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Napkin-Ring Sign on Coronary Computed Tomography Angiography-Tiered Enhancement of Coronary Lumen and Plaque

Utsunomiya D, Hokimoto S, Kanemaru Y, Oda S, Nakaura T, Kidoh M, Yuki H, Hirata K, Yamashita Y

We present the case of an 85-year-old man showing the “napkin-ring sign” tiered enhancement pattern on dual-phase coronary CT angiography using a 320-row multidetector CT. This has not been previously...
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Successful Pre-Operative Local Control of Skin Invasion of Breast Cancer Using a Combination of Systemic Chemotherapy and Mohs Paste

Takeuchi M, Katsuki T, Yoshida K, Onoda M, Iwamura M, Inokuchi T, Furutani A, Katoh T, Kawano K, Hirata K

Locally advanced breast cancer (tumor > 5 cm, widespread infiltration of the skin and muscle, or metastases to lymph nodes) is difficult to resect by surgery, and even when it...
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Vesico-ileosigmoidal Fistula Caused by Diverticulitis: Report of a Case and Literature Review in Japan

Nishimori , Hirata K, Fukui R, Sasaki M, Yasoshima , Nakajima F, Hata F, Kobayashi

Enterovesical fistula is a relatively uncommon complication of colorectal and pelvic malignancies, diverticulitis, inflammatory bowel disease, radiotherapy, and trauma in Asian countries. A case of vesico-ileosigmoidal fistula and a literature...
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