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タイトル: | S状結腸を利用しMonti 変法による非失禁型導尿路を作成した尿道浸潤を有する乳房外Paget 病の1例 |
その他のタイトル: | A Case of Extramammary Paget's Disease with Urethral Invasion Treated by Construction of Continent Urinary Diversion Based on the Monti Principle Using the Sigmoid Colon |
著者: | 計屋, 知彰 ![]() 中西, 裕美 ![]() 浅井, 昭宏 ![]() 鹿子木, 桂 ![]() 木原, 敏晴 ![]() 竹原, 浩介 ![]() 井川, 掌 ![]() 酒井, 英樹 ![]() 黨, 和夫 ![]() 竹下, 浩明 ![]() 三浦, 清徳 ![]() 田中, 克己 ![]() 加島, 志郎 ![]() 松尾, 学 ![]() |
著者名の別形: | Hakariya, Tomoaki Nakanishi, Hiromi Asai, Akihiro Kanokoki, Katsura Kihara, Toshiharu Takehara, Kosuke Igawa, Tsukasa Sakai, Hideki Tou, Kazuo Takeshita, Hiroaki Miura, Kiyonori Tanaka, Katsumi Kashima, Shiro Matsuo, Manabu |
キーワード: | Extramammary Paget's disease Monti principle |
発行日: | Feb-2015 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 61 |
号: | 2 |
開始ページ: | 61 |
終了ページ: | 65 |
抄録: | Extramammary Paget's disease occurring in the female vulva is occasionally associated with invasive disease to urethra and bladder mucosa. For such cases, ensuring adequate surgical margin is essential. Not only adequate removal of tumor, but also urinary diversion is important for patient's quality of life. A 77- year-old woman was treated with excision of vulvar tumor, urethra, vagina, rectum and anus. The determination of excision area was decided according to the result of mapping biopsy including urethra and bladder. Then she received reconstruction of vulva using the gracilis muscle skin flap. We applied a technique of channel formation for intermittent catheterization using the retubularized sigmoid colon based on the Monti principle. The tube was implanted submucosally into the bladder to prevent the reflux of urine. Fifteen days after operation, self-intermittent catheterization was started successfully. Surgical margins were negative in urethra, skin, vagina and rectum. There are no obvious recurrence or metastasis 1 year after surgery. |
著作権等: | 許諾条件により本文は2016/03/01に公開 |
URI: | http://hdl.handle.net/2433/196652 |
PubMed ID: | 25812595 |
出現コレクション: | Vol. 61 No. 2 |
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