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dc.contributor.author | 竹原, 浩介 | ja |
dc.contributor.author | 古賀, 成彦 | ja |
dc.contributor.author | 錦戸, 雅春 | ja |
dc.contributor.author | 鶴崎, 俊文 | ja |
dc.contributor.author | 江口, 二朗 | ja |
dc.contributor.author | 松屋, 福蔵 | ja |
dc.contributor.author | 金武, 洋 | ja |
dc.contributor.author | 林, 徳真吉 | ja |
dc.contributor.alternative | TAKEHARA, Kousuke | en |
dc.contributor.alternative | KOGA, Shigehiko | en |
dc.contributor.alternative | NISHIKIDO, Masaharu | en |
dc.contributor.alternative | TSURUSAKI, Toshifumi | en |
dc.contributor.alternative | EGUCHI, Jiro | en |
dc.contributor.alternative | MATSUYA, Fukuzo | en |
dc.contributor.alternative | KANETAKE, Hiroshi | en |
dc.contributor.alternative | HAYASHI, Tomayoshi | en |
dc.date.accessioned | 2010-05-27T07:04:46Z | - |
dc.date.available | 2010-05-27T07:04:46Z | - |
dc.date.issued | 2001-10 | - |
dc.identifier.issn | 0018-1994 | - |
dc.identifier.uri | http://hdl.handle.net/2433/114631 | - |
dc.description.abstract | 腎血管筋脂肪腫(AML)症例20例23腎を臨床的に検討した.症状として疼痛や腫瘤を多く認めたが, 5例は無症状であった.腫瘍の局在は右側が11例と多かった.腫瘍径と症状の有無には明らかな相関関係は認めなかった.臨床的に画像上腎細胞癌(RCC)の鑑別が困難であった5腎に対して, 腎摘除術が施行された.腎部分切除術を施行した症例の術前診断は全例がAMLであり, 腫瘍径の平均は12.3cmであった.又, 術後の合併症は認めなかった | ja |
dc.description.abstract | Between April 1980 and December 1999, 23 kidneys in 20 patients were diagnosed as having renal angiomyolipoma at our institution. The patients were 6 males and 14 females aged 24 to 79 years, with a mean age of 55.4 years. Two patients had associated tuberous sclerosis and 3 had bilateral disease. Of all patients the main clinical symptoms were pain (45%) and palpable mass (40%); 5 patients (25%) had asymptomatic lesions. The size of the tumor ranged from 1.3 to 24 cm (mean 7.7 cm). Treatment consisted of nephrectomy in 9 patients, partial nephrectomy in 6 and selective embolization in one. Pre-operative diagnosis was renal cell carcinoma in 5 of the 9 patients who underwent nephrectomy. Six patients with 7 diseased kidneys were followed radiologically. One patient underwent percutaneous biopsy to confirm the diagnosis. We suggest that nephron-sparing surgery for patients with renal angiomyolipoma should be the first step if tumor size is 4 cm < or = or increasing rapidly. Selective embolization is also a useful method. However, we need long-term follow-up to evaluate the effectiveness of embolization. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | jpn | - |
dc.publisher | 泌尿器科紀要刊行会 | ja |
dc.subject | Renal angiomyolipoma | en |
dc.subject | Symptom | en |
dc.subject | Therapy | en |
dc.subject | Nephron-sparing surgery | en |
dc.subject.ndc | 494.9 | - |
dc.title | 腎血管筋脂肪腫の臨床的検討 | ja |
dc.title.alternative | Clinical evaluation of renal angiomyolipoma | en |
dc.type | departmental bulletin paper | - |
dc.type.niitype | Departmental Bulletin Paper | - |
dc.identifier.ncid | AN00208315 | - |
dc.identifier.jtitle | 泌尿器科紀要 | ja |
dc.identifier.volume | 47 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 705 | - |
dc.identifier.epage | 708 | - |
dc.textversion | publisher | - |
dc.sortkey | 01 | - |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部泌尿器科学教室 | ja |
dc.address | 長崎大学医学部附属病院病理部 | ja |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Urology, Nagasaki University School of Medicine | en |
dc.address.alternative | the Department of Pathology, Nagasaki University Hospital | en |
dc.identifier.pmid | 11758350 | - |
dcterms.accessRights | open access | - |
dc.identifier.pissn | 0018-1994 | - |
dc.identifier.jtitle-alternative | Acta urologica Japonica | la |
dc.identifier.jtitle-alternative | Hinyokika Kiyo | en |
出現コレクション: | Vol.47 No.10 |
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