WordNet

hide from view; "The lids were occulting her eyes"
supernatural practices and techniques; "he is a student of the occult" (同)occult arts
become concealed or hidden from view or have its light extinguished; "The beam of light occults every so often"
hidden and difficult to see; "an occult fracture"; "occult blood in the stool"
any malignant tumor derived from epithelial tissue; one of the four major types of cancer

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秘法の / 人間の理解を越えた,神秘の / 超自然の世界
がん,がん腫

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1. 原発不明癌の分類およびマネージメントの概要 overview of the classification and management of cancers of unknown primary site
2. 体重減少がみられる患者に対するアプローチ approach to the patient with weight loss
3. 大腸癌のスクリーニングのための検査：便検査、放射線検査および内視鏡検査 tests for screening for colorectal cancer stool tests radiologic imaging and endoscopy
4. The approach to ovarian cancer in older women
5. Overview of sexual dysfunction in female cancer survivors

English Journal

Incidence of and risk factors for sentinel lymph node metastasis in patients with a postoperative diagnosis of ductal carcinoma in situ.

Zetterlund L1, Stemme S, Arnrup H, de Boniface J.Author information 1Department of Surgery, Stockholm South General Hospital, Stockholm, Sweden; Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden.AbstractBACKGROUND: Positive sentinel lymph nodes (SLNs) are found in up to 13 per cent of women with a preoperative diagnosis of ductal carcinoma in situ (DCIS) of the breast and in up to 4 per cent of those with a postoperative diagnosis. This retrospective national register study investigated the incidence of positive SLNs in women with a postoperative diagnosis of DCIS, and the value of additional tumour sectioning to identify occult tumour invasion.
The British journal of surgery.Br J Surg.2014 Apr;101(5):488-94. doi: 10.1002/bjs.9404. Epub 2014 Feb 3.
BACKGROUND: Positive sentinel lymph nodes (SLNs) are found in up to 13 per cent of women with a preoperative diagnosis of ductal carcinoma in situ (DCIS) of the breast and in up to 4 per cent of those with a postoperative diagnosis. This retrospective national register study investigated the inciden
PMID 24493058

Acrometastases.

Mavrogenis AF1, Mimidis G, Kokkalis ZT, Karampi ES, Karampela I, Papagelopoulos PJ, Armaganidis A.Author information 1First Department of Orthopaedics, Athens University Medical School, ATTIKON University Hospital, 41 Ventouri Street, Holargos, 15562, Athens, Greece, afm@otenet.gr.AbstractMetastases distal to the elbow and the knee (acrometastases) are rare, accounting for approximately 0.1 % of all cases. Acrometastases can appear in patients of every age, with men being twice as likely as women to be affected. The most common primary cancer site is the lung (>50 %), followed by the colon, breast and genito-urinary tract. They mainly appear in cancer patients with wide-spread disseminated disease. Rarely, they may be the first presentation of occult silent cancer, mimicking a benign condition. Current evidence supports that the tumor cells reach the bones of the hands through the circulation and not the lymphatic system; the malignant cells from the lungs have an easy access through the arterial circulation of the arms. The rare incidence of foot acrometastases is believed to be due to the lack of red marrow in these bones, a further distance from the primary cancer site, and the valveless paravertebral venous plexuses (Batson's plexuses), which allow retrograde tumor cell embolization through the iliofemoral venous system. Treatment depends on staging and tumor extent. Amputative surgery is the more common approach, especially for cancers with poor response to radiation therapy and chemotherapy. In the majority of cases, disarticulation of the ray is required to achieve wide margin resection. In the foot, amputation can be that of a ray, midfoot or transtibial, depending on the location and spread of the tumor. If unresectable, palliative treatment with radiation therapy, bisphosphonates and chemotherapy is recommended. The prognosis of the patients with acrometastatic cancer is poor; the mean survival time after diagnosis is <6 months. An exception seems to be the patients with renal cell carcinoma, if treated with radical surgical resection, and a long latency period between nephrectomy and metastasis has occurred.
European journal of orthopaedic surgery & traumatology : orthopédie traumatologie.Eur J Orthop Surg Traumatol.2014 Apr;24(3):279-83. doi: 10.1007/s00590-013-1311-1. Epub 2013 Sep 8.
Metastases distal to the elbow and the knee (acrometastases) are rare, accounting for approximately 0.1 % of all cases. Acrometastases can appear in patients of every age, with men being twice as likely as women to be affected. The most common primary cancer site is the lung (>50 %), followed b
PMID 24013815

Japanese Journal

卵巣類肝細胞癌の一例とその診断・治療に関する報告のまとめ

下田勇輝,利部徳子,川原聡樹,加藤充弘,藤本俊郎,寺田幸弘
秋田医学 38(2), 75-79, 2011-12
… Here, we describe a case that originally presented as occult primarycancer with multiple liver metastases. … We arrived at a diagnosis of hepatoid carcinoma based onpreoperative levels of serologic tumor markers and postoperative tissue analysis. …
NAID 110008752371

Para-Aortic Lymph Node Micrometastasis in Patients with Node-Negative Biliary Cancer

Yonemori Atsuya,Kondo Satoshi,Matsuno Yoshihiro,Ito Tomoo,Tanaka Eiichi,Hirano Satoshi
Digestive Surgery 28(4), 315-321, 2011-10
… Results: We detected CAM5.2-positive occult carcinoma cells in para-aortic lymph nodes from 3 (5%) of the 66 patients and in 3 (0.6%) of the 529 para-aortic lymph nodes. … Conclusions: Occult cancer cells were identified in para-aortic lymph nodes from 5% of patients with node-negative biliary cancer, yet these patients have survived over the long term. …
NAID 120003560576

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