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論文(リポジトリ)

論文(リポジトリ)
野池, 淳一 ; 清水, 武 ; 五島, 秀樹 ; 川原, 理絵 ; 植松, 美由紀 ; 細尾, 麻衣 ; 横林, 敏夫
出版情報: 新潟歯学会雑誌 — 新潟歯学会雑誌.  41  pp.91-97,  2011-12.  新潟歯学会
本文リンク: http://hdl.handle.net/10191/47760
概要: 当科で1989 年から2009 年までに経験した脂肪腫32 例について臨床的および病理組織学的に検討を行い,自験例の特徴を明らかにするために,本邦他施設の多数例報告論文との比較検討も行った。自験例では男女比は1.1:1であり,ほとんどが40 歳以上であった。発生部位は頬粘膜が11 例(34%),舌が8例(25%),下唇が7例(22%)であり,1例は顎骨内に認められた。臨床診断は脂肪腫が16 例(50%),線維腫が7例(22%),良性腫瘍が6例(19%)であった。腫瘍の最大径は最小が6mm,最大が50mm で,平均が15mm であった。病理組織学的診断は単純性脂肪腫が18 例(56%),線維脂肪腫が12 例(38%),化骨性脂肪腫,粘液脂肪腫が各1例であった。一方,本邦他施設の多数例報告論文をまとめると,発生部位は頬粘膜が75 例(42%),舌が32 例(18%),下唇が22 例(12%),歯肉が21 例(12%),口底が11 例(6%)であった。病理組織学的診断は単純性脂肪腫が126 例(75%),線維脂肪腫が33 例(20%)であり,他はほとんどみられなかった。自験例と本邦他施設の報告例を比較すると,顎骨内に発生した1例,および病理組織学的に化骨性脂肪腫,粘液脂肪腫と診断された各1例はきわめて珍しい例であった。<br />In this report, we examined 32 cases of lipoma treated at our department from 1989 to 2009, and we compare these cases with 200 cases reported before in Japan. In our cases, the male-female ratio was 1.1:1 and most of the patients were over 40 years of age. The site of involvement was buccal mucosa in 11 cases (34%), tongue in 8 cases (25%) and lower lip in 7 cases (22%). The clinical diagnosis was lipoma in 16 cases (50%), fibroma in 7 cases (22%) and benign tumor in 6 cases (19%). The size of tumor was ranged from 6mm to 50mm, and the mean size was 15mm. The histopathological diagnosis was simple lipoma in 18 cases (56%), fibrolipoma in 12 cases (38%), and the other 2 cases were osteolipoma and myxolipoma. Consider about the cases reported before in Japan, the site of involvement was buccal mucosa in 75 cases (42%), tongue in 32 cases (18%), lower lip in 22 cases (12%), gingival in 21 cases (12%) and oral floor in 11 cases (6%). The histopathological diagnosis was simple lipoma in 126 cases (75%), fibrolipoma in 33 cases (20%) and the other type of lipomas were rarely found. In our cases, intraosseous lipoma, ossifying lipoma, and myxolipoma were extremely rare. 続きを見る
2.

論文(リポジトリ)

論文(リポジトリ)
赤石, 隆夫
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  127  pp.9-13,  2013-01.  新潟医学会
本文リンク: http://hdl.handle.net/10191/35812
概要: The analysis of the student opinion on PBL tutorial was done from questionnaires from 2006 to 2010. Four points of the following were summarized. 1. The satisfaction to PBL tutorial learning, the student that it seems that it is high of the self-learning tropism or the student who had a tutor performing a commentary carefully is high, but there are not many at all the opinions. 2. The opinion of one majority who are not above, a voice to expect acquisition of the knowledge by the conventional lecture is accounted for by the opinion that is negative for most, PBL tutorial. 3. There are particularly a lot of opinion to report the noncooperativity of the student in the group assignment to report deficiency of the schedule setting of PBL tutorial learning, numerousness of the number of the scenarios and deficiency at investigation time, difficulty of the learning without academic back ground. 4. Opinion to nominate lack of zeal of tutor and lack of the leadership are reached to the number that cannot be ignored. 続きを見る