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Title: 重症多発筋炎を合併した精巣腫瘍の1例
Other Titles: Life-Threatening Polymyositis Associated with Non-Seminomatous Testicular Cancer : A Case Report
Authors: 亀井, 潤  KAKEN_name
京野, 陽子  KAKEN_name
山田, 幸央  KAKEN_name
篠原, 充  KAKEN_name
本間, 之夫  KAKEN_name
Author's alias: Kamei, Jun
Kyono, Yoko
Yamada, Yukio
Shinohara, Mitsuru
Homma, Yukio
Keywords: Testicular carcinoma
Polymyositis
Paraneoplastic syndrome
Issue Date: Jul-2012
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 58
Issue: 7
Start page: 361
End page: 364
Abstract: A 32-year-old man, who had been diagnosed with left testicular tumor and treated surgically at 30 years old, was diagnosed with recurrence of the testicular tumor by the elevation of tumor markers and para-aortic lymph node enlargement on computerized tomography. At the same time, creatine kinase was extremely elevated and he was diagnosed with polymyositis (PM). After systemic chemotherapy, the tumor markers improved. The symptoms of myopathy, however, became so severe that he developed aspiration pneumonia and required the temporary use of a ventilator. Using intravenous immunoglobulin and steroid pulse, the symptoms of PM improved. After the third chemotherapy session, the testicular tumor was in complete remission and he had no symptoms of polymyositis. After follow up for 7 years, there was no sign of recurrence of either testicular tumor or PM.
Rights: 許諾条件により本文は2013-08-01に公開
URI: http://hdl.handle.net/2433/159079
PubMed ID: 22895134
Appears in Collections:Vol.58 No.7

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