ダウンロード数: 465
| タイトル: | 下大静脈腫瘍塞栓を伴う腎細胞癌に対する腎動脈塞栓術後,肺動脈塞栓にて急死した1例 |
| その他のタイトル: | A case of sudden death by pulmonary embolism after angio-embolization of renal cell carcinoma extending into the inferior vena cava |
| 著者: | 奥田, 比佐志  戸田, 房子 伊藤, 文夫 龍治, 修 合谷, 信行 中沢, 速和 東間, 紘 |
| 著者名の別形: | OKUDA, Hisashi TODA, Fusako ITO, Fumio RYOJI, Osamu GOYA, Nobuyuki NAKAZAWA, Hayakazu TOMA, Hiroshi |
| キーワード: | RCC Angio-embolization Intra-caval tumor thrombus |
| 発行日: | Jan-1999 |
| 出版者: | 泌尿器科紀要刊行会 |
| 誌名: | 泌尿器科紀要 |
| 巻: | 45 |
| 号: | 1 |
| 開始ページ: | 49 |
| 終了ページ: | 51 |
| 抄録: | We report a 42-year-old renal-transplanted man with renal cell carcinoma (RCC) in the native kidney. He was admitted with gross hematuria and general fatigue as the chief complaint. Ultrasonography, computed tomography, magnetic resonance imaging and angiography, revealed a right RCC with intracaval tumor thrombus extending to the level of hepatic veins. Since selective renal angiography demonstrated a hypervascular tumor, angio-embolization was performed preoperatively. However, he died suddenly the next morning despite aggressive resuscitative measures. Autopsy revealed bilateral pulmonary arteries obstructed by the tumor thrombus. Renal arterial embolization is useful for advanced RCC, and side effects are mostly transient and well tolerated by the patients. However, indications for angio-embolization should be selected carefully with such a fatal case as this patient kept in mind. |
| URI: | http://hdl.handle.net/2433/113963 |
| PubMed ID: | 10086267 |
| 出現コレクション: | Vol.45 No.1 |
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