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40_411.pdf | 3.06 MB | Adobe PDF | 見る/開く |
タイトル: | α-フェトプロテイン産生副腎肝様癌の1例 |
その他のタイトル: | Adrenal hepatoid carcinoma producing alpha-fetoprotein: a case report |
著者: | 吉岡, 優 井原, 英有 島, 博基 森, 義則 生駒, 文彦 上野, 雄司 植松, 邦夫 |
著者名の別形: | Yoshioka, Masaru Ihara, Hideari Shima, Hiroki Mori, Yoshinori Ikoma, Fumihiko Ueno, Yuuji Uematsu, Kunio |
キーワード: | Hepatoid carcinoma Adrenal tumor |
発行日: | May-1994 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 40 |
号: | 5 |
開始ページ: | 411 |
終了ページ: | 414 |
抄録: | 57歳男に発生した左副腎原発肝様癌。術前の血中AFPとPIVKA-2は異常高値を示したが, 術後完全に正常化した A case of left adrenal hepatoid carcinoma is reported. The patient was a 57-year-old male and his chief complaint was general fatigue. Preoperative laboratory data showed markedly increased levels of alpha-fetoprotein (AFP) (30, 500 ng/ml) and PIVKA-II (3.01 AU/ml). Both computed tomography (CT) and magnetic resonance computed tomography (MRCT) showed left adrenal tumor (8 x 5 cm). Angiography showed hypervascular tumor over the upper pole of the left kidney. Thoracoabdominal nephro-adrenalectomy was performed. Histological examination demonstrated hepatoid carcinoma of the left adrenal gland. AFP was positive in the tumor cells. The levels of both AFP and PIVKA-II dropped to the normal range postoperatively. Hepatoid carcinoma in the urological field is very rare. As hepatoid carcinoma in the Japanese literature in the urological field, there were only 4 cases of renal tumor, 2 cases of renal pelvic tumor, 2 cases of retroperitoneal space and 1 case of urachal tumor. This is the first report of adrenal hepatoid carcinoma in Japan. |
URI: | http://hdl.handle.net/2433/115267 |
PubMed ID: | 7517622 |
出現コレクション: | Vol.40 No.5 |
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