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Shioji M, Yamamoto T, Ibata T, Tsuda T, Adachi K, Yoshimura N. Artificial neural networks to predict future bone mineral density and bone loss rate in Japanese postmenopausal women. BMC Res Notes 2017; 10:590. [PMID: 29126439 PMCID: PMC5681768 DOI: 10.1186/s13104-017-2910-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Accepted: 11/01/2017] [Indexed: 12/21/2022] Open
Abstract
Objective Predictions of the future bone mineral density and bone loss rate are important to tailor medicine for women with osteoporosis, because of the possible presence of personal risk factors affecting the severity of osteoporosis in the future. We investigated whether it was possible to predict bone mineral density and bone loss rate in the future using artificial neural networks. Results A total of 135 women over 50 years old residing in T town of Wakayama Prefecture, Japan were analyzed to establish a statistical model. Artificial neural networks models were constructed using the two variables of bone mineral density and bone loss rate. The multiple correlation coefficients between the actual and measured values for lumbar and femoral bone mineral densities in 2003 showed R2 = 0.929 and R2 = 0.880, respectively, by linear regression analyses, while the values for bone loss rates in lumbar and femoral bone mineral densities were R2 = 0.694 and R2 = 0.609, respectively. Statistical models by artificial neural networks were superior to those by multiple regression analyses. The prediction of future bone mineral density values estimated by artificial neural networks was considered to be useful as a tool to tailor medicine for the early diagnosis of and intervention for women osteoporosis with women. Electronic supplementary material The online version of this article (10.1186/s13104-017-2910-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Mitsunori Shioji
- Department of Gynecology, Minoh City Hospital, Minoh, 562-8562, Japan.,Department of Gynecology, Toyonaka Municipal Hospital, Toyonaka, 560-8565, Japan
| | - Takehisa Yamamoto
- Department of Pediatrics, Minoh City Hospital, Minoh, 562-8562, Japan.
| | - Takeshi Ibata
- Department of Internal Medicine, Minoh City Hospital, Minoh, 562-8562, Japan
| | - Takayuki Tsuda
- Department of Orthopedic Surgery, Minoh City Hospital, Minoh, 562-8562, Japan.,Department of Orthopedics, Kansai Rosai Hospital, Amagasaki, 660-8511, Japan
| | - Kazushige Adachi
- Department of Gynecology, Minoh City Hospital, Minoh, 562-8562, Japan
| | - Noriko Yoshimura
- Department of Preventive Medicine for Locomotive Organ Disorders, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, 113-8655, Japan
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Ando H, Watanabe Y, Ogawa M, Tamura H, Deguchi T, Ikeda K, Fujitani M, Shioji M, Tsujie T, Doi R, Wakimoto A, Adachi S. Mesonephric adenocarcinoma of the uterine corpus with intracystic growth completely confined to the myometrium: a case report and literature review. Diagn Pathol 2017; 12:63. [PMID: 28841919 PMCID: PMC6389062 DOI: 10.1186/s13000-017-0655-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Accepted: 08/15/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Mesonephric adenocarcinoma (MA) is a rare tumor believed to arise from mesonephric remnants occurring mostly in the uterine cervix and, to a lesser extent, the corpus. Since the first case report of MA in the corpus in 1995, only 16 cases have been reported in the English literature. A recent report suggested that MA originates in Müllerian tissue and exhibits the mesonephric differentiation phenotype. CASE PRESENTATION An asymptomatic 61-year-old woman was referred to our hospital because of elevated levels of tumor markers. Imaging revealed an intramural lesion of the uterine corpus exhibiting fluorodeoxyglucose uptake. A total hysterectomy and bilateral salpingo-oophorectomy were performed. The tumor was completely confined to the corpus wall and was composed of an intracystic bulky component and an invasive component in the myometrial layer. The tumor exhibited a variety of growth patterns, including a characteristic tubular pattern with dense eosinophilic secretion reminiscent of the thyroid, as well as a variety of morphologies, such as acinar, papillary, and ductal structures. The structures were immunoreactive for CK7, vimentin, CD10, calretinin, PAX8, and GATA3 and almost completely negative for ER/PgR. CA125 and CA19-9 antigen expression was also detected. CONCLUSION A case of MA with a unique growth pattern of an intracystic mass within the corpus wall is presented. The histogenesis and differential diagnoses are discussed. The histogenesis of MA is not yet clear. We hypothesize two different pathways involved: 1) direct development from the mesonephric remnants and/or 2) mesonephric transformation of Müllerian adenocarcinoma.
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Affiliation(s)
- Hiroka Ando
- Departments of Pathology, City Hospital of Toyonaka, Toyonaka, Osaka, Japan.
| | - Yuko Watanabe
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Minori Ogawa
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Hiromi Tamura
- Departments of Pathology, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Tomomi Deguchi
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Kayo Ikeda
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Mayumi Fujitani
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Mitsunori Shioji
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Tomoko Tsujie
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Reiko Doi
- Departments of Pathology, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Akinori Wakimoto
- Departments of Genecology and Obstetrics, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
| | - Shiro Adachi
- Departments of Pathology, City Hospital of Toyonaka, Toyonaka, Osaka, Japan
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Adachi K, Takahashi K, Nakamura K, Otake A, Sasamoto N, Miyoshi Y, Shioji M, Yamamoto Y, Fujitani M, Wakimoto A, Tokuhira A, Kobayashi E, Yoshimura A, Sawada K, Kimura T. Postoperative administration of dienogest for suppressing recurrence of disease and relieving pain in subjects with ovarian endometriomas. Gynecol Endocrinol 2016; 32:646-649. [PMID: 26890948 DOI: 10.3109/09513590.2016.1147547] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
To assess the effect of dienogest on recurrence of ovarian endometriomas and severity of pain after laparoscopic surgery, a retrospective study of 81 patients was performed at three institutions in Osaka, Japan. Patients had a six-month minimum follow-up after laparoscopic surgery for ovarian endometriomas performed between June 2012 and August 2014. Patients who chose to receive 2 mg dienogest daily and those who were managed expectantly postoperatively were included. Recurrence was defined as the presence of endometriomas of more than 2 cm. A visual analog scale (VAS) was used to score the intensity of pelvic pain. The cumulative recurrence rate and absolute VAS score changes between the baseline and at 6, 12, 18 and 24 months after the start of administration were evaluated in both groups. The recurrence rate was 16.5% and 24.0% in the expectant management group at 12 and 24 months, respectively. No recurrences occurred in the dienogest treatment group. The rate of VAS score reduction was significantly higher in the dienogest than in the expectant management group. Dienogest is effective on the recurrence of ovarian endometrioma and relieving pelvic pain after laparoscopic surgery.
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Affiliation(s)
- Kazushige Adachi
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Kayo Takahashi
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Koji Nakamura
- b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Osaka , Japan , and
| | - Akiko Otake
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Naoko Sasamoto
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Yukari Miyoshi
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Mitsunori Shioji
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Yoshimitsu Yamamoto
- a Department of Obstetrics and Gynecology , Minoh City Hospital , Osaka , Japan
| | - Mayumi Fujitani
- c Department of Obstetrics and Gynecology , Toyonaka City Hospital , Osaka , Japan
| | - Akinori Wakimoto
- c Department of Obstetrics and Gynecology , Toyonaka City Hospital , Osaka , Japan
| | - Atsushi Tokuhira
- c Department of Obstetrics and Gynecology , Toyonaka City Hospital , Osaka , Japan
| | - Eiji Kobayashi
- b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Osaka , Japan , and
| | - Akihiko Yoshimura
- b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Osaka , Japan , and
| | - Kenjiro Sawada
- b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Osaka , Japan , and
| | - Tadashi Kimura
- b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Osaka , Japan , and
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Koguchi-Yoshioka H, Oshima H, Manago E, Kuwae K, Shioji M, Adachi K, Nakamichi I, Hoshi M, Ikeda K, Matsumoto C. Sister Mary Joseph's nodule: Malignant transformation of umbilical endometriosis. J Dermatol 2016; 43:1449-1450. [PMID: 27130749 DOI: 10.1111/1346-8138.13420] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - Haruka Oshima
- Department of Plastic Surgery, Minoh City Hospital, Osaka, Japan
| | - Eri Manago
- Department of Plastic Surgery, Minoh City Hospital, Osaka, Japan
| | - Katsuki Kuwae
- Department of Plastic Surgery, Minoh City Hospital, Osaka, Japan
| | - Mitsunori Shioji
- Department of Obstetrics and Gynecology, Minoh City Hospital, Osaka, Japan
| | - Kazushige Adachi
- Department of Obstetrics and Gynecology, Minoh City Hospital, Osaka, Japan
| | | | - Minako Hoshi
- Department of Surgery, Minoh City Hospital, Osaka, Japan
| | - Kimimasa Ikeda
- Department of Surgery, Minoh City Hospital, Osaka, Japan
| | - Chiho Matsumoto
- Department of Dermatology, Minoh City Hospital, Osaka, Japan
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Otake A, Sasase A, Suzuki A, Takahashi K, Sasamoto N, Miyoshi Y, Shioji M, Yamamoto Y, Adachi K. Assessment of age-specific safety of laparoscopic surgery in elderly patients with ovarian tumors. J Obstet Gynaecol Res 2015; 42:297-301. [PMID: 26628082 DOI: 10.1111/jog.12889] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Revised: 08/27/2015] [Accepted: 09/19/2015] [Indexed: 11/29/2022]
Abstract
AIM We assessed the age-specific safety of laparoscopic surgery in elderly patients with ovarian tumors. MATERIAL AND METHODS We performed a retrospective analysis of 55 elderly patients treated by laparoscopic salpingo-oophorectomy under the diagnosis of an ovarian tumor between January 2009 and December 2014. We divided patients into three groups: "young-elderly" (aged 65-74), "old-elderly" (aged 75-84), and "super-elderly" (aged 85-105) and assessed clinical characteristics, surgical results and postoperative course. Statistical significance of categorical variables was examined by the Student's t-test, Mann-Whitney U test, or Fisher's exact test. Multiple regression analysis was used for multivariate analysis. RESULTS Of a total of 55 patients who underwent laparoscopic surgery, there were 36 patients in the young-elderly group, 17 in the old-elderly group, and two in the super-elderly group. Statistical analysis was performed between the young-elderly and the old-elderly groups because of the small number in the super-elderly group. More frequent comorbidities were found in the patients in the old-elderly than in the young-elderly group (Fisher's exact test, P = 0.007). There were no significant differences in operative time, estimated blood loss and postoperative hospital stay between the young-elderly and old-elderly groups. Intraoperative complications only occurred in the young-elderly group. Postoperative complications occurred in all groups. CONCLUSIONS Although patients in the old-elderly group had a significantly higher risk for surgery, they had equivalent surgical results to the young-elderly group for laparoscopic salpingo-oophorectomy.
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Affiliation(s)
- Akiko Otake
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Aya Sasase
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Atsuko Suzuki
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Kayo Takahashi
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Naoko Sasamoto
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Yukari Miyoshi
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | - Mitsunori Shioji
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
| | | | - Kazushige Adachi
- Department of Obstetrics and Gynecology, Minoh City Hospital, Minoh, Japan
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Takahashi R, Ueda Y, Shioji M, Adachi S, Ohashi H, Morii E, Aozasa K, Yoshino K, Fujita M, Enomoto T, Kimura T, Tokuhira A. Enormous Cystic Tumor of Peritoneal Psammocarcinoma Exhibiting Complete Response to Cisplatin and Cyclophosphamide after Suboptimal Cytoreduction: Case Report and Review of the Literature. Gynecol Obstet Invest 2012; 74:165-70. [DOI: 10.1159/000336793] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Accepted: 01/24/2012] [Indexed: 11/19/2022]
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Shioji M, Fukuda H, Kanzaki T, Wasada K, Kanagawa T, Shimoya K, Mu J, Sugimoto Y, Murata Y. Reduction of aquaporin-8 on fetal membranes under oligohydramnios in mice lacking prostaglandin F2α receptor. J Obstet Gynaecol Res 2006; 32:373-8. [PMID: 16882262 DOI: 10.1111/j.1447-0756.2006.00425.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To investigate the association between aquaporin-8 (AQP-8: a water channel protein) expression in fetal membranes and oligohydramnios during near-term and postdate pregnancy, we set up an oligohydramnios model using prostaglandin F2 alpha receptor (FP)-deficient mice. METHODS Pregnant FP-deficient mice from 14 to 21 gestational days (GD) were killed to measure the amniotic fluid volume (AFV), and fetal membranes were collected for the analysis of aquaporin-8 expression. RESULTS The AFV was highest at 14 GD, and was significantly decreased to 28% and 0% at 20 GD and 21 GD, respectively, compared with the volume at 14 GD. Immunohistochemistry and immunoblot analysis showed that aquaporin-8 was expressed in the basal component of fetal membranes, and that the protein level was significantly decreased to 60% at 20 GD compared with that at 14 GD. CONCLUSIONS We demonstrated that AQP-8 expression in the fetal membrane was decreased at post term in FP-deficient mice. Our findings suggest that aquaporin-8 in fetal membranes may be involved in the regulation of AFV, especially when oligohydramnios occurs.
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Affiliation(s)
- Mitsunori Shioji
- Department of Obstetrics and Gynecology, Osaka University, Graduate School of Medicine, Osaka, Japan
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Kanagawa T, Tomimatsu T, Hayashi S, Shioji M, Fukuda H, Shimoya K, Murata Y. The effects of repeated corticosteroid administration on the neurogenesis in the neonatal rat. Am J Obstet Gynecol 2006; 194:231-8. [PMID: 16389037 DOI: 10.1016/j.ajog.2005.06.015] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2005] [Revised: 04/18/2005] [Accepted: 06/01/2005] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The purpose of this study is to clarify the effects on the brain including neurogenesis pretreated with repeated doses of dexamethasone in the neonatal rat. STUDY DESIGN The 4-day-old Sprague Dawley rats were pretreated with 4 different regimens, namely, single administration of dexamethasone, 2-dose administration, 3-dose administration, and saline administration as a control. Concurrently, bromodeoxyuridine (BrdU), which was incorporated into the dividing cells, was administered. We examined body weight, brain weight, and the number of BrdU-labeled cells in the subventricular zone (SVZ), the subgranular zone (SGZ), and the cortex. RESULTS Both the body and brain weight of the rats pretreated with dexamethasone were significantly decreased compared with those given saline. Quantitative analysis of BrdU-labeled cells revealed the significant dose-dependent decreases in the SVZ, the SGZ, and the cortex with the dexamethasone treatment. CONCLUSION We concluded that the decreases in neurogenesis caused by repeated antenatal corticosteroid therapy might result in the adverse effects on the size of the head at birth.
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Affiliation(s)
- Takeshi Kanagawa
- Department of Obstetrics and Gynecology, Osaka University Faculty of Medicine, Osaka, Japan
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Komoto Y, Shimizu T, Shimoya K, Wasada K, Fukuda H, Fukui O, Hayashi S, Tsubouchi H, Shioji M, Okishiro-oura N, Murata Y. Impact of prior peritoneal closure at cesarean section on significant adhesion. Am J Obstet Gynecol 2004. [DOI: 10.1016/j.ajog.2004.10.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Zhang Q, Shimoya K, Temma K, Kimura T, Tsujie T, Shioji M, Wasada K, Fukui O, Hayashi S, Kanagawa T, Kanzaki T, Koyama M, Murata Y. Expression of fractalkine in the Fallopian tube and of CX3CR1 in sperm. Hum Reprod 2004; 19:409-14. [PMID: 14747189 DOI: 10.1093/humrep/deh085] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Fractalkine is a CX(3)C chemokine that has chemoattractant activity for T cells, monocytes and natural killer (NK) cells. The objective of this study was 2-fold: to evaluate (i) the presence of fractalkine in the Fallopian tube and (ii) the existence of CX(3)CR1 (fractalkine receptor) in ejaculated sperm. METHODS AND RESULTS Western blot analysis revealed that fractalkine protein was detected as a 95 kDa band in the isthmus, the ampulla and the infundibulum of the Fallopian tube. Immunohistochemistry revealed positive staining of epithelial cells in the Fallopian tube. RT-PCR demonstrated that fractalkine transcripts were expressed in all parts of the Fallopian tube. RT-PCR also revealed that CX(3)CR1-positive cells were present in the Fallopian tube. CX(3)CR1-positive cells were present in the stroma of the Fallopian tube. The villi of the ciliated cells were positively stained. To determine the function of fractalkine in the Fallopian tube, we examined whether CX(3)CR1 was present in ejaculated sperm. RT-PCR demonstrated that CX(3)CR1 transcripts were expressed in the ejaculated sperm. Immunohistochemistry demonstrated positive staining of the tail of the spermatozoa. CONCLUSIONS The present findings suggest that fractalkine in the Fallopian tube contributes to the immunodefence mechanism during fertilization and to the sperm motion in the oviduct.
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Affiliation(s)
- Qing Zhang
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan
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Shioji M, Shimoya K, Koyama M, Kanzaki T, Murata Y. Serial transvaginal sonography of a case of complete hydatidiform mole. Gynecol Obstet Invest 2004; 55:241-4. [PMID: 12904700 DOI: 10.1159/000072082] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2002] [Accepted: 04/18/2003] [Indexed: 11/19/2022]
Abstract
Sonography has achieved a position of preeminence in the diagnostic evaluation of molar gestation. However, little information is available about the serial change of the transvaginal sonographic features of molar pregnancy. We describe a case of complete hydatidiform mole, and present serial transvaginal views taken during the early gestational period.
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Affiliation(s)
- Mitsunori Shioji
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita City, Osaka 565-0871, Japan
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Hirasawa Y, Shioji M, Hisada S, Sugiyama I, Miyamoto F. [Introduction of a computer to public health nursing--computer processing of tuberculosis registry cards]. Hokenfu Zasshi 1984; 40:700-3. [PMID: 6565863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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