Publications by authors named "Kurata Kazunari"
Article Synopsis
- Pulmonary tumor thrombotic microangiopathy (PTTM) is a serious and rare complication linked to malignant tumors, leading to severe pulmonary hypertension and often resulting in respiratory failure.
- In a reported case, a 70-year-old man with gastric cancer was diagnosed with PTTM after dying during chemotherapy; the autopsy showed specific signs of this condition.
- The study highlighted the presence of vascular growth factors in the cancer cells and suggested that versican (VCAN), an important protein in blood vessel abnormalities, plays a role in the development of PTTM.
Article Synopsis
- The study assessed the safety and effectiveness of using aggressive hydration and rectal non-steroidal anti-inflammatory drugs to prevent pancreatitis after an ERCP procedure.
- Conducted at 12 medical centers with 231 patients, the trial found that only 5.6% developed post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) after treatment.
- Results indicate that this combined approach is a safe and effective preventive strategy, including for elderly patients.
A 71-year-old man on prednisolone for immunoglobulin (Ig) G4-related renal disease showed increased carbohydrate antigen (CA) 19-9 level; abdominal enhanced computed tomography (CT) showed a lesion in the left lateral segment and dilatation of the peripheral biliary duct. He was referred to our hospital for detailed examination for suspected intrahepatic cholangiocarcinoma. CT and magnetic resonance imaging findings were similar to those for intrahepatic cholangiocarcinoma.
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- A 22-year-old man with upper abdominal pain had imaging tests showing a complex mass in the liver region.
- Imaging suggested the mass could be a hematoma or a neoplastic disease, leading to surgical resection.
- The final diagnosis was abdominal lymphangioma, a rare and benign tumor, highlighting the need to include it in differential diagnoses for similar abdominal masses.