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タイトル: 腎盂癌を原因とした右膿腎症の1例
その他のタイトル: A Case of Right Pyonephrosis Caused by Renal Pelvic Cancer
著者: 早川, 将平  KAKEN_name
石黒, 幸一  KAKEN_name
佐々木, ひと美  KAKEN_name
石川, 清仁  KAKEN_name
白木, 良一  KAKEN_name
著者名の別形: Hayakawa, Shohei
Ishiguro, Koichi
Sasaki, Hitomi
Ishikawa, Kiyohito
Shiroki, Ryoichi
キーワード: Pyonephrosis
Renal pelvic cancer
発行日: 31-Dec-2017
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要 = Acta urologica Japonica
巻: 63
号: 12
開始ページ: 529
終了ページ: 532
抄録: A 47-year-old woman who was diagnosed with right pyelonephritis by a local physician, but failed to respond to antimicrobial chemotherapy, was referred to our hospital. Here, the diagnosis of right pyonephrosis was confirmed byabdominal computed tomography(CT). Retrograde pyelography(RP) revealed a severe stricture at the ureteropelvic junction, and it was considered difficult to advance a guidewire through the stricture. Urine cytologywas pseudo-positive ; thus, the possibilityof a malignant tumor of the urinarytract could not be ruled out. Therefore, right nephroureterectomywas performed. The final, histopathological diagnosis was urothelial carcinoma, (G2, pT3). After surgery, the signs and symptoms of the infection were rapidlyameliorated ; however, swelling of the lymph-nodes between the aorta and vena cava was observed, which was considered to be metastasis. Therefore, 4 courses of gemcitabine +cisplatin therapywere administered, which resulted in complete resolution of the lymph-node swelling. The patient has remained free of recurrence for 2 years after surgery.
著作権等: 許諾条件により本文は2019/01/01に公開
DOI: 10.14989/ActaUrolJap_63_12_529
URI: http://hdl.handle.net/2433/228965
PubMed ID: 29370665
出現コレクション:Vol.63 No.12

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