Papers by Takashi Kurumiya
![Research paper thumbnail of [Strategy for the treatment of hepatocellular carcinoma]](https://a.academia-assets.com/images/blank-paper.jpg)
[Strategy for the treatment of hepatocellular carcinoma]
PubMed, 1995
Hepatocellular carcinoma is a refractory cancer for the following two reasons: the tumor characte... more Hepatocellular carcinoma is a refractory cancer for the following two reasons: the tumor characteristics, including formation of tumor thrombus in the portal vein, metastasis within the liver and multicentricity of growth; and liver function disturbance due to cirrhotic change by B- or C-type viral infection. The most desirable treatment is hepatic resection, the only method producing a disease-free condition. However, there are not many cases that meet the indications for hepatic resection, since they have advanced lesions and/or liver dysfunction. If one cannot perform a hepatic resection, other suitable therapies should be selected, including transcatheter arterial embolization, percutaneous ethanol injection therapy, ligation of hepatic artery, irradiation, chemotherapy from hepatic artery via reservoir and so on. Combined therapy may sometimes be necessary for satisfactory efficacy. For long-term survival it is very important to do a close follow-up study over a long period. This encourages us to detect new lesions earlier and then perform suitable therapy again. Notifying patients of the disease and obtaining informed consent are needed for this long-term follow-up and treatment. When patients were examined who had first undergone hepatic resection and then hepatic re-resection for recurrence, we found that their survival rate was not different from that in the non-recurrent cases. This result indicates that overcoming refractory hepatocellular carcinoma requires a multidisciplinary treatment in which hepatic resection is the main means.
The Japanese Journal of Gastroenterological Surgery, 1990
Between July 1994 and December 2005, 1,324 patients underwent hepatic surgery in our institute. O... more Between July 1994 and December 2005, 1,324 patients underwent hepatic surgery in our institute. Of these patients, 508 patients who received their initial therapy for HCC were analyzed this time. MCN (microwave coagulo-necrotic therapy) was performed in 369 patients, hepatic resection (Hr) was in 98, and Hr + MCN was in 38. The remaining 3 patients were treated with laparotomic ethanol injection. The 1-, 3-, 5-, and 10-year cumulative survival rates for patients treated with MCN (mean tumor size, 28.8mm ; mean
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association), 1999
Nihon Rinshō Geka Igakkai zasshi, 1989
Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association), 2000
A Case of Nodule-aggregating Lesion of the Transverse Colon Detected by Periodic Health Checkups
Journal of Gastroenterological Mass Survey, 1995
A case of IgG4-related cholangitis responding to a steroid agent
Tando, 2007
Biochemical Pancreatic Parameters and Choice of Treatment in Severe Acute Pancreatitis
Progress in Acute Abdominal Medicine, 1990
Two Cases of Nonfunctioning Pancreatic Endocrine Tumors Presented with Acute Pancreatitis
Progress in Acute Abdominal Medicine, 1990
Usefulness of endoscopic ultrasonography on diagnosis of pancreatic tumor
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 1999
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 1998
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 2000
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 1998
The journal of the Japanese Practical Surgeon Society, 1996
Journal of rural medicine : JRM, 2016
Liver metastases from colorectal carcinoma commonly form nodular lesions in the liver parenchyma.... more Liver metastases from colorectal carcinoma commonly form nodular lesions in the liver parenchyma. We report a case of liver metastasis from rectal adenocarcinoma that extended predominantly into the bile duct. A 62-year-old Japanese man underwent low anterior resection for rectal adenocarcinoma 9 years ago. Approximately 3 years later, he underwent radiofrequency ablation therapy for a metastatic liver tumor. Nine years after surgery, a tumor in liver segment III exhibiting intrabiliary extension was discovered; it was unclear if this was a metastatic liver tumor or intrahepatic cholangiocarcinoma. Accordingly, we performed a left hepatectomy with lymph node dissection. The tumor was negative for cytokeratins 7 and 20, and was histologically similar to the primary rectal adenocarcinoma; it was diagnosed as rectal carcinoma metastasis. The patient has survived for 3 years after the hepatic surgery, for 9 years after radiofrequency ablation therapy, and for 12 years after the primary ...
Advanced Gallbladder Carcinoma Diagnosed on the Basis of Postoperative Microscopic Examinations, After a Cholecystectomy forCholelithiasis : Two Case Report
Mie Medical Journal, Dec 1, 1999
Ultrasonographic diagnosis of pancreatic neoplasm
Choonpa Igaku, 2007
The Japanese Journal of Gastroenterological Surgery, 1992
Uploads
Papers by Takashi Kurumiya