| Japanese |
|---|
| Title | 脳血管障害の診断にかくされた高齢者脳腫瘍 |
|---|
| Subtitle | 原著 |
|---|
| 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* |
|---|
| Authors(kana) | |
|---|
| Organization | *東京都養育院付属病院核医学放射線部 |
|---|
| Journal | 核医学 |
|---|
| Volume | 14 |
|---|
| Number | 6 |
|---|
| Page | 841-847 |
|---|
| Year/Month | 1977/12 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「緒言」脳血管障害 (以下CVDと略す) が高齢者に頻発することは諸家の報告にあるごとく周知の通りである. これに反して脳腫瘍の頻度は高いものではなく年齢別分布も考慮すれば佐野らの報告にも示されているごとく, 高齢者脳腫瘍の頻度は余り高くない. しかるに高齢者脳腫瘍例は他の要素も加えて, 安易にCVDと臨床診断されがちであり, 正確に脳腫瘍と診断されることは余り多くない. 本院脳外科, 布施らは21例の脳腫瘍患者の本院入院時診断は11例がCVD, 2例が脳腫瘍, その他が8例であったと報告している. われわれは前回, 高齢者脳腫瘍の特徴として高齢者の乏症候性脳腫瘍の5例を報告した. 今回は, 本院付属病院の剖検例より脳腫瘍を集計し, 生前の臨床診断と剖検診断とを比較検討した. 脳腫瘍剖検例中には脳スキャン前診断がCVDであり脳スキャンを実施して初めて脳腫瘍が強く疑われた3例が含まれており脳腫瘍の診断に脳スキャンが有効であった興味ある症例なので以下報告する. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | |
|---|
| English |
|---|
| Title | Brain Tumor of the Aged Hidden under the Clinical Diagnosis of CVD |
|---|
| Subtitle | Original articles |
|---|
| Authors | Shinichiro KAWAGUCHI, Kazuo CHIBA, Masahiro IIO, Hajime MURATA, Kengo MATSUI, Hideo YAMADA, Masahide ABE |
|---|
| Authors(kana) | |
|---|
| Organization | Department of Nuclear Medicine and Radiological Science, Tokyo Metropolitan Geriatric Hospital |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 14 |
|---|
| Number | 6 |
|---|
| Page | 841-847 |
|---|
| Year/Month | 1977/12 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary] : It is our frequent experience in the geriatric hospital that brain tumor is hidden behind the clinical diagnosis of CVD. Three such cases were presented in this report which include (1) 79 years old, male, glioblastoma multiforme was suspected clinically cerebral infarction. (2) 71 years old, male, metastatic brain tumor from lung cancer was suspected clinically cerebral in farction. (3) 79 years old, female, pituitary adenoma was suspected clinically encephalomalacia. Thirty six cases of brain tumor were assessed from 1938 cases autopsied at department of pathology in our hospital during December 1960 to June 1975. Before June 1972, there were 18 cases of brain tumor and the final clinical diagnosis never proved or suspected the presence of the brain tumor. After the hospital was enlarged its scale and equipped with modern facilities since June 1972, there were 18 cases of brain tumor proven by autopsy and the rate of correct final clinical diagnosis for brain tumor was elevated up to 67 percent. The reason was attributed to the introduction of various new examination methods including brain scan. In conclusion, because of the high incidence of cerebrovascular disorders and the oligosymptomatic nature of brain tumor in the aged, differential diagnosis of the latter from the former should be made by brain scan procedure. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | |
|---|