Ｓｊｏｅｇｒｅｎ症候群・原発性胆汁性肝硬変に合併した肺原発悪性リンパ腫の１切除例
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- Material Type
- 記事
- Publication Date
- 1996
- Publication Date (W3CDTF)
- 1996
- Periodical title
- 日呼外会誌
- No. or year of volume/issue
- 10 5
- Volume
- 10
- Issue
- 5
- Pages
- 629-633
- Publication date of volume/issue (W3CDTF)
- 1996
- ISSN (Periodical Title)
- 09190945
- ISSN-L (Periodical Title)
- 09190945
- Publication (Periodical Title)
- The Japanese Association for Chest Surgery
- Text Language Code
- ja
- Subject Heading
- Target Audience
- 一般
- DOI
- 10.2995/jacsurg.10.629
- Related Material (URI)
- Data Provider (Database)
- 国立情報学研究所 : CiNii Research
- Original Data Provider (Database)
- Japan Link CenterCrossrefCiNii Articles
- NAID
- 110007153789
- Summary, etc.
- A 66-year-old woman with history of Sjögren syndrome and primary biliary cirrhosis was admitted to our hospital for an abnormal shadow on chest X-ray film. Chest CT scan revealed a mass shadow sized 6.8 cm × 4.5 cm at the periphery of the left S<SUP>8</SUP>S<SUP>9</SUP>. There was no evidence of swelling of the mediastinal lymph nodes. No malignant cells were observed by transbronchial brushing cytology, but left lower lobectomy was performed because malignancy was suspected. Since malignant lymphoma was suspected by rapid pathological examination at operation, dissection of the mediastinal lymph nodes was added. Postoperative pathological examinations revealed proliferation of small or medium sized B type lymphoid cells with monoclonality of the light chain of IgG. There were no metastases in the dissected lymph nodes. She has had no evidence of recurrence for 16 months after operation without chemotherapy.症例は66歳, 女性.既往歴にSjögren症候群, 原発性胆汁性肝硬変.住民検診の胸部X線で左胸部異常陰影を指摘され, 当科を受診した.胸部CTでは左肺下葉S<SUP>8-9</SUP>末梢に6.8×4.5cmの不整形腫瘤が認められた.明らかな縦隔リンパ節腫脹はなかった.経気管支擦過細胞診では悪性細胞は認められなかったが, 肺癌を疑い, 左肺下葉切除術を施行した.術中迅速診で悪性リンパ腫が疑われ, 縦隔リンパ節郭清を追加した.病理組織検査では中～小細胞型リンパ系異型細胞が浸潤増殖していた.免疫グロブリン軽鎖に単クローン性増殖があり, B細胞性びまん性小細胞型悪性リンパ腫と診断した.リンパ節転移はなかった.化学療法は施行せず退院.術後1年4ヵ月, 健在である.
- DOI
- 10.2995/jacsurg.10.629
- Access Restrictions
- インターネット公開
- Data Provider (Database)
- 科学技術振興機構 : J-STAGE