| Japanese |
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| Title | 高齢者における乏症候性脳腫瘍 |
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| Subtitle | 原著 |
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| Authors | 川口新一郎*, 千葉一夫*, 飯尾正宏*, 村田啓*, 松井謙吾*, 山田英夫*, 阿部正秀* |
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| Authors(kana) | |
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| Organization | *東京都養育院付属病院核医学放射線部 |
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| Journal | 核医学 |
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| Volume | 13 |
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| Number | 2 |
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| Page | 89-94 |
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| Year/Month | 1976/4 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「1. 緒言」老人に於ける脳腫瘍では諸種の要因から, 脳圧亢進症状を主体とした典型的な臨床症状を欠く場合が比較的多い. 殊に乏症候性脳腫瘍では多くの場合剖検により偶然発見される. 我々は脳スキャン843例のうち, 脳腫瘍と確認された54例を経験したが, そのうち5例では脳スキャン時に殆んど臨床症状を欠く症例であった. この様な乏症候性脳腫瘍の早期発見には手術可能の脳腫瘍もある為脳スキャンが有用と思われる. 以下に我々の経験例5例を報告し検討する. 「2. 対象及び方法」対象はこの3年間に都養育院付属病院核医学部門で行なった脳スキャン1100回, 843症例である. 男455名, 女388名, 平均年齢は69.2歳であり, 8割以上が65歳以上であった. 99mTcO4及び99mTc-pyrophosphateを用い, 脳スキャンを実施した. 「3. 結果」脳スキャンを行なった843症例中, 剖検又は手術で確認されたか又は臨床的にほぼ確実に脳腫瘍と最終診断されたのは54例であった. Table 1に示す如く, その54例中32例は原発性, 22例は転移性脳腫瘍であった. |
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| Practice | 臨床医学：一般 |
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| English |
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| Title | Oligosymptomatic Brain Tumor in the Aged |
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| Subtitle | Original Articles |
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| Authors | Shinichiro KAWAGUCHI, Kazuo CHIBA, Masahiro IIO, Hazime MURATA, Kengo MATUI, Hideo YAMADA, Masahide ABE |
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| Authors(kana) | |
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| Organization | Department of Nuclear Medicine and Radiological Sciences, Tokyo Metropolitan Geriatric Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 13 |
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| Number | 2 |
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| Page | 89-94 |
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| Year/Month | 1976/4 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] We had performed brain scans of 843 cases, 1100times, for 3 years. In these cases, 54 cases with brain tumor were proven clinically and/or by operation and/or autopsy. Among these 54 cases, 5 cases were diagnosed only by chance of brain scan because these cases had clinically almost asymptomatic sign of brain tumor. Ages of these 5 cases were all over 70 years old and the size of tumor ranged from 2×2 cm to 7×7 cm at scan. Final diagnosis of these 5 cases were 2 meningiomas and 3 metastatic brain tumor originated from lung cancer, colon cancer and malignant adrenal tumor. Previous researchers had reported that the brain tumor of the aged was frequently asymptomatic and was difficult to be diagnosed before autopsy. The causes of oligosymptomatic brain tumor of the aged were considered as follows : (1) Brain edema is rarely produced. (2) Brain atrophy is existed and free space is enlarged. (3) The CSF production is decreased. In conclusion, introduction of atraumatic screening procedure, brain scan, made it possible to disclose the presence of oligosymptomatic brain tumor of the aged before autopsy. Five cases with oligosymptomatic brain tumor found and proven by brain scan were reported. |
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| Practice | Clinical medicine |
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