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Title: CA19-9高値を示した腺上皮への分化を伴う原発性腎盂尿路上皮癌の1例
Other Titles: A Case of Primary Urotherial Carcinoma with Glandular Differentiation of the Renal Pelvis with High Serum Level of Carbohydrate Antigen 19-9 (CA19-9)
Authors: 伊丹, 祥隆  KAKEN_name
清水, 信貴  KAKEN_name
林, 泰司  KAKEN_name
永井, 康晴  KAKEN_name
小林, 泰之  KAKEN_name
山本, 豊  KAKEN_name
南, 高文  KAKEN_name
野澤, 昌弘  KAKEN_name
吉村, 一宏  KAKEN_name
石井, 徳味  KAKEN_name
植村, 天受  KAKEN_name
Author's alias: Itami, Yoshitaka
Shimizu, Nobutaka
Hayashi, Taiji
Nagai, Yasuharu
Kobayashi, Yasuyuki
Yamamoto, Yutaka
Minami, Takafumi
Nozawa, Masahiro
Yoshimura, Kazuhiro
Ishii, Tokumi
Uemura, Hirotsugu
Keywords: Carbohydrate antigen (CA19-9)
Renal pelvis carcinoma
Urotherial carcinoma with glandular differentiation
Issue Date: Apr-2012
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 58
Issue: 4
Start page: 203
End page: 207
Abstract: A 63-year-old man visited our hospital with body weight loss. Laboratory examination revealed a high serum level of carbohydrate antigen 19-9 (CA19-9) and LDH. There were no abnormal findings in the gastrointestinal tract. Enhanced abdominal computed tomography (CT) revealed a renal tumor, 5×3 cm in diameter, in the right lower pole and multiple lymph node swelling. The right renal tumor was not a typical renal cell carcinoma, so we considered the presence of bellini duct carcinoma and renal pelvis carcinoma, we performed right nephroureterectomy. Histopathological diagnosis was urothelial carcinoma with glandular differentiation of the renal pelvis. Post operation chemotherapy with GC (gemcitabine/ cisplatin : 3-cycle), MVAC (methotrexate/vinblastine/doxorubicin/cisplatin : 1-cycle), TS-1 + CBDCA (tegafur-gimeracil-oteracil potassium/carboplatin : 3-cycle) was performed for lymph node metastasis, but he died of cachexia 18 months after operation.
Rights: 許諾条件により本文は2013-05-01に公開
PubMed ID: 22684261
Appears in Collections:Vol.58 No.4

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