診断と治療に苦慮した悪性リンパ腫の１例

• 佐藤 千晴

  医療法人社団北斗病院歯科口腔外科 北海道大学大学院歯学研究科口腔病態学講座口腔診断口腔内科学分野

• 進藤 正信

  北海道大学大学院歯学研究科口腔病態学講座口腔病理診断学分野

• 野谷 健一

  北海道大学大学院歯学研究科口腔病態学講座口腔診断口腔内科学分野

• 福田 博

  北海道大学大学院歯学研究科口腔病態学講座口腔診断口腔内科学分野

書誌事項

タイトル別名

• A CASE OF MALIGNANT LYMPHOMA WITH DIFFICULTY IN DIAGNOSIS AND TREATMENT

抄録

A 53-year-old male visited our hospital with a complaint of a painless swelling in the left cheek. Biopsies were performed twice showing chronic inflammation and no evidence of malignancy.<br>About two years later, he suffered from writing and speaking disturbances. Tumor extirpation was done due to diagnosis of intracranial middle fossa tumor, and diffuse large B-cell lymphoma was diagnosed from surgical specimen.<br>Since bilateral swelling of the cheek and trismus arose after the surgery, malignant lymphoma was suspected and biopsy was performed, however, it was not malignant. Six courses of chemotherapy with VEPA-M (VCR, CPA, PDN, ADM and MTX) were performed successfully. During the chemotherapy, an excisional biopsy of one of the enlarged left cervical lymph nodes was performed and diagnosis of B-cell small lymphocytic lymphoma was made.<br>However, tumor recurred in the left parotid region three months after the chemotherapy. Despite of salvage chemotherapy with IMVP-16 (IFX, MTX and VP), the patient died of multiple organic failure.

収録刊行物

• 頭頸部腫瘍

  頭頸部腫瘍 28 (1), 308-312, 2002

  日本頭頸部癌学会

キーワード

• 悪性リンパ腫
• サルベージ療法

詳細情報

• CRID: 1390001204727863936
• NII論文ID: 130004166848
• NII論文ID: 10012171565
• NII書誌ID: AN00165234
• DOI: 10.5981/jjhnc1974.28.308
• ISSN: 18839878
• ISSN: 09114335
• Web Site: https://search.jamas.or.jp/link/ui/2004030875
• 本文言語コード: ja
• 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