演題詳細

ポスター / Poster

ポスター 30 (Poster 30) :リンパ腫:AITL・皮膚リンパ腫

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日程
2013年10月11日(金)
時間
16:50 - 17:50
会場
ポスター会場 / Poster (ロイトン札幌 3F ロイトンホールABCD)
座長・司会
内田 俊樹 (Toshiki Uchida):1
1:名古屋第二赤十字病院 血液・腫瘍内科
 
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A patient with advanced mycosis fungoides with rapid progression of diffuse pulmonary lesions

演題番号 : PS-1-228

渡邉 剛史 (Tsuyoshi Watanabe):1、青木 智広 (Tomohiro Aoki):1、原田 靖彦 (Yasuhiko Harada):1、松原 えり奈 (Erina Matsubara):1、森下 喬允 (Takanobu Morishita):1、鈴木 達也 (Tatsuya Suzuki):1、内田 俊樹 (Toshiki Uchida):1、小椋 美知則 (Michinori Ogura):1

1:Nagoya Daini Red Cross Hospital, Japan

 

Background: Since mycosis fungoides (MF) is very rare in Japan, and most of patients (pts) with MF have been primarily treated by dermatologist due to skin lesion as initial and main presentation, and pulmonary lesion is uncommon in MF, it is often difficult to diagnose and treat lesions of internal organ such as pulmonary lesion early. Patient and Clinical Course: A 65-years male pt was referred to Department of Hematology & Oncology from a dermatologist in charge due to the development of skin tumor at legs on Dec. 2012 with good performance status (PS) until when he had been complaining of generalized skin erythema with itching for 10 years with negative skin biopsy on Sep. 2012. Chest X-p and CT scan revealed diffuse bilateral pulmonary nodules, and biopsy of the skin tumor showed the pathological diagnosis of MF with stage 4A. Because MF progressed rapidly with deterioration of PS, we decided to start CHOP therapy. Although tumor regression was temporally obtained after the 1st cycle of CHOP therapy, his general condition rapidly deteriorated with acute respiratory distress syndrome due to sepsis with febrile neutropenia after 2 cycles of CHOP and died of respiratory failure on Jan. 2012. Discussion: Rigorous examinations including chest X-p, CT scan and repeated biopsy, and appropriate and early consultation to hematologist are very important to diagnose and manage systemic MF as soon as possible in pts with long-termed systemic skin erythema.

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