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タイトル: | 高カルシウム血症を呈した若年性ベリニ管癌の1例 |
その他のタイトル: | A Case of Bellini Collecting Duct Carcinoma with Hypercalcemia in a Young Adult |
著者: | 上村, 吉穂 清川, 岳彦 増田, 憲彦 宇都宮, 紀明 六車, 光英 川喜田, 睦司 |
著者名の別形: | Kamimura, Yoshiho Segawa, Takehiko Masuda, Norihiko Utsunomiya, Noriaki Muguruma, Koei Kawakita, Mutsushi |
キーワード: | Bellini collecting duct carcinoma Autopsy Hypercalcemia |
発行日: | Feb-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 2 |
開始ページ: | 83 |
終了ページ: | 86 |
抄録: | A 25-year-old man presented to a local clinic with right flank pain and gross hematuria. Computed tomography revealed the right renal tumor and he was referred to our hospital. Laparoscopic radical nephrectomy was performed and diagnosis of Bellini collecting duct carcinoma was made pathologically. Adjuvant therapy with interferon-α, followed by a gemcitabine and cisplatin-based regimen of chemotherapy was performed, but the disease progressed. Sunitinib was started 14 months after the operation. After one course of sunitinib, mental status was altered due to hypercalcemia (serum calcium level was 18.6 mg/dl and PTH-rP was 3.7 pmol/l). Level of consciousness recovered along with decreasing serum calcium level, but he died of multiple organ dysfunction 17 months after the operation. Autopsy showed liver, bone, lymph node, mediastinum and left adrenal tumor metastases. |
著作権等: | 許諾条件により本文は2013-03-01に公開 |
URI: | http://hdl.handle.net/2433/154629 |
PubMed ID: | 22450834 |
出現コレクション: | Vol.58 No.2 |
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