Publications by authors named "Yumi Okawa"

Article Synopsis
  • Anorectal abscesses are common but can lead to serious health issues if they extend upwards, as seen in a case involving a 53-year-old woman with severe symptoms and acute kidney injury.
  • Imaging revealed a large abscess affecting the retroperitoneal spaces, which required surgical drainage through a lower abdominal incision.
  • The study suggests that a midline extraperitoneal approach can be an effective treatment for patients with extensive retroperitoneal abscesses, given their potential life-threatening nature.
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In a 72 years old woman, abdominal computed tomography (CT) disclosed multicentric hypervascular tumor in S4 of the liver, and it was T1.T2 by the MRI, and a high signal was presented together. Stenosis was shown by ERCP at the same site.

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Pseudomyxoma peritonei is generally caused by appendiceal and ovarian tumors. Other primary sites have been rarely reported. We describe herein the second reported case of pseudomyxoma peritonei due to mucinous cystadenocarcinoma of the urachus.

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Article Synopsis
  • Assessment of gastrointestinal stromal tumors (GISTs) involves measuring maximum tumor size, mitotic index, and the Ki-67 labeling index, which indicates cell growth, with a Ki-67 value of 10% or higher suggesting worse prognosis.
  • A study analyzed factors from 15 patients who had gastric stromal tumors, finding significant differences in tumor size, mitotic index, and Ki-67 values between patients with metastasis/recurrence and benign groups.
  • The findings highlight that these indices are valuable for evaluating malignancy in gastric stromal tumors, while surgical removal may not be enough for patients with widespread metastasis.
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A 64-year-old-male had recurrent paraaortic lymph node and liver metastases eight months after total gastrectomy and with distal pancreatectomy and splenectomy for advanced gastric cancer. Combined chemotherapy with 5-FU and a low-dose of CDDP was effective and the both lesions disappeared. Thirteen months later, a second recurrence of anterior mediastinum lymph node metastases occurred.

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