| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-07-02 |
| タイトル |
|
|
タイトル |
[症例報告]Metastasis-induced acute pancreatitis caused by small cell lung carcinoma |
|
言語 |
ja |
| 作成者 |
Honma, Kaneatsu
Nomura, Ken
Yamauchi, Kazuo
Isa, Tsutomu
Muto, Yoshihiro
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
small cell lung carcinoma |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pancreatic metastasis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
acute pancreatitis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
MIAP |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
cytodiagnosis |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
We report a case of metastasis-induced acute pancreatitis (MIAP) that we successfully treated by chemotherapy based on a cytodiagnosis. A 62-year-old man was diagnosed to have localized small cell lung carcinoma (T1, N3, MO; stage IIIb) and thereafter underwent four courses of chemotherapy accompanied by radiotherapy as follows: 120mg of cisplatinum (CDDP) on Day l,150mg of etoposide (VP-16) on Days 1 through 3, and 1.5 Gy X2/day of radiotherapy on Days 5 through 9. The carcinoma went into complete remission (CR), and the patient was then followed up on an outpatient basis. Two years later, the patient was readmitted for left upper abdominal and lumbar pain, and was diagnosed to have mild acute pancreatitis accompanied by neoplastic lesions in the pancreas. Since primary pancreatic carcinoma could not be ruled out by diagnostic imaging, an exploratory laparotomy was performed. An intraoperative cytologic examination confirmed small cell carcinoma. Therefore, four courses of intra-artenal chemotherapy were chosen. The pancreatic tumor disappeared and a cystic lesion remained after completing chemotherapeutic regimen, and a favorable quality of life was thus maintained for nine months. Although unnecessary surgical procedures should be avoided for patients with small cell carcinoma, an exploratory laparotomy for an intraoperative rapid and accurate cytodiagnosis should be performed for the differential diagnosis and thereafter the most appropriate therapeutic modality should be chosen. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 19,
号 4,
p. 239-243,
発行日 1999
|
v19p239.pdf
