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胃に多発性潰瘍を生じ,CHOP療法が著効を示した悪性リンパ腫の1例を報告する.
症 例
患 者:58歳,男.
主 訴:心窩部重苦感.
既往歴,家族歴:特記すべきことなし.
現病歴:1977年,右頸部リンパ節腫脹が出現し,某大学病院で悪性リンパ腫と診断され,放射線治療を受け軽快した.1978年10月,心窩部重苦感が出現し,近医で胃X線検査にて胃潰瘍と診断され治療を受けたが,軽快せず,同年12月4日当科に入院した.
The palicnt, a 58-year-old male, had complained of epigastric discomfort for two months and was reffered to our hospital for further evaluation in December 1978. Gastric x-ray and endoscopic examination revealed multiple ulceration of the stomach. The biopsies of gaitric ulcer and inguinal lymph node were performed. and a diagnosis of malignant lymphoma (large lymphoid cell type by Rappaport) was established. VEMP therapy could not lead to remission, but CHOP therapy was so effective. Fortunately, he is alive now, 1980.
Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.