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タイトル: | 腎外性腎芽腫の1例 |
その他のタイトル: | Extrarenal nephroblastoma: report of a case and review of the literature |
著者: | 内藤, 克輔 横山, 修 山口, 一洋 久住, 治男 大関, 重治 梶原, 荘平 寺畑, 信太郎 松原, 藤継 |
著者名の別形: | Naito, Katsusuke Yokoyama, Osamu Yamaguchi, Kazuyou Hisazumi, Haruo Ohzeki, Shigeharu Kajiwara, Sohei Terahata, Shintaro Matsubara, Fujitsugu |
キーワード: | Child, Preschool Female Humans Kidney Neoplasms/pathology/radiography/surgery Neoplasm Invasiveness Tomography, X-Ray Computed Wilms Tumor/pathology/radiography/surgery |
発行日: | Oct-1985 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 31 |
号: | 10 |
開始ページ: | 1773 |
終了ページ: | 1780 |
抄録: | A 3-year-old girl with an extrarenal nephroblastoma arising from the right retroperitoneal space is described. She was admitted to our hospital with the chief complaint of abdominal pain. On physical examination, she was found to have a large (12 X 10 cm in size), firm and nontender mass in the right upper quadrant of the abdomen. The mass did not extend beyond the midsagital line. The physical examination did not reveal any particular findings or any congenital anomalies. Urinalysis and hematological data were within the normal limit. Radiological examinations including CT scan showed that the solid tumor was related to the right kidney. Under the diagnosis of right nephroblastoma, 15 micrograms/kg/day of actinomycin D was given intravenously for 5 days from October 18, 1982. The regression rate of the tumor was 78 percent on CT scan after chemotherapy. On November 22, 1982, transperitoneal nephrectomy was performed through a right paramedian incision. The tumor was found to adhere tightly to the upper pole of the kidney. The surgical specimen was 76 g in weight. A section of the surgical specimen showed an extrarenal tumor located completely outside the kidney and separated from the renal cortex by a thickened renal capsule. Histological diagnosis was extrarenal nephroblastoma showing renal capsular invasion by epithelial tumor cells. No teratomatous components were encountered in the tumor.(ABSTRACT TRUNCATED AT 250 WORDS) |
URI: | http://hdl.handle.net/2433/118630 |
PubMed ID: | 3004165 |
出現コレクション: | Vol.31 No.10 |
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