Adachi K, Tanaka J, Sato T, Makino S, Hosaka N, Takao M, Yada I, Namikawa S
Department of Thoracic and Cardiovascular Surgery, Toyooka Hospital, Toyooka, Japan.
Kyobu Geka. 2001 Dec;54(13):1153-5.
A 71-year-old man was admitted to the hospital because of general fatigue. There were few reticulocytes in the peripheral blood and no erythroblasts in the bone marrow. Chest CT revealed an anterior mediastinal tumor. Under a diagnosis of thymoma with PRCA, extended thymothymectomy was performed. Histological diagnosis was mixed type thymoma with no invasive growth beyond the capsule. Administration of predonisolone following surgery was not effective for PRCA. Otherwise, peripheral blood counts were significantly improved following occasional onset of acute bronchitis.
一名71岁男性因全身乏力入院。外周血中网织红细胞极少,骨髓中无成红细胞。胸部CT显示前纵隔肿瘤。诊断为胸腺瘤伴纯红细胞再生障碍性贫血(PRCA),遂行扩大胸腺切除术。组织学诊断为混合型胸腺瘤,无包膜外浸润性生长。术后给予泼尼松龙治疗对PRCA无效。此外,在偶尔发生急性支气管炎后,外周血细胞计数显著改善。