Sudo Sho, Miura Atsushi, Mae Junnosuke, Takada Yuto, Naritomi Takuma, Sogabe Naomi
Dept. of Pharmacy, Mitsui Memorial Hospital.
Gan To Kagaku Ryoho. 2020 Dec;47(12):1723-1725.
A 68-year-old woman presenting with anorexia and epigastric pain was diagnosed with metastatic pancreatic cancer and idiopathic thrombocytopenic purpura(ITP). Chemotherapy was initiated with S-1. Subsequently, gemcitabine was administered in combination with prednisolone. Her platelets returned to normal after the treatment with steroids and chemotherapy, but the treatment could not be withdrawn completely. Pancreatic cancer presenting as idiopathic thrombocytopenic purpura has rarely been reported in the literature. Here, we present our experience and discuss a case of pancreatic cancer complicated with ITP.
一名68岁女性因厌食和上腹部疼痛就诊,被诊断为转移性胰腺癌和特发性血小板减少性紫癜(ITP)。开始使用S-1进行化疗。随后,吉西他滨与泼尼松龙联合给药。经类固醇和化疗治疗后,她的血小板恢复正常,但治疗无法完全停药。文献中很少报道胰腺癌表现为特发性血小板减少性紫癜。在此,我们介绍我们的经验并讨论一例胰腺癌合并ITP的病例。