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Title: 気腫性腎盂腎炎を伴った乳頭状腎細胞癌の1例
Other Titles: Papillary renal cell carcinoma complicated with emphysematous pyelonephritis: a case report
Authors: 滝沢, 明利  KAKEN_name
簗田, 周一  KAKEN_name
岩室, 紳也  KAKEN_name
鈴木, 正泰  KAKEN_name
田代, 和也  KAKEN_name
Author's alias: TAKIZAWA, Akitoshi
YANADA, Syuichi
IWAMURO, Shinya
SUZUKI, Masayasu
TASHIRO, Kazuya
Keywords: Emphysematous pyelonephritis
Papillary renal cell carcinoma
Issue Date: Dec-2000
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 46
Issue: 12
Start page: 899
End page: 901
Abstract: 75歳女.気腫性腎盂腎炎を合併した乳頭状腎細胞癌の稀な1例を経験した.腫瘍内感染に対しては経皮的ドレナージを施行し症状が改善,根治的腎摘出を施行しえた.乳頭状腎細胞癌に対しては,根治的腎摘出を施行し,現在まで27ヵ月間腫瘍の再発を認めない
A case of papillary renal cell carcinoma complicated with emphysematous pyelonephritis is reported. A 75-year-old woman with diabetes mellitus was admitted to our hospital with macroscopic hematuria and a child's head-sized firm mass in the left hypochondrium. Computed tomographic (CT) scanning revealed a huge left renal tumor with hydronephrosis. The patient had acute pyelonephritis and antibacterial therapy was initiated. Ten days later, conservative therapy was not effective and CT scan revealed emphysematous necrotic tissue in the tumor. We performed percutaneous drainage. Then dark red liquid and gas were discharged. Her general condition was improving. Left radical nephrectomy was performed. The mass was solid and pathological diagnosis was papillary renal cell carcinoma with necrotic tissue and coated by a thick pseudocapsule. She has remained free of disease for 27 months after operation.
URI: http://hdl.handle.net/2433/114424
PubMed ID: 11211808
Appears in Collections:Vol.46 No.12

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