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タイトル: | 自家移植腎に再発し, 経皮的凍結療法を施行した腎癌の1例 |
その他のタイトル: | A Case of Recurrent Renal Cancer in the Autografted Kidney, Treated with Percutaneous Cryoablation |
著者: | 冨山, 栄輔 福原, 慎一郎 氏家, 剛 永原, 啓 植村, 元秀 木内, 寛 今村, 亮一 宮川, 康 任 , 幹夫 野々村, 祝夫 |
著者名の別形: | Tomiyama, Eisuke Fukuhara, Shinichiro Ujike, Takeshi Nagahara, Akira Uemura, Motohide Kiuchi, Hiroshi Imamura, Ryoichi Miyagawa, Yasushi Nin, Mikio Nonomura, Norio |
キーワード: | Renal cell carcinoma Percutaneous cryoablation Autografted kidney |
発行日: | 31-Oct-2016 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 62 |
号: | 10 |
開始ページ: | 539 |
終了ページ: | 543 |
抄録: | We report a case of recurrent renal cancer in the autografted kidney, treated with percutaneous cryoablation. A 59-year-old man who had bilateral renal tumors underwent radical left nephrectomy, ex vivo right partial nephrectomy and auto-transplantation at the right ileal fossa in our hospital 11 years ago. Histopathological examination showed clear cell renal cell carcinoma in bilateral kidneys (pT1bN0M0). He had been followed at another hospital without tumor recurrence for 11 years. In 2014, an enhanced CT scan revealed a renal tumor with a diameter of two centimeters in the autografted kidney, which was thought to be a recurrence of the initial renal cancer. He was referred to our hospital for further evaluation and treatment. He underwent percutaneous renal tumor biopsy, which confirmed renal cancer recurrence, followed by percutaneous cryoablation. Three months after cryoablation, an enhanced CT showed that the enhancement lesion in the autografted kidney had disappeared, and these findings were confirmed pathologically by absence of malignancy by a subsequent needle biopsy. The level of serum creatinine (sCr) was 1.16 md/dl immediately before cryoablation and 1.46 mg/dl at three months after cryoablation. Nine months after cryoablation, the patient had no reccurence and renal function was stable (sCr 1.43 mg/dl). |
著作権等: | 許諾条件により本文は2017/11/01に公開 |
DOI: | 10.14989/ActaUrolJap_62_10_539 |
URI: | http://hdl.handle.net/2433/217567 |
PubMed ID: | 27919129 |
出現コレクション: | Vol.62 No.10 |
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