ID 110624
タイトルヨミ
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
タイトル別表記
A case of advanced mesenteric malignant lymphoma effectivery treated by multidisciplinary treatment
著者
大田, 憲一 徳島県立海部病院外科
宮本, 英典 徳島県立海部病院外科
山崎, 眞一 徳島県立海部病院外科
広野, 明 徳島県立海部病院内科
キーワード
mesenteric malignant lymphoma
intestinal obstruction
multidisciplinary treatment
資料タイプ
学術雑誌論文
抄録
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 .
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
59
4-5
開始ページ
252
終了ページ
257
並び順
252
発行日
2003-10-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版