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漢語サ変動詞の意味・用法の記述的研究 ── 「感動(する)」、「感激(する)」などをめぐって ──
Departmental Bulletin Paperdepartmental bulletin pape
Positron Emission Tomography/Computed Tomography before Treatment as a Predictor of 90Y-Ibritumomab Tiuxetan Response
Journal ArticleBackground and Aims: Radioimmunotherapy (RIT) appears as one of the most effective treatment options for patientswith relapsed or resistant non-Hodgkin’s lymphoma (NHL). Our aim was to evaluate the role of pre-RIT 18F-fluorodeoxyglucose-positron emission tomography╱computed tomography (FDG-PET╱CT) as an early predictor of 90Y-Ibritumomabtiuxetan treatment response. Methods: We included consecutive 20 patients with relapsed NHL (10 males; meanage, 58.5 ± 8.9 years old) who were treated with 90Y-Ibritumomab tiuxetan. FDG-PET╱CT was performed before andafter treatment. Semiquantitative parameters of all measurable FDG-avid lesions were measured and averaged. Ameasurable FDG-avid lesion was defined as a lesion that showed FDG uptake higher than liver with a diameter morethan 1 cm. Treatment response was determined by visual assessment based on a five-point score criteria from FDGPET╱CT after treatment. Results: Fourteen patients (70%) were classified as responders and the other six patients(30%) as non-responders. All semiquantitative parameters except for MTV demonstrated significantly lower values inthe responders compared with the non-responders (p<0.05). Conclusions: Semiquantitative evaluation by SUVmax,SUVpeak, and TLG before treatment were useful as early predictors of 90Y-Ibritumomab tiuxetan treatment response.journal articl
A Case of Small Intestinal Perforation by Accidental Injection of a Wooden Toothpick
Journal Article患者は60歳代,男性.腹痛と下痢を主訴に来院した.急性腸炎と診断され,投薬を受けたが改善しなかった.再診時,腹部正中に圧痛を伴う手拳大の腫瘤を触知した.筋性防御や腹膜刺激症状は認めなかった.単純CTで,腹腔内に長さ約65mmの,針状の異物を認め,周囲には膿瘍を伴う炎症性腫瘤が形成されていた.患者に異物誤飲の記憶はなかったが,爪楊枝をくわえる癖があった.認知機能に問題はなかった.異物誤飲による炎症性腫瘤の診断で,待機的に腫瘤摘出術を施行した.炎症性腫瘤は空腸に強く癒着しており,内部にはCTで描出された膿瘍と異物を認めた.異物は爪楊枝であった.穿孔部位と考えられた小腸病変部はすでに閉鎖していた.術後経過は良好であった.爪楊枝誤飲による小腸穿孔は比較的稀で,今回われわれは,この1 例を経験したので文献的考察を加え報告する.journal articl