Atsuhiro Kawashima
Kanazawa University
Matrix metalloproteinaseCancerInternal medicineRadiologySurgeryPathologyOncologyAntibodyChemistryExtracellular matrixImmunohistochemistryBiopsyLung cancerCarcinomaPancreasMetastasisAbdominal aortic aneurysmFibrosisLesionAdenocarcinomaCancer researchColorectal cancerIschemiaMedicineBiologyAnnexinGastroenterologyPharmacology
Publications 114
An 84-year-old man was referred to our out-patient clinic with an elongated mass localized to the retrosternal area that was incidentally identified by computed tomography. On 18F-fluorodeoxyglucose-positron emission tomography, this lesion showed intense tracer uptake. Thus, a surgical biopsy under thoracoscopy was performed. Histological examination revealed dense fibrous tissue associated with inflammatory cell infiltration. The immunoglobulin (Ig) G4/IgG plasma cell ratio was over 90%. Serum...
#1Takuya Komura (Kanazawa University)H-Index: 11
#2Takashi KagayaH-Index: 18
Last. Masashi UnouraH-Index: 24
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Pancreatic lymphoepithelial cysts (LECs) are rare cystic lesions filled with a keratinous substance and lined by squamous epithelium with underlying lymphoid tissue. Because pancreatic LECs are entirely benign, correct preoperative diagnosis is important to avoid unnecessary surgery. However, the imaging features of pancreatic LECs are not specific and preoperative diagnosis has proven difficult. A pancreatic mass was incidentally detected through abdominal ultrasonography in a 63-year-old male ...
2 CitationsSource
Pouchitis is a frequent complication of surgical treatment of ulcerative colitis (UC), and is typically treated using antimicrobials. If pouchitis is refractory to antimicrobials, screening for complications, such as cytomegalovirus (CMV) infection, is necessary. However, the optimal approach to management of pouchitis complicated by CMV infection is unclear. We report the case of a 41-year-old female patient with UC presenting with pouchitis associated with CMV infection; she had received subto...
#1Naoki MakitaH-Index: 2
#2Masato KayaharaH-Index: 45
Last. Atsuhiro KawashimaH-Index: 28
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BACKGROUND Type 1 neurofibromatosis (NF1) is known to be associated with not only neurogenic tumors but also gastrointestinal (GI) neoplasms. However, there are few reports on vascular lesions and the incidence is unknown. CASE REPORT We report here the case of a 45-year-old woman with a history of NF1 referred to our hospital for the purpose of detailed examination for positive fecal occult blood test. On the basis of the investigation reports, she was diagnosed with a neuroendocrine tumor (NET...
#1Hideo TakayamaH-Index: 3
#2Takuya KomuraH-Index: 11
Last. Masashi UnouraH-Index: 24
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The patient was an 81-year-old man who presented with a complaint of hoarseness. When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (CT) scan showed no abnormal findings at that time;therefore, he was diagnosed with idiopathic vocal cord paralysis, and followed up with symptom treatment in the Gastroenterology and Otolaryngology De...
#1Yasuhiko OhtaH-Index: 21
#2Seiichi KakegawaH-Index: 15
Last. Atsuhiro KawashimaH-Index: 28
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#1Kenji NotoharaH-Index: 41
#2Terumi KamisawaH-Index: 77
Last. Kazuichi Okazaki (Kansai Medical University)H-Index: 85
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The biopsy-based diagnosis of autoimmune pancreatitis (AIP) is difficult but is becoming imperative for pathologists due to the increased amount of endoscopic ultrasound-guided biopsy tissue. To cope with this challenge, we propose guidance for the biopsy diagnosis of type 1 AIP. This guidance is for pathologists and comprises three main parts. The first part includes basic issues on tissue acquisition, staining, and final diagnosis, and is intended for gastroenterologists as well. The second pa...
5 CitationsSource
#1Satomi Kasashima (Kanazawa University)H-Index: 22
#2Atsuhiro KawashimaH-Index: 28
Last. Satoru Ozaki (Kanazawa University)H-Index: 19
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A 78-year-old male was admitted to our hospital with lumbar pain and was found to have an abdominal aortic aneurysm (AAA) and femoral artery aneurysm (FAA). Initially, the patient underwent endovascular aneurysm repair (EVAR) for the AAA and aneurysmectomy for the FAA. The FAA was diagnosed by histology as immunoglobulin G4-related disease (IgG4-RD). The preoperative serum IgG4 level was within the normal range, although a slight serum interleukin-6 (IL-6) elevation was observed. Four years late...