Brain metastasis from extramammary Paget's disease.

Herein, we present a case of extramammary Paget's disease with brain metastasis that was diagnosed pathologically for the first time in Japan. Moreover, invasive extramammary Paget's disease (with distant metastasis) highly resistant to treatment. Only for brain metastasis, we may control the tumor by surgical resection and stereotactic radiosurgery (SRT) for the treatment of intracranial metastases was assessed.

Reoperation for Late Neurological Deterioration After Laminoplasty in Individuals With Degenerative Cervical Myelopathy: Comparison of Cases of Cervical Spondylosis and Ossification of the Posterior Longitudinal Ligament.

Study Design: Retrospective cohort study.

Objective: The objective of this study was to elucidate the rate and causes of reoperation for late neurological deterioration after cervical laminoplasty by comparing cases of cervical spondylotic myelopathy (CSM) with those of ossification of the posterior longitudinal ligament (OPLL).

Summary Of Background Data: Although the long-term surgical outcomes of cervical laminoplasty in patients with CSM or OPLL are satisfactory, reoperation is sometimes required for late neurological deterioration after laminoplasty.

Management of Pancreatolithiasis: A Nationwide Survey in Japan.

Objectives: The aim of this study was to assess prevailing treatment of pancreatolithiasis in Japan.

Methods: We surveyed clinical data from 1834 patients (1479 men and 355 women) at 125 hospitals.

Results: Extracorporeal shock-wave lithotripsy (ESWL) was performed alone in 103 patients (5.