白血病に合併した胃癌の2例  [in Japanese] TWO CASES OF GASTRECTOMY FOR GASTRIC CANCER WITH LEUKEMIA  [in Japanese]

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Abstract

白血病に合併した胃癌の2例を経験したので報告する.症例1は51歳男性で,検診で胃の異常を指摘され,精査中に白血球増多から慢性骨髄性白血病(CML)と診断された. CMLの治療を先行し慢性期に早期胃癌に対し手術を施行した.症例2は72歳男性で,急性骨髄性白血病(AML)の再燃で,化学療法予定中に胃内視鏡検査で進行胃癌を認めた. AMLは再燃早期で,出血傾向を認めなかった為,胃癌に対する手術を先行した.症例1, 2とも術後合併症は認めず,経過は良好で白血病の急性増悪も認めなかった.白血病と胃癌の合併は稀である.一般にAMLの寛解期, CMLの慢性期であれば手術可能である.しかし,再燃期においても症例2のように手術可能な場合があり,治療にあたっては,個々の症例における白血病の病状と胃癌の進行度により手術適応や手術時期を慎重に判断することが肝要である.

We report two rare cases of gastrectomy for gastric cancer with leukemia. Patient 1, a 51-year-old man, was pointed out having chronic myelocytic leukemia (CML) when he was addmited to the hospital for operation of early gastric cancer. After the therapy for CML, during a chronic phase, we performed a gastrectomy. Patient 2, a 72-year-old man, was pointed out having advanced gastric cancer when he was admitted to the hospital for chemotherapy for recurrence of acute myelocytic leukemia (AML). Because the recurrence was in the early phase and no bleeding tendency was revealed, a gastrectomy was preceded to the treatment for AML. Postoperative courese was uneventful without any complication in both cases Generally, operation is possible for patients in a stage of remmision of AML, and those in a chronic phase of CML, especialy in the early phase of recurrent AML like case 2. In the case of gastric cancer with leukemia, an application and a timing for operation should be seriously determined.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(1), 125-131, 2001-01-25

    Japan Surgical Association

References:  42

Cited by:  1

Keywords

Codes

  • NII Article ID (NAID)
    10008387471
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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