Superior vena cava syndrome caused by adult T-cell leukemia/lymphoma: a case report

  • IKEDA Takaya
    Second Department of Internal Medicine, Nagasaki University Hospital
  • FUKUDA Minoru
    Department of Medicine, Japanese Red Cross Nagasaki Genbaku Hospital Department of Internal Medicine, Nagasaki Municipal Hospital
  • NAKAMURA Yoichi
    Second Department of Internal Medicine, Nagasaki University Hospital
  • MOTOSHIMA Kohei
    Second Department of Internal Medicine, Nagasaki University Hospital
  • NAGASHIMA Seiji
    Department of Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • MATSUO Masatoshi
    Department of Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • YAMAMURA Masaomi
    Department of Internal Medicine, Nagasaki Municipal Hospital
  • ABE Kuniko
    Department of Pathology, Nagasaki Municipal Hospital
  • IRIE Junji
    Department of Pathology, Nagasaki Municipal Hospital
  • KOHNO Shigeru
    Second Department of Internal Medicine, Nagasaki University Hospital

この論文をさがす

抄録

A 74-year-old man with a smoking history was admitted for back and right arm pain. On examination, swelling of the face and arms were noted, and computed tomographic imaging of the chest demonstrated a bulky (10.0 x 7.2 cm) tumor in the right upper mediastinum. The lesion compressed the superior vena cava (SVC). Despite treatment, the patient died 5 months after the first admission. On autopsy, he was diagnosed that SVC syndrome caused by adult T-cell leukemia/lymphoma (ATL). ATL usually runs an aggressive course with multiple organs involving lymph nodes, liver, spleen, skin, lung, peripheral blood and bone marrow. Although it is extremely rare, SVC syndrome can appear as the earliest symptom of ATL.

収録刊行物

詳細情報 詳細情報について

問題の指摘

ページトップへ