇一
出版者
The Shinshu Medical Society
雑誌
信州医学雑誌 (ISSN:00373826)
巻号頁・発行日
vol.58, no.6, pp.291-300, 2010 (Released:2010-12-22)
参考文献数
48
被引用文献数
4
著者
上原 剛
出版者
The Shinshu Medical Society
雑誌
信州医学雑誌 (ISSN:00373826)
巻号頁・発行日
vol.58, no.2, pp.51-55, 2010 (Released:2010-07-28)
参考文献数
11
著者
中川 佐和子 吾妻 俊彦 横山 俊樹 牛木 淳人 田名部 毅 安尾 将法 山本 洋 花岡 正幸 小泉 知展 藤本 圭作 久保 惠嗣 椎名 隆之 近藤 竜一 吉田 和夫 浅野 功治 山崎 善隆
出版者
The Shinshu Medical Society
雑誌
信州医学雑誌 (ISSN:00373826)
巻号頁・発行日
vol.56, no.6, pp.365-370, 2008 (Released:2010-10-01)
参考文献数
9
被引用文献数
1

A 56-year-old woman was found to have a solitary mass shadow on chest radiograph in a health examination. Transbronchial examination on two occasions did not yield any diagnostic findings. Both the high level of CA19-9 and the increasingly large shadow were suspected to be indicative of lung cancer, so we performed left lower lobectomy. The pathological examination of the resected lung revealed a granulomatous lesion without malignant findings. A few colonies grew on a liquid medium, and were identified as Mycobacterium avium by PCR. After operation, the increased CA19-9 leval normalized gradually. There are few reports presenting a solitary pulmonary mass shadow and high CA19-9 level due to nontuberculous mycobacterial disease.
著者
高橋 徹 角田 美穂 篠山 大明 天野 直二
出版者
The Shinshu Medical Society
雑誌
信州医学雑誌 (ISSN:00373826)
巻号頁・発行日
vol.56, no.3, pp.125-132, 2008 (Released:2011-01-28)
参考文献数
13

This study is a sequel to our previous report in 2006 which examined the discrepancies between the true diagnosis and the diagnosis recorded in externally submitted documents. The Japanese term for schizophrenia was changed from seishin-bunretsu-byo (mind-split-disease) to togo-shitcho-sho (integration disorder) in August 2002. We examined documents externally submitted in 2003 or later, and compared them with the result of our previous study which reported the recorded diagnosis in documents submitted in 2000 or earlier. While schizophrenia (seishin-bunretsu-byo) was recorded as the diagnosis in 70.5% of the public documents in or before 2000, the number recorded as schizophrenia (togo-shitcho-sho) has risen to 94.7% since 2003. Similarly, the figure rose from 5.9% to 40% in private documents. It is presumed that the rise in the frequency of recording schizophrenia as the diagnosis is affected by the fact that the rate of informing patients of the diagnosis of schizophrenia has increased due to the change in the Japanese name of the disease. The wider use of international classification systems, more patient participation in treatment, and medical welfare policy are also likely to have had an effect.