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Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
Online ISSN 1827-191X
Nonami Y., Yamashiro T., Yamamoto A., Kune M., Hisa N.*, Yoshida S.*, Taguchi H.**
From the Department of Surgery II *Department of Radiology, and **Department of Medicine III, Kochi Medical School, Kohasu, Nankoku, Kochi, Japan
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 15×104 mm3 without taking drugs for ITP. These findings suggest a relationship between lung cancer and ITP.