1.A Case of Primary Racemose Hemangioma Discovered from Abnormal Chest X-ray Finding
Ken TOMOOKA ; Makoto NAKAO ; Seiji KAMEI ; Yuto SUZUKI ; Yusuke SAKAI ; Sousuke ARAKAWA ; Yusuke KAGAWA ; Ryota KUROKAWA ; Hidefumi SATO ; Yoshimi HORIKAWA ; Hideki MURAMATSU
Journal of the Japanese Association of Rural Medicine 2017;66(1):79-85
A 56-year-old woman was referred to our hospital because of an abnormal finding in the right pulmonary hilum on chest X-ray. Enhanced chest computed tomography showed hyperplastic bronchial arteries dilating and winding around the trachea and bronchi. A racemose hemangioma of the bronchial artery with multiple bronchial artery aneurysms (diameter <20mm) was seen displacing the trachea and both main bronchi. Bronchoscopy showed submucosal tumor-like lesions at the distal trachea and in both main bronchi, and a dusky-red elevated pulsatile lesion at the orifice of the left B3b+c. We performed coil embolization of the bronchial artery aneurysm to prevent abrupt rupture of the bronchial aneurysm.
2.A Case of Breast Cancer Brain Metastasis with a 16-Year Time Interval without Evidence of Cancer Recurrence.
Shoko Merrit YAMADA ; Yusuke TOMITA ; Soichiro SHIBUI ; Takashi KUROKAWA ; Yasuhisa BABA
Journal of Breast Cancer 2017;20(2):212-216
The median time of brain metastasis from the diagnosis of breast cancer is approximately 3 years. In this case report, a 69-year-old woman demonstrated cerebellar ataxia. Brain magnetic resonance imaging revealed enhanced lesions in bilateral cerebellar hemispheres. She had undergone surgery, radiation, and chemotherapy for uterine and breast cancer 24 years prior and 16 years prior, respectively. Although she had not received any anticancer treatment for 10 years, no recurrences were identified using whole body scans. A partial tumor resection was performed and the histological diagnosis was an adenocarcinoma from breast cancer. As no extracranial lesions were found, gamma-knife irradiation was performed, without additional systemic chemotherapy. One month posttreatment, the tumors dramatically reduced in size and the patient completely recovered from cerebellar ataxia. Systemic chemotherapy is not always required for brain metastasis from breast cancer with a long interval period, as long as no evidence of extracranial recurrence is detected.
Adenocarcinoma
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Aged
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Brain*
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Breast Neoplasms*
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Breast*
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Cerebellar Ataxia
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Diagnosis
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Drug Therapy
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Female
;
Humans
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Magnetic Resonance Imaging
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Neoplasm Metastasis*
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Neoplasm Recurrence, Local
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Prognosis
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Recurrence*
;
Whole Body Imaging
3.Association between quality of motion and motor ability in early childhood
Yusuke KUROKAWA ; Masahiro MATSUI ; Hidetada KISHI ; Hiroyuki MIYATA ; Koya SUZUKI
Japanese Journal of Physical Fitness and Sports Medicine 2024;73(2):75-83
The purpose of this study was to clarify the relationship between quality of motion and motor ability in early childhood, as well as the moderating effects of grade and gender. A total of 133 preschoolers (3- to 5-year-old class) were evaluated for quality of motion and motor ability using the “Athletic Aptitude Test II” developed by the Japan Sports Association to assess the fundamental movements of running, jumping, and throwing. Two observers evaluated quality of motion based on movies taken by tablet. The relationship between quality of motion and motor ability was determined using multiple regression analysis. In addition, we clarified the influence of grade and gender on the relationship between quality of motor and motor ability using moderation analysis. A significant relationship was found between quality of motion and motor ability for all movements. Grade moderated the relationship between the quality of running motion and the results of the 25-m run. Gender moderated the relationship between the quality of the throwing motion and the results of softball throwing. These results suggest an association between quality of motion and motor ability in early childhood, and show that improving quality of motion improves motor ability.