特発性血小板減少性紫斑病合併乳癌の1切除例

• 島多 勝夫

  糸魚川総合病院外科

• 鈴木 修一郎

  糸魚川総合病院外科

• 山岸 文範

  糸魚川総合病院外科

• 田沢 賢一

  糸魚川総合病院外科

• 坂本 隆

  富山医科薬科大学第2外科

• 唐木 芳昭

  富山医科薬科大学第2外科

• 藤巻 雅夫

  富山医科薬科大学第2外科

書誌事項

タイトル別名

• A RESECTED CASE OF BREAST CANCER ASSOCIATING WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

抄録

A patient with breast cancer without splenectomy associating with idiopathic thrombocytopenic purpura (ITP) was operated on treating with high-dose immunoglobulin therapy (400mg/kg/day) and fresh platelets (10 units/day) for 3 consecutive days pre- and postoperatively. Modified radical mas-tectomy with regional lymph node dissection (R1) was successfully performed without abnormal bleeding during the surgery. Postoperative course was uneventful without serious complications and platelet count was kept at the level around 10, 000/mm³ during the perioperative period.<br> High-dose immunoglobulin therapy with fresh platelet infusion therapy, which can increase platelet count safely and certainly in a short time, may be most appropriate for ITP cases combined with a solid cancer without splenectomy, whereas further consideration regarding the treatment period and dosage may be needed due to the expensiveness, uncontinuanceness and dose-dependency of the drug.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 56 (9), 1821-1824, 1995

  日本臨床外科学会

キーワード

• 非摘脾ITP合併乳癌
• γ-グロブリン大量療法
• 血小板輸血

詳細情報

• CRID: 1390282680291110016
• NII論文ID: 130003432054
• NII論文ID: 10008515414
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.56.1821
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/9/56_9_1821/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996138757
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可