舌癌患者の術後化学療法中に生じた5FU白質脳症の1例

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  • 5-Fluorouracil leukoencephalopathy occuring during postoperative chemotherapy in a patient with tongue cancer: a case report
  • ゼツガン カンジャ ノ ジュツゴ カガク リョウホウ チュウ ニ ショウジタ 5FU ハクシツ ノウショウ ノ 1レイ

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5-Fluorouracil leukoencephalopathy presents with various types of neuropathy, including disturbed consciousness, psychological symptoms, and motor symptoms. This report presents a case of 5-fluorouracil leukoencephalopathy that occurred during postoperative chemotherapy in a patient with tongue cancer.<br>A 21-year-old postoperative patient with tongue cancer received chemotherapy (with 80mg / m2 cisplatin on day 1 and 1000 mg / 5-Fluorouracil on days 1-5).<br>5-Fluorouracil was discontinued because psychological symptoms and tonic convulsion began on day 5 of chemotherapy. The patient was given a diagnosis of leukoencephalopathy because brain MRI showed a bilateral, symmetric high-signal-intensity lesion involving the white matter. The patient was observed closely without any therapy and recovered 6 days after the onset of leukoencephalopathy. Leukoencephalopathy can occur during chemotherapy with 5-fluorouracil, and it is important to diagnose this condition at an early stage and immediately discontinue treatment with 5-fluorouracil.

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