Splenectomy for hypersplenism caused by adult T-cell leukemia: Report of a case

Yuichi Endo, Masayuki Ohta, Kohei Shibata, Seiichiro Kai, Kentaro Iwaki, Hiroki Uchida, Masao Ogata, Junji Ikewaki, Kenji Kashima, Seigo Kitano

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4 Citations (Scopus)

Abstract

A 45-year-old woman with previously diagnosed chronic type adult T-cell leukemia (ATL) presented with abdominal discomfort and red eruptions on her arms and legs. Anemia, thrombocytopenia, hypercalcemia, and splenomegaly indicated progression to acute-type ATL. Combined chemotherapy resulted in normalization of the serum calcium level and improvement in her symptoms. However, the severe anemia and thrombocytopenia persisted, necessitating transfusions of red blood cells (RBC) and platelets three times a week. We performed splenectomy in an attempt to reduce the total volume of malignant cells and improve the hypersplenism. After the operation, the RBC and platelet counts increased gradually, and the transfusions were stopped on postoperative day (POD) 3. Splenectomy should be considered as an optional treatment for hypersplenism caused by ATL when hypersplenism cannot be controlled by chemotherapy in patients without a high surgical risk.

Original languageEnglish
Pages (from-to)1148-1151
Number of pages4
JournalSurgery today
Volume38
Issue number12
DOIs
Publication statusPublished - Dec 1 2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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    Endo, Y., Ohta, M., Shibata, K., Kai, S., Iwaki, K., Uchida, H., Ogata, M., Ikewaki, J., Kashima, K., & Kitano, S. (2008). Splenectomy for hypersplenism caused by adult T-cell leukemia: Report of a case. Surgery today, 38(12), 1148-1151. https://doi.org/10.1007/s00595-008-3802-y