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Titolo:
Successful resection of rectal carcinoma in an Evans' syndrome patient followed by predonisolone and high-dose immunoglobulin: Report of a case
Autore:
Nakao, A; Iwagaki, H; Notohara, K; Morimoto, Y; Ariki, N; Kanagawa, T; Isozaki, H; Tanaka, N;
Indirizzi:
Okayama Univ, Sch Med, Dept Surg 1, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 , Dept Surg 1, Okayama 7008558, Japan Okayama Univ, Sch Med, Dept Pathol, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 , Dept Pathol, Okayama 7008558, Japan
Titolo Testata:
ACTA MEDICA OKAYAMA
fascicolo: 4, volume: 55, anno: 2001,
pagine: 253 - 257
SICI:
0386-300X(200108)55:4<253:SRORCI>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
IDIOPATHIC THROMBOCYTOPENIC PURPURA; AUTOIMMUNE HEMOLYTIC-ANEMIA; INTRAVENOUS GAMMA-GLOBULIN;
Keywords:
immune thrombocytopenia; autoimmune hemolytic anemia; surgical treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Nakao, A Okayama Univ, Sch Med, Dept Surg 1, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 rg 1, Okayama 7008558, Japan
Citazione:
A. Nakao et al., "Successful resection of rectal carcinoma in an Evans' syndrome patient followed by predonisolone and high-dose immunoglobulin: Report of a case", ACT MED OKA, 55(4), 2001, pp. 253-257

Abstract

A 69-year-old woman was admitted to our hospital because of anal bleeding and fatigue. The patient was previously diagnosed as having Evans' syndromeon the basis of hematological examination and had been treated with predonisolone for 8 years. On admission, severe anemia and thrombocytopenia were noted. Colonoscopy and Barium enema studies demonstrated an irregular tumorwith hemorrhagic ulceration in the rectum, which was histopathologically confirmed as an adenocarcinoma. After red blood cells and platelets were transfused, and the patient was treated with high-dose gammaglobulin, predonisolone, and camostat mesylate, the platelet count gradually increased and hemolysis was well controlled. The patient then underwent Hartmann's operation and splenectomy without any postoperative complications. Predonisolone and high-dose immunoglobulin therapy in a rectal cancer burdened patient withEvans' syndrome is considered useful in combination with surgical treatment. This is the first case report of rectal carcinoma resection in a patientwith Evans' syndrome.

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Documento generato il 05/12/20 alle ore 01:03:36