2006-10 http://hdl.handle.net/10564/1577 2026-04-09T03:44:00Z 2026-04-09T03:44:00Z http://hdl.handle.net/10564/267 2017-05-29T06:06:48Z 2006-10-30T15:00:00Z

タイトル: 第126回奈良医学会 : 学会記事

2006-10-30T15:00:00Z Watanabe, Makoto Uemura, Shiro Suzuki, Megumi Takeda, Yukiji Kawata, Hiroyuki Horii, Manabu Yamamoto, Hiromitsu Nakajima, Tamio Saito, Yoshihiko Kichikawa, Kimihiko Taniguchi, Shigeki http://hdl.handle.net/10564/266 2017-06-11T23:20:26Z 2006-10-30T15:00:00Z

タイトル: RIGHT VENTRICULAR MYXOMA WITH SYNCOPE BY THE OBSTRUCTION OF RJGHT VENTRICULAR OUTFLOW TRACT 著者: Watanabe, Makoto; Uemura, Shiro; Suzuki, Megumi; Takeda, Yukiji; Kawata, Hiroyuki; Horii, Manabu; Yamamoto, Hiromitsu; Nakajima, Tamio; Saito, Yoshihiko; Kichikawa, Kimihiko; Taniguchi, Shigeki 抄録: We report a rare case of right ventricular myxoma that was almost occupying the right ventricular outflow tract. The patient was admitted for syncope, and three-dimensional reconstruction of the heart using multislice spiral computed tomography made apparent a large tumor mass occupying both the right ventricular outflow tract and the proximal main trunk of the pulmonary artery. Invasive right atrial angiography demonstrated a tumor mass rushing back and forward in the right ventricular outflow tract, and mostly blocking blood flow to the pulmonary artery. Based on these findings, the patient underwent successful resection of the right ventricular mass arising from right ventricular anterior papillary muscle. The pathological examination of the mass was consistent with typical myxoma cells.

2006-10-30T15:00:00Z Kanno, Masatoshi Nakamura, Shinobu Tsugawa, Koichiro Noguchi, Masakuni http://hdl.handle.net/10564/265 2017-06-11T23:20:26Z 2006-10-30T15:00:00Z

タイトル: DEVELOPMENT OF AUTOIMMUNE THROMBOCYTOPENIA AFTER HIGH-DOSE CHEMOTHERAPY AND AUTOLOGOUS PERIPHERAL BLOOD STEM CELL SUPPORT FOR METASTATIC BREAST CANCER 著者: Kanno, Masatoshi; Nakamura, Shinobu; Tsugawa, Koichiro; Noguchi, Masakuni 抄録: Autoimmune thrombocytopenia (AT) occurs after not only allogeneic but also autologous SCT following high-dose myeloablative chemotherapy against malignant tumors. A 50-year-old woman was diagnosed with metastatic breast cancer (MBC) and received myeloablative chemotherapy followed by autologous peripheral blood stem cell transplantation. Purpura developed on day +40 after transplantation, and a diagnosis of AT was made based on her bone marrow picture and elevation of serum PA-IgG level. Her thrombocytopenia was refractory to treatment with high-dose intravenous immune globulin (IVIG) and steroids. Although her platelet count recovered to within the normal range after splenectomy, 14 months after receiving SCT she died of disseminated intravascular coagulation syndrome caused by progression of cancer metastasis. There have been 10 reported cases of AT developing after high-dose myeloablative chemotherapy against malignant tumors followed by autologous SCT. We suggest that the thrombocytopenia after engraftment was caused by activation of dormant auto-immunity, which our patient potentially had, in conjunction with an insufficient quantity and quality of suppressor T-cells before complete reconstruction of the immune system after myeloablative conditioning. The clinical course of our patient was specific and different from previously reported cases since a splenectomy was necessary due to her thrombocytopenia being refractory to both steroid and IVIG therapy.

2006-10-30T15:00:00Z 安藤, 稔 米田, 諭 小林, 洋三 布居, 剛洋 松森, 篤史 竹田, 幸祐 辻之上, 裕久 西村, 公男 福井, 博 http://hdl.handle.net/10564/264 2017-05-29T06:06:32Z 2006-10-30T15:00:00Z

タイトル: 腹部CT所見が早期診断に有用であった小腸アニサキス症の2例 著者: 安藤, 稔; 米田, 諭; 小林, 洋三; 布居, 剛洋; 松森, 篤史; 竹田, 幸祐; 辻之上, 裕久; 西村, 公男; 福井, 博 抄録: A 61-year-old man who had left hypochondralgia was admitted to our hospital. His laboratory data showed elevated numbers of white blood cells and CRP level. The abdominal computed tomography (CT) showed segment of thickened ileum. The other case is a 58-year-old man who had right hypochondralgia admitted to our hospital. His laboratory data also showed elevated numbers of white blood cells and CRP level. The abdominal CT showed segment of thickened jejunum. The common history of meal intake is that they had eaten raw fish two days before visiting our hospital. Their anisakiasis specific antibody showed positive levels. Those abdominal CT findings were useful to make early diagnosis in two cases of the presence of anisakiasis in the intestine. The patients recovered with non-operative therapy.

2006-10-30T15:00:00Z