特発性血小板減少性紫斑病 (ITP) を合併した結腸癌の1例

• 津屋 洋

  関ケ原病院外科

• 村瀬 賢治

  関ケ原病院外科

• 佐藤 哲也

  関ケ原病院外科

• 波頭 経明

  関ケ原病院外科

• 金田 成宗

  関ケ原病院外科

• 高橋 親彦

  関ケ原病院外科

• 下川 邦泰

  岐阜大学臨床検査医学

書誌事項

タイトル別名

• A CASE OF COLONIC CANCER ASSOCIATING WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

抄録

A 63-year-old woman was admitted to the hospital because of hematochezia. Severe anemia and thrombocytopenia were noted (red blood cell 248×10⁴/mm³, hemoglobin 5.8g/dl, hematocrit 19.6%, platelet count 0.8×10⁴/mm³). The patient was diagnosed as sigmoid colon cancer associating with idiopathic thrombocytopenic purpura (ITP). Transfusion of 25 units of platelet was performed and a large dose of globulin 20g/day for 5 days, methylprednisolon 500-1000mg/day, and prednisolone 50mg/day were administered. When the platelet count increased to 25.2×10⁴/mm³, splenectomy and sigmoidectomy with lymphnode dissection (D₂) were carried out. After the surgery, abnormal bleeding did not occur and the postoperative course was uneventful. After discharge, the patient has been followed at outpatient clinic as of 6 month after the operation, and the plateletcount is kept at good level of 25.2×10⁴/mm³ without taking predonisolone.<br>The large dose gulobulin regimen appears an extremely safe and useful method in preoperative management of surgical patients with ITP. It is possible to keep increased platelet level by splenectomy.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 59 (3), 759-763, 1998

  日本臨床外科学会

キーワード

• 特発性血小板減少性紫斑病
• 結腸癌
• γ-グロブリン

詳細情報

• CRID: 1390282679825532928
• NII論文ID: 130003600848
• NII論文ID: 10009369051
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.759
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/3/59_3_759/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998246407
• データソース種別:
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  • Crossref
  • CiNii Articles
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