超大量化学療法を施行した脾血管肉腫の１例

• 木山 茂

  一宮市立木曽川市民病院外科

• 今井 直基

  一宮市立木曽川市民病院外科

• 笠原 千嗣

  一宮市立木曽川市民病院内科

• 高見 剛

  岐阜大学大学院医学系研究科免疫病理学

• 斎尾 征直

  岐阜大学大学院医学系研究科免疫病理学

書誌事項

タイトル別名

• A Case of Hemangiosarcoma of the Spleen in which Supermass Chemotherapy was Successfully Performed

抄録

A 48-year-old woman reporting left hypochondriac pain, together with anemia and thrombocytopenia identified elsewhere, was found on palpation to have hard elastic masses in the left upper quadrant. Blood tests confirmed anemia and thrombocytopenia. Computed tomography (CT) showed partially contrasting nonuniform internal tumors corresponding to the spleen. FDG-PET indicated an accumulation from the left upper quadrant to the flank. Because thrombocytopenia had been worsened by blood transfusion and platelet transfusions, we initially diagnosed as pancytopenia due to hypersplenism, necessitating splenectomy. The extracted 15×12×12cm specimen weighted, 990g, had a smooth surface, and was hard and elastic. The cut surface was solid. Histopathological examination indicated hemangiosarcoma. After surgery, she was treated with supermass chemotherapy and peripheral blood stem cell transplantation. As of this writing 3 years after surgery, she continues to do well with no signs of recurrence.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 40 (8), 1508-1513, 2007

  一般社団法人 日本消化器外科学会

キーワード

• splenic hemangiosarcoma
• supermass chemotherapy
• peripheral blood stem cell transplantation

詳細情報

• CRID: 1390282679895467520
• NII論文ID: 130004344715
• NII論文ID: 110006367800
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.40.1508
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/40/8/40_8_1508/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007340009
• 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