THEORY AND PRACTICE OF TRAINING IN MEDICAL ETHICS CONSENSUS-BUILDING METHOD WITH SPATIOTEMPORAL PERSPECTIVE.

Today, in Japan, education in medical ethics is urgent for undergraduate and graduate students as well as for doctors, nurses, and medical staffs; however, each institution and hospital determines its own method of ethics training, and a comprehensive and consistent system has not been established yet. This study discusses the nature of the theory and practice employed by the author, as a practitioner, an educator, and a researcher of medical ethics, in providing ethics training in medical institutions and hospitals since 2005. The method, which is based on theory and practice, is characterized by a spatiotemporal perspective, that is, it considers the medical space where the patients are diagnosed and treated (space) and every stage in the patient's lifecycle (time).

[Marfan syndrome complicated with CD5+ CD10+ diffuse large B-cell lymphoma].

Marfan syndrome (MFS) is caused by mutations in the gene encoding fibrillin. A 35-year-old man with MFS visited a local physician because of a sore throat. His left tonsil gradually became swollen and he was referred to our department.