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タイトル: | 原発性マクログロブリン血症による尿管アミロイドーシスの1例 |
その他のタイトル: | A Case of Amyloidosis of the Ureter Caused by Primary Macroglobulinemia |
著者: | 宮﨑, 有 神波, 大己 清水, 洋祐 井上, 貴博 大久保, 和俊 渡部, 淳 吉村, 耕治 兼松, 明弘 西山, 博之 小川, 修 |
著者名の別形: | Miyazaki, Yu Kamba, Tomomi Shimizu, Yosuke Inoue, Takahiro Okubo, Kazutoshi Watanabe, Jun Yoshimura, Koji Kanematsu, Akihiro Nishiyama, Hiroyuki Ogawa, Osamu |
キーワード: | AL amyloidosis ureter primary macroglobulinemia |
発行日: | Apr-2011 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 57 |
号: | 4 |
開始ページ: | 185 |
終了ページ: | 188 |
抄録: | A 78-year-old woman was referred to our hospital with chief complaint of colicky right flank pain. Computed tomography (CT) demonstrated right hydronephrosis and a wall thickening in the right ureteropelvic junction. Right nephroureterectomy was performed under a clinical diagnosis of invasive ureteral cancer. Histological examination revealed immunoglobulin light chain (AL) amyloidosis of the ureter. Although amyloid deposition seemed to be localized to the ureter alone, bone marrow biopsy revealed primary macroglobulinemia. After 23 months, no signs or symptoms suggesting the progression of amyloidosis or macroglobulinemia have been pointed out. AL amyloidosis arising secondarily to plasma cell disorder is called immunocytic amyloidosis. In general, immunocytic amyloidosis accompanies deposition of the amyloid protein to various organs of the whole body, and causes multiple clinical symptoms related to amyloid deposition. Even though the clinical manifestation indicates the localized disease like the presented case, close examination of immunocytic amyloidosis is important. |
著作権等: | 許諾条件により本文は2012-05-01に公開 |
URI: | http://hdl.handle.net/2433/141826 |
PubMed ID: | 21646848 |
出現コレクション: | Vol.57 No.4 |
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