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Title: 特異的な膀胱出血を主訴とした血友病Aの1症例
Other Titles: Hemophilia A presenting unusual vesical bleeding; report of a case
Authors: 川村, 寿一  KAKEN_name
沢西, 謙次  KAKEN_name
高山, 秀則  KAKEN_name
上山, 秀麿  KAKEN_name
安永, 幸二郎  KAKEN_name
岡本, 美恵子  KAKEN_name
Author's alias: Kawamura, Juichi
Sawanishi, Kenji
Takayama, Hidenori
Ueyama, Hidemaro
Yasunaga, Kojiro
Okamoto, Mieko
Keywords: Adult
Carcinoma, Squamous Cell/surgery
Factor VIII
Hemophilia A/surgery
Urinary Bladder Neoplasms/surgery
Issue Date: Dec-1969
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 15
Issue: 12
Start page: 827
End page: 846
Abstract: A 43-year-old man with moderate hemophilia A developed vesical bleeding hard to control. The cause of hemorrhage was found to be an infiltrating cancer of the bladder, histology of which was undifferentiated carcinoma with focal transitional carcinoma interestingly in the muscular layer. Malignant alteration in this case was thought to be induced by mechanical stimulation such as frequent fulguration, cystotomy, and long-term catheter indwelling. Recently, major surgery on hemophiliacs has become much safer by replacement of the deficient factor. Besides transfusion of fresh blood and frozen plasma, various type of factor VIn preparations have made the pre-and postoperative management easier and greatly improved the operative results. Cryoprecipitate of our own make gave the good result in maintaining the antihemophilic factor level.
PubMed ID: 5391520
Appears in Collections:Vol.15 No.12

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