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Accession number;03A0864373
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| Title;A case of advanced mesenteric malignant lymphoma effectivery treated by multidisciplinary treatment |
| Author;
OTA KEN'ICHI
(Tokushima Prefect. Kaifu Hosp.)
MIYAMOTO HIDENORI
(Tokushima Prefect. Kaifu Hosp.)
YAMASAKI SHIN'ICHI
(Tokushima Prefect. Kaifu Hosp.)
HIRONO AKIRA
(Tokushima Prefect. Kaifu Hosp.)
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Journal Title;Shikoku Acta Medica
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Journal Code:G0586A
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ISSN:0037-3699
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VOL.59;NO.4/5;PAGE.252-257(2003)
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| Figure&Table&Reference;FIG.4, TBL.2, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Mesenteric malignant lymphoma is comparative rare and has a poor prognosis in an advanced case. Here, we report a patient with intestinal obstruction due to mesenteric malignant lymphoma treated successfully by gastrointestinal bypass operation, chemo-and radio-therapy. A 67-year-old man was admitted to our hospital because of abdominal pain and nausea. An abdominal CT scan revealed a huge tumorous lesion with a soft tissue density, which involved descending colon. Since the symptoms was persisted after conservative treatment, gastrointestinal bypass procedures were surgically formed. During the laparotomy, an open incisional biopsy was performed. Histological examination showed non-Hodgkin lymphoma with diffuse, large-sized and B-cell type. This case was classified into high-risk group acccording to International Prognostic Index (IPI). After the operation, 5 courses of combined chemotherapy (THP-COP) and 30 Gy radiation were performed. These multidisciplinary treatment is considered to be very effective. Since then complete response and good patient's QOL has been attained for these 3.5 years. (author abst.) |
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