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Title: A CASE OF GASTRIC CARCINOMA SELECTIVELY METASTASIZED TO THE URINARY TRACT
Other Titles: 特異な尿路転移を起した胃癌の1症例
Authors: Ariyoshi, Asami
Fujisawa, Yasuhito
Murayama, Hiroshi
Author's alias: 有吉, 朝美
藤沢, 保仁
村山, 寛
Issue Date: Sep-1978
Publisher: 京都大学医学部泌尿器科学教室
Journal title: 泌尿器科紀要
Volume: 24
Issue: 9
Start page: 743
End page: 745
Abstract: 65歳のとき,癌のために胃切除を受け,特異な尿路転移により5年半後に死亡した1女性例を報告した。頑固な萎縮性膀胱炎のため尿路変向が必要となり,交叉性尿管尿管吻合術および左尿管皮膚凄術をおこなった。尿細胞診で悪性疾患が疑われながらも前後4回の生検で確認されなかった。膀胱の炎症と萎縮,腎の感染,尿管の皮膚関口部狭窄など一連の尿路症状はすべて癌転移に起因していたとが剖検で判明した。転移の形式としては尿流による散布が癌の広がりに大きな役割を果していることが推測された。
It has been reported in autopsy studies that the secondary neoplastic involvement of the kidney and the bladder occurs more often than clinically observed. Stomach cancer is regarded as one of the tumors responsible for such a discrepancy. To our knowledge, however, it has not been reported that the metastatic deposit from gastric carcinoma is virtually limited to the urinary system, presenting severe urinary symptoms and causing a unique stomal stenosis following cutaneous transureteroureterostomy. Herein we report such a case.
URI: http://hdl.handle.net/2433/122259
Appears in Collections:Vol.24 No.9

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