We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Lobectomy for lung cancer in a myelodysplastic syndrome patient with decreasing platelet aggregation: report of a case.
- Authors
Koezuka, Satoshi; Hata, Yoshinobu; Otsuka, Hajime; Makino, Takashi; Azuma, Yoko; Azumi, Takashi; Anami, Yoichi; Natori, Kazuhiko; Iyoda, Akira
- Abstract
<bold>Background: </bold>Myelodysplastic syndromes (MDS) are clonal stem cell disorders of the bone marrow. Most patients with MDS have a high risk of bleeding. Thrombocytopenia and defective platelet aggregation contribute to bleeding. We report a surgical case of a patient with lung cancer concomitant with MDS.<bold>Case Presentation: </bold>A 72-year-old man presented to our hospital because of an abnormal shadow on chest x-ray suggesting a primary lung cancer. A peripheral blood smear examination found giant platelets without thrombocytopenia. He was diagnosed with MDS by bone marrow biopsy, and showed defective platelet aggregation despite a normal bleeding time. The patient underwent left lower lobectomy and transfusion of platelets because of chest wall bleeding.<bold>Conclusions: </bold>We demonstrated that ordering platelet preparations might be desirable for an MDS patient with defective platelet aggregation who will undergo surgery, even for a normal platelet count and bleeding time.
- Subjects
MYELODYSPLASTIC syndromes treatment; BLOOD platelets; THROMBOCYTOPENIA; LEUKEMIA diagnosis; HEMORRHAGE
- Publication
Journal of Cardiothoracic Surgery, 2018, Vol 13, Issue 1, pN.PAG
- ISSN
1749-8090
- Publication type
journal article
- DOI
10.1186/s13019-018-0777-7