臨床血液
Online ISSN : 1882-0824
Print ISSN : 0485-1439
ISSN-L : 0485-1439
症例
放射線治療中Radiation induced heart diseaseを伴ったHodgkin病の1例
池田 三知代久保田 一雄武藤 良知溝口 秀昭坂本 忍三浦 恭定高久 史麿
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ジャーナル 認証あり

1979 年 20 巻 5 号 p. 535-540

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A 27 year-old female patient was admitted to our hospital because of right cervical tumor. Physical examinations revealed right and left cervical lymphadenopathy. A roentgenogram of the chest disclosed a right anterior superior mediastinal mass. From the histological examination of right cervical lymph node biopsy specimen, she was diagnosed as having Hodgkin's disease of nodular sclerosis. From the findings of 67Ga-scintigram, 201Tl-scintigram and lymphangiography, she was considered to be at the clinical stage II-A. Thirty nine days after initiation of mantle field radiation therapy, when 3,060 rad had been delivered to the tumor area, she had an episode consisting of disturbance of consciousness, precordial oppression, cyanosis, tremor and weakness of extremities. ECG revealed T wave inversions in leads V3 and V4 and depressions of ST segment in leads I, II, aVF, V5 and V6. Other examinations revealed no abnormalities. The symptoms disappeared about three weeks later and the radiation therapy was completed without the recurrence of the cardiovascular symptoms. The deeply inverted T waves in leads V1 and V2, however, remained even at the termination of the radiation therapy. The symptoms and ECG changes were thought to have been induced by the irradiation.

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© 1979 日本臨床血液学会
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