WEKO3
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A型胃炎に悪性貧血, 早期胃癌を合併した1例
http://hdl.handle.net/10232/00031516
http://hdl.handle.net/10232/00031516cbeee6f0-10f2-4eed-ab4b-4230eae00070
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-12-21 | |||||
タイトル | ||||||
タイトル | A型胃炎に悪性貧血, 早期胃癌を合併した1例 | |||||
タイトル | ||||||
タイトル言語 | en | |||||
タイトル | A case of type A gastritis complicated by pernicious anemia and early gastric cancer | |||||
タイトルよみ | ||||||
タイトルよみ | Aガタ イエン ニ アクセイ ヒンケツ ソウキ イガン オ ガッペイシタ 1レイ | |||||
著者 |
小吉, 尚裕
× 小吉, 尚裕× 前田, 英仁× 福迫, 哲史× 石田, 紀久× 猪狩, 洋介× 佐々木, 文郷× 藤田, 浩× 菰原, 義弘× 井戸, 章雄 |
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著者よみ | ||||||
姓名 | コヨシ, ナオヒロ | |||||
著者よみ | ||||||
姓名 | マエダ, ヒデヒト | |||||
著者よみ | ||||||
姓名 | フクザコ, サトシ | |||||
著者よみ | ||||||
姓名 | イシダ, トシヒサ | |||||
著者よみ | ||||||
姓名 | イカリ, ヨウスケ | |||||
著者よみ | ||||||
姓名 | ササキ, フミサト | |||||
著者よみ | ||||||
姓名 | フジタ, ヒロシ | |||||
著者よみ | ||||||
姓名 | コモハラ, ヨシヒロ | |||||
著者よみ | ||||||
姓名 | イド, アキオ | |||||
別言語の著者 | ||||||
姓名 | KOYOSHI, Naohiro | |||||
別言語の著者 | ||||||
姓名 | MAEDA, Hidehito | |||||
別言語の著者 | ||||||
姓名 | FUKUZAKO, Satoshi | |||||
別言語の著者 | ||||||
姓名 | ISHIDA, Toshihisa | |||||
別言語の著者 | ||||||
姓名 | IKARI, Yosuke | |||||
別言語の著者 | ||||||
姓名 | SASAKI, Fumisato | |||||
別言語の著者 | ||||||
姓名 | FUJITA, Hiroshi | |||||
別言語の著者 | ||||||
姓名 | KOMOHARA, Yoshihiro | |||||
別言語の著者 | ||||||
姓名 | IDO, Akio | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | A型胃炎 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 悪性貧血 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 早期胃癌 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 内視鏡的粘膜下層剥離術 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | An 86-year-old man presented to our hospital with a 1-week history of undifferentiated dizziness. He was hospitalized for intensive evaluation as hematological tests showed severe anemia (Hb5.3g/dL), along with giant erythroblastic anemia. Based on the results of hematological analysis and esophagogastroduodenoscopy findings, we diagnosed the patient with pernicious anemia caused by type A gastritis. His pernicious anemia was treated by intramuscular injections of vitamin B12, which improved the anemia. Esophagogastroduodenoscopy also showed a 25-mm sized polypoid lesion in the upper-posterior wall of the stomach. Therefore, he underwent further evaluation with esophagogastroduodenoscopy, endoscopic ultrasonography, contrast-enhanced CT, and biopsy. Based on the results, we diagnosed the patient with early gastric well-differentiated tubular adenocarcinoma for which a curative endoscopic submucosal dissection (ESD) was performed.Furthermore, another 10-mm sized elevated-type lesion with no continuity was observed, which was also a well-differentiated tubular adenocarcinoma. As the number of patients with Helicobacter pylori infection is decreasing, physicians need to be aware of type A gastritis. |
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要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 症例は86歳男性. 1週間前よりふらつきが出現するようになったため当院を受診した. 血液検査でHb5.3g/dLと重度の貧血を認めたため精査目的に入院となった. 巨赤芽球性貧血であり, 血液検査, 内視鏡所見からA型胃炎に伴う悪性貧血と診断した. ビタミンB12を筋肉内投与することで貧血は改善した.また胃体上部後壁に25mm大の0 -Ⅰ病変を認め, 生検で高分化管状腺癌の診断であった. 内視鏡検査, 超音波内視鏡検査, 造影CT検査を施行し, 早期胃癌と診断した. 内視鏡的粘膜下層剥離術を施行し, 最終病理診断では深達度は粘膜にとどまり内視鏡的根治度Aであった. またその近傍に連続性を持たない10mm大の0-Ⅱa病変を認め, 同病変も高分化管状腺癌であった. 日常診療の際には,貧血の原因として A 型胃炎を念頭に置く必要があり,悪性貧血,胃癌の合併に注意を要する. H. pylori感染とそれに伴う疾患が減少する中で, 今後A型胃炎の特徴について熟知する必要があると考える. |
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収録雑誌名 |
鹿児島大学医学雑誌 en : Medical journal of Kagoshima University 巻 72, p. 17-21, 発行日 2020 |
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作成日 | ||||||
日付 | 2020-09 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
NDC | ||||||
主題Scheme | NDC | |||||
主題 | 490 | |||||
公開者・出版者 | ||||||
出版者 | 鹿児島大学 | |||||
公開者よみ | ||||||
公開者よみ | カゴシマ ダイガク | |||||
公開者別名 | ||||||
公開者別名 | Kagoshima University |