WEKO3
アイテム
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胸腔穿破による膿胸合併を認めた成熟型縦隔奇形腫の1 例
https://dmu.repo.nii.ac.jp/records/940
https://dmu.repo.nii.ac.jp/records/940b5bd6c7f-259e-45d6-aa1d-d81d1cf9bbb9
名前 / ファイル | ライセンス | アクション |
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KJ00007320739.pdf (611.5 kB)
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Item type | [ELS]学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-05-24 | |||||
タイトル | ||||||
タイトル | 胸腔穿破による膿胸合併を認めた成熟型縦隔奇形腫の1 例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A case of Mediastinal Mature Teratoma Complicated by Empyema Due to Rupture into the Pleural Cavity | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題 | 成熟型縦隔奇形腫 | |||||
キーワード | ||||||
主題 | 穿破 | |||||
キーワード | ||||||
主題 | 膿胸 | |||||
キーワード | ||||||
言語 | en | |||||
主題 | mediastinal mature teratoma | |||||
キーワード | ||||||
言語 | en | |||||
主題 | rupture | |||||
キーワード | ||||||
言語 | en | |||||
主題 | empyema | |||||
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 | journal article | |||||
雑誌書誌ID | ||||||
収録物識別子 | AA00629581 | |||||
論文名よみ | ||||||
タイトル | キョウクウ センパ ニヨル ノウキョウ ガッペイ オ ミトメタ セイジュクガタ ジュウカク キケイシュ ノ 1レイ | |||||
著者 |
池野, 義彦
× 池野, 義彦× 阿久津, 郁夫× 羽金, 和彦× 眞塩, 一樹× 崎尾, 浩由× 近江, 史人× 平林, 健× 藤野, 明浩× 平田, 博国× 杉山, 公美弥× 福島, 康次× 石井, 芳樹× 福田, 健× Ikeno, Yoshihiko× Akutsu, Ikuo× Hagane, Kazuhiko× Mashio, Kazuki× Sakio, Hiroyuki× Omi, Fumito× Hirabayashi, Takeshi× Fujino, Akihiro× Hirata, Hirokuni× Sugiyama, Kumiya× Fukusima, Yasutsugu× Ishii, Yoshiki× Fukuda, Takeshi |
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著者所属(日) | ||||||
大田原赤十字病院リウマチ科 | ||||||
著者所属(日) | ||||||
大田原赤十字病院呼吸器内科 : 獨協医科大学内科学(呼吸器・アレルギー) | ||||||
著者所属(日) | ||||||
独立行政法人国立病院機構栃木病院小児外科 | ||||||
著者所属(日) | ||||||
大田原赤十字病院呼吸器内科 | ||||||
著者所属(日) | ||||||
大田原赤十字病院呼吸器内科 | ||||||
著者所属(日) | ||||||
大田原赤十字病院呼吸器内科 | ||||||
著者所属(日) | ||||||
聖路加国際病院小児外科 | ||||||
著者所属(日) | ||||||
独立行政法人国立成育医療センター外科 | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(呼吸器・アレルギー) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(呼吸器・アレルギー) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(呼吸器・アレルギー) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(呼吸器・アレルギー) : 獨協医科大学呼吸器内視鏡センター | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(呼吸器・アレルギー) | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Rheumatology, Ohtawara Red Cross Hospital, Sumiyoshityo, Ohtawara | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Respiratory Medicine, Ohtawara Red Cross Hospital : Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pediatric Surgery, Tochigi National Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Respiratory Medicine, Ohtawara Red Cross Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Respiratory Medicine, Ohtawara Red Cross Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Respiratory Medicine, Ohtawara Red Cross Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pediatric Surgery, St.Luke's International Hospital | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgery, National Center for Child Health and Development | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine : Dokkyo Medical University School of Medicine Respiratory Endoscopy Center | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine | ||||||
記事種別(日) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 症例報告 | |||||
記事種別(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Case Report | |||||
抄録(日) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 症例は16 歳女性,咳嗽,発熱,左前胸部痛を主訴に来院.胸部CT にて内部不均一な径7 cm の前縦隔腫瘍及び左舌区・下葉の完全無気肺を確認,また,MRI にて前縦隔腫瘍内に脂肪組織と同一の吸収域を認め,成熟型奇形腫穿破による膿胸と診断.膿胸に対し胸腔内繊維素溶解療法,ドレナージ及び抗生剤にて加療,膿胸改善を確認した上で,前縦隔腫瘍摘出術施行,病理にて嚢胞性成熟型奇形腫と診断した.病理組織にて膵類似の腺組織を確認,穿破の原因として,腫瘍内膵酵素の存在が考えられた.成熟型縦隔奇形腫は穿破により重篤な合併症発生の危険性があり,また経過中悪性転化する可能性もあることから,早期の外科治療が重要と考えられた. | |||||
抄録(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | A 16-year-old female visited our hospital, complaining ofcough, fever, and left precordial pain. Chest computed tomographyshowed a heterogeneous anterior mediastinal tumormeasuring 7 cm in diameter and complete atelectasis inthe lingula and lower lobe of the left lung. Magnetic resonanceimaging also showed an area of intensity identical tothat of adipose tissue in the anterior mediastinal tumor.Thus, empyema due to rupture of a mature teratoma wasdiagnosed. The empyema was treated with intra-pleural fibrinolytictherapy, drainage, and antibiotics. After confirmingresolution of the empyema, we resected the anteriormediastinal tumor and pathologically diagnosed it as cysticmature teratoma. Histopathological examination showedglandular tissue resembling the pancreas, suggesting thatthe rupture had been caused by pancreatic enzymes in thetumor. Mediastinal mature teratoma carries a risk of seriouscomplications developing due to rupture and the possibilityof malignant transformation during the diseasecourse. Thus, early surgical treatment is important. | |||||
書誌情報 |
Dokkyo journal of medical sciences 巻 38, 号 2, p. 171-177, 発行日 2011-07-25 |
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ISSN | ||||||
収録物識別子 | 03855023 |