Meningeal hemangiopericytoma摘出12年後の腹腔内転移により低血糖発作をきたした1例  [in Japanese] A CASE OF MENINGEAL HEMANGIOPERICYTOMA WITH POSTOPERATIVE METASTASIS TO THE ABDOMINAL CAVITY AND LUMBAR REGION CAUSING HYPOGLYCEMIA  [in Japanese]

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Abstract

症例は57歳,女性.低血糖発作の精査治療目的にて入院.12年前に後頭葉の腫瘍にて摘出術を施行され,病理組織学的にangioblastic meningiomaと診断された.空腹時血糖値は30mg/dlで,血中インスリン値,Cペプチド値も低値であった.腹部超音波,CT,MRI,血管造影検査にて腹腔内および腰部に多数の限局性腫瘤を認めた.腰部の腫瘍摘出生検所見がhermangiopericytomaで,12年前の脳腫瘍摘出標本と病理組織学的に一致し,meningeal hemangiopericytomaの腹腔内および腰部転移と診断した.手術にて根治性が得られないと判断し,低血糖症改善の目的で,腹腔内の大きな2つの腫瘍に対して動脈塞栓術を施行したところ,効果がみられた.

Second Department of Surgery, Kinki University School of Medicine A 57-year-old woman was admitted to the hospital because of hypoglycemia. There was a previous history of undergoing a removal of a tumor in the occipital lobe 12 years before admission, which was histologically diagnosed as angioblastic meningioma. The fasting blood sugar level was 30 mg/ml, and both levels of immunoreactive insulin and C-peptide were low. Abdominal ultrasonography, CT scan, magnetic resonance imaging, and arteriography revealed multiple localized tumors in the abdominal cavity and lumbar region. The histological findings of the resected tumor in the lumbar region were compatible with those of hemangiopericytoma and identical to those of the previous brain tumor. Thus, the multiple tumors were diagnosed as metastasis of meningeal hemangiopericytoma. We considered that curative resection was impossible. Arterial embolization for the two large tumors aiming at improving hypoglycemia was successful.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(2), 358-362, 2001-02-25

    Japan Surgical Association

References:  10

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008387990
  • 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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