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タイトル: | 原発性上部尿路上皮内癌の1例 |
その他のタイトル: | Primary carcinoma in situ of the upper urinary tract: a case report |
著者: | 辻村, 晃 安永, 豊 松宮, 清美 岡, 聖次 高羽, 津 有馬, 良一 倉田, 明彦 |
著者名の別形: | Tsujimura, Akira Yasunaga, Yutaka Matsumiya, Kiyomi Oka, Toshitsugu Takaha, Minato Arima, Ryoichi Kurata, Akihiko |
キーワード: | Primary carcinoma in situ Upper urinary tract |
発行日: | May-1992 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 38 |
号: | 5 |
開始ページ: | 565 |
終了ページ: | 568 |
抄録: | A case of primary carcinoma in situ of the upper urinary tract in a 72-year-old woman is reported. The patient who complained of left lower abdominal pain was referred for a suspicion of left ureteral stone. An excretory pyelogram showed mild left ureteral stricuture at the level of L3, but a stone was not detected in the ureter at the same level. Cytology of voided urine was positive for malignant cells several times. Cystoscopic examination revealed no abnormality in the bladder. Retrograde left pyelogram demonstrated the ureteral stricture and no lesions either of stone or tumor in the ureter. However malignant cells were detected cytologically in the left ureteral catheteral urine. Left total nephroureterectomy with the bladder cuff was carried out under the preoperative diagnosis of carcinoma in situ of the upper urinary tract. Macroscopically, the wall of the ureter at the stenotic level had induration without apparent tumor mass. The pathological diagnosis was transitional cell carcinoma in situ from the renal pelvis to the mid-ureter. The primary carcinoma in situ of the upper urinary tract is rare. To our knowledge, this case is the 26th case reported in the Japanese literature. |
URI: | http://hdl.handle.net/2433/117551 |
PubMed ID: | 1609667 |
出現コレクション: | Vol.38 No.5 |
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