A Case of Microhepatoma Associated with Schistosomiasis Japonica Diagnosed by Enhanced Ultrasonography after Hepatic Intraarterial Injection of Carbon Dioxide Gas
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概要
- 論文の詳細を見る
The patient was a 58-year old man whose complaints were generalized malaise and right epigastralgia. He had liver cirrhosis and schistosomiasis japonica, previously diagnosed by laparoscopy. Computed tomography (CT) showed a high density funicular shadow in the liver. However no tumorous lesions in the liver were visualized. Ultrasonography (US) of the liver showed a reticulate or scaly pattern, but no images of tumorous lesions. Hepatic angiography showed a single, deeply colored image about 1cm in diameter, in the segmentum anterosuperior. Preoperative and intraoperative enhanced US with hepatic intraarterial injection of carbon dioxide gas was performed. It showed a hyperechoic tumor shadow about 1cm in the segmentum anterior. The segmentum anterosuperior including the tumor was partially resected. Pathologically, the tumor was found to be a hepatoma of Edmondson type II, caused by cirrhosis and schistosomiasis japonica. The patient's postoperative course was uneventful. Enhanced US with hepatic intraarterial injection of carbon dioxide gas was useful for the diagnosis and treatment of the microhepatoma associated with schistosomiasis japonica.
- 東海大学の論文
著者
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Miwa Takeshi
Department Of Internal Medicine School Of Medicine Tokai University
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MITOMI Toshio
Department of Surgery, School of Medicine, Tokai University
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Mitomi Toshio
Department Of Surgery (division Of Pediatric Surgery) Tokai University School Of Medicine
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MAKUUCHI HIROYASU
Department of Cardiovascular Surgery, Tokai University Hospital
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Tokuda Y
Department Of Surgery Tokai University School Of Medicine
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Miwa T
Tokai Univ. School Of Medicine Kanagawa Jpn
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Tanaka Y
Department Of Surgery Tokai University School Of Medicine
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Tajima Tomoo
Department Of Surgety Tokai University School Of Medicine
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Tajima Tomoo
Department Of 2nd Surgery School Of Medicine Tokai University
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Tajima Tomoo
Department Of Surgery Tokai University School Of Medicine
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Ueno Fumiaki
Department Of Intermal Medicine Tokai University Oiso Hospital
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Tokuda Yutaka
Depertment Of Electronics Aichi Institute Of Technology
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Tokuda Yutaka
Department Of Surgery Tokai University School Of Medicine
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CHINO Osamu
Department of Surgery, Tokai University School of Medicine
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MIZUTANI Kyouichi
Departments of Surgery Tokai University Oiso Hospital
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HANAUE Hitoshi
Departments of Surgery Tokai University Oiso Hospital
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YANAGIDA Yuko
Departments of Surgery Tokai University Oiso Hospital
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ARAKAWA Syouichi
Department of Intermal Medicine, Tokai University Oiso Hospital
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Makuuchi Hiroyasu
Department Of Cardiovascular Surgery Tokai University Hospital
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Chino O
Department Of Surgery Tokai University School Of Medicine
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Hirakawa Hitoshi
Department Of Pediatric Surgery Gastrointestinal Surgery And Radiology Tokai University School Of Me
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Machimura Takao
Second Department Of Surgery Tokai University School Of Medicine
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Tokuda Yutaka
Department Of Breast And Endocrine Surgery Tokai University School Of Medicine
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Mitomi Toshio
Second Department Of Surgery Tokai University School Of Medicine
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Mitomi T
Department Of Surgery Tokai University School Of Medicine
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Mitomi Toshio
Department Of 2nd Surgery School Of Medicine Tokai University
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Mizutani Kyouichi
Department Of Surgery Tokai University School Of Medicine
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Maruyama H
Department Of Surgery Tokai University School Of Medicine
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Arakawa Syouichi
Department Of Intermal Medicine Tokai University Oiso Hospital
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HANAUE HITOSHI
Department of Surgery, Fujita-Gakuen University School of Medicine
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Miyashita Kayoko
DIMS Institute of Medical Science:Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences
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