ダウンロード数: 541
タイトル: | 腎細胞癌の副腎転移に対してスニチニブを用いた術前補助療法が著効した1例 |
その他のタイトル: | A Case of Adrenal Metastasectomy in Renal Cell Carcinoma after Neoadjuvant Therapy with Sunitinib |
著者: | 濱田, 彬弘 ![]() 砂田, 拓郎 ![]() 加藤, 敬司 ![]() 澤田, 篤郎 ![]() 川西, 博晃 ![]() 奥村, 和弘 ![]() |
著者名の別形: | Hamada, Akihiro Sunada, Takuro Kato, Keiji Sawada, Atsuro Kawanishi, Hiroaki Okumura, Kazuhiro |
キーワード: | Renal cell carcinoma Metastatic adrenal tumor Sunitinib Neoadjuvant therapy |
発行日: | Feb-2014 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 60 |
号: | 2 |
開始ページ: | 79 |
終了ページ: | 82 |
抄録: | A 58-year-old man had undergone laparoscopic radical nephrectomy for right renal cell carcinoma. The histopathological diagnosis was clear cell carcinoma, grade 2>3, pT1b. Two years and 10 months postoperatively, computed tomography scans demonstrated an enhanced mass on the right adrenal gland. As we could not detect other metastatic lesions, it was diagnosed as solitary adrenal metastasis of renal cell carcinoma. Albeit metastasectomy was planned with curative intent, right hemihepatectomy was also required for surgical removal because the tumor was adherent to the right lobe of the liver broadly and had indistinct margins. So we started neoadjuvant therapy with sunitinib. Eight courses of treatment shrunk the metastatic tumor enough to allow it to be removed completely without partial hepatectomy. Neoadjuvant therapy with the molecular targeted drugs may provide an effective option for metastasectomy in renal cell carcinoma regarding increased curability and decreased the risk of an operation. |
著作権等: | 許諾条件により本文は2015-03-01に公開 |
URI: | http://hdl.handle.net/2433/185873 |
PubMed ID: | 24755818 |
出現コレクション: | Vol. 60 No. 2 |
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