An Elderly Lung Cancer Patient Producing CSF whose Symptoms Markedly Improved after Resection

Morikawa Toshiaki, Takahara Tetsuya, Kurokawa Teruhisa, Kawamura Eiji, Sakamoto Michiie, Suzuki Chisato, Morikawa Toshiaki

研究成果: Article査読

抄録

An 83-year-old female was admitted with high fever and shaking chills. A roentgenogram showed a mass shadow inthe right upper lobe. Fever up to 39.5°C, increased CRP of 11.5mg/dl, and marked leucocytosis up to 38,100 with neutrophilia seemed to be due to empyema. In spite of intensive care with antibiotics, the tumor increased and the patient's condition deteriorated. Right upper lobectomy was performed. CSF (colony stimulating factor) was detected in the tumor. The histological type was poorly differentiated squamous cell carcinoma with giant cell carcinoma, and the surgical margin was negative. Soon after surgery, almost all symptoms disappeared, and the data such as inflammatory reactions, hyponatremiaand impaired glucose tolerance ability improved. Even in elderly patients, giant cell carcinoma should be resected if the tumor seems to be the main cause of the impaired condition of the patient.

本文言語English
ページ(範囲)67-72
ページ数6
ジャーナルhaigan
30
1
DOI
出版ステータスPublished - 1990
外部発表はい

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine

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