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38_1387.pdf | 2.39 MB | Adobe PDF | 見る/開く |
タイトル: | 尿路上皮腫瘍肺転移巣に対する動注療法により生じた食道気管支瘻の1例 |
その他のタイトル: | Esophago-bronchial fistula caused by chemotherapy with bronchial artery infusion for pulmonary metastases from urinary tract cancer |
著者: | 和田, 修 鈴木, 裕志 秋野, 裕信 蟹本, 雄右 岡田, 謙一郎 |
著者名の別形: | Wada, Osamu Suzuki, Yuji Akino, Hironobu Kanimoto, Yusuke Okada, Kenichiro |
キーワード: | Bronchial artery infusion Esophago-bronchial fistula Pulmonary metastasis Urinary tract cancer |
発行日: | Dec-1992 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 38 |
号: | 12 |
開始ページ: | 1387 |
終了ページ: | 1389 |
抄録: | We treated a patient who had had postchemotherapeutic pulmonary metastases from urinary tract cancer by bronchial artery infusion (BAI) chemotherapy. Pulmonary lesions showed a 33.0% reduction after the treatment. However, esophago-bronchial fistula (EBF) occurred after the second BAI. The patient died of recurrent aspiration pneumonia and sepsis in the sequelae of the repair surgery. The fistula was considered to have resulted from an increase in the blood flow to the esophageal branch originating from the bronchial artery after the first BAI, which had consequently damaged the local tissue due to accumulation of anti-cancer drugs. In order to avoid these complications, the secondary change of blood flow should be examined precisely by preceding angiographical mapping, and the concentration and the infusion speed of the cytotoxic drugs, should be under adequate control. |
URI: | http://hdl.handle.net/2433/117731 |
PubMed ID: | 1288228 |
出現コレクション: | Vol.38 No.12 |
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