Gan to kagaku ryoho. Cancer & chemotherapy · 2019
[A Case of Perforated Intestinal Malignant Lymphoma Induced to Remission by Multidisciplinary Therapy].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hara Kentaro, Aoyama Toru, Nukada Suguru, Koumori Keisuke, Tanaka Ayano, Amano Shinya, Katayama Yusuke, Numata Masakatsu, Tamagawa Hiroshi, Sato Tsutomu, Oshima Takashi, Jin Yasuyuki, Yukawa Norio, Rino Yasushi, Masuda Munetaka
Аннотация
A 61-year-old man had a sudden severe abdominal pain and visited our hospital. He was diagnosed with intestinal perforation, given the peritoneal irritation symptoms, the thickening of the intestinal wall and free air as shown on enhanced abdominal computed tomography. He then underwent emergent surgery. A tumor with small perforation was found on the intestine about 15 cm distant from the terminal ileum. Partial resection of the ileum was performed. Microscopically, a type 2 tumor of 70×50mm in diameter, was observed in the resected intestine. The tumor was diagnosed as diffuse large B-cell lymphoma via immunochemical staining. He received 6courses of R-CHOP therapy after surgery without recurrence. A primary intestinal malignant lymphoma is easily perforated, which lead to poor prognosis of the patient. We report a case of perforated intestinal malignant lymphoma, which was induced to remission by multidisciplinary therapy.