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Title: 腎細胞癌胃転移の2例
Other Titles: Gastric Metastasis from Renal Cell Carcinoma : Two Case Reports
Authors: 大杉, 治之  KAKEN_name
藤井, 将人  KAKEN_name
北村, 悠樹  KAKEN_name
眞鍋, 由美  KAKEN_name
伊東, 晴喜  KAKEN_name
三品, 睦輝  KAKEN_name
奥野, 博  KAKEN_name
Author's alias: Ohsugi, Haruyuki
Fujii, Masato
Kitamura, Yuki
Manabe, Yumi
Ito, Haruki
Mishina, Mutsuki
Okuno, Hiroshi
Keywords: Renal cell carcinoma
Gastric metastasis
Issue Date: Oct-2014
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 60
Issue: 10
Start page: 475
End page: 479
Abstract: Gastric metastasis from renal cell carcinoma (RCC) is a very rare event and treatment for such patients has not been established. We report two cases of gastric metastasis from RCC. The first case was in a 67- year-old man with a past history of right radical nephrectomy for RCC (ypT3aN0M0) six years ago. The whole-body computed tomography (CT) revealed multiple lung nodules. We performed gastrointestinal endoscopy to find the primary lesion, and detected multiple submucosal tumors in the gastric body. Needle biopsy of these tumors revealed gastric metastasis from RCC. Oral sorafenib tosylate therapy was started. Twenty months later, gastrointestinal endoscopy showed only gastric erosion without malignant evidence. The second case was in a 70-year-old man complaining of epigastralgia. He had undergone right partial nephrectomy for RCC (pT1aN0M0) six years ago, and thoracoscopic wedge resection of a solitary lung nodule one year ago. Gastrointestinal endoscopy detected a solitary hyperplastic polyp in the anterior wall of the gastric body. Needle biopsy of this polyp revealed gastric metastasis from RCC. We performed laparoscopic partial gastrectomy. Gastrointestinal endoscopy and CT showed no evidence of metastasis or recurrence for 14 months after gastrectomy.
Rights: 許諾条件により本文は2015/11/01に公開
PubMed ID: 25391776
Appears in Collections:Vol. 60 No. 10

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