左内頸静脈血栓症を契機に診断された胃・大腸同時性重複癌の1例

74歳，男性。左頸部の腫脹疼痛を訴え他院を受診した。左内頸静脈に血栓を認めたため，当院を受診した。FXa阻害薬の内服を開始した。血流停滞の原因，肺血栓塞栓症の有無を検索するため造影CT検査を行った。撮像された画像の一部で腹腔内に多数のリンパ節腫大を認めたため，精査を行い胃・大腸の重複進行癌と診断した。深部静脈血栓症は下肢以外に発症した場合にも腹部を含めた悪性腫瘍の存在を考慮すべきである。...

Full description

Saved in:
Bibliographic Details
Published in脈管学 Vol. 65; no. 1; pp. 17 - 20
Main Authors 堀内, 和隆, 櫻井, 裕介, 長谷川, 雅彦
Format Journal Article
LanguageJapanese
Published 日本脈管学会 10.01.2025
Subjects
cancer-associated thrombosis
internal jugular vein thrombosis
Trousseau’s syndrome
Online AccessGet full text
ISSN0387-1126
1880-8840
DOI10.7133/jca.24-00026

Cover

Abstract 74歳，男性。左頸部の腫脹疼痛を訴え他院を受診した。左内頸静脈に血栓を認めたため，当院を受診した。FXa阻害薬の内服を開始した。血流停滞の原因，肺血栓塞栓症の有無を検索するため造影CT検査を行った。撮像された画像の一部で腹腔内に多数のリンパ節腫大を認めたため，精査を行い胃・大腸の重複進行癌と診断した。深部静脈血栓症は下肢以外に発症した場合にも腹部を含めた悪性腫瘍の存在を考慮すべきである。
AbstractList 74歳，男性。左頸部の腫脹疼痛を訴え他院を受診した。左内頸静脈に血栓を認めたため，当院を受診した。FXa阻害薬の内服を開始した。血流停滞の原因，肺血栓塞栓症の有無を検索するため造影CT検査を行った。撮像された画像の一部で腹腔内に多数のリンパ節腫大を認めたため，精査を行い胃・大腸の重複進行癌と診断した。深部静脈血栓症は下肢以外に発症した場合にも腹部を含めた悪性腫瘍の存在を考慮すべきである。
Author 櫻井, 裕介
堀内, 和隆
長谷川, 雅彦
Author_xml – sequence: 1
  fullname: 堀内, 和隆
  organization: 岡崎市民病院心臓血管外科
– sequence: 1
  fullname: 櫻井, 裕介
  organization: 岡崎市民病院心臓血管外科
– sequence: 1
  fullname: 長谷川, 雅彦
  organization: 岡崎市民病院心臓血管外科
BookMark eNo9kDtLw1AAhS9SwVq7-TdS7zO5GbX4goKLglu4SW60oVZJurj1Ya1gBR-oZJBWqFYRXS0K_pmYNP0X1gcu5wzn4wzfNEiVd8sSgFkEcxoiZM61RA5TBUKI1QmQRpxDhXMKUyANCdcUhLA6BbK-XzTHjE4h0bU02Ixe76PD5qg7GN0EycFRcluNuxfD61ZYP4_uzuLHTlh7Sh7e4qvnsHYZ1tthrZM0GmHjPer1k-YgOm3HQT2u9ketk6TXGgZj4AV9fhzPgElHlHyZ_esM2FhaXM-vKIW15dX8fEFxMVSFwqHuMIEIsjhlFrMcqJu2FBRzh3GmEyYwF4zp0kTS1hiiktoYcuGYltRsk5AMWPj9df2K2JLGnlfcEd6-IbxK0SpJY6zFUJmBvgNT40fP_2htC89wBfkC6P99xA
ContentType Journal Article
Copyright 2025 一般社団法人日本脈管学会
Copyright_xml – notice: 2025 一般社団法人日本脈管学会
DOI 10.7133/jca.24-00026
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
EISSN 1880-8840
EndPage 20
ExternalDocumentID article_jca_65_1_65_24_00026_article_char_ja
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
GROUPED_DOAJ
JSF
KQ8
RJT
ID FETCH-LOGICAL-j206a-809f5a131c845c5cf09bdea428f585935a28a559eb1ed7514e4d208afbce7db33
ISSN 0387-1126
IngestDate Wed Sep 03 06:30:26 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language Japanese
License https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j206a-809f5a131c845c5cf09bdea428f585935a28a559eb1ed7514e4d208afbce7db33
OpenAccessLink http://dx.doi.org/10.7133/jca.24-00026
PageCount 4
ParticipantIDs jstage_primary_article_jca_65_1_65_24_00026_article_char_ja
PublicationCentury 2000
PublicationDate 2025/01/10
PublicationDateYYYYMMDD 2025-01-10
PublicationDate_xml – month: 01
  year: 2025
  text: 2025/01/10
  day: 10
PublicationDecade 2020
PublicationTitle 脈管学
PublicationTitleAlternate 脈管学
PublicationYear 2025
Publisher 日本脈管学会
Publisher_xml – name: 日本脈管学会
References 5) Lemierre A: On certain septicemias due to anaerobic organisms. Lancet 1936; 227: 701–703
9) Young AM, Marshall A, Thirlwall J, et al: Comparison of an oral factor Xa inhibitor with low molecular weight heparin in patients with cancer with venous thromboembolism: results of a randomized trial (SELECT-D). J Clin Oncol 2018; 36: 2017–2023
7) Hahn J, Nordmann-Kleiner M, Hoffmann TK, et al: Thrombosis of the internal jugular vein in the ENT-department - Prevalence, causes and therapy: a retrospective analysis. Auris Nasus Larynx 2019; 46: 624–629
10) Agnelli G, Becattini C, Bauersachs R, et al: Apixaban versus dalteparin for the treatment of acute venous thromboembolism in patients with cancer: the caravaggio study. Thromb Haemost 2018; 118: 1668–1678
13) Endo Y, Unno N, Yamamoto N, et al: Risk and prognosis of upper extremity deep vein thrombosis. Ann Vasc Dis 2023; 16: 200–204
1) Khorana AA: Venous thromboembolism and prognosis in cancer. Thromb Res 2010; 125: 490–493
3) Khorana AA, Kuderer NM, Culakova E, et al: Development and validation of a predictive model for chemotherapy-associated thrombosis. Blood 2008; 111: 4902–4907
2) Trousseau A: Plegmasia alba dolens. Lectures On Clinical Medicine. Delivered At The Hotel-Dieu, Paris 1865; 5: 281–332
6) Scerrati A, Menegatti E, Zamboni M, et al: Internal jugular vein thrombosis: etiology, symptomatology, diagnosis and current treatment. Diagnostics (Basel) 2021; 11: 378
8) Raskob GE, van Es N, Segers A, et al: Edoxaban for venous thromboembolism in patients with cancer: results from a non-inferiority subgroup analysis of the Hokusai-VTE randomised, double-blind, double-dummy trial. Lancet Haematol 2016; 3: e379–e387
4) Gbaguidi X, Janvresse A, Benichou J, et al: Internal jugular vein thrombosis: outcome and risk factors. QJM 2011; 104: 209–219
11) 向井幹夫：がん関連血栓症に対するマネジメントの現状—がん関連静脈血栓塞栓症における最新の診療ガイドラインを中心に—．血栓止血誌2023; 34: 538–548
12) Li A, Garcia DA, Lyman GH, et al: Direct oral anticoagulant (DOAC) versus low-molecular-weight heparin (LMWH) for treatment of cancer associated thrombosis (CAT): a systematic review and meta-analysis. Thromb Res 2019; 173: 158–163
References_xml – reference: 5) Lemierre A: On certain septicemias due to anaerobic organisms. Lancet 1936; 227: 701–703
– reference: 12) Li A, Garcia DA, Lyman GH, et al: Direct oral anticoagulant (DOAC) versus low-molecular-weight heparin (LMWH) for treatment of cancer associated thrombosis (CAT): a systematic review and meta-analysis. Thromb Res 2019; 173: 158–163
– reference: 9) Young AM, Marshall A, Thirlwall J, et al: Comparison of an oral factor Xa inhibitor with low molecular weight heparin in patients with cancer with venous thromboembolism: results of a randomized trial (SELECT-D). J Clin Oncol 2018; 36: 2017–2023
– reference: 1) Khorana AA: Venous thromboembolism and prognosis in cancer. Thromb Res 2010; 125: 490–493
– reference: 10) Agnelli G, Becattini C, Bauersachs R, et al: Apixaban versus dalteparin for the treatment of acute venous thromboembolism in patients with cancer: the caravaggio study. Thromb Haemost 2018; 118: 1668–1678
– reference: 11) 向井幹夫：がん関連血栓症に対するマネジメントの現状—がん関連静脈血栓塞栓症における最新の診療ガイドラインを中心に—．血栓止血誌2023; 34: 538–548
– reference: 4) Gbaguidi X, Janvresse A, Benichou J, et al: Internal jugular vein thrombosis: outcome and risk factors. QJM 2011; 104: 209–219
– reference: 6) Scerrati A, Menegatti E, Zamboni M, et al: Internal jugular vein thrombosis: etiology, symptomatology, diagnosis and current treatment. Diagnostics (Basel) 2021; 11: 378
– reference: 13) Endo Y, Unno N, Yamamoto N, et al: Risk and prognosis of upper extremity deep vein thrombosis. Ann Vasc Dis 2023; 16: 200–204
– reference: 7) Hahn J, Nordmann-Kleiner M, Hoffmann TK, et al: Thrombosis of the internal jugular vein in the ENT-department - Prevalence, causes and therapy: a retrospective analysis. Auris Nasus Larynx 2019; 46: 624–629
– reference: 3) Khorana AA, Kuderer NM, Culakova E, et al: Development and validation of a predictive model for chemotherapy-associated thrombosis. Blood 2008; 111: 4902–4907
– reference: 2) Trousseau A: Plegmasia alba dolens. Lectures On Clinical Medicine. Delivered At The Hotel-Dieu, Paris 1865; 5: 281–332
– reference: 8) Raskob GE, van Es N, Segers A, et al: Edoxaban for venous thromboembolism in patients with cancer: results from a non-inferiority subgroup analysis of the Hokusai-VTE randomised, double-blind, double-dummy trial. Lancet Haematol 2016; 3: e379–e387
SSID ssib000940397
ssib005879700
ssib051641554
ssj0002920462
ssib002227066
ssib058493671
ssib050995460
Score 2.4111314
Snippet 74歳，男性。左頸部の腫脹疼痛を訴え他院を受診した。左内頸静脈に血栓を認めたため，当院を受診した。FXa阻害薬の内服を開始した。血流停滞の原因，肺血栓塞栓症の有無を検...
SourceID jstage
SourceType Publisher
StartPage 17
SubjectTerms cancer-associated thrombosis
internal jugular vein thrombosis
Trousseau’s syndrome
Title 左内頸静脈血栓症を契機に診断された胃・大腸同時性重複癌の1例
URI https://www.jstage.jst.go.jp/article/jca/65/1/65_24-00026/_article/-char/ja
Volume 65
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 脈管学, 2025/01/10, Vol.65(1), pp.17-20
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 1880-8840
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0002920462
  issn: 0387-1126
  databaseCode: KQ8
  dateStart: 20120101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 1880-8840
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0002920462
  issn: 0387-1126
  databaseCode: DOA
  dateStart: 20160101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources (ISSN International Center)
  customDbUrl:
  eissn: 1880-8840
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssib051641554
  issn: 0387-1126
  databaseCode: M~E
  dateStart: 19610101
  isFulltext: true
  titleUrlDefault: https://road.issn.org
  providerName: ISSN International Centre
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpR1NaxUxcKn14kUUFT9LD-b46m422SR42n1vSxHqqYXelv16h3eoIu3Fg_TDWsEKfqDSg7RCtRbRq0XBP_N8r6__wpnZ3Xb9QPyAEvIyk2Qmk2xm0szEsi6rJM5SgbfEQSdqiDQ3jQTWdyNVaSJyYwuR4HnH5HVvYlpcm5EzQ0d2areW5ueSsfT2L_1K_kWqUAZyRS_Zv5DsQaNQAHmQL6QgYUj_SMYslCxQzPcwoz2mJQsN820WaMyYFjOGhZppUBg1ZnwHbzaEHuIYl4WKGcW0YqHLNGeGYzu-ZMYhHGhhnEAO8wOqrlngI8gAtFWCjCyr62ZVMk6duvgXUhoE1LJgviKQJAqhI5tqeUgntAAZIA9xDFKlW9SpIAoV4VRd-CGQKFgQMh3U9esatzAuITKMHbdgjKqpRQU2jUM1aDDNiJqCB2DbZ7qG7yH7yIJA9k2JD5S5xLxAmA4O8Q0WB8RpYFOGfoI4qCKAAxIVlB4QVh68cLzj2Civ4OJSocFRKBTMNJnf_A2LREsTyK993jGqMTpwFTtxsf3A17ShdRHAqtqfirc0vluHxWZTOL2Wagu5FP60IeIRBG6IaTzGBUYQ4D_EHSdNppzAEaBFnowcTLiICD2qgOgFGHXAFDnKlefhYyGTd8Kapi5s19RPBriqPxQgtTK1SJCgphopDi1zCVZ7XbMFtdi4VeRFVKrwUTXhFf8TLMetcGNBDq_U-QNVsgOGVXUpk_TEqRPW8dLAG_ULfk5aQ534lDXT-_imd29lf3N3_-X64O79wauF_ubTvRer3aUnvdeP-zsb3cV3g7ef-s_fdxefdZfWuosbg-Xl7vLn3tb2YGW392itv77UX9jeX3042FrdWweED87XLw9OW9Pj4VRzolG-adLocNuLQSE0bRk7rpNqIVOZtm2TZHksuG5LDD0oY65jsPJBhcozBdZMLjJu67idpLnKEtc9Yw3P3pjNz1qjTpK0nURz42VCZC5PEg3mnLZz03Yz-DCfs64WAxHdLALXRH8j5_P_VfuCdexwyVy0huduzeeXQHufS0bo1GuEZs83N4_HYQ
linkProvider ISSN International Centre
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E5%B7%A6%E5%86%85%E9%A0%B8%E9%9D%99%E8%84%88%E8%A1%80%E6%A0%93%E7%97%87%E3%82%92%E5%A5%91%E6%A9%9F%E3%81%AB%E8%A8%BA%E6%96%AD%E3%81%95%E3%82%8C%E3%81%9F%E8%83%83%E3%83%BB%E5%A4%A7%E8%85%B8%E5%90%8C%E6%99%82%E6%80%A7%E9%87%8D%E8%A4%87%E7%99%8C%E3%81%AE1%E4%BE%8B&rft.jtitle=%E8%84%88%E7%AE%A1%E5%AD%A6&rft.au=%E5%A0%80%E5%86%85%2C+%E5%92%8C%E9%9A%86&rft.au=%E6%AB%BB%E4%BA%95%2C+%E8%A3%95%E4%BB%8B&rft.au=%E9%95%B7%E8%B0%B7%E5%B7%9D%2C+%E9%9B%85%E5%BD%A6&rft.date=2025-01-10&rft.pub=%E6%97%A5%E6%9C%AC%E8%84%88%E7%AE%A1%E5%AD%A6%E4%BC%9A&rft.issn=0387-1126&rft.eissn=1880-8840&rft.volume=65&rft.issue=1&rft.spage=17&rft.epage=20&rft_id=info:doi/10.7133%2Fjca.24-00026&rft.externalDocID=article_jca_65_1_65_24_00026_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0387-1126&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0387-1126&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0387-1126&client=summon