Liver Dysfunction and Thrombocytopenia Diagnosed as Intravascular Large B-cell Lymphoma Using a Timely and Accurate Transjugular Liver Biopsy
スポンサーリンク
概要
- 論文の詳細を見る
A 72-year-old man suffered from paraparesis with a sensory impairment and bladder and rectal disturbances. Magnetic resonance imaging T2-weighted images depicted a high-intensity lesion in the spinal cord that was consistent with myelitis. A blood examination revealed severe thrombocytopenia and liver dysfunction. No malignant cells were detected by peripheral smears or bone marrow biopsy. Systemic computed tomography detected hepatosplenomegaly and ascites but no lymphadenopathies. Transjugular liver biopsy (TJLB) safely confirmed a diagnosis of intravascular large B-cell lymphoma (IVLBCL), and the patient achieved a complete response following treatment with an appropriate chemotherapy. TJLB is therefore a timely and accurate diagnostic approach for IVLBCL, especially when a bleeding tendency and ascites are noted.
- 社団法人 日本内科学会の論文
著者
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Tanaka Eiji
Department Of Digestion And Cardiovascular Medicine University Of Tokushima
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Ito Toshiro
Department Of Botany Faculty Of Science Kyoto University:department Of Biophysics Faculty Of Science
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Ishida Fumihiro
Department Of Internal Medicine Shinshu University School Of Medicine
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Kadoya Masumi
Department Of Radiology Kanazawa University School Of Medicine
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Umemura Takeji
Department Of Gastroenterology Shinshu University School Of Medicine
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Ikeda Shu-ichi
Department Of Internal Medicine (neurology And Rheumatology) Shinshu University School Of Medicine
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Joshita Satoru
Department Of Gastroenterology Shinshu University School Of Medicine
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Komatsu Michiharu
Department Of Gastroenterology Shinshu University School Of Medicine
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Komatsu Daisuke
Department Of Surgery Nagano Matsushiro General Hospital
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Yoshida Toshikazu
Department Of Physiology Hokkaido University School Of Medicine
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Ito Tetsuya
Department Of Animal Science Obihiro University Of Agriculture And Veterinary Medicine
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Kurozumi Masahiro
Department Of Radiology Shinshu University School Of Medicine
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Sano Kenji
Department Of Applied Chemistry Faculty Of Engineering Toyama University
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Matsushita Tsuyoshi
Department Of Pharmaceutical Chemistry Institute Of Health Biosciences The University Of Tokushima Graduate School
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Sekiguchi Nodoka
Department of Medicine, Division of Hematology, Shinshu University School of Medicine, Japan
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Nakagawa Michitaka
Department of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan
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Nakagawa Michitaka
Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan
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Komatsu Michiharu
Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Japan
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Ishida Fumihiro
Department of Biomedical Laboratory Sciences, Shinshu University School of Medicine
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Ito Toshiro
Department of Medicine, Division of Hematology, Shinshu University School of Medicine, Japan
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Komatsu Daisuke
Department of Radiology, Shinshu University School of Medicine, Japan
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