胃内腔へ浸潤した後腹膜原発平滑筋肉腫および平滑筋芽腫の1剖検例
書誌事項
- タイトル別名
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- RETROPERITONEAL LEIOMYOSARCOMA AND LEIOMYOBLASTOMA DIRECTLY INVADED THE STOMACH AN AUTOPSY CASE REPORT
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type:Article
A 70-year-old woman complaining of nausea was admitted to our hospital for further examination of a large abdominal tumor. CT scan, MRI and Ultrasonography revealed a large mass adjacent to the left kidney, spleen and pancreas. Angiography showed a tumor stain mainly fed by the dorsal pancreatic artery. Although radical tumorectomy as well as splenectomy was performed, complete removal of the tumor was not successful because of the marked adhesion that easily caused critical bleeding by surgical manipulation. In addition, 2 kinds of chemotherapy conducted after surgical treatment showed little efficacy, resulting in the rapid growth of the locally recurrent lesion. Finally, the formation of tumor thrombus in the inferior vena cava was followed by its direct invasion to the stomach with severe ulceration causing refractory bleeding. Consequently, she died of multiple organ failure caused by repeated upper gastrointestinal bleeding. Autopsy revealed a retroperitoneal tumor consisting of leiomyosarcoma as well as leiomyoblastoma with pathologically high malignancy.
identifier:Journal of Nara Medical Association Vol.56 No.3 p.137-146
identifier:13450069
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/137
identifier:Journal of Nara Medical Association, 56(3): 137-146
収録刊行物
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- Journal of Nara Medical Association
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Journal of Nara Medical Association 56 (3), 137-146, 2005-06-30
奈良医学会
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詳細情報 詳細情報について
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- CRID
- 1050001337493848832
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- NII論文ID
- 110004599244
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- NII書誌ID
- AA11252383
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- ISSN
- 13450069
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- 本文言語コード
- ja
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- 資料種別
- departmental bulletin paper
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- データソース種別
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- IRDB
- CiNii Articles