A Case of Rectal Cancer with Dihydropyrimidine Dehydrogenase Deficiency
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- Takaba Tomoyuki
- Department of Gastroenterological Surgery, Toranomon Hospital
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- Moriyama Jin
- Department of Gastroenterological Surgery, Toranomon Hospital
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- Yokoyama Tsuyoshi
- Department of Gastroenterological Surgery, Toranomon Hospital
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- Matoba Shuitiro
- Department of Gastroenterological Surgery, Toranomon Hospital
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- Sawada Toshihito
- Department of Gastroenterological Surgery, Toranomon Hospital
Bibliographic Information
- Other Title
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- Dihydropyrimidine dehydrogenase欠損症と診断された大腸癌の1例
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Abstract
We conducted laparoscopic low anterior resection on a 72-year-old man with rectal cancer in October 2007, diagnosed postoperatively as tub2, pSE, pN2 (6/12), cH0, cP0, cM0, fStage IIIb. We administered UFT of 300 mg/day and uzel75 of mg/day in adjuvant chemotherapy on postoperative day 24, but discontinued chemotherapy six days later due to grade 3 nausea. He then suffered grade 4 leukocytopenia, grade 3 thrombocytopenia and grade 3 mucositis dying of multiple organ failure 28 days after chemotherapy administration. Urine uracil was 593.0μmol/g·cre, urine dihydrouracil was 2.1μmol/g·cre, and the dihydrouracil/uracil ratio was 0.004 compared to the standard 0.23-0.67. We could not measure dihydropyrimidine dehydrogenase (DPD) activity in peripheral mononuclear blood cells. The definitive diagnosis was DPD deficiency, only six cases of which, to our knowledge, have been reported in Japan. When chemotherapy side effect are chemotherapy is very severe, it must be stopped immediately and replaced by other treatment.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 41 (12), 2075-2080, 2008
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390282679896645120
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- NII Article ID
- 130004344813
- 110007005906
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
- http://id.crossref.org/issn/03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed