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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/3124

 
Title :[症例報告]びまん性汎細気管支炎を合併した慢性腎不全患者に発症した肺癌の1手術例
Title alternative :Lung Cancer Surgery in a Patient with Chronic Renal Failure Associated with Difuse Panbronchiolitis
Authors :川畑, 勉
城間, 寛
久貝, 忠男
下地, 光好
玉木, 正人
大田, 治
佐久田, 斉
鎌田, 義彦
宮城, 和史
赤崎, 満
大嶺, 靖
伊波, 潔
国吉, 幸男
古謝, 景春
草場, 昭
島袋, 博大
中村, 浩明
斎藤, 厚
比嘉, 功
大澤, 炯
Authors alternative :Kawabata, Tsutomu
Shiroma, Hiroshi
Kugai, Tadao
Shimoji, Mitsuyoshi
Tamaki, Masato
Ohta, Osamu
Sakuta, Hitoshi
Kamada, Yoshihiko
Miyagi, Kazufumi
Akasaki, Mitsuru
Ohmine, Yasushi
Iha, Kiyoshi
Kuniyoshi, Yukio
Koja, Kageharu
Kusaba, Akira
Shimabukuro, Hiroto
Nakamura, Hiroaki
Saito, Atsushi
Higa, Isao
Ohsawa, Akira
Authors affiliation :琉球大学医学部第2外科
琉球大学医学部第1内科
琉球大学医学部泌尿器科
Issue Date :1993
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346888X
0289-1530
Abstract :A case of lung cancer associated with diffuse panbronchiolitis(DPB) operated during hemodialysis for chronic renal failure is reported. A 74-year-old woman was admitted to the hospital because of rapid aggravation of an uremic syndrome. Emergency hemodialysis was performed. A chest X-ray film revealed a coin lesion in the 4th bronchopulmonary segment of the left lung and difuse micronodular shadows in the bilateral lung field due to DPB. The mass showed spicula in a chest tomograph. Vascular indentation was demonstrated by a chest CT scan. Lung cancer was highly suspected because of a transbronchial lung biopsy and brushing cytology with clinical stage of T_1N_0M_0 The respiratory function was improved by administration of erythromycin. After correction of hyperkalemia and anemia by hemodialysis and blood transfusion, partial resection of the lower lobe of the left lung (limited operation) was safely performed with perioperative careful attention to fluid overload and hyperkalemia. Histological examinations revealed well-differentiated papillary adenocarcinoma. Hemodialysis using nafamostat mesilate was performed 5 days postoperatively. The post operative course was uneventful and the patient had been well without any signs of recurrence of cancer 9 months after the surgery, but she died of other causes.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/3124
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.13 no.2 p.213 -220
Appears in Collections:Ryukyu Medical Journal

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