バーディーバーRh 血液型患者に生じた舌癌の1例

DOI Web Site Web Site 参考文献2件

書誌事項

タイトル別名
  • A case of tongue carcinoma in a patient with -D- Rh blood type
  • バーディーバー Rh ケツエキガタ カンジャ ニ ショウジタ ゼツガン ノ 1レイ

この論文をさがす

説明

<p>The -D- blood type is rare. As blood transfusion and pregnancy frequently cause irregular antibodies in patients with the -D- blood type, blood transfusions require the use of the same -D- type blood. Here, we report a case of tongue carcinoma in a patient with the -D- Rh blood type, in whom we performed surgery using preoperatively collected autologous blood. The patient was a 79-year-old woman who was referred to our department with the chief complaint of pain at the left margin of the tongue. On the basis of biopsy and imaging examinations, she was given a diagnosis of squamous cell carcinoma (T2N0M0) , but interviews and blood examinations revealed that the patient had blood type -D-. Therefore, after preservation of 760 mL of autologous blood and 2 units of thawed erythrocyte fluid of the same blood type, left supraomohyoid neck dissection, partial glossectomy, and reconstruction using a pectoralis major musculocutaneous flap were carried out. During surgery, the reconstruction method was changed to a forearm skin flap because of poor circulation of the musculocutaneous flap. The operation time was 20 hours, with blood loss volume of 360 mL. A total of 360 mL and 400 mL of autologous blood were transfused intraoperatively and postoperatively, respectively, but the thawed red blood cell fluid was not used. After the operation, anemia gradually improved, and there were no hemolytic transfusion side effects.</p>

収録刊行物

参考文献 (2)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ