Faculty Profiles - SHIGEYASU Kunitoshi

MISC - SHIGEYASU Kunitoshi

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進行・再発大腸癌に対する個別化治療戦略の構築術前遺伝子検査のススメ

母里淑子, 永坂岳司, 近藤喜太, 楳田祐三, 重安邦俊, 田邊俊介, 野間和広, 宇野太, 香川俊輔, 白川靖博, 松原長秀, 三嶋秀行, 八木孝仁, 藤原俊義

日本外科学会雑誌 112 ( 臨増1-2 ) 374 - 374 2011.5

喀痰からメチル化DNAを検出することによる非侵襲的肺がんスクリーニング法の構築実臨床への応用に向けて

山田英司, 永坂岳司, 孫冬生, 岡哲弘, 母里淑子, 重安邦俊, 森川達也, 藤原俊義

日本呼吸器外科学会雑誌 25 ( 3 ) O23 - 02 2011.4

TRAUMATIC MESENTERIC BLEEDING COMPLETELY CURED BY TRANSCATHETER ARTERIAL EMBOLIZATION-A CASE REPORT-

重安邦俊, 青木秀樹, 金澤卓, 中川仁志, 田中屋宏爾, 竹内仁司

日本臨床外科学会雑誌 72 ( 3 ) 791 - 795 2011.3

Language：Japanese Publisher：Japan Surgical Association

We report a case of mesenteric bleeding following blunt abdominal trauma that was successfully treated with transcatheter arterial embolization (TAE). A 73-year-old man presented with blunt abdominal trauma while reportedly in a state of shock. The first systolic blood pressure reading was 175 mmHg, but then decreased to 80 mmHg. We performed rapid fluid resuscitation, and systolic blood pressure rose to 100 mmHg. Computed tomography revealed contrast media extravasation from a branch of the ileocolic artery with no evidence of bowel perforation. Thereafter, systolic blood pressure again decreased to 80 mmHg. We performed another blood transfusion, and systolic blood pressure rose to 100 mmHg. A diagnosis of transient responder state of shock was made. We successfully performed TAE at the bleeding site, after which the patient recovered from shock. Laparotomy was not required and the patient left our hospital 14 days later. Thus, TAE can be regarded a suitable treatment for patients with mesenteric bleeding in a transient responder state of shock.

DOI： 10.3919/jjsa.72.791

Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2011&ichushi_jid=J03156&link_issn=&doc_id=20110328230048&doc_link_id=10.3919%2Fjjsa.72.791&url=https%3A%2F%2Fdoi.org%2F10.3919%2Fjjsa.72.791&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

小児外傷性肝損傷4例の経験

河島茉澄, 亀井尚美, 上松瀬新, 檜山英三, 重安邦俊, 内藤浩之

広島医学 64 ( 3 ) 175 - 175 2011.3

肝門部胆管癌と鑑別困難であったIgG4関連硬化性胆管炎の1切除例

青木秀樹, 金澤卓, 重安邦俊, 竹原清人, 荒田尚, 中川仁志, 田中屋宏爾, 竹内仁司

胆と膵 32 ( 2 ) 175 - 179 2011.2

Language：Japanese Publisher：医学図書出版(株)

結石や膵病変を伴わない肝門部良性胆管狭窄については術前診断は難しく、その頻度等不明な点が多い。今回、肝門部胆管癌と鑑別困難であったIgG4関連硬化性胆管炎の1切除例を経験したので報告する。膵には画像上異常所見はみられなかった。Bismuth IIIa型の肝門部胆管癌の診断で、尾状葉合併肝右葉切除および胆管切除、D2郭清、胆管空腸吻合を行った。術中所見では胆管壁は著明に肥厚して浸潤を疑わせ、周囲リンパ節の腫脹は転移を思わせた。切除標本で胆管粘膜に腫瘤は認めず、病理診断はIgG4関連硬化性胆管炎であった。術後測定した血清IgG4値は456mg/dl(19.1%)と著明に高値で、術後12ヵ月目には1,240mg/dl(30.2%)まで増加し、一時減少したが、22ヵ月目には再度上昇した。その間、特に自覚症状無く、画像検査でも胆管狭窄の再発は無く、ステロイドの投与は行わずに経過観察している。(著者抄録)

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焼灼治療後5年経過し腋窩リンパ節転移を認めた乳癌の1例

重安邦俊, 田中屋宏爾, 荒田尚

日本臨床外科学会雑誌 71 ( 増刊 ) 524 - 524 2010.10

Ileostomy Adenocarcinoma After Colectomy for Familial Adenomatous Polyposis: Case Report

Shigeyasu Kunitoshi, Takeuchi Hitoshi, Tanakaya Kouji, Kanazawa Takashi

Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 35 ( 5 ) 810 - 813 2010.10

Language：Japanese Publisher：Japanese College of Surgeons

We report a case of ileostomy carcinoma diagnosed 20 years after total colectomy for familial adenomatous polyposis (FAP). A 69–year–old woman presenting with an ileostomy–site tumor two years earlier was found in biopsy twice before resection to have inflammatory granuloma and no evidence of malignancy. The tumor, 15 mm in diameter, was hemorrhagic and disturbed pouch changing. Partial tumor resection yielded a pathological diagnosis of well–moderate differentiated adenocarcinoma. No sign of recurrence has been seen in six months of follow–up after resection. Ileostomy carcinoma after colectomy for FAP is rare. Routine follow–up after ileostomy may detect ileostomy carcinoma early, but tumor biopsy alone is insufficient for diagnosis, which requires surgical resection.

DOI： 10.4030/jjcs.35.810

Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2010&ichushi_jid=J01066&link_issn=&doc_id=20101229090024&doc_link_id=10.4030%2Fjjcs.35.810&url=https%3A%2F%2Fdoi.org%2F10.4030%2Fjjcs.35.810&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

腹腔鏡下胃切除術における穿刺法による肝外側域の挙上

香川俊輔, 宇野太, 重安邦俊, 合地明, 藤原俊義

日本内視鏡外科学会雑誌 15 ( 7 ) 456 - 456 2010.10