先天性アンチトロンビンIII欠乏症を合併した早期胃癌の1例

• 金 柄老

  市立貝塚病院外科

• 西 敏夫

  市立貝塚病院外科

• 川崎 勝弘

  市立貝塚病院外科

• 柳生 俊夫

  市立貝塚病院外科

• 岸渕 正典

  市立貝塚病院外科

• 森 武貞

  市立貝塚病院外科

書誌事項

タイトル別名

• A CASE OF EARLY GASTRIC CANCER ASSOCIATED WITH CONGENITAL ANTITHROMBIN III DEFICIENCY

抄録

A 37-year-old woman was admitted to the hospital for an early gastric cancer. She was a member of a family who have venous thromboembolic episodes in a high incidence, and had been diagnosed as having hereditary antithrombin III (ATIII) deficiency, with the ATIII activity of 56.8%. This time a distal gastrectomy was performed with a diagnosis of IIc cancer of the angular notch. For perioperative management antithrombin III concentrates were administered and the plasma ATIII level (ATIII activity) was maintained at values in excess of 80% for postoperative one week. No thrombotic complications occurred as judged by clinical examination. It has been confirmed that any operation can increase a risk of association of thrombosis in this congenital disorder. When ATIII consumption is enhanced (for example, during sugical procedures), usual antithrombotic therapies such as administration of heparin are not enough and replacement therapy may be necessary in order to normalize ATIII level.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 59 (9), 2284-2288, 1998

  日本臨床外科学会

キーワード

• 先天性アンチトロンピンIII欠乏症
• 胃癌
• 手術

詳細情報

• CRID: 1390282679824089216
• NII論文ID: 130003601118
• NII論文ID: 10009372655
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.2284
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/9/59_9_2284/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999068491
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可