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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.76.1-2.225812f0d3f-e6fa-43a0-965a-931d5b8af629
名前 / ファイル | ライセンス | アクション |
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25_Kawanami.pdf (1.1 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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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 | |||||
言語 | en | |||||
著者 |
KAWANAMI, KATSUHISA
× KAWANAMI, KATSUHISA× WAKAO, NORIMITSU× KAMIYA, MITSUHIRO× TAKEUCHI, MIKINOBU× HIRASAWA, ATSUHIKO× TAKAHASHI, EMIKO× SATO, KEIJI |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
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 | ||||||
内容記述タイプ | Abstract | |||||
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. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.76.1-2.225 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7612/7612.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 76, 号 1-2, p. 225-233, 発行日 2014-02 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/19502 | |||||
識別子タイプ | HDL |