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Title: 膀胱Hepatoid adenocarcinomaの1例
Other Titles: A case of hepatoid adenocarcinoma of the urinary bladder
Authors: 川村, 憲彦 researcher_resolver
波多野, 浩士 researcher_resolver
角田, 洋一 researcher_resolver
高田, 剛 researcher_resolver
原, 恒男 researcher_resolver
山口, 誓司 researcher_resolver
Author's alias: Kawamura, Norihiko
Hatano, Koji
Kakuta, Yoichi
Takada, Tsuyoshi
Hara, Tsuneo
Yamaguchi, Seiji
Keywords: Bladder
Hepatoid adenocarcinoma
Issue Date: Oct-2009
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 55
Issue: 10
Start page: 619
End page: 622
Abstract: A 79-year-old man was admitted to our hospital with a chief complaint of pollakisuria. He was diagnosed as having bladder tumors and bladder stone by cystoscopy. Transurethral resection of bladder tumors (TURBT) and transurethral cystolithotripsy were performed and histology revealed non-muscleinvasive hepatoid adenocarcinoma that produced alpha-fetoprotein (AFP) and urothelial carcinoma. The serum AFP level was present at a high level of 39.08 ng/ml. After five months’ follow up, recurrent tumor were detected in the bladder. TURBT was performed and the pathologic finding showed non-muscleinvasive (not hepatoid) adenocarcinoma that produced AFP. After eight months’ follow up, a recurrent tumor was detected in the bladder again. TURBT was performed and the pathologic finding showed nonmuscle- invasive urothelial carcinoma. However, the serum AFP level remained above 35 ng/ml. After the 3rd TURBT, intravesical intillations were performed, which led to a normalization of the serum AFP level. Nineteen months after his final hospitalization, the patient has had no evidence of recurrence.
Rights: 許諾条件により本文は2010-11-01に公開
URI: http://hdl.handle.net/2433/87401
PubMed ID: 19926947
Appears in Collections:Vol.55 No.10


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