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Title: 膀胱憩室原発腺癌の1例
Other Titles: A case of adenocarcinoma arising in the vesical diverticulum
Authors: 伊藤, 敬一  KAKEN_name
頼母木, 洋  KAKEN_name
長谷川, 親太郎  KAKEN_name
Author's alias: ITO, Keiichi
HASEGAWA, Shintaro
Keywords: Vesical adenocarcinoma
Vesical diverticulum
Partial cystectomy
Issue Date: Dec-1997
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 43
Issue: 12
Start page: 871
End page: 874
Abstract: A 70-year-old woman presented at our hospital with the chief complaint of gross hematuria and pain on urination. Cystoscopy revealed a broad-based tumor covered with mucus on the right wall of the bladder and therefore a transurethral resection was performed. At surgery the tumor was found to arise from the diverticulum and could not be resected because of the risk of perforation. A histopathological examination disclosed adenocarcinoma including a small region of signet ring cell carcinoma. The tumor was thus diagnosed to be adenocarcinoma originating from the vesical diverticulum and total cystectomy and urinary diversion (ileal conduit) were scheduled. At operation, the carcinoma was found to have infiltrated into the cecum. The operation procedure was therefore changed to partial cystectomy and excision of the cecum in consideration of both the patient's quality of life and her overall prognosis. Although a tumor originating from the vesical diverticulum and adenocarcinoma are both considered to be factors indicating a poor prognosis, no signs of recurrence or metastasis have been detected in this patient at 26 months after the operation.
PubMed ID: 9488935
Appears in Collections:Vol.43 No.12

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