書誌事項
- タイトル別名
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- A case of resected leiomyosarcoma of the inferior vena cava.
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A 72-year-old man was seen at the hospital because of right upper abdominal pain during urination. Ultrasonography and a CT scan revealed a right upper abdominal tumor and the patient was admitted to the department. On a physical examination, a fist-sized and tender tumor was palpable beneath the right hypochondrium. CT scan visualized an irregular shaped and enhanced tumor at a 7cm liver margin in the vicinity of the aorta in subhepatic space. Magnetic resonance imaging revealed a low signal intensity comparable to that of muscular tissue. Angiography revealed accumulation of a contrast material in the subhepatic space. Inferior venography revealed complete obstruction at influxion of the renal vein. With a suspicion of leiomyosarcoma primary arising in the inferior vena cava, the patient was operated on. Operative procedures included a partial resection of the inferior vena cava including the tumor, a partial resection of caudate lobe in the posterior segment of liver, a partial duodenectomy, and associated resection of the right kidney. Since collateral circulation was kept, no reconstruction of the inferior vena cava was made. Histologically, the tumor was leiomyosarcoma of the inferior vena cava invading the liver, duodenum and right kidney. Postoperative course was uneventful, but intraabdominal recurrence occurred three months after the operation. The patient died six months after the operation.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 62 (8), 1856-1861, 2001
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679820845568
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- NII論文ID
- 130003602623
- 10009428572
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可