A CASE OF CARDIAC TAMPONADE INDUCED BY CARDIAC METASTASIS OF A GASTRIC CANCER TWO YEARS AFTER A SURGICAL TREATMENT
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- ORIHATA Michihiro
- Department of Surgery, Kokusaishinzen Hospital
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- HATA Makoto
- Department of Surgery, Kokusaishinzen Hospital
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- HASE Yuzi
- Department of Surgery, Kokusaishinzen Hospital
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- NAKAGAWA Hiroyuki
- Department of Surgery, Kokusaishinzen Hospital
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- KIDOKORO Tsutomu
- Department of Surgery, Kokusaishinzen Hospital
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- YAMANAKA Osamu
- Department of Medicine, Kokusaishinzen Hospital
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- SAGAWA Fumiaki
- Department of Pathology, Showa University Fujigaoka Hospital
Bibliographic Information
- Other Title
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- 胃癌の術後2年目に心タンポナーデを発症し心転移による再発が確認された1例
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Abstract
There is an increasing tendency to detect cardiac metastasis of malighant neoplasms in autopsy. However, at times, it is difficult to diagnose cardiac metastasis clinically. We experienced a case of cardiac tamponade induced by cardiac metastasis of a gastric cancer 2 years after a curative surgical treatment. A 51-year-old male underwent total gastrectomy (Curability A) for a Borrmann 3 type gastric cancer (CM, Less) (sig) in May, 1992. Carbohydrate antigen 19-9 (CA19-9) started to increase over the normal range in April, 1994. but no recurrence was found by upper GI endoscopy and adbominal CT. In August 23, 1994, he was admitted to the hospital because of an epigastralgia and dyspnea caused by cardiac tamponade. The pericardial effusion taken by drainage was bloody showed, class V in cytology and was associated with high value of CA19-9. He died of pulmonary edema caused by space occupying mass in the left strium 3 months after the drainage. An autopsy disclosed cardiac metastasis of the gastric cancer through lymphatic route of the diaphragma.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 57 (4), 862-866, 1996
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001205315203200
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- NII Article ID
- 130003599988
- 10008520462
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed