Remission of newly diagnosed immune thrombocytopenia after lung cancer resection.
Secondary immune thrombocytopenia is a rare paraneoplastic syndrome of lung cancer. We report a case of pulmonary pleomorphic carcinoma with newly diagnosed secondary immune thrombocytopenia. On referral, the patient's complete blood cell count was normal; however, it showed marked thrombocytopenia after 1 month. Blood biochemistry and bone marrow puncture showed normal findings. We speculated that he had immune thrombocytopenia associated with the lung cancer and planned lung resection. Sleeve middle and lower lobectomy was successfully performed with preoperative intravenous immunoglobulin and intraoperative platelet transfusion. His platelet count was restored and maintained a normal level at 8 months after the operation.
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan; Division of Chest Surgery, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan. Electronic address: tatsuaki_watanabe@yahoo.co.jp.
Tatsuaki
T
Watanabe
Division of Chest Surgery, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan.
Yuji
Y
Matsumura
Division of Chest Surgery, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan.
Muneo
M
Minowa
Division of Chest Surgery, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan.
Hirotoshi
H
Suzuki
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan; Division of Chest Surgery, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan.
Hirotsugu
H
Notsuda
Division of Respiratory Medicine, Center of Respiratory Medicine, Ohta Nishinouchi Hospital, Koriyama, Japan.
Yasuka
Y
Hara
Center of Hematopoietic Diseases, Ohta Nishinouchi Hospital, Koriyama, Japan.
Satoru
S
Kimura
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Yoshinori
Y
Okada
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Takashi
T
Kondo
D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000276:immunology / Q000601:surgery*; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000276:immunology* / Q000601:surgery*; D012074:Remission Induction; D013921:Thrombocytopenia / Q000175:diagnosis / Q000276:immunology* / Q000601:surgery*