-外科的生検

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1. 側頭動脈生検の手技temporal artery biopsy technique [show details]
…locating the artery. Some have speculated that using duplex ultrasound to direct biopsy segment may increase the sensitivity of biopsy . Others argue that palpation of abnormal areas of the temporal artery …
2. 腎生検the kidney biopsy [show details]
… kidney biopsy to establish the diagnosis and guide treatment. Even in the absence of a systemic disease, the acute nephritic syndrome often requires a biopsy to ascertain a diagnosis and direct treatment …
3. 非小細胞肺癌が疑われる患者における組織生検の手技procedures for tissue biopsy in patients with suspected non small cell lung cancer [show details]
… accuracy for large, central or obstructive airway lesions that can be biopsied under direct visualization using an endobronchial biopsy forceps (65 to 88 percent) . Although bronchial lavage and brushings …
4. 血管炎の皮膚病変を有する成人の評価evaluation of adults with cutaneous lesions of vasculitis [show details]
… performance of a skin biopsy is indicated. Of note, residual, macular or patchy hyperpigmentation is common after resolution of vasculitis lesions. An additional skin biopsy for direct immunofluorescence …
5. Fogo selvagem（ブラジルの地方病性落葉状天疱瘡）fogo selvagem brazilian endemic pemphigus foliaceus [show details]
…the clinical assessment is as follows: A lesional skin biopsy for routine hematoxylin and eosin (H&E) staining; A perilesional skin biopsy for direct immunofluorescence (DIF) The presence of clinical, histologic …

Japanese Journal

気管支鏡検査で診断した神経鞘腫の2例

吉岡潤哉,立原素子,桐生辰徳,高田尚哉,梅澤佳乃子,桂田雅大,桂田直子,山本正嗣,西村善博
気管支学 43(2), 168-174, 2021
… 陽性であり，上縦隔神経鞘腫と診断した．気管の偏位を伴っていたため，腫瘍摘出術を施行した．症例2．48歳の男性．他病経過中の胸部CTで，偶発的に気管膜様部に約10 mm大の腫瘤を認めた．直視下生検で紡錘形細胞が波状に増殖し，一部に浮腫状基質をもつ細胞密度の低い領域を認め，免疫染色でS-100が陽性であり，気管神経鞘腫と診断した．腫瘍は小さく，気道閉塞症状はないため，患者の希望を考慮 …
NAID 130008021149

直視下生検で診断し得た肝細胞癌胆管腫瘍栓の1例

福田壮馬,橋本諒典,湯口周,野口雅之,溝上裕士,遠藤壮登,福田邦明,辻実季,小野田翼,丹下善隆,新里悠輔,寺崎正彦,長谷川直之
Progress of Digestive Endoscopy 97(1), 136-138, 2020
A 72-year-old man, with a history of proton beam therapy, transcatheter arterial chemoembolization (TACE), and radiofrequency ablation for hepatocellular carcinoma (HCC), presented to the eme …
NAID 130007966567

経過観察中に自然消退傾向を認めた気管支顆粒細胞腫の1例

門谷英昭,眞本卓司,山根健志,佐渡康介,津田誉至,阪上和樹,永野晃史,川口知哉
気管支学 42(5), 414-417, 2020
… めて稀である．症例．46歳男性．左下葉の肺炎を反復するため，中枢気道の精査目的に気管支鏡検査を施行したところ，偶発的に右下葉B6入口部に白色隆起性病変を認めた．直視下生検にて顆粒細胞腫と診断した．外科的切除を予定していたが，術前の気管支鏡検査で消退傾向を認めたため見送った．その後も定期的に気管支鏡検査を行っているが，消退傾向は続いている．結論．& …
NAID 130007926948