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タイトル: | 尿膜管癌多発肺転移に対しTS-1/CDDP 療法を施行した1例 |
その他のタイトル: | A Case of Urachal Carcinoma with Multiple Lung Metastases Treated by TS-1/CDDP Chemotherapy |
著者: | 吉田, 康幸 山中, 和明 上田, 倫央 平井, 利明 岸川, 英史 西村, 憲二 市川, 靖二 |
著者名の別形: | Yoshida, Yasuyuki Yamanaka, Kazuaki Ueda, Norichika Hirai, Toshiaki Kishikawa, Hidefumi Nishimura, Kenji Ichikawa, Yasuji |
キーワード: | Urachal carcinoma Chemotherapy |
発行日: | Mar-2014 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 60 |
号: | 3 |
開始ページ: | 147 |
終了ページ: | 150 |
抄録: | A 67-year-old woman presented with macroscopic hematuria and lower abdominal pain. Cystoscopy revealed a broad-stalk non-papillary tumor at the bladder dome. Computed tomography (CT) showed a tumor extending from the umbilicus to the bladder dome, together with multiple lung metastases. Serum carcinoembryonic antigen and cancer antigen (CA19-9) levels were elevated at 7.0 ng/ml and 180 U/ml, respectively. Transurethral resection of the tumor was performed and histopathology revealed adenocarcinoma. Therefore, the tumor was diagnosed as a stage IVB (Sheldon's category) urachal carcinoma. En bloc segmental resection of the urachal carcinoma with the bladder dome was performed, followed by chemotherapy with tegafur, gimestat, and otastat potassium (TS-1) and cisplatin. The disease remained stable for 8 months. However, a follow up CT scan after 11 chemotherapy cycles showed progression of the lung metastases. In spite of the change to a second-line gemcitabine and cisplatin chemotherapy regimen, the disease continued to progress after 4 cycles. |
著作権等: | 許諾条件により本文は2015/04/01に公開 |
URI: | http://hdl.handle.net/2433/186171 |
PubMed ID: | 24759503 |
出現コレクション: | Vol. 60 No. 3 |
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