Outbreak and Prognosis of Malignant Tumor in the atients of National Sanatorium Oshima Seisho-en
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概要
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The data on the outbreak and prognosis of malignant tumor which could be given against it in the national sanatorium Oshima Seisho-en were collected.The data were collected by the detailed reading of cards of the patients who were diagnosed as malignant tumor from April, 1978 to July, 1982. The number of patients who were diagnosed as malignant tumor was 18. Nine out of 18 were male and 9 female. Thirteen cases were lepromatous, and 5 were tuberculoid. Among them, 3 cases were bacilli-positive. The clinical diagnosis was mammary cancer in 4 cases, stomach cancer in 3 cases, bladder cancer in 2 cases (a case had metastasis to the liver), liver cancer in 2 cases, esophagus cancer in a case, skin cancer in a case, uterus cancer in a case (rectal metastasis), malignant tumor in the abdominal cavity in a case, and sarcoma in the abdominal cavity in a case. In the cases which were diagnosed as malignant tumor in the abdominal cavity and sarcoma in the abdominal cavity, the primary lesion was not known. Besides in the former, the definite nature was not determined.The number of cases in which biopsy, cytodiagnosis or outopsy was made is 14. A case was diagnosed as adenocarcinoma and undifferentiated squamous cell carcinoma of uterus metastasized to the rectum, a case as hepatoma, a case as rhabdomyosarcoma (pleomorphic type), a case as transitional cell carcinoma of bladder, a case as papillary adenocarcinoma, 3 cases as scirrhous carcinoma of breast, a case as cutaneous carcinoma of sinciput, a case as rectal carcinoma metastasized to the liver, a case as adenocarcinoma of bladder, a case as squamous cell carcinoma of breast, a case as poorly differentiated adenocarcinoma of rectum, and a case as mucous membrane carcinoma of stomach. In 4 cases, histological examination could not be made. One out of 4 cases had liver cancer, 2 stomach cancer, and 1 esophagus cancer. They were diagnosed by clinical findings, findings in surgical operation, roentogenoscopy of stomach and intestine, opaque radioscopy of esophagus and so on. The treatment after definite diagnosis was surgical operation in 11 cases, only administration of anticancer drugs in 2 cases, and only symptomatic treatment in 5 cases. Most of cases which were operated surgically underwent the administration of anticancer drugs and radiation of radient rays. Five cases which were given only symptomatic treatment were advanced in years, or diagnosed with difficulty. The length of period of surgical after definite diagnosis was within 1 month in a case, within 1 year in 8 cases, within 2 years in 4 cases, within 3 years in a case, within 4 years in a case, within 5 years in 2 cases, within 8 years in a case.The dead cases as of July, 1982 were 8 out of 18, and survival cases are 10.It cannot be said that the actual conditions of outbreak of malignant tumor in the leprosarium are sufficiently clarified. Above all, the defliciency of medical specialist and medical instrument makes the early diagnosis (or diagnosis) of malignant tumor difficult. Accordingly, it is hoped that the increase of medical stuff and improvement of medical equipment will be done without delay.
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