JaLCDOI 10.18926/AMO/47267
フルテキストURL 65_6_407.pdf
著者 Shiota, Yutaro| Imai, Shigeo| Sasaki, Naomi| Tahara, Koo| Noma, Bunjiro| Horita, Naokatsu| Taniguchi, Akihiko| Ono, Tetsuya|
抄録 Mediastinal lymph node carcinoma of unknown primary site is rare and may have a better prognosis if extensive treatment is performed. Case, A 69-year-old-male presented with a persistent cough. Chest computed tomography (CT) demonstrated a large tumor 9.5×8.2cm, in the mediastinum, compressing the right main bronchus, the right pulmonary artery, and the superior vena cava. Because fiberoptic bronchoscopy was insufficient for diagnosis, mediastinoscopic tumor biopsy under general anesthesia was undertaken. Histological examination revealed adenocarcinoma. Extensive examinations revealed no other neoplastic lesion except in the mediastinum. Mediastinal lymph node carcinoma of unknown primary site was diagnosed. The patient was treated with docetaxel and cisplatin with concurrent thoracic radiation therapy. A month after the start of chemoradiotherapy, the mediastinal tumor regressed markedly. The patient remained free of symptoms without regrowth of the primary site. Exploration of the body showed no further abnormalities 20 months after disease onset.
キーワード mediastinal lymph node unknown primary site chemoradiation
Amo Type Case Report
発行日 2011-12
出版物タイトル Acta Medica Okayama
出版者 Okayama University Medical School
開始ページ 407
終了ページ 411
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
著作権者 CopyrightⒸ 2011 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 22189482
Web of Sience KeyUT 000298516900008