心嚢液吸引細胞診にて推定診断しえた原発性体腔液性リンパ腫（ＰＥＬ）の１症例

Material type: 記事

Author: 戸田隆義ほか

Publisher: The Japanese Society of Clinical Cytology

Publication date: 2001

Material Format: Digital

Journal name: 日臨細胞誌 40 3

Publication Page: p.281-285

View Details

Detailed bibliographic record

Summary, etc.：: 背景:体腔液原発の悪性リンパ腫はきわめてまれである. 心嚢液中に発生した原発性体腔液性リンパ腫 (PEL) の1症例を経験したのでその細胞像を中心に報告する. 症例:患者は63歳男性. 慢性腎不全のため, 透析中であった. 透析中に, 右肩から胸部へかけて鈍痛を訴え...

Holdings of Libraries in Japan

This page shows libraries in Japan other than the National Diet Library that hold the material.

List of Cooperating Institutions and Databases

Please contact your local library for information on how to use materials or whether it is possible to request materials from the holding libraries.

other

J-STAGE
Digital
J-STAGE
CiNii Research
Search Service
Digital
You can check the holdings of institutions and databases with which CiNii Research is linked at the site of CiNii Research.
Check the holdings of this book

Bibliographic Record

You can check the details of this material, its authority (keywords that refer to materials on the same subject, author's name, etc.), etc.

Digital

Material Type: 記事
Title: 心嚢液吸引細胞診にて推定診断しえた原発性体腔液性リンパ腫（ＰＥＬ）の１症例
Author Heading: 戸田隆義
喜友名正也
比嘉一廣
城間学
Publication Date: 2001
Publication Date (W3CDTF): 2001
Periodical title: 日臨細胞誌
No. or year of volume/issue: 40 3
Volume: 40
Issue: 3
Pages: 281-285
Publication date of volume/issue (W3CDTF): 2001
ISSN (Periodical Title): 03871193
ISSN-L (Periodical Title): 03871193
Publication (Periodical Title): The Japanese Society of Clinical Cytology
Text Language Code: ja
Subject Heading: Pericardial effusion
Cytology
Ki-1 (CD30)
Anaplastic large cell lymphoma
PEL
Case report
Target Audience: 一般
DOI: 10.5795/jjscc.40.281
https://doi.org/10.5795/jjscc.40.281
Related Material (URI): https://search.jamas.or.jp/link/ui/2001257844
Data Provider (Database): 国立情報学研究所 : CiNii Research
https://cir.nii.ac.jp/
Original Data Provider (Database): Japan Link Center
https://japanlinkcenter.org/top
Crossref
https://www.crossref.org
CiNii Articles
CiNii Articles
NAID: 130003758849
10007682762

Digital

Summary, etc.: Background: Primary effusion lymphomas (PEL) are very rare. We report a case of PEL and its cytological, immunocytochemical, and ultrastructural findings. Case: A 63-year-old man undergoing hemodyalysis due to diabetic nephropathy reported dull pain radiating from the right shoulder to the chest wall. Computed tomography.(CT) disclosed marked paricardial effusion. Atypical cells with a high N/C ratio demonstrated by aspiration cytology reacted positively with antibodies for EMA and CD 30 but were negative for L 26 and CD 15. No atypical cells were seen in peripheral blood or bone-marrow puncture material. CT and gallium scintigraphy showed no systemic lymph node swelling. Anti carcinogenic drugs were administered systemically together with pericardial effusion, but the man died 2 months after disease onset. An autopsy showed a 1.5×0.5 cm subcutaneous tumor in the chest wall, but no significant lymph node swelling. Conclusion: A man reporting pain radiating from the right showlder to the chest wall was found on autopsy to be suffering from primary effusion lymphoma.
背景:体腔液原発の悪性リンパ腫はきわめてまれである. 心嚢液中に発生した原発性体腔液性リンパ腫 (PEL) の1症例を経験したのでその細胞像を中心に報告する. 症例:患者は63歳男性. 慢性腎不全のため, 透析中であった. 透析中に, 右肩から胸部へかけて鈍痛を訴え, 胸部CTでCTRが80%以上と著明な心嚢液貯留を認めた. 心嚢ドレナージ液から, 小リンパ球の2から3倍大の異型細胞が多数認められた.異型細胞は, 1～数個の明瞭な核小体を認め, 多核細胞や核分裂像も散見された. 免疫染色では, 異型細胞はCD30およびEMAが陽性, LCA, UCHL-1, L26およびCD15が陰性で, ALCLが考えられた. 末梢血および骨髄では明らかな異型細胞は認められず, 全身リンパ節を含めたほかの部位にも明らかな病変を認めず, 心嚢液原発と考えられた. その後, 胸水貯留が出現し, 胸水の細胞診より腫瘍細胞が認められ, 約2ヵ月の経過で死亡した.剖検時には, 肉眼的には左胸部の皮下に1.5×0.5cmの転移性腫瘤を認めたのみで, リンパ節腫大などの病変は認められなかった. 組織学的には, 胸部皮下腫瘤以外に, 数ヵ所に微小な腫瘍結節を認めたのみであった. 結論:体腔液原発の悪性リンパ腫の症例は少なく稀少症例と考えられ, その細胞像を中心に報告した.
DOI: 10.5795/jjscc.40.281
Access Restrictions: インターネット公開
Data Provider (Database): 科学技術振興機構 : J-STAGE
http://www.jstage.jst.go.jp

See Less