Survivors of Childhood Cancer with Symptoms of Mental Disorders.
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- SUGITA Kenichi
- Department of Pediatrics, Dokkyo University School of Medicine
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- TSUBOI Tatsuo
- Department of Pediatrics, Dokkyo University School of Medicine
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- MATSUNAGA Takayuki
- Department of Pediatrics, Dokkyo University School of Medicine
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- HAGISAWA Susumu
- Department of Pediatrics, Dokkyo University School of Medicine
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- SATO Yuya
- Department of Pediatrics, Dokkyo University School of Medicine
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- KUROSAWA Hidemitsu
- Department of Pediatrics, Dokkyo University School of Medicine
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- EGUCHI Mitsuoki
- Department of Pediatrics, Dokkyo University School of Medicine
Bibliographic Information
- Other Title
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- 治療終了後に精神症状を認めた小児癌症例
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Abstract
We here present four patients with mental problems as late effects of pediatric malignant disease and discuss these patients in terms of post-traumatic stress disorder (PTSD). Patient 1 : Wilms' tumor developed in a 9-year-old, patient had three operations and prolonged chemotherapy with severe vomiting during CDDP administration. Any slight difficulty in his life caused severe vomiting and finally, the patient died of a severe electrolyte imbalance due to frequent vomiting. Somatoform autonomic dysfunction due to PTSD was diagnosed. Patient 2 : Acute lymphocytic leukemia developed in a 12-year-old ; however, anxiety, rough language and violence were observed. Therapy was changed to an outpatient administration. The protocol was successfully completed, but many problems developed due to a generalized anxiety disorder. PTSD accompanied with personality disorder was diagnosed. Patient 3 : Non-Hodgkin lymphoma developed in a 5-year-old. After the end of therapy, she frequently complained of low-grade fever, headache, and abdominal pain. At high school, she often complained about her teacher and her mother and showed symptoms of hyperventilation, hysteria and syncope. Conversion disorder and personality disorder were diagnosed but PTSD was not. Patient 4 : At nine years old, the patient developed acute myelocytic leukemia. At 11 years old, he complained of low-grade fever, chest pain and headache and a twilight state at 14 years old. He could enter a vocational college but soon left the college since the symptoms became more severe. Dissociative disorders accompanying PTSD were diagnosed.
Journal
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- The Japanese Journal of Pediatric Hematology
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The Japanese Journal of Pediatric Hematology 17 (3), 123-127, 2003
THE JAPANESE SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY
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Details 詳細情報について
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- CRID
- 1390001204341586048
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- NII Article ID
- 130004117878
- 10012212082
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- NII Book ID
- AN10080852
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- ISSN
- 18844723
- 09138706
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed