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Title: 胃利用膀胱拡大術後に発生した進行性膀胱腺癌の1例
Other Titles: Advanced Adenocarcinoma of the Bladder after Augmentation Gastrocystoplasty
Authors: 河野, 有香  KAKEN_name
寺田, 直樹  KAKEN_name
髙島, 靖  KAKEN_name
樋上, 健介  KAKEN_name
飛田, 卓哉  KAKEN_name
後藤, 修平  KAKEN_name
砂田, 拓郎  KAKEN_name
岡田, 能幸  KAKEN_name
柴崎, 昇  KAKEN_name
根来, 宏光  kyouindb  KAKEN_id
小林, 恭  KAKEN_name
山崎, 俊成  kyouindb  KAKEN_id
松井, 喜之  KAKEN_name
井上, 貴博  KAKEN_name
神波, 大己  KAKEN_id
小川, 修  KAKEN_name
Author's alias: Kono, Yuka
Terada, Naoki
Takashima, Yasushi
Hikami, Kensuke
Hida, Takuya
Goto, Shuhei
Sunada, Takuro
Okada, Yoshiyuki
Shibasaki, Noboru
Negoro, Hiromitsu
Kobayashi, Takashi
Yamasaki, Toshinari
Matsui, Yoshiyuki
Inoue, Takahiro
Kamba, Tomomi
Ogawa, Osamu
Keywords: Gastrocystoplasty
Late complication
Issue Date: 31-Jan-2016
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 62
Issue: 1
Start page: 33
End page: 37
Abstract: A 29-year-oldwoman had undergone gastrocystoplasty with Mitrofanoff appendicovesicostomy for urethral trauma at 9 years of age. Since then, she was being followed up for performing clean intermittent self-catheterization at regular intervals. Twenty years after the surgery, she presented with gross hematuria. Ultrasonographic findings revealed bilateral hydronephrosis. Cystoscopy andcomputed tomography (CT) revealed invasive bladder cancer with pelvic lymph node metastases. A biopsy confirmed the diagnosis of adenocarcinoma with signet ring cell carcinoma. Subsequently, neo-adjuvant combination chemotherapy with TS-1 and cisplatin (CDDP) was initiated, which was followed by open radical cystectomy with extended pelvic lymphadenectomy. The tumor was found to infiltrate from the anastomotic site into the entire native bladder and histopathological diagnosis was muscle invasive adenocarcinoma with neuroendocrine differentiation and lymph node metastasis (ypT3bN2). TS-1 was continued as adjuvant chemotherapy and the patient did not have any evidence of recurrence for 12 months postoperatively.
Rights: 許諾条件により本文は2017/02/01に公開
PubMed ID: 26932334
Appears in Collections:Vol.62 No.1

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