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タイトル: | 同時性に両側副腎に認めた悪性褐色細胞腫の1例 |
その他のタイトル: | A Case of Synchronous Malignant Pheochromocytomas in Bilateral Adrenal Glands |
著者: | 臼井, 公紹 平澤, 輝一 小林, 将貴 塩井, 康一 小林, 一樹 酒井, 直樹 野口, 純男 津浦, 幸夫 |
著者名の別形: | Usui, Kimitsugu Hirasawa, Terukazu Kobayashi, Masataka Shioi, Kouichi Kobayashi, Kazuki Sakai, Naoki Noguchi, Sumio Tsuura, Yukio |
キーワード: | Adrenal Bilateral Malignant Pheochromocytoma |
発行日: | 30-Jun-2016 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 62 |
号: | 6 |
開始ページ: | 307 |
終了ページ: | 312 |
抄録: | We present a case of synchronous malignant pheochromocytoma in bilateral adrenal glands. A 73- year-old man presented to our hospital with bilateral adrenal masses incidentally found during abdominal ultrasonography examination for an unrelated issue. The patient had a 30-year history of hypertension and paroxysmal atrial fibrillation. Computed tomography and magnetic resonance imaging showed heterogeneous tumors in bilateral adrenal glands and an enlarged para-aortic lymph node. Hormonal examinations revealed a high value of urinary catecholamines. Metaiodobenzylguanidine (MIBG) scintigraphy showed increased uptake in bilateral adrenal glands and the lymph node. Both adrenal tumors and the node were surgically removed. Pathological examination revealed histologically distinct tissue between the two adrenal tumors. The patient received five cycles of adjuvant chemotherapy, consisting of cyclophosphamide, vincristine, and dacarbazine. The patient has been in remission for 32 months following surgical treatment. |
記述: | The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Urology, Yokosuka Kyosai Hospital The Department of Pathology, Yokosuka Kyosai Hospital |
著作権等: | 許諾条件により本文は2017/07/01に公開 |
URI: | http://hdl.handle.net/2433/216083 |
PubMed ID: | 27452493 |
出現コレクション: | Vol.62 No.6 |
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