ダウンロード数: 354
タイトル: | 膀胱内再発を来たした尿管原発小細胞癌の1例 |
その他のタイトル: | Intravesical Recurrence of Small Cell Carcinoma of the Ureter : A Case Report |
著者: | 上田, 倫央 小林, 泰之 新井, 浩樹 本多, 正人 吉田, 恭太郎 |
著者名の別形: | Ueda, Norichika Kobayashi, Yasuyuki Arai, Hiroki Honda, Masahito Yoshida, Kyotaro |
キーワード: | Small cell carcinoma Ureter Bladder recurrence |
発行日: | 29-Feb-2016 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 62 |
号: | 2 |
開始ページ: | 93 |
終了ページ: | 97 |
抄録: | A 63-year-old man who presented with asymptomatic gross hematuria was referred to our hospital. Left ureteral tumor (cT3N0M0) was diagnosed and left nephroureterectomy was performed. Pathological examination revealed urothelial carcinoma and small cell carcinoma with local invasion (pT3). The patient was treated with three cycles of adjuvant chemotherapy with gemcitabine and cisplatin. Three months after the chemotherapy, cystoscopy showed an intravesical recurrence of the tumor. Transurethral resection was performed and histopathological examination revealed small cell carcinoma (pT1). We recommended a cystectomy and neoadjuvant chemotherapy with etoposide and carboplatin according to the standard care of small cell carcinoma of bladder. However, the patient refused to undergo cystectomy and desired to preserve his bladder. Therefore, after two cycles of chemotherapy with etoposide and carboplatin, transurethral resection was performed to examine the presence of the residual tumor instead of immediate cystectomy. Because of no residual tumor, another two cycles of chemotherapy were added instead of a cystectomy. There is no evidence of recurrence seven months after the chemotherapy. |
著作権等: | 許諾条件により本文は2017/03/01に公開 |
URI: | http://hdl.handle.net/2433/209728 |
PubMed ID: | 27018413 |
出現コレクション: | Vol.62 No.2 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。