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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 76(1-2)

A Case of Mediastinal Embryonal Carcinoma Successfully Treated by Integrative Therapy

https://doi.org/10.18999/nagjms.76.1-2.225
https://doi.org/10.18999/nagjms.76.1-2.225
812f0d3f-e6fa-43a0-965a-931d5b8af629
名前 / ファイル ライセンス アクション
25_Kawanami.pdf 25_Kawanami.pdf (1.1 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2014-03-04
タイトル
タイトル A Case of Mediastinal Embryonal Carcinoma Successfully Treated by Integrative Therapy
著者 KAWANAMI, KATSUHISA

× KAWANAMI, KATSUHISA

WEKO 51241

KAWANAMI, KATSUHISA

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WAKAO, NORIMITSU

× WAKAO, NORIMITSU

WEKO 51242

WAKAO, NORIMITSU

Search repository
KAMIYA, MITSUHIRO

× KAMIYA, MITSUHIRO

WEKO 51243

KAMIYA, MITSUHIRO

Search repository
TAKEUCHI, MIKINOBU

× TAKEUCHI, MIKINOBU

WEKO 51244

TAKEUCHI, MIKINOBU

Search repository
HIRASAWA, ATSUHIKO

× HIRASAWA, ATSUHIKO

WEKO 51245

HIRASAWA, ATSUHIKO

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TAKAHASHI, EMIKO

× TAKAHASHI, EMIKO

WEKO 51246

TAKAHASHI, EMIKO

Search repository
SATO, KEIJI

× SATO, KEIJI

WEKO 51247

SATO, KEIJI

Search repository
キーワード
主題Scheme Other
主題 Mediastinal embryonal carcinoma
キーワード
主題Scheme Other
主題 Integrative therapy
キーワード
主題Scheme Other
主題 Radical resection
キーワード
主題Scheme Other
主題 Surgical treatment
キーワード
主題Scheme Other
主題 Life prognosis
抄録
内容記述 Mediastinal embryonal carcinoma is rare, and the life prognosis of this disease is assumed to be relatively short. We encountered a case of mediastinal embryonal carcinoma for which we could perform radical surgical resection. The patient was male, aged 16 years, and acutely aware of back pain. Because the pain increased during the same year, he visited a local doctor, and an expanding neoplastic lesion was detected in the right thoracic wall by computed tomography (CT). Then he was referred to our institution. Magnetic resonance imaging (MRI) showed a dumbbell type tumor (Eden type 3) at the Th7/8 level. Malignant disease was suspected, so the authors planned and performed CT-guided biopsy. The result showed that this tumor pathologically corresponded to malignant peripheral nerve sheath tumor (MPNST). Therefore, chemotherapy was considered the main treatment. After 2 courses of chemotherapy, the tumor size decreased dramatically. The authors thought that radical resection is possible if there is no intrathoracic tumor dissemination as a result of a favorable response to chemotherapy. We thus perfomed surgical resection after we confirmed by a thoracoscopic exploratory thoracotomy that there was no intrathoracic tumor dissemination. Pathological findings were consistent with an embryonal carcinoma. Both the cutting ends of the thoracic wall and the epidural lateral sides of the excised lesion were negative for tumor cells. There is no image finding from the MRI and PET-CT suggesting metastasis or recurrence in the MRI and PET-CT 18 months after surgical resection. Therefore, the long-term vital prognosis can be expected in this patient.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.76.1-2.225
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 76, 号 1-2, p. 225-233, 発行日 2014-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7612/7612.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/19502
識別子タイプ HDL
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