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Permalink : https://petit.lib.yamaguchi-u.ac.jp/18677
山口医学 Volume 59 Issue 1
published_at 2010-02-28
A case of gastric ulcerative malignant lymphoma in the remnant stomach at 1 year after partial curative resection
腫瘍局所治癒切除後1年目に残胃内に巨大潰瘍を伴い再発した胃悪性リンパ腫の1例(症例報告)
Kubo Hidefumi
Kijima Daiki
Tada Kosuke
Miyahara Makoto
Hasegawa Hiroyasu
Takahashi Toru
About This Article
Descriptions
今回,我々は腫瘍局所治癒切除後,1年目に巨大潰瘍を伴い残胃内再発した悪性リンパ腫の1例を経験した.症例は70歳代,女性で2006年4月頸部リンパ節の生検で濾胞性リンパ腫と診断された.PET検査で全身の多数箇所に異常集積を認め,リツキシマブを含む全身化学療法を施行し治療効果CRが得られた.2007年6月吐血を契機に胃悪性リンパ腫を診断され,全身状態を考慮して胃局所切除のみ施行し術後14日目に軽快退院した.病理組織検査ではびまん性B細胞性リンパ腫と診断され,追加の化学療法は投与しなかった.2008年6月下血を認め,精査再入院となった.胃内視鏡検査で胃噴門直下の小彎側に潰瘍を伴う腫瘤を認め同年,7月2群リンパ節郭清を伴う胃全摘術を施行した.病理組織検査では前回切除病変と同じびまん性B細胞性リンパ腫であった.同年9月に悪性リンパ腫の全身再燃を来たし永眠された.若干の文献的な考察を加えて報告する.
Creator Keywords
胃悪性リンパ腫
B細胞性リンパ腫
残胃再発
Other Article
PP. 23 - 31