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Intensive chemotherapies, including two cycles of high-dose melphalan with autologous peripheral blood stem cell transplantation, were insufficiently effective for both the lymphadenopathy and amyloidogenic IgG lambda lambda-type M-protein in serum, but the patient showed complete haematological remission after extensive surgical removal of enlarged lymph nodes that had massive depositions of lambda lambda-type immunoglobulin light chain-derived amyloid. Lymphadenectomy may be a possible therapeutic approach with regard to both cosmetic and haematological aspects in primary systemic AL amyloidosis patients with focal lymphadenopathy.\u003c/."}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Matsuda,  Masayuki"}], "nameIdentifiers": [{"nameIdentifier": "22325", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Katoh,  Nagaaki"}], "nameIdentifiers": [{"nameIdentifier": "22326", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tazawa,  Ko-Ichi"}], "nameIdentifiers": [{"nameIdentifier": "22327", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shimojima,  Yasuhiro"}], "nameIdentifiers": [{"nameIdentifier": "22328", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mishima,  Yoshito"}], "nameIdentifiers": [{"nameIdentifier": "22329", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Sano,  Kenji"}], "nameIdentifiers": [{"nameIdentifier": "22330", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ikeda,  Shu-Ichi"}], "nameIdentifiers": [{"nameIdentifier": "22331", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2015-09-25"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Surgical_removal_amyloid-laden_lymph_nodes.pdf", "filesize": [{"value": "773.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 773600.0, "url": {"label": "Surgical_removal_amyloid-laden_lymph_nodes.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/8057/files/Surgical_removal_amyloid-laden_lymph_nodes.pdf"}, "version_id": "397e2b19-8b9b-4c49-8426-6c3d97174e80"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "Lymphadenopathy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "primary systemic AL amyloidosis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "lymphadenectomy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "high-dose melphalan", "subitem_subject_scheme": "Other"}, {"subitem_subject": "autologous peripheral blood stem cell transplantation", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Surgical removal of amyloid-laden lymph nodes: a possible therapeutic approach in a primary systemic AL amyloidosis patient with focal lymphadenopathy", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Surgical removal of amyloid-laden lymph nodes: a possible therapeutic approach in a primary systemic AL amyloidosis patient with focal lymphadenopathy"}]}, "item_type_id": "6", "owner": "1", "path": ["882/883"], "permalink_uri": "http://hdl.handle.net/10091/16906", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_value": "2013-04-01"}, "publish_date": "2013-04-01", "publish_status": "0", "recid": "8057", "relation": {}, "relation_version_is_last": true, "title": ["Surgical removal of amyloid-laden lymph nodes: a possible therapeutic approach in a primary systemic AL amyloidosis patient with focal lymphadenopathy"], "weko_shared_id": 3}