関連する実験動画
Updated: Sep 9, 2025

04:09
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
407
肺移植後の緊急の甲状腺切除術
Jaime L Sepulveda1, Alessia C Cioci1, John I Lew1
1DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, 1600 NW 10th Avenue, Miami, FL 33136, United States.
Journal of surgical case reports
|August 28, 2025
まとめ
癌を患った移植候補者は 柔軟な評価が必要かもしれません このケースでは 甲状腺がん手術前の 肺移植が 標準的なスケジュールに 異議を唱えます
科学分野:
- 腫瘍学
- 移植 手術
- 免疫抑制
背景:
- 固体臓器移植のガイドラインでは 2~5年のがんのない間隔が必要です
- この間隔は,免疫抑制下での悪性腫瘍の再発を最小限に抑えるためのものです.
- 重度の併発性疾患の患者にとって,これらのタイムラインを満たすのは困難です.
研究 の 目的:
- 高リスクの甲状腺ノードルを持つ患者の双方の肺移植のケースを提示します.
- 免疫抑制が悪性腫瘍の進行に及ぼす影響について議論する.
- 腫瘍学における 柔軟な移植評価の道を提唱する
主な方法:
- 肺疾患の末期に 甲状腺のノードルがある
- 移植と腫瘍管理のための多学科チーム評価
- 双方の肺移植と すぐ後の甲状腺切除
主要な成果:
- 患者は両側肺移植に成功しました.
- 発作の懸念のため,手術直後の期間に甲状腺切除術が行われました.
- これは 移植後の腫瘍外科手術の 珍しい例です
結論:
- 移植腫瘍学の意思決定には 微妙で柔軟な経路が必要です
- 標準的な無がん間隔が実現できない場合 個別評価は極めて重要です
- このケースは,悪性腫瘍のリスクのある重症患者に対するガイドラインの調整を支持します.
関連する概念動画
Kidney Transplant II: Surgical Procedure
75
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
75
Kidney Transplant III: Nursing Management
80
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
80
Pneumothorax-II
352
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
352
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
271
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
271

