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IMAFUKU HitomiUniversity Hospital / Center for Perinatal CareAssociate Professor
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■ Paper- 日本産婦人科・新生児血液学会, Mar. 2023, 日本産婦人科・新生児血液学会誌, 32(2) (2), 27 - 33, Japanese
- Congenital cytomegalovirus infection (cCMV) can cause fetal growth restriction (FGR) and severe sequelae in affected infants. Clinicians generally suspect cCMV based on multiple ultrasound (US) findings associated with cCMV. However, no studies have assessed the diagnostic accuracy of fetal US for cCMV-associated abnormalities in FGR. Eight FGR and 10 non-FGR fetuses prenatally diagnosed with cCMV were examined by undergoing periodic detailed US examinations, as well as postnatal physical and imaging examinations. The diagnostic accuracy of prenatal US for cCMV-associated abnormalities was compared between FGR and non-FGR fetuses with cCMV. The diagnostic sensitivity rates of fetal US for cCMV-related abnormalities in FGR vs. non-FGR fetuses were as follows: ventriculomegaly, 66.7% vs. 88.9%; intracranial calcification, 20.0% vs. 20.0%; cysts and pseudocysts in the brain, 0% vs. 0%; ascites, 100.0% vs. 100.0%; hepatomegaly, 40.0% vs. 100.0%; splenomegaly, 0% vs. 0%. The diagnostic sensitivity of fetal US for hepatomegaly and ventriculomegaly in FGR fetuses with cCMV was lower than that in non-FGR fetuses with cCMV. The prevalence of severe long-term sequelae (e.g., bilateral hearing impairment, epilepsy, cerebral palsy, and severe developmental delay) in the CMV-infected fetuses with FGR was higher, albeit non-significantly. Clinicians should keep in mind the possibility of overlooking the symptoms of cCMV in assessing fetuses with FGR.Jan. 2023, Diagnostics (Basel, Switzerland), 13(2) (2), English, International magazineScientific journal
- 「産婦人科の進歩」編集室, Aug. 2022, 産婦人科の進歩, 74(3) (3), 466 - 468, Japanese
- Congenital cytomegalovirus (CMV) infection may cause severe long-term sequelae. Recent studies have demonstrated that early antiviral therapy for infants with symptomatic congenital CMV (cCMV) infection may improve neurological outcomes; thus, accurate identification of newborns at high risk of cCMV infection may contribute to improved outcomes in affected children. However, maternal serological screening for cCMV infection by diagnosing primary infection during pregnancy, which is a popular screening strategy, is inefficient, because the number of cCMV infections with nonprimary causes, including reactivation of or reinfection with CMV, is larger than that of cCMV infections with primary causes. Low levels of neutralizing antibodies against pentameric complex and potent CMV-specific T cell-mediated immune responses are associated with an increased risk of cCMV infection. Conversely, our prospective cohort studies revealed that the presence of maternal fever/flu-like symptoms, threatened miscarriage/premature delivery, or actual premature delivery are risk factors for cCMV infection among both women with normal pregnancies and those with high-risk ones, regardless of whether the infection is primary or nonprimary. This review focused on host immune responses to human CMV and current knowledge of potential biological and clinical factors that are predictive of cCMV infection.Dec. 2021, International journal of molecular sciences, 22(24) (24), English, International magazineScientific journal
- Placental mesenchymal dysplasia (PMD) is a rare placental abnormality that is closely related to severe pregnancy complications. A 27-year-old woman with fetal growth restriction and placenta previa was referred to a university hospital at 22 gestational weeks (GW). She was suspected of having a twin pregnancy with a complete or partial hydatidiform mole and coexisting normal live fetus, because two separate placentas, an enlarged one with multiple cystic lesions and a normal one, were shown on ultrasound examinations. At 27 GW, she experienced a sudden intrauterine fetal death (IUFD) after bleeding due to placenta previa, despite confirmation of fetal well-being at 2 h before bleeding. After delivery, histopathological examination confirmed the diagnosis of PMD. This is the first documented case of a woman with PMD and placenta previa who had a sudden IUFD after bleeding. Patients with both PMD and placenta previa should be considered at extremely high risk for IUFD.Nov. 2021, The journal of obstetrics and gynaecology research, 47(11) (11), 4087 - 4092, English, International magazine
- A 40-year-old primigravida woman with a monochorionic-triamniotic (MT) triplet pregnancy was hospitalized due to threatened abortion at 16 gestational weeks. Polyhydramnios in two fetuses and oligohydramnios in the third supported a diagnosis of feto-fetal transfusion syndrome (FFTS) at 23 weeks and 3 days of gestation. Severe dyspnea and liver dysfunction required intensive care unit admission and mechanical ventilation support, and abdominal compartment syndrome (ACS) caused by polyhydramnios was clinically diagnosed. When her general condition was not improved regardless of intensive care, the patient delivered the three fetuses by cesarean section at 23 weeks and 5 days gestation. Abdominal decompression was achieved with delivery, and the patient was discharged 13 days after operation without morbidity. This is the first case report of ACS caused by FFTS in a MT triplet pregnancy resulting in extremely preterm birth.Sep. 2021, The journal of obstetrics and gynaecology research, 47(9) (9), 3370 - 3373, English, International magazine
- INTRODUCTION: Placenta accreta spectrum (PAS) is a life-threating obstetric complication, and prenatal prediction of PAS can decrease maternal morbidity and mortality. The aim of this prospective cohort study was to determine the clinical factors associated with PAS. METHODS: Pregnant women who delivered at a university hospital were enrolled. Clinical data were collected from medical records, and logistic regression analyses were performed to determine which clinical factors were associated with PAS. RESULTS: Eighty-seven (2.1%) of the 4146 pregnant women experienced PAS. Multivariable analyses revealed that a prior history of cesarean section (CS) (OR 3.3; 95% CI 1.9-5.7; p < 0.01), dilation and curettage (D&C) (OR 2.8; 95% CI 1.7-4.6; p < 0.01), hysteroscopic surgery (OR 5.7; 95% CI 2.3-14.4; p < 0.01), uterine artery embolization (UAE) (OR 44.1; 95% CI 13.8-141.0; p < 0.01), current pregnancy via assisted reproductive technology (ART) (OR 4.1; 95% CI 2.4-7.1; p < 0.01), and the presence of placenta previa in the current pregnancy (OR 13.1; 95% CI 7.9-21.8; p < 0.01) were independently associated with the occurrence of PAS. CONCLUSION: Pregnant women who have a prior history of CS, D&C, hysteroscopic surgery, UAE, current pregnancy via ART, and the presence of placenta previa in the current pregnancy are high risk for PAS.Sep. 2021, Placenta, 112, 180 - 184, English, International magazineScientific journal
- 「産婦人科の進歩」編集室, May 2021, 産婦人科の進歩, 73(2) (2), 137 - 137, Japanese
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 43 - 43, Japanese梅毒合併妊娠8例の検討
- 「産婦人科の進歩」編集室, May 2021, 産婦人科の進歩, 73(2) (2), 152 - 152, Japanese
- Infants with symptomatic congenital cytomegalovirus infection (cCMV) suffer from long-term sequelae. This study aimed at evaluating the efficacy of combining immunoglobulin (Ig) fetal therapy (FT) and neonatal therapy (NT) with antiviral drugs to improve neurological outcomes of affected infants. Women whose fetuses had symptomatic cCMV received Ig injection into the fetal peritoneal cavity and/or maternal blood as FT, while affected newborns received oral valganciclovir or intravenous ganciclovir as NT. We compared the neurological outcomes at ≥18 months old between infants receiving FT with or without NT (FT group) and those receiving NT only (NT group). From 2009-2019, 15 women whose fetuses had symptomatic cCMV received FT, while 19 newborns received NT only. In FT group, two newborns died, and two were <18 months old. Neurological outcomes of the remaining 11 infants in FT group were as follows: normal 45.5 %, mild impairments 36.4 %, and severe impairments 18.2 %. In NT group, one newborn died, one's parents refused the follow-up, one was <18 months old, and two had only chorioretinitis as symptoms. Neurological outcomes of the remaining 14 infants in NT group were as follows: normal 21.4 %, mild impairments 14.3 %, and severe impairments 64.3 %. The proportion of infants with severe impairments in FT group was significantly lower than that in NT group (18.2 % vs 64.3 %, p < 0.05). This is the first trial demonstrating that the combination of Ig FT and NT with antiviral drugs may be more effective in improving neurological outcomes of newborns with symptomatic cCMV as compared to NT only.Dec. 2020, Journal of reproductive immunology, 143, 103263 - 103263, English, International magazineScientific journal
- This prospective cohort study aimed to determine clinical factors associated with congenital cytomegalovirus (CMV) infection in pregnancy. Newborns born at a perinatal medical center received PCR analyses for CMV-DNA in their urine with informed consent. Clinical data, including age, maternal fever or flu-like symptoms, complications, ultrasound fetal abnormality, gestational weeks at delivery, and birth weight, were collected. Logistic regression analyses determined clinical findings associated with congenital CMV infection (cCMV). cCMV was diagnosed in 32 of 4380 pregnancies. Univariate and multivariable analyses revealed that age < 25 years old (OR 2.7, 95% CI 1.1-6.6; p < 0.05), the presence of maternal fever or flu-like symptoms (5.4, 2.6-11.2; p < 0.01), ultrasound fetal abnormalities (12.7, 5.8-27.7; p < 0.01), and preterm delivery at less than 34 gestational weeks (2.6, 1.1-6.0; p < 0.05) were independent clinical findings associated with cCMV. A combination of maternal fever/flu-like symptoms, ultrasound fetal abnormalities, or preterm delivery at less than 34 gestational weeks as optimal predictive factors showed 90.6% sensitivity, 66.4% specificity, and a maximum Youden index of 0.57. CMV-DNA tests in the urine of newborns born to mothers with these clinical manifestations may be an effective method in detecting cCMV as a targeted screening with a high sensitivity.Nov. 2020, Scientific reports, 10(1) (1), 19706 - 19706, English, International magazineScientific journal
- 「産婦人科の進歩」編集室, Oct. 2020, 産婦人科の進歩, 72(4) (4), 458 - 458, Japanese精神疾患合併妊娠の妊娠中・産後増悪誘因ならびに児への影響に関する検討
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 162 - 162, JapaneseトキソプラズマIgG avidity index高値母体から発生した先天性トキソプラズマ感染疑いの1例
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 177 - 177, Japanese妊娠糖尿病妊婦におけるHeavy For Date児出生の予測因子
- Congenital syphilis may lead to severe sequelae in affected infants. The prevalence of syphilis in women of childbearing age has increased worldwide. From 2015 to 2018, we encountered eight pregnant women with syphilis including six with late latent and two with early latent syphilis. Seven pregnant women with syphilis received antibiotic therapies of oral amoxicillin, intravenous penicillin G, or the both. The syphilotherapies in four cases were considered effective, because rapid plasma reagin titers decreased. None of the seven pregnant women who received syphilotherapies had congenital syphilis. The remaining one woman who did not undergo a maternity checkup or syphilotherapy delivered a stillbirth with congenital syphilis at 29 gestational weeks.Mar. 2020, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 26(3) (3), 298 - 300, English, International magazine[Refereed]
- AIM: To evaluate pregnancy outcome and complications in subsequent pregnancies after severe post-partum hemorrhage (PPH) between women with and without a history of uterine artery embolization (UAE). METHODS: Women who had a history of severe PPH, and delivered newborns at ≥22 gestational weeks in subsequent pregnancies were enrolled. Severe PPH was defined as blood loss volume of more than 2000 mL. RESULTS: The blood loss volume (median 1581 mL) in women with UAE (n = 14) was significantly more than that in women without UAE (median 1021 mL, n = 32, P < 0.01), and the recurrence rate of severe PPH in women with UAE (n = 5, 35.7%) was significantly higher than that in women without UAE (n = 3, 9.4%, P < 0.05). There were no significant differences in frequencies of premature delivery, hypertensive disorders of pregnancy, fetal growth restriction, or placenta previa/low lying placenta. Of 14 women with UAE, 7 (50.0%) had abnormally invasive placenta, whereas of 32 women without UAE, none had abnormally invasive placenta. CONCLUSION: Subsequent pregnancies after UAE for severe PPH had high risks for recurrence of severe PPH.Jan. 2020, The journal of obstetrics and gynaecology research, 46(1) (1), 119 - 123, English, International magazine[Refereed]Scientific journal
- 日本女性栄養・代謝学会, Sep. 2019, 日本女性栄養・代謝学会学術集会プログラム・抄録集, 43回, 64 - 64, Japanese子宮頸部上皮内新生物(CIN)合併妊娠における保存的管理に関する検討
- (一社)日本産婦人科感染症学会, Sep. 2019, 日本産婦人科感染症学会誌, 3(1) (1), 87 - 87, Japanese症候性先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療の有効性
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 293 - 293, Japanese
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 311 - 311, Japanese
- We aim to clarify the incidence of deep venous thrombosis (DVT) before treatment in women with ovarian cancer and identify risk factors for DVT.In this prospective study, 110 women underwent venous ultrasonography before cancer treatment and D-dimer levels were measured. We investigated factors predicting DVT by logistic regression.DVT was detected in 25 of 110 women (22.7%) and pulmonary thromboembolism was coexisted in 2 women (1.8%). A total of 21 women (84.4%) with DVT were asymptomatic. D-dimer levels in women with DVT (median, 10.9; range, <0.5-98.2 μg/mL) were significantly higher than those in women without DVT (2.0; <0.5-60.8 μg/mL; P < .01). When 10.9 μg/mL was used as a cutoff value for D-dimer levels to predict DVT, specificity, sensitivity, and positive and negative predictive values were 92.9%, 52.0%, 68.4%, and 86.8%, respectively. The multivariate analysis demonstrated that D-dimer level (odds ratio [OR], 19.7; 95% confidence interval [CI], 5.89-76.76) and clear cell histology (OR, 7.1; 95% CI, 2.12-25.67) were independent factors predicting DVT.Asymptomatic DVT occurred with great frequency before treatment in patients with ovarian cancer. High D-dimer level and clear cell pathology is associated with a higher DVT risk.Jun. 2018, Medicine (Baltimore), 97(23) (23), e11009, English, International magazine[Refereed]Scientific journal
- Ultrasound and MRI Findings of Twin Pregnancies with Complete Hydatidiform Mole and Coexisting Normal Fetus: Two Case Reports.BACKGROUND: Both twin pregnancies with complete hydatidiform mole and coexisting normal fetus (CHMCF) and partial hydatidiform mole can be found in association with a live fetus and a placenta displaying a molar degeneration. Two cases of CHMCF using magnetic resonance imaging (MRI) for a diagnosis are reported. CASE: In the first, CHMCF was suspected at 12 weeks of gestation. At 18 weeks of gestation, the existence of molar placenta and a sac separating from fetus and normal placenta was clearly depicted on MRI. At 19 weeks of gestations, she had termination of pregnancy because of a development of gestational trophoblastic neoplasia (GTN) and started chemotherapy. In the second case, CHMCF was suspected at 14 weeks of gestation. MRI demonstrated the existence of molar placenta and a sac separating from fetus and normal placenta. She chose induced abortion and there was no evidence of GTN during the 1 year-follow up period. Pathological examination in both cases was consistent with a complete hydration mole and a coexisting normal female fetus. CONCLUSION: MRI was useful for an accurate diagnosis for CHMCF.May 2018, The Kobe journal of medical sciences, 64(1) (1), E1-E5 - E5, English, Domestic magazine[Refereed]Scientific journal
- (一社)日本産科婦人科内視鏡学会, Apr. 2018, 日本産科婦人科内視鏡学会雑誌, 34(1) (1), 174 - 178, Japanese
- (公社)日本婦人科腫瘍学会, Jun. 2014, 日本婦人科腫瘍学会雑誌, 32(3) (3), 590 - 590, Japanese子宮体癌根治術における廓清リンパ節および子宮筋層にリンパ脈管筋腫症細胞を認めた一例[Refereed]
- (公社)日本臨床細胞学会, Jul. 2019, 日本臨床細胞学会雑誌, 58(4) (4), 162 - 166, Japanese子宮頸部細胞診ASC-H判定例の臨床的取り扱い 病理組織診断および転帰に関する検討
- 「産婦人科の進歩」編集室, Feb. 2019, 産婦人科の進歩, 71(1) (1), 9 - 16, Japanese正常胎児と全奇胎の双胎(complete hydatidiform mole coexistent with a fetus)の3症例
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 125 - 125, EnglishSummary international conference
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 699 - 699, JapaneseP2-31-11 子宮頸癌IB期・II期の検討 : 手術療法と放射線療法の比較(Group31 子宮頸癌・治療2・合併症・予後因子,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 657 - 657, JapaneseP2-4-5 PET-CT所見で決定した進行子宮頸癌の放射線療法照射範囲と予後(Group45 子宮頸部腫瘍 症例検討,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 711 - 711, JapaneseP2-24-3 子宮体癌根治術における廓清リンパ節および子宮筋層に認めたリンパ脈管筋腫症細胞(Group 65 良性・悪性腫瘍 症例1,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 830 - 830, JapaneseP3-5-4 子宮頸癌放射線療法の検討 : 放射線単独療法と同時化学放射線療法の比較(Group 107 子宮頸部腫瘍 治療2,一般演題,第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 537 - 537, JapaneseP1-2-7 子宮頸部上皮内病変に対するHPVタイピング検査を併用した管理と治療(Group2 CIN診断,治療,その他2,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 539 - 539, JapaneseP1-3-4 子宮頸部円錐切除術例の治療成績と妊娠予後(Group3 CIN診断,治療,その他3,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 849 - 849, JapaneseP3-13-3 巨大卵巣腫瘍の診断と術後管理に関する検討(Group 115 卵巣腫瘍 治療1 進行癌の治療,一般演題,第67回学術講演会)
- 01 Feb. 2014, 日本産科婦人科学会雑誌, 66(2) (2), 627, Japanese卵巣奇形腫における悪性転化の術前予測についての検討
- 日本産科婦人科学会, 2014, 日本産科婦人科學會雜誌, 66(2) (2), 703 - 703, JapaneseP2-42-12 癒着胎盤における絨毛細胞の上皮間葉変換に関する解析(Group 80 産科出血4,一般演題,第66回学術講演会)
- 第63回日本新生児成育医学会学術集会, Nov. 2018, Japanese, 東京, Domestic conference母子感染:予防と対策 兵庫県の妊婦梅毒症例からみた梅毒母子感染の予防と対策における課題Nominated symposium
- 第33回日本生殖免疫学会総会・学術集会, Nov. 2018, Japanese, 東京, Domestic conference切迫流早産と腟内マイクロバイオームとの関連性Oral presentation
- 第39回日本妊娠高血圧学会学術集会, Nov. 2018, Japanese, 大阪, Domestic conference維持透析療法を要した腎不全合併妊娠4例Oral presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference分娩後出血に対するUAEの帰結およびUAE後の妊娠についての検討Poster presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference梅毒合併妊娠の7例Oral presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference神戸大学における不育症の臨床因子と妊娠予後の検討Poster presentation
- 第56回日本癌治療学会, Oct. 2018, English, 横浜, Domestic conferenceRisk factors for deep venous thrombosis in women with ovarian cancerPoster presentation
- 第63回日本生殖医学会学術講演会・総会, Sep. 2018, Japanese, 旭川, Domestic conference不育症のトピックス~不育症とネオ・セルフNominated symposium
- The 20th congress of federation of asia oceania perinatal societies (FAOPS), Sep. 2018, English, Manila, International conferencePregnancy outcomes subsequent to uterine arterial embolization for severe post-partum hemorrhagePoster presentation
- 第41回日本母体胎児医学会学術集会, Aug. 2018, Japanese, 東京, Domestic conference梅毒合併妊娠の7症例Oral presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference兵庫県産婦人科施設を対象とした梅毒アンケート調査結果と今後の課題Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference兵庫県における女性の梅毒症例の動向と課題Oral presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference切迫早産と腟内マイクロバイオームとの関連性の検討Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference症候性の先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療Oral presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference最近管理した梅毒合併妊婦7症例Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference維持透析療法を要した腎不全合併妊娠3例Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conferenceUAE後の妊娠では産後出血に注意が必要であるOral presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conferenceCIN2患者に対するレーザー蒸散術の検討(第二報)Oral presentation
- 第138回近畿産科婦人科学会総会, Jun. 2018, Japanese, 大阪, Domestic conference子宮頚部上皮内新生物(CIN)合併妊娠における保存的管理に関する検討Oral presentation
- 第35回日本産婦人科感染症学会学術集会, May 2018, Japanese, 岐阜, Domestic conference兵庫県における女性梅毒症例の動向と課題Oral presentation
- 第35回日本産婦人科感染症学会学術集会, May 2018, Japanese, 岐阜, Domestic conference症候性の先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療の有効性Oral presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceThree cases of complete hydatidiform mole coexistent with a live twin fetusPoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceRisk Factors for Deep Venous Thrombosis in Women with Ovarian CancerPoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferencePregnancy outcomes subsequent to uterine arterial embolization for severe post-partum hemorrhagePoster presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference治療抵抗性の抗リン脂質抗体症候群合併妊娠に対する大量免疫グロブリン療法Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference子宮頸部円錐切除術施行例の治療成績と妊娠予後Oral presentation
- 第54回日本産科婦人科内視鏡学会学術講演会, Sep. 2014, Japanese, 日本産科婦人科内視鏡学会, 鹿児島, Domestic conference腹腔鏡手術中に器具が破損した2症例Oral presentation
- 第54回日本産科婦人科内視鏡学会学術講演会, Sep. 2014, Japanese, 日本産科婦人科内視鏡学会, 鹿児島, Domestic conference腹腔鏡下子宮全摘術における腟管切断時の工夫Oral presentation
- 第32回日本クラミジア研究会, Sep. 2014, Japanese, 日本産科婦人科学会, 京都, Domestic conferenceクラミジア直腸炎の1例Oral presentation
- 平成26年度位育会臨床セミナー, Aug. 2014, Japanese, 位育会, 神戸, Domestic conference当院における子宮頸癌に対する根治的放射線治療の現状Oral presentation
- 25回近畿エンドメトリオージス研究会, Aug. 2014, Japanese, 日本エン鳥オーシス学会, 大阪, Domestic conference術前GnRH療法および術後ジエノゲスト療法を併用した水腎症合併子宮内膜症の2例Oral presentation
- 第56回日本婦人科腫瘍学会学術講演会, Jul. 2014, Japanese, 第56回日本婦人科腫瘍学会, 宇都宮, Domestic conference婦人科癌術前PET-CTで発見された重複癌症例に関する臨床的検討Oral presentation
- 第56回日本婦人科腫瘍学会学術講演会, Jul. 2014, Japanese, 第57回日本婦人科腫瘍学会, 宇都宮, Domestic conference子宮体癌根治術における廓清リンパ節および子宮筋層にリンパ脈管筋腫症細胞を認めた一例Oral presentation
- 第56回日本婦人科腫瘍学会学術講演会, Jul. 2014, Japanese, 第58回日本婦人科腫瘍学会, 宇都宮, Domestic conference癌性腹膜炎との鑑別を要した結核性腹膜炎の1症例Oral presentation
- 第130回近畿産科婦人科学会学術集会, Jun. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference婦人科癌術前PET-CTで発見された重複癌症例に関する臨床的検討Oral presentation
- 第88回兵庫県産科婦人科学会学術集会, Jun. 2014, Japanese, 日本産科婦人科学会, 神戸, Domestic conference子宮頸部病変におけるHPVタイピングの意義Oral presentation
- 第130回近畿産科婦人科学会学術集会, Jun. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference骨盤内から後腹膜腔へ発達した巨大なparasitic myomaの1例Oral presentation
- 第88回兵庫県産科婦人科学会学術集会, Jun. 2014, Japanese, 日本産科婦人科学会, 神戸, Domestic conference癌性腹膜炎との鑑別が困難であった結核性腹膜炎の1例Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conferenceクラミジア直腸炎の1例Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conferenceCIN患者におけるHPVタイピング検査の臨床的意義Oral presentation
- 第88回兵庫県産科婦人科学会学術集会, Jun. 2014, Japanese, 日本産科婦人科学会, 神戸, Domestic conferenceASC-H症例の臨床経過と細胞診所見に関する検討Oral presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference卵巣奇形腫における悪性転化の術前予測についての検討Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference癒着胎盤における絨毛細胞の上皮間葉変換に関する解析Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference婦人科癌術前PET-CTで発見された重複癌症例に関する臨床的検討Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference転移性子宮腫瘍の診断に腹水セルブロック法が有用であった2症例Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceASC-H症例の臨床経過と細胞診所見に関する検討Poster presentation
- 第19回兵庫県性感染症(STI)研究会, Mar. 2014, Japanese, 神戸, Domestic conferenceクラミジア直腸炎の1例Oral presentation
- 第35回日本エンドメトリオーシス学会, Jan. 2014, Japanese, 日本エンドリオーシス学会, 鹿児島, Domestic conference術前GnRH療法および術後ジエノゲスト療法を併用した水腎症合併重症子宮内膜症の2例Oral presentation