医学部

棚橋 義直

tanahashi yoshinao

基本情報

所属
藤田医科大学 医学部 医学科 肝・脾外科学 講師
学位
博士(医学)

J-GLOBAL ID
201501010412040386
researchmap会員ID
7000012875

MISC

 18
  • 棚橋義直, 杉岡 篤, 加藤悠太郎, 所 隆昌, 新田隆士, 香川 幹, 竹浦千夏, 宇山一朗
    日本門脈圧亢進症学会雑誌 19(4) 200-204 2013年11月  
  • 所 隆昌, 加藤悠太郎, 香川 幹, 棚橋義直, 新田隆士, 杉岡 篤
    INNERVISION 28(6) 92-93 2013年5月  
  • 杉岡 篤, 加藤悠太郎, 所 隆昌, 棚橋義直, 須田康一, 宇山一朗
    手術 66(12) 1681-1688 2012年  
  • 竹浦千夏, 杉岡 篤, 加藤悠太郎, 所 隆昌, 棚橋義直, 香川 幹, 新田隆士, 伊藤泰平, 黒澤良和
    藤田医学会誌 36(1) 131-138 2012年  
  • Keiichi Suzuki, Zenichi Morise, Shinpei Furuta, Yoshinao Tanahashi, Chinatsu Takeura, Tadashi Kagawa, Masahiro Ikeda, Atsushi Sugioka
    Case Reports in Gastroenterology 5(1) 152-158 2011年1月  
    Sarcoidosis is a multisystemic granulomatous disease of unknown etiology. Hepatic involvement was reported in about 11% of patients with sarcoidosis. However, cases of sarcoidosis in which the granuloma is solitary and limited in the liver are very rare. A 51-year-old woman with tumors in the liver underwent extended left lobectomy with caudate lobectomy and bile duct resection. The tumor was located between segment 4 and the hilar region. Some daughter nodules were found in the left lobe, which were regarded as intrahepatic metastasis. Our case displayed clinical and radiologically distinct findings, which are very similar to those of hilar cholangiocarcinoma restricted to the liver. This report demonstrates that sarcoidosis can show solitary hepatic involvement in the absence of thoracic lymphadenopathy. In such a case, it is difficult to distinguish the diagnosis from other malignant neoplasms. In conclusion, the diagnosis of hepatic sarcoidosis has to be made through prudent and comprehensive investigations that include a full clinical history of sarcoidosis in other organs. Despite utilizing several detailed diagnostic modalities, the definitive diagnosis of cases of solitary sarcoidosis may remain difficult. In these cases, surgical treatment including liver resection should be considered in order to avoid missing a suitable opportunity for treatment. © 2011 S. Karger AG, Basel.