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  1. Dokkyo Journal of Medical Sciences
  2. 40(1) 2013

Clinical Significance of Propionibacterium acnes in the Formation of Noncaseating Epithelioid-Cell Granulomas of the Mediastinal Lymph Nodes and Lung in Patients with Lung Cancer:Differential Diagnosis Between Sarcoid Reactions and Sarcoidosis

https://dmu.repo.nii.ac.jp/records/1079
https://dmu.repo.nii.ac.jp/records/1079
dd7cdbaa-1cb9-4691-b5c6-1eb0b218b758
名前 / ファイル ライセンス アクション
KJ00008416020.pdf KJ00008416020.pdf (286.3 kB)
Item type [ELS]学術雑誌論文 / Journal Article(1)
公開日 2017-05-24
タイトル
タイトル Clinical Significance of Propionibacterium acnes in the Formation of Noncaseating Epithelioid-Cell Granulomas of the Mediastinal Lymph Nodes and Lung in Patients with Lung Cancer:Differential Diagnosis Between Sarcoid Reactions and Sarcoidosis
言語 en
言語
言語 eng
キーワード
言語 en
主題 lung cancer
キーワード
言語 en
主題 Propionibacterium acnes
キーワード
言語 en
主題 sarcoid reactions
キーワード
言語 en
主題 sarcoidosis
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
雑誌書誌ID
収録物識別子 AA00629581
論文名よみ
タイトル Clinical Significance of Propionibacterium acnes in the Formation of Noncaseating Epithelioid-Cell Granulomas of the Mediastinal Lymph Nodes and Lung in Patients with Lung Cancer:Differential Diagnosis Between Sarcoid Reactions and Sarcoidosis
著者 Fukushima, Yasutsugu

× Fukushima, Yasutsugu

en Fukushima, Yasutsugu

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Watanabe, Mineaki

× Watanabe, Mineaki

en Watanabe, Mineaki

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Yoshida, Naruo

× Yoshida, Naruo

en Yoshida, Naruo

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Ikeda, Naoya

× Ikeda, Naoya

en Ikeda, Naoya

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Onishi, Shogo

× Onishi, Shogo

en Onishi, Shogo

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Nomura, Yushi

× Nomura, Yushi

en Nomura, Yushi

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Hirata, Hirokuni

× Hirata, Hirokuni

en Hirata, Hirokuni

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Sugiyama, Kumiya

× Sugiyama, Kumiya

en Sugiyama, Kumiya

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Fukuda, Takeshi

× Fukuda, Takeshi

en Fukuda, Takeshi

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著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
著者所属(英)
en
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine
記事種別(英)
内容記述タイプ Other
内容記述 Original
抄録(英)
内容記述タイプ Other
内容記述 Objectives:Sarcoidosis is a systemic noncaseating epithelioid-cell granulomatous disease of unknown origin.Granulomas occurring around malignant tumors and regional lymph nodes can be caused by sarcoid reactions.The mechanisms underlying sarcoidosis and sarcoid reactions remain unclear. Whether increaseduptake of fluorodeoxyglucose( FDG) in lymph nodes on positron emission tomography( PET) is caused bytumor metastasis, the concurrent presence of sarcoidosis, or sarcoid reactions must be determined to ensureproper disease staging and selection of treatment policy. We studied patients who underwent surgery forlung cancer and had no histopathological evidence of lymph-node metastasis in whom concurrent sarcoidosisor sarcoid reactions were diagnosed.Methods:In six patients who underwent surgery for primary lung cancer, granulomatous lesions werehistopathologically studied in dissected lymph nodes and lung. Tissue sections were stained with monoclonalantibodies against Propionibacterium acnes( PAB antibodies).Results:The six patients had noncaseating epithelioid-cell granulomas in mediastinal lymph nodes andlung. Clinically, concurrent sarcoidosis was suspected, but the results of staining the tissue specimens withPAB antibodies( in granulomas, alveolar macrophages, Hamazaki-Wesenberg bodies, and lymphatic sinuses)suggested sarcoid reactions in 5 patients. In one patient in whom granulomas stained positive with PAB antibodies,concurrent sarcoidosis was diagnosed.Conclusions:In patients with lung cancer who have no distinct systemic evidence of sarcoidosis, thepresence of noncaseating epithelioid-cell granulomas in the lung hilum or mediastinum is usually caused bysarcoid reactions.
書誌情報 Dokkyo journal of medical sciences

巻 40, 号 1, p. 1-7, 発行日 2013-03-25
ISSN
収録物識別子タイプ ISSN
収録物識別子 03855023
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