Double lung cancer combined with idiopathic thrombocytopenic purpura. A case report.
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.
Nonami
Y
Y
Department of Surgery II, Kochi Medical School, Kohasu, Japan.
Yamashiro
T
T
Yamamoto
A
A
Kume
M
M
Hisa
N
N
Yoshida
S
S
Taguchi
H
H
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*