ID 110624
Title Transcription
シュウガクテキ チリョウ ガ ソウコウ シタ シンコウ チョウカンマク アクセイ リンパシュ ノ 1レイ
Title Alternative
A case of advanced mesenteric malignant lymphoma effectivery treated by multidisciplinary treatment
Author
Ohta, Kenichi Department of Surgery, Tokushima Prefectural Kaifu Hospital
Miyamoto, Hidenori Department of Surgery, Tokushima Prefectural Kaifu Hospital
Yamasaki, Shinichi Department of Surgery, Tokushima Prefectural Kaifu Hospital
Hirono, Akira Department of Internal Medicine,Tokushima Prefectural Kaifu Hospital
Keywords
mesenteric malignant lymphoma
intestinal obstruction
multidisciplinary treatment
Content Type
Journal Article
Description
Mesenteric malignant lymphoma is comparative rare and has a poor prognosis in anadvanced case.Here, we report a patient with intestinal obstruction due to mesenteric malignantlymphoma treated successfully by gastrointestinal bypass operation, chemo-and radiotherapy.A 67-year-old man was admitted to our hospital because of abdominal pain andnausea. An abdominal CT scan revealed a huge tumorous lesion with a soft tissue density,which involved descending colon. Since the symptoms was persisted after conservativetreatment, gastrointestinal bypass procedures were surgically formed. During the laparotomy,an open incisional biopsy was performed. Histological examination showed non-Hodgkinlymphoma with diffuse, large-sized and B-cell type. This case was classified into high-risk groupacccording to International Prognostic Index (IPI). After the operation, 5 courses of combinedchemotherapy (THP-COP) and 30 Gy radiation were performed. These multidisciplinarytreatment is considered to be very effective. Since then complete response and goodpatient’s QOL has been attained for these 3.5 years .
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
4-5
Start Page
252
End Page
257
Sort Key
252
Published Date
2003-10-25
FullText File
language
jpn
TextVersion
Publisher