Successful resection of intrahepatic cholangiocarcinoma with idiopathic thrombocytopenic purpura using thrombopoietin receptor agonist: a case report. View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12

AUTHORS

Kouki Hoshino, Norifumi Harimoto, Ryo Muranushi, Kenichiro Araki, Takahiro Yamanaka, Kei Hagiwara, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Hiroshi Tanaka, Akira Watanabe, Norio Kubo, Takehiko Yokobori, Ken Shirabe

ABSTRACT

BACKGROUND: Patients with idiopathic thrombocytopenic purpura (ITP) have low platelet counts and an increased risk of complications. Therefore, these patients generally require high-dose immunoglobulin therapy and platelet transfusion. However, thrombopoietin receptor agonists (TPO-RAs) have recently become available for use in the preoperative treatment strategy for intractable ITP. Recent studies have also reported radiofrequency ablation (RFA) or tissue biopsy as perioperative management for thrombocytopenia using TPO-RA. However, no report has described the use of TPO-RA in a case of hepatectomy. CASE PRESENTATION: A 76-year-old man presented with intrahepatic cholangiocarcinoma (IHCC) complicated with ITP. His platelet count was 3.5 × 104/μL. To increase platelet levels prior to surgery, romiplostim was administered subcutaneously (70 μg per week for 3 weeks) and eltrombopag was administered orally (25 mg per day for 23 days), as TPO-RA. His platelet count increased to 14.1 × 104/μL. The patient was successfully and safely treated with left hemi-hepatectomy and TPO-RA as preoperative platelet management. CONCLUSIONS: This case suggests that TPO-RA can be effective, and could serve as a new treatment option in the preoperative management of ITP. More... »

PAGES

56

Journal

TITLE

Surgical Case Reports

ISSUE

1

VOLUME

5

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40792-019-0619-4

DOI

http://dx.doi.org/10.1186/s40792-019-0619-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1113329006

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30969381


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