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骨盤側方領域に発生した骨髄脂肪腫の1例
http://hdl.handle.net/10069/00041284
http://hdl.handle.net/10069/000412849f42b8e8-918a-4ac6-9c46-972c3af7dc3e
名前 / ファイル | ライセンス | アクション |
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JJGS54_909.pdf (1.4 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-02-25 | |||||
タイトル | ||||||
タイトル | 骨盤側方領域に発生した骨髄脂肪腫の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 骨髄脂肪腫 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 盤側方領 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 腹腔鏡手術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | myelolipoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | lateral pelvic area | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | laparoscopic surgery | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
富永, 哲郎
× 富永, 哲郎× 野中, 隆× 福田, 明子× 森山, 正章× 小山, 正三朗× 橋本, 泰匡× 濱崎, 景子× 日高, 重和× 重松, 和人× 安倍, 邦子× 澤井, 照光× 永安, 武 |
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著者別名 | ||||||
姓名 | Tominaga, Tetsuro | |||||
著者別名 | ||||||
姓名 | Nonaka, Takashi | |||||
著者別名 | ||||||
姓名 | Fukuda, Akiko | |||||
著者別名 | ||||||
姓名 | Moriyama, Masaaki | |||||
著者別名 | ||||||
姓名 | Oyama, Shosaburo | |||||
著者別名 | ||||||
姓名 | Hashimoto, Yasumasa | |||||
著者別名 | ||||||
姓名 | Hamasaki, Keiko | |||||
著者別名 | ||||||
姓名 | Hidaka, Shigekazu | |||||
著者別名 | ||||||
姓名 | Shigematsu, Kazuhito | |||||
著者別名 | ||||||
姓名 | Abe, Kuniko | |||||
著者別名 | ||||||
姓名 | Sawai, Terumitsu | |||||
著者別名 | ||||||
姓名 | Nagayasu, Takeshi | |||||
その他のタイトル | ||||||
その他のタイトル | A Case of Extra-Adrenal Myelolipoma Arising from the Right Lateral Pelvic Area | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 骨髄脂肪腫の多くは副腎由来で骨盤内発生はまれであり,骨盤側方領域に発生した報告はない.症例は52歳の女性で,尿路結石のため施行した腹部CTで右骨盤側方領域に36×34 mm大の境界明瞭・内部不均一で一部脂肪成分を含んだ腫瘤を認めた.良性腫瘍が疑われ経過観察を行ったが,1年後に腫瘍径は44×35 mmに増大し,MRIで充実部ではapparent diffusion coefficientの低下もみられ悪性の可能性が考えられた.骨盤側方リンパ節郭清に準じた手術で完全切除が可能と判断し腹腔鏡下腫瘤摘出術を施行した.腫瘍は辺縁平滑な40×40×20 mm大の腫瘍で,病理組織学的に副腎外骨髄脂肪腫と診断された.術後経過は良好で術後9日目に自宅退院した.骨髄脂肪腫は,適切な画像モダリティーによる精査や経時的な画像変化が鑑別の一助となる可能性がある.また,腹腔鏡手術の良い適応と考えられ,術前画像による適切な切除アプローチの検討が必要である. Most myelolipomas arise from the adrenal gland. Occurrence of this tumor in the pelvic space is extremely rare and here is no report of the tumor arising from the lateral pelvic area. We present a case of a 52-year-old woman with extra-adrenal myelolipoma. Abdominal CT incidentally detected a mass of 36×34 mm that contained fat density in the right lateral pelvic area. The tumor increased to 44×35 mm in diameter during one year of follow up. MRI showed a decrease of the apparent diffusion coefficient in the solid part of the tumor, which was suspected to have malignant potential. Laparoscopic tumor resection was then performed. The tumor was 40×40×20 mm in size. The histopathological diagnosis was extra-adrenal myelolipoma composed of hematopoietic elements and mature fat tissue. The postoperative course was uneventful, and the patient was discharged at 9 days postoperatively. In cases of myelolipoma, a detailed examination and use of appropriate follow-up by imaging are crucial for differential diagnosis and choice of an appropriate surgical approach. |
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書誌情報 |
日本消化器外科学会雑誌 en : The Japanese Journal of Gastroenterological Surgery 巻 54, 号 12, p. 909-916, 発行日 2021-12-28 |
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出版者 | ||||||
出版者 | 日本消化器外科学会 | |||||
出版者別言語 | ||||||
The Japanese Society of Gastroenterological Surgery | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0386-9768 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1348-9372 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.5833/jjgs.2020.0199 | |||||
権利 | ||||||
権利情報 | © 2021 The Japanese Society of Gastroenterological Surgery. この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。 https://creativecommons.org/licenses/by-nc/4.0/deed.ja | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 日本消化器外科学会雑誌, 54(12), pp. 909-916; 2021 |