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  1. C. 医薬保健学域; 医学類・薬学類・医薬科学類・保健学類
  2. c 10. 学術雑誌掲載論文(医・保健)
  3. 1. 査読済論文(医学・保健)

A fatal case of progressive steatohepatitis, possibly chemotherapy- associated steatohepatitis related to gemcitabine

http://hdl.handle.net/2297/27100
http://hdl.handle.net/2297/27100
4cf0d48d-aef8-40d4-84fd-9814a8b1c264
名前 / ファイル ライセンス アクション
ME-PR-HARADA-K-191.pdf ME-PR-HARADA-K-191.pdf (371.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-10-03
タイトル
タイトル A fatal case of progressive steatohepatitis, possibly chemotherapy- associated steatohepatitis related to gemcitabine
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Ren, Xiangshan

× Ren, Xiangshan

WEKO 21938

Ren, Xiangshan

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Harada, Kenichi

× Harada, Kenichi

WEKO 182
e-Rad 30283112
金沢大学研究者情報 30283112
研究者番号 30283112

Harada, Kenichi

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Yoshikawa, Seiichi

× Yoshikawa, Seiichi

WEKO 21939

Yoshikawa, Seiichi

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Igarashi, Saya

× Igarashi, Saya

WEKO 21940

Igarashi, Saya

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Urabe, Takeshi

× Urabe, Takeshi

WEKO 21941

Urabe, Takeshi

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Yamada, Shinya

× Yamada, Shinya

WEKO 21942

Yamada, Shinya

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Katayanagi, Kazuyoshi

× Katayanagi, Kazuyoshi

WEKO 21943

Katayanagi, Kazuyoshi

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Kurumaya, Hiroshi

× Kurumaya, Hiroshi

WEKO 21944

Kurumaya, Hiroshi

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Nakanuma, Yasuni

× Nakanuma, Yasuni

WEKO 92
e-Rad 10115256
研究者番号 10115256

Nakanuma, Yasuni

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提供者所属
内容記述タイプ Other
内容記述 金沢大学医薬保健研究域医学系
書誌情報 Clinical Journal of Gastroenterology

巻 3, 号 4, p. 191-194, 発行日 2010-08-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 1865-7257
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 10.1007/s12328-010-0159-8
出版者
出版者 Springer
抄録
内容記述タイプ Abstract
内容記述 We report the case of an 80-year-old female suffering from pancreatic cancer who developed severe non-alcoholic steatohepatitis (NASH) resulting in fatal hepatic failure after anti-cancer chemotherapy with gemcitabine. Hepatic encephalopathy appeared 1 year after the chemotherapy, and the patient developed progressive liver failure and eventually died. Radiological examination showed severe fatty liver. Histopathological examination of a liver needle necropsy showed almost panlobular macrovesicular fatty change. Ballooning degeneration and necrosis of hepatocytes accompanying neutrophil infiltration, Mallory bodies, and a few bile plugs were found in zone 3. Marked perivenular and pericellular/perisinusoidal fibrosis and extensive bridging fibrosis were also found. Together, these findings indicated steatohepatitis at a precirrhotic stage. Because the patient had no history of drinking in excess, we made a diagnosis of NASH, in particular, chemotherapy-associated steatohepatitis (CASH). Gemcitabine is a pyrimidine nucleoside antimetabolite with anti-cancer activity. A few reports have mentioned fatal hepatotoxicity caused by gemcitabine, but, to our knowledge, this is the first report of steatohepatitis, possibly associated with gemcitabine. Physicians treating patients with this drug should be aware of the possibility of steatohepatitis. © Springer 2010.
著者版フラグ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
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