http://hdl.handle.net/11665/1642 2018-12-25 Fri, 17 Apr 2026 02:44:39 GMT 2026-04-17T02:44:39Z http://hdl.handle.net/11665/1650 Title: 奥付等 Mon, 24 Dec 2018 15:00:00 GMT http://hdl.handle.net/11665/1650 2018-12-24T15:00:00Z http://hdl.handle.net/11665/1649 Title: 多列線毛上皮と埋伏過剰歯を伴った下顎骨嚢胞の1例 Authors: 西村, 毅 Abstract: 症例は15歳男性．右下顎部に特に自覚症状はなかったが，20XX年，X線CT所見にて右下顎骨嚢胞が疑われ，MRI所見にて粘液様腫瘍が疑われた．全身麻酔下に病変部摘出術を行った．摘出物の病理組織学的所見は腺性歯原性嚢胞（ glandularodontogenic cyst：GOC）の可能性があるとの診断であった．GOCは臨床的に侵襲性発育を示すものがあり，それが術後の再発率が高い理由とされているが，報告例が少なく詳細は不明で，今後の症例の蓄積が必要である．; A 15-year-old male patient visited a dentist and was pointed out a supernumerary impacted tooth and radiolucent lesion in the right mandible on X-ray examination in October 20XX．The patient visited another dentist in a general hospital in March 20XX．The computed tomography showed the supernumerary impacted tooth，located between the right lower 4 and 5 tooth，connected to the cystic lesion，having multiple clusters，having a clear margin and hardened edge， located on the lingual side mandible between the right lower 2 and 5 tooth，and showing slight displacement from the right lower 2 to 5 tooth．The patient was referred to our hospital in April 20XX．On magnetic resonance imaging the lesion showed a high signal on T2W1, slightly higher signal than that of muscle on T1W1，and a higher hydrated signal in the lingual right mandible. It was suspected to be a mandibular cyst．Extirpation of the lesion, root amputation of the right lower 2 to 5 teeth，and extraction of the supernumerary tooth were performed in June 20XX． The histological diagnosis revealed a cystic lesion which had multiple layers of glandular ciliated epithelium，and thus was suspected to be a glandular odontogenic cyst．The postoperative course was uneventful for over 5 years after the operation． Mon, 24 Dec 2018 15:00:00 GMT http://hdl.handle.net/11665/1649 2018-12-24T15:00:00Z http://hdl.handle.net/11665/1648 Title: 副鼻腔気管支症候群を合併したGood症候群の一例 Authors: 西川, 圭美; 髙田, 直秀; 庭本, 崇史; 吉岡, 秀敏; 野村, 奈都子; 五十嵐, 修太; 小林, 祐介; 中村, 敬哉; 江村, 正仁; 松井, 道志 Abstract: 症例は64歳男性．肺炎精査のために撮像された胸部CTで縦隔腫瘍を指摘され，胸腔鏡下縦隔腫瘍摘出術で胸腺腫 （ AB型，正岡分類Ⅰ期） と診断された．その後，難治性の副鼻腔炎で手術加療を要し，再度肺炎を発症したため当科を受診された．低γグロブリン血症を認め，胸部CTでは両肺全域に小葉中心性粒状影や気管支拡張像を認めたため，Good症候群に伴う副鼻腔気管支症候群 （ Sinobronchial syndrome：SBS）と診断し，長期少量マクロライド療法とγグロブリン補充療法で良好な経過を得た．; A 64‐year‐old man complained of fever and cough．We diagnosed him with bacterial　pneumonia because his chest computed tomography (CT) showed an infiltrate shadow．However，a mediastinal tumor was also found incidently in the chest CT at that time．After treating the pneumonia，we performed a thoracoscopic mediastinal tumorectomy　and diagnosed the tumor as a type AB thymoma．After this surgery，he needed　surgical treatment for refractory sinusitis， and suffered from pneumonia two times．Blood tests showed hypogammaglobulinemia and Chest CT showed small nodules in　centrilobular lesions and bronchodilation in all lung fields．Chronic sinusitis，repeated　pneumonia and immunodeficiency led to a diagnosis of sinobronchial syndrome caused　by Good’s syndrome．We treated him with an immunoglobulin supplement and low-dose-long-term macrolide antibiotic．After these treatments，he has been free of　infections for several years. Mon, 24 Dec 2018 15:00:00 GMT http://hdl.handle.net/11665/1648 2018-12-24T15:00:00Z http://hdl.handle.net/11665/1647 Title: 再発を繰り返しながら長期生存し得た濾泡性リンパ腫の2例 Authors: 小島, ちひろ; 家村, 知樹; 川畑, 徳浩; 大庭, 章史; 堀澤, 欣史; 松井, 道志; 宮原, 裕子; 伊藤, 満 Abstract: 【症例1】 69歳男性. 2006年濾胞性リンパ腫（ follicular lymphoma：FL）の診断となり，R-CHOP療法3コース実施したが再発，化学療法を経て自家末梢血幹細胞移植を実施するも再再発．その後サルベージ化学療法と再発を繰り返している．経過中視力の喪失や透析導入を経ながらも長期生存している．【症例2】 73歳男性. 2004年に胃癌に対する幽門側胃切除術時のリンパ節標本でFLの診断となった．R-CHOP療法3コース＋放射線療法を実施．RCOPE療法やBR療法を実施したが，C型肝炎による肝硬変で化学療法は困難となった．その後中枢神経浸潤による認知機能の低下や歩行障害を認めた．抗がん剤髄注により軽快したが2018年5月に病勢増悪のため死去．再発と治療を繰り返しながらも長期生存した濾胞性リンパ腫の2例を報告する．; Case 1：A 57 year-old man was diagnosed with follicullar lymphoma. He received three courses of rituximab,cyclophosphamide, dexorubicin, vincristine (sulfate) and prednisolone (R-CHOP) chemotherapy, but the lymphoma relapsed. He received autologous peripheral blood stem cell transplantation, but lymphoma relapsed again. He was treated with chemotherapy but the lymphoma repeatedly relapsed. Although he lost his sight because of lymphoma infiltration and introduced dialysis, lymphoma has maintained remission. Case2:A 59 year-old man was diagnosed with follicular lymphoma when he had an operation for gastric cancer. He received three courses of R-CHOP chemotherapy and radiation therapy. However, he showed relapse repeatedly. He received religious coping (R-COPE) and Bendamustine plus Rituximab (BR) chemotherapy. However, chemotherapy was discontinued because of his liver cirrhosis with hepatitis C. He was treated with intrathecal chemotherapy for central nerve invasion. He died of disease progression. Our two cases showed long-term survival in spite of repeateding relapse. Further improvement in prognosis of follicular lymphoma is expected. Mon, 24 Dec 2018 15:00:00 GMT http://hdl.handle.net/11665/1647 2018-12-24T15:00:00Z