Craniocervical Paraganglioma With Numerous Pulmonary Metastases
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概要
- 論文の詳細を見る
A 28-year-old man presented with a rare craniocervical paraganglioma with multiple pulmonary metastases manifesting as hearing disturbance, hoarseness, and dysphagia in February 2003. Magnetic resonance imaging depicted a large jugular foramen tumor extending to the deep cervical region. Chest computed tomography revealed numerous small pulmonary nodules. The jugular tumor was totally resected immediately after preoperative embolization. Histological examination revealed paraganglioma. Localized irradiation (54 Gy) and two courses of combination chemotherapy consisting of paclitax-el (80mg/m^2) and gemcitabine (1000mg/m^2) were given. The patient remained well during follow up for 48 months and the number of pulmonary metastases did not increase. Local control of primary craniocervical paraganglioma by palliative surgical resection may be effective for control of metastatic lesions.
- 社団法人日本脳神経外科学会の論文
- 2008-09-15
著者
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IWASAKI Yoshinobu
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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SAWAMURA Yutaka
Department of Neurosurgery, Hokkaido University Hospital
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Iwasaki Yoshinobu
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Sawamura Yutaka
Department Of Neurosurgery The University Of Hokkaido Graduate School Of Medicine
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Sawamura Yutaka
Department Of Bioresource Science Faculty Of Agriculture Kagawa University
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HOKARI Masaaki
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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Hokari Masaaki
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Hokari Masaaki
Department Of Neurosurgery The University Of Hokkaido Graduate School Of Medicine
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Akita Hirotoshi
Department Of Medical Oncology The University Of Hokkaido Graduate School Of Medicine
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Akita Hirotoshi
Department Of Circulatory Organs Okayama Red Cross General Hospital
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KAMOSHIMA Yuuta
Department of Neurosurgery, the University of Hokkaido, Graduate School of Medicine
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Kamoshima Yuuta
Department Of Neurosurgery The University Of Hokkaido Graduate School Of Medicine:(present Office)la
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Kamoshima Yuuta
Department Of Neurosurgery Graduate School Of Medicine Hokkaido University
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Iwasaki Yoshinobu
Department Of Neurosurgery The University Of Hokkaido Graduate School Of Medicine
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