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59_443.pdf | 1.04 MB | Adobe PDF | 見る/開く |
タイトル: | Sivelestat併用術前化学療法によって治療しえた呼吸不全を伴うG-CSFおよびIL-6産生膀胱腫瘍の1例 |
その他のタイトル: | A Case of Bladder Cancer Producing Granulocyte Colony-Stimulating Factor and Interleukin-6 Causing Respiratory Failure Treated with Neoadjuvant Sytemic Chemotherapy Along with Sivelestat |
著者: | 松崎, 恭介 奥見, 雅由 岸本, 望 矢澤, 浩治 宮川, 康 内田, 欽也 野々村, 祝夫 |
著者名の別形: | Matsuzaki, Kyosuke Okumi, Masayoshi Kishimoto, Nozomu Yazawa, Koji Miyagawa, Yasushi Uchida, Kinya Nonomura, Norio |
キーワード: | Granulocyte colony-stimulating factor Interleukin-6 Sivelestat Respiratory failure Bladder cancer |
発行日: | Jul-2013 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 59 |
号: | 7 |
開始ページ: | 443 |
終了ページ: | 447 |
抄録: | A 67-year-old man visited an urological clinic with a chief complaint of urination pain. Cystourethroscopy and magnetic resonance imaging (MRI) examination revealed a bladder tumor (cT3bN0M0). Marked leukocytosis and respiratory distress with pleural effusion appeared. Pulse steroid therapy improved the general condition partially. The patient was sent to our hospital for further examination. Serum granulocyte colony-stimulating factor (G-CSF) and interleukin-6 (IL-6) were high and the pathological findings of bladder tumor obtained by transurethral resection (TUR) revealed an urothelial carcinoma that produced G-CSF and IL-6. Neoadjuvant systemic chemotherapy was performed along with use of steroid and sivelestat, which ameliorated the respiratory distress. After three courses of systemic chemotherapy, serum G-CSF and IL-6 normalized and cystoprostatectomy was performed. The patient has been in good health at 20 months after the surgery with no evidence of recurrence. |
著作権等: | 許諾条件により本文は2014-08-01に公開 |
URI: | http://hdl.handle.net/2433/177501 |
PubMed ID: | 23945326 |
出現コレクション: | Vol.59 No.7 |
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