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タイトル: | ロボット支援腹腔鏡下前立腺全摘除術後,ポート部再発を認めた低分化前立腺癌の1例 |
その他のタイトル: | Port-Site Metastasis of Prostate Cancer after Robot-Assisted Laparoscopic Prostatectomy : A Case Report |
著者: | 池内, 亮介 砂田, 拓郎 吉川, 武志 吉田, 徹 岩佐, 葉子 清川, 岳彦 |
著者名の別形: | Ikeuchi, Ryosuke Sunada, Takuro Yoshikawa, Takeshi Yoshida, Toru Iwasa, Yoko Segawa, Takehiko |
キーワード: | Prostate cancer Port-site metastasis Port-site recurrence Chemohormonal therapy |
発行日: | 28-Feb-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 2 |
開始ページ: | 87 |
終了ページ: | 91 |
抄録: | The incidence of port-site metastasis in urologic laparoscopic surgery is low, especially in prostate cancer, with 4 reported cases to date. A 65-year-old man was introduced to our hospital presenting with gross hematuria and dysuria. His prostate-specific antigen (PSA) level was 3.1 ng/ml. He was diagnosed with poorly differentiated adenocarcinoma of the prostate, Gleason 9 (5+4), cT3aN0M0 with non-invasive urothelial cancer of bladder (pTaN0M0, low grade). Robot-assisted laparoscopic prostatectomy was performed. Histopathological examination revealed adenocarcinoma, Gleason 9 (5+4), pT3bN0, and surgical margins were positive. Eighteen weeks postoperatively, local recurrence, lymph node metastases, and a port-site metastasis were observed. Androgen deprivation therapy with 4 courses of induction docetaxel chemotherapy achieved a complete response on imaging study, 2 years postoperatively. |
著作権等: | 許諾条件により本文は2018/03/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_2_87 |
URI: | http://hdl.handle.net/2433/218674 |
PubMed ID: | 28264539 |
出現コレクション: | Vol.63 No.2 |
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