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International Journal of Hematology

, Volume 75, Issue 3, pp 305–308 | Cite as

A Pleural Effusion Caused by Fibrous Hematopoietic Tumor Successfully Treated With Prednisolone in a Patient With Agnogenic Myeloid Metaplasia With Myelofibrosis

  • Yasuo Hirayama
  • Ryuzo Koyama
  • Tadanori Nagai
  • Takuya Matsunaga
  • Katsuhisa Kogawa
  • Sumio Sakamaki
  • Yasuo Kokai
  • Yoshiro Niitsu
Case Report

Abstract

A 46-year-old woman suffering from agnogenic myeloid metaplasia (AMM) since 1994 was being followed as an outpatient. In November 1999, she exhibited respiratory failure caused by massive pulmonary effusion, which was speculated to have been produced by chest tumors. A biopsy specimen revealed findings compatible with fibrous hematopoietic tumor (FHT): prominent fibroblasts and fibrosis with scanty megakaryocytes. Serum concentrations of transforming growth factor (TGF)-β and platelet-derived growth factor (PDGF) were significantly higher than those of other cases of AMM without FHT. The effusion did not respond to administrations of various chemotherapeutic agents, but after prednisolone administration, the effusion disappeared and the tumors also diminished.

TGF-β and PDGF were the possible causes of FHT formation, and for such fibrotic extramedullary regions, the administration of prednisolone should be considered.

Key words

TGF-β PDGF Myelofibrosis Prednisolone 

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Copyright information

© The Japanese Society of Hematology 2002

Authors and Affiliations

  • Yasuo Hirayama
    • 1
    • 2
  • Ryuzo Koyama
    • 2
  • Tadanori Nagai
    • 2
  • Takuya Matsunaga
    • 3
  • Katsuhisa Kogawa
    • 3
  • Sumio Sakamaki
    • 1
  • Yasuo Kokai
    • 4
  • Yoshiro Niitsu
    • 4
  1. 1.Higashi Sapporo HospitalSapporo Medical University School of MedicineJapan
  2. 2.Hokkaido Prefectural Sapporo Kitano HospitalSapporo Medical University School of MedicineJapan
  3. 3.Fourth Department of Internal MedicineSapporo Medical University School of MedicineJapan
  4. 4.Department of PathologySapporo Medical University School of MedicineJapan

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