LOW SERUM FERRITIN LEVELS AS A CLUE TO COLONIC CANCER DETECTION IN TWO PATIENTS WITH CORONARY ARTERY DISEASE: A CASE REPORT
スポンサーリンク
概要
- 論文の詳細を見る
We diagnosed colonic cancer using low serum ferritin levels as a clue in two patients with cardiac or cardiopulmonary disease. In the course of the follow up, the serum ferritin levels decreased to less than 18 ng/mL without significant appearance of iron-deficiency anemia. One patient showed positive immunological fecal occult blood test results whereas the other not. Both patients rejected further colonoscopy because of their concern for stress in relation to their cardiac or cardiopulmonary diseases, but instead agreed to positron emission computed tomography (PET) using a F-18 deoxyglucose at their own expense. In both patients, PET documented abnormal tracer accumulation in the colon. From the results of PET imaging, they eventually agreed to colonoscopy. A colonic adenocarcinoma was detected at the site of the positive PET finding in each patient. Both patients underwent curative resection of the cancer. The detection of the levels of serum ferritin may be available for the screening colonic cancer in patients declining colonoscopic examination.
- 福島医学会の論文
著者
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Ohkawara Hiroshi
Department Of Cardiology And Hematology Fukushima Medical University
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Uekita Hironori
Department Of Cardiology And Hematology Fukushima Medical University
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Maruyama Yukio
Department Of Cardiology And Hematology Fukushima Medical University
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Tajima Hiroko
Department Of Cardiology And Hematology Fukushima Medical University
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Yaoita Hiroyuki
Department Of Cardiology And Hematology Fukushima Medical University
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Kaneko Hironori
Department Of Cardiology Hoshi General Hospital
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Mitsugi Minoru
Department Of Internal Medicine I Fukushima Medical University Fukushima
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Hoshino Yutaka
Department Of Bioactive Molecules National Institute Of Infectious Diseases
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Otani Satoshi
Department Of Fisheries Faculty Of Agriculture Kinki University
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Gotoh Mitsukazu
Department Of Organ Regenerative Surgery Fukushima Medical University
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YAOITA HIROYUKI
Department of Internal Medicine I, Fukushima Medical University
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UEKITA HIRONORI
Department of Internal Medicine I, Fukushima Medical University
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HOSHINO YUTAKA
Department of Surgery I, Fukushima Medical University
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GOTOH MITSUKAZU
Department of Surgery I, Fukushima Medical University
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OHKAWARA HIROSHI
Department of Internal Medicine I, Fukushima Medical University
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