Malignant Meningitis Secondary to Lung Adenocarcinoma: An Unusual Relapse
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概要
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We describe a 64-year-old man with locally advanced lung adenocarcinoma who had meningeal relapse soon after the completion of intensive chemo-radiotherapy. Diagnosis of the malignant meningitis was established by cytological examination of the cerebrospinal fluid, which showed malignant cells consistent with adenocarcinoma from the primary site. Although very rare, it is possible that successful chemo-radiotherapy for locally advanced lung cancer could not prevent malignant meningitis as observed in our patient. Physicians should consider performance of brain MRI or contrast CT of the brain and a lumbar puncture to exclude the diagnosis of malignant meningitis, an uncommon but devastating complication of malignancy.
- 社団法人 日本内科学会の論文
著者
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Nakazawa Kensuke
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Hizawa Nobuyuki
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Satoh Hiroaki
Division Of Respiratory Medicine Institute Of Clinical Medicine University Of Tsukuba
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Anami Youichi
Department Of General Thoracic Surgery Juntendo University School Of Medicine
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Noguchi Masayuki
Deparment Of Pathology Institute Of Basic Medical Science University Of Tsukuba
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Noguchi Masayuki
Department of Pathology, Institute of Basic Medical Sciences, University of Tsukuba
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NAKAZAWA Kensuke
Division of Internal Medicine, Tsukuba University Hospital
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Ohtsuka Morio
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Ano Satoshi
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Ohtsuka Morio
Division of Respiratory Medicine, Institute of Clinical Medicine, Tsukuba University
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