骨髄線維症、慢性骨髄性白血病の急性転化などでみられる。
骨髄生検を行う。

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1. 診断および治療を目的とした腹腔穿刺diagnostic and therapeutic abdominal paracentesis [show details]
…clinicians experienced with paracentesis and/or undue concern about its safety. Paracentesis should be carried out promptly in patients with suspected SBP. Delays in performing paracentesis or failure to perform …
2. 成人における腹水の診断および評価evaluation of adults with ascites [show details]
…patients with SBP, mortality increases by 3.3 percent/hour of delay in performing a paracentesis . The performance of paracentesis is discussed in detail elsewhere. The differential diagnosis of ascites includes …
3. 肝硬変患者における腹水の治療：利尿剤抵抗性腹水ascites in adults with cirrhosis diuretic resistant ascites [show details]
…who were undergoing paracentesis . Paracentesis-induced circulatory dysfunction developed in 8 of 10 patients when propranolol was given prior to paracentesis. However, paracentesis-induced circulatory …
4. 成人における特発性細菌性腹膜炎：診断spontaneous bacterial peritonitis in adults diagnosis [show details]
…weekends). Paracentesis should be carried out promptly in patients with suspected SBP, as delays in performing paracentesis have been associated with increased mortality. The importance of paracentesis was …
5. 悪性腫瘍関連腹水malignancy related ascites [show details]
…percent of patients will respond symptomatically to paracentesis, with as little as a few liters of fluid removed . Large-volume abdominal paracentesis is usually needed every one to two weeks, although …

Japanese Journal

骨髄転移をきたした基底細胞癌の1例

内山光明,亀田洋,中嶋弘,永井隆吉,安瀬正紀,近藤ふみ子
日本皮膚科学会雑誌 93(8), 827, 1983
… 次的に鼻翼を含め潰瘍部を切除し， 5Fu 勤注，ライナック照射後さらに左上頭切除が行われた．3年後，鼻翼形成の目的で入院したが，末血中に異型細胞が出現，白血病様反応を疑い骨髄穿刺を行ったところ無効穿刺であった．右腸骨稜から生検を行ったところ，基底細胞癌の転移を認めた．組織的には原発巣の一部に類似し， sclerosing type であった．免疫療法を行ったが，病状は悪化し，昭和53年6月21日死亡した．剖検 …
NAID 130004681961