A case of laparoscopic resection of carcinoma arising at a colostomy site / 日本農村医学会雑誌

We report a case of a 72-year-old woman with a tumor arising from a colostomy site that had been created 25 years earlier when rectal amputation was performed for perforated sigmoid cancer. She was referred to our hospital due to complaints of pain from the colostomy. The diagnosis was carcinoma arising at the colostomy site with lymph node metastasis. Laparoscopic surgery was performed by attaching an Applied Alexis® wound retractor to the incision site of the colostomy. Lymph node dissection was performed and the left hemicolon was resected. Carcinoma arising from a colostomy site is rare. Laparoscopic surgery was considered to be a useful procedure because it allows for lymph node dissection and intestinal mobilization with minimal invasiveness.

Consideration of the relationship between menstrual pain, menstruation accompanying symptoms and personality / 全日本鍼灸学会雑誌

[Objectives] Psychological factors are mentioned as one of the causes of menstrual pain and menstruation-associated symptoms. In this study, the relationship between menstrual pain, menstruation-associated symptoms, and personality was examined. [Methods] We targeted women who were menstruating and had provided informed consent. A questionnaire was conducted to obtain information on age, height, weight, degree of menstrual pain, menstruation-associated symptoms, and new personality inventory. Correlation analysis of Spearman was conducted on the relationship between menstrual pain, menstruation-associated symptoms, and personality.[Results] We distributed questionnaires to 250 persons and obtained responses from 166 persons. "Anxiety" correlated with menstrual pain and multiple factors of menstruation-associated symptoms, "depression" correlated with multiple factors of menstruation-associated symptoms. In addition, "aggression," "inferiority complex," and "non-cooperativeness" correlated with negative emotional factors of menstruation-associated symptoms.[Discussion] For "anxiety" and "depression," it was speculated that the symptoms became stronger due to poor circulation and serotonin deficiency during menstruation. In addition, the depressive aspects of "aggression," "non-cooperativeness," and "inferiority complex" were also considered to have an influence on negative emotional factors of menstruation-associated symptoms.[Conclusions] "Anxiety" correlated with menstrual pain and multiple factors of menstruation-associated symptoms, and "depression" correlated with multiple factors of menstruation-associated symptoms.