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dc.contributor.author | 永井, 康晴 | ja |
dc.contributor.author | 南, 高文 | ja |
dc.contributor.author | 伊丹, 祥隆 | ja |
dc.contributor.author | 小林, 泰之 | ja |
dc.contributor.author | 清水, 信貴 | ja |
dc.contributor.author | 山本, 豊 | ja |
dc.contributor.author | 林, 泰司 | ja |
dc.contributor.author | 野澤, 昌弘 | ja |
dc.contributor.author | 吉村, 一宏 | ja |
dc.contributor.author | 石井, 徳味 | ja |
dc.contributor.author | 植村, 天受 | ja |
dc.contributor.alternative | Nagai, Yasuharu | en |
dc.contributor.alternative | Minami, Takafumi | en |
dc.contributor.alternative | Itami, Yoshitaka | en |
dc.contributor.alternative | Kobayashi, Yasuyuki | en |
dc.contributor.alternative | Shimizu, Nobutaka | en |
dc.contributor.alternative | Yamamoto, Yutaka | en |
dc.contributor.alternative | Hayashi, Taiji | en |
dc.contributor.alternative | Nozawa, Masahiro | en |
dc.contributor.alternative | Yoshimura, Kazuhiro | en |
dc.contributor.alternative | Ishii, Tokumi | en |
dc.contributor.alternative | Uemura, Hirotugu | en |
dc.date.accessioned | 2013-11-21T04:23:27Z | - |
dc.date.available | 2013-11-21T04:23:27Z | - |
dc.date.issued | 2013-10 | - |
dc.identifier.issn | 0018-1994 | - |
dc.identifier.uri | http://hdl.handle.net/2433/179512 | - |
dc.description.abstract | We experienced a case of testicular cancer that was successfully treated by salvage chemotherapy comprised of methotrexate, actinomycin D and etoposide (MEA). A 25-year-old man was admitted to our hospital with a diagnosis of stage III B2 (JUA classification) testicular cancer. The patient had multiple lung metastases, and underwent a left orchiectomy. A histopathological examination revealed a choriocarcinoma, embryonal carcinoma, mature teratoma, and a yolk sac tumor. Tumor marker levels were elevated ; human chorionic gonadotropin β was 46 mIU/ml and alpha fetoprotein was 437 ng/ml. Although he was treated post-operatively with two courses of bleomycin, etoposide and cisplatin therapy, four courses of high-dose carboplatin, etoposide and iphosphamide (VIP) therapy, and two courses of CPT-11+ cisplatin therapy, tumor maker levels remained elevated and lung metastases were stable. Accordingly, he received three courses of MEA therapy. MEA therapy is regimen used to treat gestational trophoblastic neoplasia. After MEA therapy, levels of the tumor markers normalized. He then underwent a partial resection of lung and enucleation of lung metastasis by the video assisted thoracoscopic surgery method. Histopathological examination of the lung metastasis revealed only necrotic tissue. Tumor recurrence has not been observed in the 14 months since the MEA therapy. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | jpn | - |
dc.publisher | 泌尿器科紀要刊行会 | ja |
dc.rights | 許諾条件により本文は2014-11-01に公開 | ja |
dc.subject | Testicular tumor | en |
dc.subject | Chemotherapy | en |
dc.subject.ndc | 494.9 | - |
dc.title | MEA療法が奏功した難治性非セミノーマ精巣腫瘍の1例 | ja |
dc.title.alternative | A Case of a Nonseminomatous Germ Cell Tumor Responding to MEA Therapy | en |
dc.type | departmental bulletin paper | - |
dc.type.niitype | Departmental Bulletin Paper | - |
dc.identifier.ncid | AN00208315 | - |
dc.identifier.jtitle | 泌尿器科紀要 | ja |
dc.identifier.volume | 59 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 693 | - |
dc.identifier.epage | 697 | - |
dc.textversion | publisher | - |
dc.sortkey | 11 | - |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.address | 近畿大学医学部附属病院泌尿器科学教室 | ja |
dc.startdate.bitstreamsavailable | 2014-11-01 | - |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.address.alternative | The Department of Urology, Kinki University School of Medicine | en |
dc.identifier.pmid | 24262714 | - |
dcterms.accessRights | open access | - |
dc.identifier.pissn | 0018-1994 | - |
dc.identifier.jtitle-alternative | Acta urologica Japonica | la |
dc.identifier.jtitle-alternative | Hinyokika Kiyo | en |
出現コレクション: | Vol.59 No.10 |
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