書誌事項
- タイトル別名
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- Myeloproliferative Disorder and Hepatocellular Adenoma following Androgen Treatment of a Patient with Aplastic Anemia
- サイセイ フリョウセイ ヒンケツ ニ ゾクハツシ ダンセイ ホルモン ユウハツ
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抄録
A boy, born in 1961, was first admitted in 1967 and a diagnosis of aplastic anemia was made. He was on androgenic steroids for five and a half years and was re-admitted in November 1973, because of severe anemia and a 12×9 cm mass in the left upper abdominal quadrant. Liver scan demonstrated hepatomegaly with a large filling defect. HBs-Ag and α1-fetoprotein were not detected. Bone marrow examination revealed normoblastic hyperplasia with many ringed sideroblasts. A diagnosis of sideroblastic anemia was made. Chromosome examination revealed aneuploidy in 50% of the analysed cells (44, X-Y, -21/ 45XY, -21/ 46XY lq+). He was treated with vitamine B6 and the response was not sufficient. He died in July 1976 suddenly. On autopsy, a single, well circumscribed 11.8×8 cm tumor was found in the left lobe of the liver. Histologically, the tumor was well differentiated liver cell adenoma. There was a hypercellular marrow with myeloid cells, but no increase of the atypical cells. This is the first case of hepatocellular adenoma induced by long-term androgenic steroids reported in the Japanese literature. Discussion was made on an association between the aplastic anemia and sideroblastic anemia terminating as myeloproliferative disorder.
収録刊行物
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- 臨床血液
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臨床血液 19 (12), 1699-1707, 1978
一般社団法人 日本血液学会
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詳細情報 詳細情報について
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- CRID
- 1390001205035841408
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- NII論文ID
- 130004497899
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- NII書誌ID
- AN00252940
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- COI
- 1:STN:280:CSaC3M3jtVc%3D
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- ISSN
- 18820824
- 04851439
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- NDL書誌ID
- 2077265
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- PubMed
- 216824
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可