title: Double lung cancer combined with idiopathic thrombocytopenic purpura. A case report.
abstract: A 68-year-old woman was admitted because of two abnormal lung shadows, which later proved to be differentiated double cancer. Preoperative hematology tests showed a low platelet count and the result of bone marrow aspiration was compatible with idiopathic thrombocytopenic purpura (ITP). A normal platelet count was once obtained by preoperative percutaneous partial splenic arterial embolization (PSE). However, as there was a tendency for the platelet count to decrease just before surgery, one shot high-dose immunoglobulin (Ig) was administered, which is thought to have a short term effect. The operation was performed successfully. After resection of lung cancer, her platelet count was maintained at around 15x10(4) mm3 without taking drugs for ITP. These findings suggest a relationship between lung cancer and ITP.
authors.affiliation: Department of Surgery II, Kochi Medical School, Kohasu, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Nonami
authors.forename: T
authors.initials: T
authors.lastname: Yamashiro
authors.forename: A
authors.initials: A
authors.lastname: Yamamoto
authors.forename: M
authors.initials: M
authors.lastname: Kume
authors.forename: N
authors.initials: N
authors.lastname: Hisa
authors.forename: S
authors.initials: S
authors.lastname: Yoshida
authors.forename: H
authors.initials: H
authors.lastname: Taguchi
mesh_terms: D000230:Adenocarcinoma / Q000097:blood / Q000601:surgery*; D002282:Adenocarcinoma, Bronchiolo-Alveolar / Q000097:blood / Q000601:surgery*; D000368:Aged; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D007116:Immunization, Passive; D008175:Lung Neoplasms / Q000097:blood / Q000601:surgery*; D008197:Lymph Node Excision; D009378:Neoplasms, Multiple Primary / Q000097:blood / Q000601:surgery*; D010976:Platelet Count; D017713:Platelet Transfusion; D011013:Pneumonectomy; D011300:Preoperative Care; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000601:surgery*