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dc.contributor.author | 藤原, 遼 | ja |
dc.contributor.author | 成田, 充弘 | ja |
dc.contributor.author | 影山, 進 | ja |
dc.contributor.author | 河内, 明宏 | ja |
dc.contributor.author | 仲山, 貴永 | ja |
dc.contributor.author | 西, 奈津実 | ja |
dc.contributor.author | 杉原, 洋行 | ja |
dc.contributor.author | 岡田, 裕作 | ja |
dc.contributor.alternative | Fujiwara, Ryo | en |
dc.contributor.alternative | Narita, Mitsuhiro | en |
dc.contributor.alternative | Kageyama, Susumu | en |
dc.contributor.alternative | Kawauchi, Akihiro | en |
dc.contributor.alternative | Nakayama, Takahisa | en |
dc.contributor.alternative | Nishi, Natsumi | en |
dc.contributor.alternative | Sugihara, Hiroyuki | en |
dc.contributor.alternative | Okada, Yusaku | en |
dc.date.accessioned | 2016-10-21T02:31:35Z | - |
dc.date.available | 2016-10-21T02:31:35Z | - |
dc.date.issued | 2016-09-30 | - |
dc.identifier.issn | 0018-1994 | - |
dc.identifier.uri | http://hdl.handle.net/2433/217051 | - |
dc.description.abstract | A 67-year-old man presented at our hospital with severe edema on the left side of his neck, chest and brachial regions. He had a history of right radical nephrectomy due to renal cell carcinoma (RCC, clear cell subtype, stage II) 15 years earlier. Thereafter, metastases to the pancreatic tail and right lung, and left lung metastasis were removed at 8 years and 11 years, respectively, after the nephrectomy. Four years earlier, he had also undergone total gastrectomy for gastric carcinoma (poorly differentiated adenocarcinoma, stage IV) and subsequent maintenance chemotherapy for gastric carcinoma. Follow-up computed tomography (CT) disclosed bilateral lung metastases and a pancreatic head metastasis. Cytology of pleural effusion on admission suggested pleuritis carcinomatosa from RCC. Clinical diagnosis was bilateral lung and pancreatic head metastases, pleuritis carcinomatosa and left subclavian vein thrombosis due to RCC metastasis. Maintenance chemotherapy for gastric carcinoma was replaced by Sunitinib 50 mg for RCC but he died of progressive disease 20 days later. Immunohistochemical study of the tissue from autopsy revealed lung metastasis and pancreatic head metastasis from both RCC and gastric carcinoma as well as multiple visceral metastases, pleuritis carcinomatosa and left subclavian vein thrombosis due to gastric carcinoma. Cause of death was acute respiratory failure due to pulmonary tumor embolism and pulmonary edema. Immunohistochemical study from autopsy was able to reveal the exact diagnosis, and immunohistochemical studies may be helpful in diagnosing the exact origin of metastasis and selecting appropriate treatmentsin patientswith multiple cancers. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | jpn | - |
dc.publisher | 泌尿器科紀要刊行会 | ja |
dc.rights | 許諾条件により本文は2017/10/01に公開 | ja |
dc.subject | Renal cell carcinoma | en |
dc.subject | Gastric carcinoma | en |
dc.subject | Synchronous metastases | en |
dc.subject | Immunohistochemical staining | en |
dc.subject.ndc | 494.9 | - |
dc.title | 転移巣の起源に苦慮した同時多発転移の1例 | ja |
dc.title.alternative | A Case of Synchronous Multiple Metastases in which the Origin Could Not Be Identified by Routine Examination | en |
dc.type | departmental bulletin paper | - |
dc.type.niitype | Departmental Bulletin Paper | - |
dc.identifier.ncid | AN00208315 | - |
dc.identifier.jtitle | 泌尿器科紀要 | ja |
dc.identifier.volume | 62 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 473 | - |
dc.identifier.epage | 477 | - |
dc.textversion | publisher | - |
dc.sortkey | 05 | - |
dc.address | 滋賀医科大学泌尿器科学講座・現: 公立甲賀病院泌尿器科 | ja |
dc.address | 滋賀医科大学泌尿器科学講座 | ja |
dc.address | 滋賀医科大学泌尿器科学講座 | ja |
dc.address | 滋賀医科大学泌尿器科学講座 | ja |
dc.address | 滋賀医科大学病理学講座 | ja |
dc.address | 滋賀医科大学病理学講座 | ja |
dc.address | 滋賀医科大学病理学講座 | ja |
dc.address | 野洲病院泌尿器科 | ja |
dc.address.alternative | The Department of Urology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Urology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Urology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Urology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Molecular and Diagnostic Pathology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Molecular and Diagnostic Pathology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Molecular and Diagnostic Pathology, Shiga University of Medical Science | en |
dc.address.alternative | The Department of Urology, Yasu Hospital | en |
dc.identifier.pmid | 27760972 | - |
dc.identifier.selfDOI | 10.14989/ActaUrolJap_62_9_473 | - |
dcterms.accessRights | open access | - |
datacite.date.available | 2017-10-01 | - |
dc.identifier.pissn | 0018-1994 | - |
dc.identifier.jtitle-alternative | Acta urologica Japonica | la |
dc.identifier.jtitle-alternative | Hinyokika Kiyo | en |
出現コレクション: | Vol.62 No.9 |
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