Efficacy of Rituximab Monotherapy for an Elderly Hemodialysis Patient with Primary Cardiac Lymphoma
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概要
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We report a case of primary cardiac lymphoma (PCL) occurring in a 76-year-old man during maintenance hemodialysis. Chest computed tomography (CT) revealed a tumor with pericardial effusion in the left ventricular posterior wall. Cytological examination of the pericardial fluid revealed monotonous lymphoid cells positive for B-cell markers, and clonal immunoglobulin heavy chain gene rearrangement was detected, indicating B-cell lymphoma. Rituximab monotherapy was administered biweekly at the therapeutic level on hemodialysis. The follow-up chest CT showed tumor disappearance with pericardial fluid after two courses of therapy. Rituximab monotherapy was effective for an elderly hemodialysis patient with PCL.
著者
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MORITA Yasuyoshi
Department of Hematology, Kinki University School of Medicine
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KANAMARU Akihisa
Department of Hematology, Kinki University School of Medicine
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MAEDA Yasuhiro
Department of Hematology, Kinki University School of Medicine
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Sakaguchi Mika
Department Of Hematology Nephrology And Rheumatology Kinki University School Of Medicine
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Matsuda Mitsuhiro
Department Of Surgery Funabashi Municipal Medical Center
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Yamaguchi Terufumi
Department of Hematology, Kinki University School of Medicine
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Rai Shinya
Department of Hematology, Kinki University School of Medicine
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Kanai Yoshitaka
Department of Hematology, Kinki University School of Medicine
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Hirase Chikara
Department of Hematology, Kinki University School of Medicine
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Kawanishi Kazunobu
Department of Hematology, Kinki University School of Medicine
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Miyatake Junichi
Department of Hematology, Kinki University School of Medicine
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Shimada Takahiro
Department of Hematology, Kinki University School of Medicine
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Tatsumi Yoichi
Department of Hematology, Kinki University School of Medicine
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Ashida Takashi
Department of Hematology, Kinki University School of Medicine
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Tatsumi Yoichi
Department Of Hematology Nephrology And Clinical Immunology Kinki University School Of Medicine
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Ashida Takashi
Department Of Family And Child Nursing And Midwifery Shinshu University School Of Health Sciences
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Shimada Takahiro
Department Of Aerospace Engineering Tokyo Metropolitan Institute Of Technology
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Matsuda Mitsuhiro
Department Of Hematology Kinki University School Of Medicine
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Kanamaru Akihisa
Department Of Hematology And Oncology Tokai University Hospital
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MAEDA Yasuhiro
Department of Agricultural Chemistry, College of Agriculture, University of Osaka Prefecture
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Morita Yasuyoshi
Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Japan
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Tatsumi Yoichi
Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Japan
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Rai Shinya
Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Japan
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