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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 39巻1-4号
  1. 部局別インデックス
  2. その他

集学的治療により切除しえた乳腺巨大葉状腫瘍の1例

http://hdl.handle.net/20.500.12000/0002016924
http://hdl.handle.net/20.500.12000/0002016924
0df6bbb3-2351-4aa9-aaf8-410df38bec30
名前 / ファイル ライセンス アクション
Vol39p49.pdf Vol39p49.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2021-11-19
タイトル
タイトル 集学的治療により切除しえた乳腺巨大葉状腫瘍の1例
言語 ja
作成者 藤澤, 重元

× 藤澤, 重元

ja 藤澤, 重元

國仲, 弘一

× 國仲, 弘一

ja 國仲, 弘一

牧野, 航

× 牧野, 航

ja 牧野, 航

平安名, 常一

× 平安名, 常一

ja 平安名, 常一

高槻, 光寿

× 高槻, 光寿

ja 高槻, 光寿

Fujisawa, Shigemoto

× Fujisawa, Shigemoto

en Fujisawa, Shigemoto

Kuninaka, Kouichi

× Kuninaka, Kouichi

en Kuninaka, Kouichi

Makino, Wataru

× Makino, Wataru

en Makino, Wataru

Heianna, Joichi

× Heianna, Joichi

en Heianna, Joichi

Takatsuki, Mitsuhisa

× Takatsuki, Mitsuhisa

en Takatsuki, Mitsuhisa

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 Giant phyllodes tumor
言語 en
主題Scheme Other
主題 phyllodes tumor
言語 en
主題Scheme Other
主題 selective intra-arterial chemotherapy
内容記述
内容記述タイプ Other
内容記述 A 43-years-old woman presented with a giant light breast tumor that had grown approximately 3-25cm in diameter over the past two years. The tumor was elastic, hard, and had enlarged skin and was fixed on chest wall with poor mobility. Chest computed tomography(CT) scan revealed a giant tumor with thoracic wall and skin as well as, nipple invasion, without swollen axillary lymph nodule and distant metastasis. A diagnosis of giant phyllodes tumor was made. To avoid thoracic wall resection, we used Eribulin regimen for three courses as preoperative chemotherapy and performed selective intra-arterial chemotherapy (internal thoracic artery, thoracromial artety, lateral thoracic artery) with Docetaxel and Epirubicin and embolization with Embosphire for two times at, four weeks interval. Chest CT in two weeks revealed tumor shrinkage from 15.1×7.5cm to 13.4×6.3cm. We planned to revise the operative procedure, depending on surgical margin by intraoperative consultation. With surgical positive margin, we planned to perform mastectomy and thoracic wall resection, reconstruction by latissimus dorsi musculocutaneous flap, skin grafting on the defected area. With surgical negative margin, perform mastectomy and skin grafting on defected area. As surgical margin was negative, we performed mastectomy and skin grafting from outside of the right thigh, in four weeks following the last selective intra-arterial chemotherapy and embolization. The resected tumor weighed 1100g and ,measured 21.2×18.0×7.5cm. We report the present case alongside a review of the literature and discuss the preoperative chemotherapy and selective intra-arterial chemotherapy and embolization as well as the operative procedure.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
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 1346-888X
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 39, 号 1-4, p. 49-58
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