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Title: 直腸輪状狭窄を来たした浸潤性膀胱癌の1例
Other Titles: Annular Rectal Constriction Caused by Infiltrating Bladder Carcinoma : A Case Report
Authors: 方山, 博路  KAKEN_name
三塚, 浩二  KAKEN_name
川崎, 芳英  KAKEN_name
加藤, 愼之介  KAKEN_name
Author's alias: Katayama, Hiromichi
Mituzuka, Koji
Kawasaki, Yoshihide
Kato, Shinnosuke
Keywords: Annular rectal constriction
Bladder carcinoma
Signet ring cell
Issue Date: Apr-2010
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 56
Issue: 4
Start page: 229
End page: 231
Abstract: A 64-year-old man wasreferred to our hospital with chief complaintsof grosshematuria and pollakisuria. Cystoscopic examination showed non-papillary broad basis tumor on the left lateral wall involving the left ureteral orifice. Computed tomography (CT) and magnetic resonance imaging revealed left hydronephrosis and urinary bladder tumor which extended outside of the bladder wall. Transurethral biopsy showed grade 3 urothelial carcinoma with glandular differentiation including signet ring cells. Radical cystectomy, left nephrureterectomy and right ureterocutaneostomy were performed. Pathological examination showed urothelial carcinoma ; pT3aN0. Lymph node metastasis occurred five months later. Three courses of M-VAC chemotherapy (methotrexate, vinblastine, adriamycin, cisplatin) were done with little effectiveness. Sixteen months after the operation, he complained of anorexia and tenesmus, and CT showed annular thickening of the rectal wall. A fecal diversion was performed, but he died two months later.
Rights: 許諾条件により本文は2011-05-01に公開
URI: http://hdl.handle.net/2433/109918
PubMed ID: 20448448
Appears in Collections:Vol.56 No.4

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