ダウンロード数: 744
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
58_439.pdf | 989.23 kB | Adobe PDF | 見る/開く |
タイトル: | 膿腎症をきたし腎摘除術を施行した分類不能型腎細胞癌の1例 |
その他のタイトル: | Unclassified Renal Cell Carcinoma Accompanying Pyonephrosis : A Case Report |
著者: | 中西, 裕佳子 相原, 衣江 楊, 東益 白石, 裕介 東郷, 容和 田岡, 利宜也 上田, 康生 鈴木, 透 樋口, 喜英 佃, 文夫 造住, 誠孝 廣田, 誠一 兼松, 明弘 野島, 道生 山本, 新吾 |
著者名の別形: | Nakanishi, Yukako Aihara, Kinue Yo, Toeki Shiraishi, Yusuke Togo, Yoshikazu Taoka, Rikiya Ueda, Yasuo Suzuki, Toru Higuchi, Yoshihide Tsukuda, Fumio Zozumi, Masataka Hirota, Seiichi Kanematsu, Akihiro Nojima, Michio Yamamoto, Shingo |
キーワード: | Pyonephrosis Renal cell carcinoma |
発行日: | Aug-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 8 |
開始ページ: | 439 |
終了ページ: | 442 |
抄録: | A 73-year-old male, admitted to a local hospital because of fever and consciousness disturbance, was referred to our institute. He had a history of long-term steroid administration and diabetes mellitus. Under diagnosis of severe right pyonephrosis associated with severe inflammatory response syndrome as well as disseminated intravascular coagulopathy, he was transferred to our hospital. Computed tomography and magnetic resonance imaging showed a mass 5 cm in diameter at the right ureteropelvic junction and lymph node swelling at the renal hilum, suggesting obstructive pyonephrosis by a malignant tumor such as renal pelvic cancer. Since the patient failed to respond to conservative medical treatment including polymyxin B hemoperfusion, hemodialysis, and antimicrobials, we performed right nephrectomy. Histopathological examination demonstrated that the tumor obstructing the pelvis arose from the parenchyme under the muscle layer, and was diagnosed as unclassified renal cell carcinoma while the renal pelvic epithelium was normal. Although his general condition and laboratory data transiently improved after nephrectomy, he died of carcinomatousperitonitis30 days postoperatively. We advocate that, in the case of pyonephrosis with a lesion highly suspected to be an infiltrating neoplasm, nephrectomy is justified as first choice to control the septic condition. |
著作権等: | 許諾条件により本文は2013-09-01に公開 |
URI: | http://hdl.handle.net/2433/159765 |
PubMed ID: | 23052270 |
出現コレクション: | Vol.58 No.8 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。