特発性血小板減少性紫斑病(ITP)を合併した肺癌の手術

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  • Lung cancer surgery in a patient with idiopathic thrombocytopenic purpura.

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A 59-year-old male with idiopathic thrombocytopenic purpura was hospitalized due to an abnormal chest X-ray film. Chest CT scan revealed a mass in the right upper lobe (S1) and suggested lung cancer. Peri-operative high-dose intravenous gamma-globulin therapy (400mg/kg/day for five days) and platelet transfusion allowed the operation, resection of the upper lobe of the right lung and removal of regional lymphnodes, to be performed successfully. Peri-operative high-dose intravenous gamma-globulin therapy is thought to be a very useful method for preventing hemorrhagic tendency after the operation.

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