NDLI: Ball valve syndromeにて発症したgastric carcinoma with lymphoid stromaの1例第73巻06号1392頁

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Ball valve syndromeにて発症したgastric carcinoma with lymphoid stromaの1例第73巻06号1392頁

Content Provider	Semantic Scholar
Author	Tashiro, Takahiro Takahara, Hidenori Katsutani, Makoto
Copyright Year	2012
Abstract	癌組織内に著明なリンパ球浸潤を伴う胃リンパ球浸潤癌(以下GCLS)はEpstein-Barr virus(以下EBV) 関連胃癌として注目されており,比較的予後良好とされている.今回われわれはball valve syndrome(以下BVS)にて発症したGCLSの1例を経験したので報告する. 症例患者:50歳代,男性. 主訴:嘔吐,心窩部痛. 既往歴:特記すべき事項なし. 家族歴:特記すべき事項なし. 現病歴:野外で作業中に嘔気,嘔吐,軽度の心窩部痛があり近医では熱中症を疑われていたが,以前に2 回,同様の症状を認めていたので,当院消化器科を紹介された.CTにて胃腫瘤の十二指腸への嵌頓と診断された.内視鏡にて整復後,手術目的にて紹介となった. 入院時身体所見:身長167cm,体重54kg.腹部は平坦で軟.心窩部に圧痛を認めたが,筋性防御や反跳痛を認めなかった. 入院時検査所見:白血球数12,000/μl,AST 52IU/l, S-AMY611IU/lであり白血球数,AST,S-AMYは上昇していた.Hb10.0g/dl,TP5.7g/dlであり貧血とTPの低下を認めた.腫瘍マーカーはCEA2.3IU/ l,CA19-913.9IU/lであり正常範囲であった. 腹部超音波検査:胃幽門部周辺にpseudokidney
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.jstage.jst.go.jp/article/jjsa/73/6/73_1392/_pdf/-char/ja
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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