Shunsuke Nagano

Publications (3)3.33 Total impact

• Article: [Ruptured renal angiomyolipoma treated by transcatheter arterial embolization: report of two cases].

  Yuichiro Yamaguchi, Masaki Yamanaka, Kenji Nishimura, Yasuzi Ichikawa, Shunsuke Nagano, Kiyohide Toki
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  ABSTRACT: We report two cases of spontaneous rupture of renal angiomyolipoma (AML). In the first case, a 22-year-old woman was admitted with lower abdominal pain. She was diagnosed with rupture of left renal AML. Transcatheter arterial embolization (TAE) was performed for three times to preserve renal function, and the size of AML decreased to 6.5 cm from 10 cm. In the second case (74-year-old woman), the chief complaint was lower abdominal pain. The clinical diagnosis of this patient was rupture of right renal AML. The size of this AML markedly reduced due to TAE. TAE is an effective therapy for rupture of renal AML.
  Hinyokika kiyo. Acta urologica Japonica 11/2004; 50(10):695-8.
• Article: Differential diagnosis of kidney transplant rejection and cyclosporin/tacrolimus nephropathy using urine cytology

  Masahiro Kyo, Yasuji Ichikawa, Kiyohide Toki, Kennichi Nishimura, Takanobu Fukunishi, Shunsuke Nagano, Yukiomi Namba, Fred Gudat, Peter Dalquen, M J Mihatsch
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  ABSTRACT: A total of 9000 urine samples from 69 kidney transplant recipients were studied for differential diagnoses of transplant rejection and cyclosporin/tacrolimus toxicity. New–Sternheimer and Papanicolaou staining were used to differentiate cells in urine. We also employed an immunocytochemical technique for further identification of exfoliated cells. With New–Sternheimer and Papanicolaou staining, the predominance of proximal tubular cells was useful to differentiate cyclosporin/tacrolimus toxicity from acute rejection in cases of increased serum creatinine level. During rejection episodes, an increased number of mononuclear cells and renal epithelial cells were found. Immunocytochemical analysis showed a significant increase of CD2-, CD4- CD8-, CD25- and HLA-DR-positive cells with rejection. However, there was no relationship between Banff criteria rejection grade and the increase of mononuclear cells.
  Clinical Transplantation 12/2002; 16(s8):40 - 44. · 1.67 Impact Factor
• Article: Differential diagnosis of kidney transplant rejection and cyclosporin/tacrolimus nephropathy using urine cytology.

  Masahiro Kyo, Kiyohide Toki, Kennichi Nishimura, Takanobu Fukunishi, Shunsuke Nagano, Yukiomi Namba, Fred Gudat, Peter Dalquen, M J Mihatsch
  [show abstract] [hide abstract]
  ABSTRACT: A total of 9000 urine samples from 69 kidney transplant recipients were studied for differential diagnoses of transplant rejection and cyclosporin/tacrolimus toxicity. New-Sternheimer and Papanicolaou staining were used to differentiate cells in urine. We also employed an immunocytochemical technique for further identification of exfoliated cells. With New-Sternheimer and Papanicolaou staining, the predominance of proximal tubular cells was useful to differentiate cyclosporin/tacrolimus toxicity from acute rejection in cases of increased serum creatinine level. During rejection episodes, an increased number of mononuclear cells and renal epithelial cells were found. Immunocytochemical analysis showed a significant increase of CD2-, CD4- CD8-, CD25- and HLA-DR-positive cells with rejection. However, there was no relationship between Banff criteria rejection grade and the increase of mononuclear cells.
  Clinical Transplantation 02/2002; 16 Suppl 8:40-4. · 1.67 Impact Factor