孤立性脾転移をきたした肺腺癌の1例

症例は80歳，男性．肺癌術後1年9ヵ月目に，脾臓腫瘍に対し脾臓摘出術を施行した．組織学的には，脾臓腫瘍も肺癌同様，壊死組織を多く含むpoorly differentiated acinar adenocarcinomaの像を呈しており，肺癌の脾転移と診断された．肺癌の孤立性脾転移は非常に稀であり自験例が21例目の報告例である．文献的考察を含めて報告する．...

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Published in日本呼吸器外科学会雑誌 Vol. 27; no. 5; pp. 656 - 661
Main Authors 森田, 克彦, 野坂, 誠士, 村山, 正毅
Format Journal Article
LanguageJapanese
Published 特定非営利活動法人 日本呼吸器外科学会 2013
Subjects
孤立性脾転移
肺癌
脾臓摘出術
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ISSN0919-0945
1881-4158
DOI10.2995/jacsurg.27.656

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Abstract 症例は80歳，男性．肺癌術後1年9ヵ月目に，脾臓腫瘍に対し脾臓摘出術を施行した．組織学的には，脾臓腫瘍も肺癌同様，壊死組織を多く含むpoorly differentiated acinar adenocarcinomaの像を呈しており，肺癌の脾転移と診断された．肺癌の孤立性脾転移は非常に稀であり自験例が21例目の報告例である．文献的考察を含めて報告する．
AbstractList 症例は80歳，男性．肺癌術後1年9ヵ月目に，脾臓腫瘍に対し脾臓摘出術を施行した．組織学的には，脾臓腫瘍も肺癌同様，壊死組織を多く含むpoorly differentiated acinar adenocarcinomaの像を呈しており，肺癌の脾転移と診断された．肺癌の孤立性脾転移は非常に稀であり自験例が21例目の報告例である．文献的考察を含めて報告する．
Author 森田, 克彦
村山, 正毅
野坂, 誠士
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References 13. Johansen F. A solitary metastasis in the spleen originating from adenocarcinoma in the lung and verified by fine-needle biopsy under ultrasonic guidance. Ugeskr Laeger 1992; 154: 644.
3. 長谷川 小百合, 石過 孝文, 佐口 武史, 伊東 英輔, 石津 和洋, 添田 仁一, 他. 同時性孤立性脾転移を来した横行結腸癌の1例. 日消外会誌 2005; 38: 359-63.
20. Schmidt BJ, Smith SL. Isolated splenic metastasis from primary lung adenocarcinoma. South Med J 2004; 97: 298-300.
11. Edelman AS, Rotterdam H. Solitary splenic metastasis of an adenocarcinoma of the lung. Am J Clin Pathol 1990; 94: 326-8.
10. Satoh H, Watanabe K, Ishikawa H, Yamashita Y, Ohtsuka M, Sekizawa K. Splenic metastasis of lung cancer. Oncol Rep 2001; 8: 1239-41.
9. Kinoshita A, Nakano M, Fukuda M, Kasai T, Suyama N, Inoue K, et al. Splenic metastasis from lung cancer. Neth J Med 1995; 47: 219-23.
25. Van Hul I, Cools P, Rutsaert R. Solitary splenic matastasis of an adenocarcinoma of the lung 2 years postoperatively. Acta Chir Belg 2008; 108: 462-3.
2. 片桐 聡, 高崎 健, 次田 正, 山本 雅一, 大坪 毅人, 秋山 和宏. 肝細胞癌術後孤立性脾転移の1例. 日臨外会誌 1999; 60: 1647-52.
1. 笠島 浩行, 諸橋 聡子, 吉崎 孝明, 大石 晋, 舘岡 博, 猪野 満, 他. 胃癌術後の孤立性脾転移の1切除例. 日消外会誌 2004; 37: 1888-93.
7. Thomas SM, Fitzgerald JB, Pollock RE, Evans DB. Isolated splenic metastases from colon carcinoma. Eur J Surg Oncol 1993; 19: 485-90.
6. Miller JN, Milton GW. An experimental comparison between tumor growth in the spleen and liver. J Pathol Bacteriol 1965; 90: 515-21.
19. Tomaszewski D, Bereza S, Sternau A. Solitary splenic metastases from lung cancer-One-time surgery procedure. Pneumonol Alergol Pol 2003; 71: 533-7.
17. 柳田 正志, 池田 晋悟, 坂口 浩三, 郡 隆之, 羽田 圓城. 肺癌術後の孤立性脾転移の1例. 日臨外会誌 2001; 62: 2030-3.
15. Gupta PB, Harvey L. Spontaneous rupture of the spleen secondary to metastatic carcinoma. Br J Surg 1993; 80: 613.
28. Tang H, Huang H, Xiu Q, Shi Z. Isolated splenic metastasis from lung cancer: ringleader of continuous fever. Eur Respir Rev 2010; 19: 253-6.
12. Scintu F, Carta M, Frau G, Marongiu L, Pipia G, Casula G. Splenic metastasis from lung carcinoma. Apropos of a clinical case. Minerva Chir 1991; 46: 1277-80.
14. Macheers SK, Mansour KA. Management of isolated splenic metastases from carcinoma of the lung. a case report and review of the literature. Am Surg 1992; 58: 683-5.
18. Massarweh S, Dhingra H. Solitary splenic metastasis in lung cancer with spontaneous rupture. J Clin Oncol 2001; 19: 1574-5.
26. Chloros D, Bitzikas G, Kakoura M, Chatzikostas G, Makridis C, Tsitouridis I. Solitary splenic metastasis of squamous lung cancer: a case report. Cases J 2009; 2: 9091.
27. 安藤 克利, 金子 教宏, 伊 麗娜, 佐藤 智恵子, 安井 大策, 井上 恵一, 他. 脾臓転移を来した肺癌の1例. 日呼吸会誌 2009; 47: 581-4.
5. Warren S, Davis AH. Studies on tumor metastasis, V. the metastasis of carcinoma to the spleen. Am J Cancer 1934; 21: 517-33.
24. 藤井 偉, 田中 裕士, 澤住 知枝, 中村 直人, 高橋 守, 猪股 慎一郎, 他. FDG-PETが診断の契機となった肺原発多形癌術後の孤立性脾転移の1例. 日呼吸会誌 2008; 46: 950-4.
4. 佃 和憲, 浅野 博昭, 内藤 稔, 村岡 孝幸, 伊野 英男. 子宮体癌の脾転移の1例. 日臨外会誌 2010; 71: 1615-8.
16. Takada T, Takami H. Solitary splenic metastasis of a carcinoid tumor of the lung eight years postoperatively. J Surg Oncol 1998; 67: 47-8.
8. 河野 浩二, 関川 敬義, 小河原 忠彦, 松本 由朗. リンパ節転移モデルにおける宿主免疫応答の検討. Biotherapy (Tokyo) 1994; 8: 765-7.
23. Sánchez-Romero A, Oliver I, Costa D, Orduña A, Lacueva J, Pérez-Vicente F, et al. Giant splenic metastasis due to lung adenocarcinoma. Clin Transl Oncol 2006; 8: 294-5.
21. Pramesh CS, Prabhudesai SG, Parasnis AS, Mistry RC, Sharma S. Isolated splenic metastasis from non small cell lung cancer. Ann Thorac Cardiovasc Surg 2004; 10: 247-8.
22. Lachachi F, Abita T, Durand Fontanier S, Maisonnette F, Descottes B. Spontaneous splenic rupture due to splenic metastasis of lung cancer. Ann Chir 2004; 129: 521-2.
References_xml – reference: 4. 佃 和憲, 浅野 博昭, 内藤 稔, 村岡 孝幸, 伊野 英男. 子宮体癌の脾転移の1例. 日臨外会誌 2010; 71: 1615-8.
– reference: 27. 安藤 克利, 金子 教宏, 伊 麗娜, 佐藤 智恵子, 安井 大策, 井上 恵一, 他. 脾臓転移を来した肺癌の1例. 日呼吸会誌 2009; 47: 581-4.
– reference: 16. Takada T, Takami H. Solitary splenic metastasis of a carcinoid tumor of the lung eight years postoperatively. J Surg Oncol 1998; 67: 47-8.
– reference: 28. Tang H, Huang H, Xiu Q, Shi Z. Isolated splenic metastasis from lung cancer: ringleader of continuous fever. Eur Respir Rev 2010; 19: 253-6.
– reference: 3. 長谷川 小百合, 石過 孝文, 佐口 武史, 伊東 英輔, 石津 和洋, 添田 仁一, 他. 同時性孤立性脾転移を来した横行結腸癌の1例. 日消外会誌 2005; 38: 359-63.
– reference: 21. Pramesh CS, Prabhudesai SG, Parasnis AS, Mistry RC, Sharma S. Isolated splenic metastasis from non small cell lung cancer. Ann Thorac Cardiovasc Surg 2004; 10: 247-8.
– reference: 1. 笠島 浩行, 諸橋 聡子, 吉崎 孝明, 大石 晋, 舘岡 博, 猪野 満, 他. 胃癌術後の孤立性脾転移の1切除例. 日消外会誌 2004; 37: 1888-93.
– reference: 23. Sánchez-Romero A, Oliver I, Costa D, Orduña A, Lacueva J, Pérez-Vicente F, et al. Giant splenic metastasis due to lung adenocarcinoma. Clin Transl Oncol 2006; 8: 294-5.
– reference: 7. Thomas SM, Fitzgerald JB, Pollock RE, Evans DB. Isolated splenic metastases from colon carcinoma. Eur J Surg Oncol 1993; 19: 485-90.
– reference: 25. Van Hul I, Cools P, Rutsaert R. Solitary splenic matastasis of an adenocarcinoma of the lung 2 years postoperatively. Acta Chir Belg 2008; 108: 462-3.
– reference: 24. 藤井 偉, 田中 裕士, 澤住 知枝, 中村 直人, 高橋 守, 猪股 慎一郎, 他. FDG-PETが診断の契機となった肺原発多形癌術後の孤立性脾転移の1例. 日呼吸会誌 2008; 46: 950-4.
– reference: 26. Chloros D, Bitzikas G, Kakoura M, Chatzikostas G, Makridis C, Tsitouridis I. Solitary splenic metastasis of squamous lung cancer: a case report. Cases J 2009; 2: 9091.
– reference: 17. 柳田 正志, 池田 晋悟, 坂口 浩三, 郡 隆之, 羽田 圓城. 肺癌術後の孤立性脾転移の1例. 日臨外会誌 2001; 62: 2030-3.
– reference: 22. Lachachi F, Abita T, Durand Fontanier S, Maisonnette F, Descottes B. Spontaneous splenic rupture due to splenic metastasis of lung cancer. Ann Chir 2004; 129: 521-2.
– reference: 9. Kinoshita A, Nakano M, Fukuda M, Kasai T, Suyama N, Inoue K, et al. Splenic metastasis from lung cancer. Neth J Med 1995; 47: 219-23.
– reference: 19. Tomaszewski D, Bereza S, Sternau A. Solitary splenic metastases from lung cancer-One-time surgery procedure. Pneumonol Alergol Pol 2003; 71: 533-7.
– reference: 20. Schmidt BJ, Smith SL. Isolated splenic metastasis from primary lung adenocarcinoma. South Med J 2004; 97: 298-300.
– reference: 5. Warren S, Davis AH. Studies on tumor metastasis, V. the metastasis of carcinoma to the spleen. Am J Cancer 1934; 21: 517-33.
– reference: 11. Edelman AS, Rotterdam H. Solitary splenic metastasis of an adenocarcinoma of the lung. Am J Clin Pathol 1990; 94: 326-8.
– reference: 2. 片桐 聡, 高崎 健, 次田 正, 山本 雅一, 大坪 毅人, 秋山 和宏. 肝細胞癌術後孤立性脾転移の1例. 日臨外会誌 1999; 60: 1647-52.
– reference: 10. Satoh H, Watanabe K, Ishikawa H, Yamashita Y, Ohtsuka M, Sekizawa K. Splenic metastasis of lung cancer. Oncol Rep 2001; 8: 1239-41.
– reference: 13. Johansen F. A solitary metastasis in the spleen originating from adenocarcinoma in the lung and verified by fine-needle biopsy under ultrasonic guidance. Ugeskr Laeger 1992; 154: 644.
– reference: 8. 河野 浩二, 関川 敬義, 小河原 忠彦, 松本 由朗. リンパ節転移モデルにおける宿主免疫応答の検討. Biotherapy (Tokyo) 1994; 8: 765-7.
– reference: 14. Macheers SK, Mansour KA. Management of isolated splenic metastases from carcinoma of the lung. a case report and review of the literature. Am Surg 1992; 58: 683-5.
– reference: 6. Miller JN, Milton GW. An experimental comparison between tumor growth in the spleen and liver. J Pathol Bacteriol 1965; 90: 515-21.
– reference: 12. Scintu F, Carta M, Frau G, Marongiu L, Pipia G, Casula G. Splenic metastasis from lung carcinoma. Apropos of a clinical case. Minerva Chir 1991; 46: 1277-80.
– reference: 15. Gupta PB, Harvey L. Spontaneous rupture of the spleen secondary to metastatic carcinoma. Br J Surg 1993; 80: 613.
– reference: 18. Massarweh S, Dhingra H. Solitary splenic metastasis in lung cancer with spontaneous rupture. J Clin Oncol 2001; 19: 1574-5.
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Snippet 症例は80歳，男性．肺癌術後1年9ヵ月目に，脾臓腫瘍に対し脾臓摘出術を施行した．組織学的には，脾臓腫瘍も肺癌同様，壊死組織を多く含むpoorly differentiated acinar...
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StartPage 656
SubjectTerms 孤立性脾転移
肺癌
脾臓摘出術
Title 孤立性脾転移をきたした肺腺癌の1例
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