Suppr超能文献

[一例与胃癌和宫颈癌相关的混合性结缔组织病]

[A case of mixed connective tissue disease associated with gastric cancer and cancer of the uterine cervix].

作者信息

Katayama M, Tanaka I, Hosako Y, Hama N, Yamada T, Inada S, Goto M

机构信息

Division of Rheumatic Diseases, Tokyo Metropolitan Otsuka Hospital.

出版信息

Ryumachi. 1995 Feb;35(1):85-9.

PMID:7732496
Abstract

We report here a very rare case of MCTD complicating double cancer. A 43-year-old woman with suspected MCTD was admitted because of high fever and lymphadenopathy. The laboratory findings indicated high titers of speckled ANA, anti-RNP, DNA and Scl-70, but anti-Sm. SS-A and SS-B was not detected. Chest CT and Spirogram revealed lung fibrosis, restrictive ventilatory impairment, and decreased diffusion capacity. Biopsy specimen by gastric fiberscope s screening indicated II c advanced type of poorly differentiated adenocarcinoma. After subtotal gastrectomy, she had high fever, pleuritis, leukopenia, butterfly erythema and hypoxemia, which were improved by 30 mg/day of oral prednisolone. One year after from the last operation, she had contact bleeding, and squamous cell carcinoma of the uterine cervix was diagnosed. She had Raynaud's phenomenon 6 months after from hysterectomy.

摘要

我们在此报告一例非常罕见的混合性结缔组织病(MCTD)合并双癌病例。一名疑似患有MCTD的43岁女性因高热和淋巴结病入院。实验室检查结果显示斑点型抗核抗体(ANA)、抗核糖核蛋白(RNP)、抗DNA和抗Scl - 70抗体滴度高,但未检测到抗Sm、抗SS - A和抗SS - B抗体。胸部CT和肺功能检查显示肺纤维化、限制性通气功能障碍和弥散功能下降。经胃纤维镜筛查活检标本显示为Ⅱc期进展型低分化腺癌。胃次全切除术后,她出现高热、胸膜炎、白细胞减少、蝶形红斑和低氧血症,口服泼尼松龙30毫克/天可使其病情改善。最后一次手术后一年,她出现接触性出血,被诊断为子宫颈鳞状细胞癌。子宫切除术后6个月,她出现雷诺现象。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验