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  1. 掲載誌一覧
  2. 鹿児島大学医学雑誌
  3. vol.72(1-3)
  1. 医歯学総合研究科
  2. 鹿児島大学医学会
  3. 鹿児島大学医学雑誌

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/10232/00031516
cbeee6f0-10f2-4eed-ab4b-4230eae00070
名前 / ファイル ライセンス アクション
AN00040104_72_p17-21.pdf AN00040104_72_p17-21 (471.6 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
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

WEKO 138205

小吉, 尚裕

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前田, 英仁

× 前田, 英仁

WEKO 138206

前田, 英仁

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福迫, 哲史

× 福迫, 哲史

WEKO 138207

福迫, 哲史

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石田, 紀久

× 石田, 紀久

WEKO 138208

石田, 紀久

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猪狩, 洋介

× 猪狩, 洋介

WEKO 138209

猪狩, 洋介

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佐々木, 文郷

× 佐々木, 文郷

WEKO 138210

佐々木, 文郷

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藤田, 浩

× 藤田, 浩

WEKO 138211

藤田, 浩

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菰原, 義弘

× 菰原, 義弘

WEKO 138212

菰原, 義弘

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井戸, 章雄

× 井戸, 章雄

WEKO 138213

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.
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.
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
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
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