Difficulty in diagnosis of secondary ling cell carcinoma due to chronic lung disorder after hematopoietic cell transplantation
| العنوان: | Difficulty in diagnosis of secondary ling cell carcinoma due to chronic lung disorder after hematopoietic cell transplantation |
|---|---|
| المصدر: | 横浜医学 = Yokohama medical Jounal. 67(4):561-565 |
| بيانات النشر: | 横浜市立大学医学会, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | 造血細胞移植, 長期フォローアップ, hematopoietic cell transplantation｜long-term follow-up, secondary neoplasm, leukemia, 白血病, 二次がん, lung carcinoma, 肺癌 |
| الوصف: | 23歳，男性． 4 歳時にB前駆細胞性急性リンパ性白血病を発症．3度再発をし， 7 歳，9 歳，11歳時に合計3 回の同種造血細胞移植を施行し，白血病は寛解を維持していた．3 度目の移植9年後から拘束性肺障害と繰り返す気胸，継続する咳嗽を認めていた．11年後に胸痛を自覚し，その4 か月後に肺腺癌stage Ⅳの診断となった．化学療法を施行したが，抵抗性であり，24歳時に死亡した．二次がんのうち肺癌の頻度は低く，小児がんの悪性の二次がんのうち1.4％と報告されている．移植後，慢性の呼吸器合併症があったため，肺癌の初発症状がわかりにくく，診断に難渋した．症例の蓄積と，有効なフォローアップ方法の確立が望まれる． |
| اللغة: | Japanese |
| تدمد: | 0372-7726 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=jairo_______::69da1940fd13e0e4470b44ffc52c38bd http://id.nii.ac.jp/1246/00001087/ |
| Rights: | OPEN |
| رقم الانضمام: | edsair.jairo.........69da1940fd13e0e4470b44ffc52c38bd |
| قاعدة البيانات: | OpenAIRE |
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