| アイテムタイプ |
文献 / Documents(1) |
| 公開日 |
2023-03-20 |
| アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版社版DOI |
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関連識別子 |
https://doi.org/10.2169/internalmedicine.8313-21 |
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関連名称 |
10.2169/internalmedicine.8313-21 |
| 出版タイプ |
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出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
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タイトル |
Pulmonary Tumor Thrombotic Microangiopathy Due to Gastric Cancer Diagnosed Antemortem by a Cytological Examination of Aspirated Pulmonary Artery Blood |
| 著者 |
三井, 康裕
ヤギ, マイ
ムラキ, ショウ
松浦, 朋美
坂東, 良美
フジモト, ショウタ
北村, 晋志
岡本, 耕一
六車, 直樹
佐田, 政隆
高山, 哲治
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| 抄録 |
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内容記述 |
A 66-year-old Japanese man receiving systemic chemotherapy for advanced gastric cancer presented with exertional dyspnea. D-dimer was elevated in the blood. Echocardiography revealed pulmonary hypertension, and a ventilation-perfusion scan indicated decreased perfusion in the bilateral lungs. Cardiac catheterization showed no evidence of pulmonary artery embolization and revealed cytologically confirmed adenocarcinoma. Thus, pulmonary tumor thrombotic microangiopathy (PTTM) was diagnosed. The patient died of respiratory failure on the 17th hospitalization day despite systemic chemotherapy. Retrospective serological testing revealed increased vascular endothelial growth factor in the pulmonary artery blood. This is a rare case with antemortem cytologically proven PTTM mediated by VEGF. |
| キーワード |
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|
主題 |
gastric cancer |
| キーワード |
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主題 |
pulmonary tumor thrombotic microangiopathy (PTTM) |
| キーワード |
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|
主題 |
cardiac catheterization |
| キーワード |
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|
主題 |
vascular endothelial growth factor (VEGF) |
| 書誌情報 |
en : Internal Medicine
巻 61,
号 10,
p. 1491-1495,
発行日 2022-05-15
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13497235 |
| 出版者 |
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出版者 |
The Japanese Society of Internal Medicine |
| 権利情報 |
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|
権利情報 |
The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
| EID |
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|
識別子 |
382775 |
| 言語 |
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言語 |
eng |
internalmedicine_61_10_1491.pdf (880 KB)
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