セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	A case of intravascular large B-cell lymphoma (IVLBCL) with no abnormal findings on chest computed tomography diagnosed by random transbronchial lung biopsy.
掲載誌名	正式名：Internal medicine (Tokyo, Japan) ISSNコード：09182918
巻・号・頁	49(24),2697-701頁
著者・共著者	Norihito Kaku,Masafumi Seki,Seiji Doi,Tomayoshi Hayashi,Daisuke Imanishi,Yoshifumi Imamura,Shintaro Kurihara,Taiga Miyazaki,Koichi Izumikawa,Hiroshi Kakeya,Yoshihiro Yamamoto,Katsunori Yanagihara,Takayoshi Tashiro,Shigeru Kohno
発行年月	2010
概要	A 58-year-old woman was admitted with refractory fever despite receiving broad-spectrum antibiotics. She had hypoxemia, severe anemia, elevated levels of serum lactic dehydrogenase and soluble interleukin-2 receptor, and a positive direct Coombs test, which suggested an underlying autoimmune hemolytic anemia (AIHA). Chest computed tomography (CT) showed no abnormal findings, but she had hypoxia, and her alveolar-arterial oxygen difference (A-aDO2) was increased. A random transbronchial lung biopsy (TBLB) was performed, and pathological analysis showed massive proliferation of tumor cells in the lumina of the small vessels. Intravascular large B-cell lymphoma (IVLBCL) was diagnosed, and her general status improved after chemotherapy.
DOI	10.2169/internalmedicine.49.3986
NAID	130000413430
PMID	21173545